Facial Plastic Surgery in Charlotte, NC
Confidence is Beautiful
Your face changes with time, but those changes don’t always reflect how energetic or confident you feel. Features that once felt balanced start to shift and lose their youthful fullness.
Double board-certified facial plastic surgeon Dr. Adam C. Augenstein approaches facial rejuvenation with a clear goal: to help you look refreshed while preserving the character of your face. From advanced facelift surgery to injectables, laser treatments, and medical-grade skincare, every recommendation at Aesthetic Surgery of Charlotte is based on your anatomy, concerns, and vision for yourself.
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Facial rejuvenation is deeply personal. You may be ready to correct changes that have developed over many years, or you may want to address one feature that has always felt out of balance. Either way, the right plan begins with understanding your face as a whole.
Dr. Augenstein brings extensive training in facial plastic surgery and head and neck surgery to every consultation. He studies the structure beneath the skin, the way your features relate to one another, and how aging has affected different areas of your face. He can then recommend the combination of surgical or nonsurgical treatments that makes sense for you. Sometimes that means a facelift. In other cases, a smaller procedure, injectable treatment, or skin-focused approach can provide the improvement you want.
Aesthetic Surgery of Charlotte offers a complete range of facial procedures and nonsurgical treatments. Each option addresses a different layer of facial aging, from structural laxity beneath the skin to volume loss, expression lines, pigmentation, and changes in texture.
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A facelift addresses changes that develop below the surface of the skin. As the deeper tissues of the face descend, the cheeks may flatten, folds become more pronounced, and the jawline loses its clean definition. Skin tightening alone cannot fully correct these changes. Facelift surgery repositions the underlying tissues and removes appropriate amounts of excess skin to restore a smoother, more defined facial shape.
Dr. Augenstein takes a comprehensive view of facelift surgery. He evaluates the cheeks, lower face, jawline, and neck together because aging rarely affects one of these areas in isolation. Depending on your anatomy, he may recommend a deep plane facelift, a SMAS approach, a neck lift, or another carefully selected technique.
His goal is to create a result that settles naturally into your face. The skin should never appear excessively tight, and the features should remain expressive and recognizable. Friends may notice that you look rested or healthier without immediately knowing what changed.
Dr. Adam C. Augenstein brings nearly two decades of surgical experience to facial rejuvenation in Charlotte. He is board-certified by the American Board of Plastic Surgery and the American Board of Otolaryngology–Head & Neck Surgery, with residency training in both fields. This background gives him a detailed understanding of facial anatomy and the structural changes responsible for visible aging.
His facial specialties include deep plane and SMAS facelifts, neck lifts, blepharoplasty, rhinoplasty, brow lifts, and facial fat grafting. Over the course of more than 6,500 procedures, he has developed an approach grounded in careful planning and respect for each patient’s natural features. He listens closely, explains his recommendations clearly, and will tell you when surgery is unlikely to provide the improvement you want.
Patients also value the personal attention Dr. Augenstein brings to the experience. You will have the time to discuss what has changed, what you hope to improve, and how much recovery you are comfortable taking on. From your first conversation through your follow-up visits, his goal is to make sure you feel informed, supported, and confident in every decision.
Our Philosophy: Honest Recommendations. Natural Results.
Aesthetic Surgery of Charlotte is built around a simple principle: good aesthetic care begins with an honest recommendation. We take the time to understand what you are seeing and determine which treatment can address it effectively. That may be a facelift or another facial procedure. It may also be an injectable, laser treatment, or personalized skincare plan. If treatment is unnecessary, or if a particular option will not deliver the result you expect, we will tell you.
That transparency extends to the entire treatment experience. We explain the likely improvement, limitations, recovery, and risks in clear terms so you can make an informed decision. Our team does not minimize downtime or encourage additional procedures without a sound reason. The goal is to create a focused plan that fits your anatomy, priorities, and life.
For patients undergoing surgery, procedures are performed in our private, QUAD A-accredited facility in Charlotte. This controlled setting allows our team to maintain rigorous standards for equipment, staffing, cleanliness, and patient monitoring. Surgical and nonsurgical patients receive the same attentive care, with experienced providers, modern treatment options, and a shared commitment to results that feel balanced and personal.
Your Consultation Comes First
It can be difficult to know where to start when several areas of the face seem to change at once. You may assume you need a facelift when eyelid surgery and facial fat grafting would address the concern more directly. You may arrive interested in fillers and learn that adding additional volume would not improve skin laxity along the jawline. The consultation is where those distinctions become clear.
Dr. Augenstein will examine your facial structure, skin quality, volume distribution, and degree of tissue laxity. He will also ask what you see when you look in the mirror, how long the concern has bothered you, and how much recovery you are prepared to take on. From there, he can explain what is realistically achievable and which approach offers the best balance of improvement, safety, and longevity.
Explore results from patients who have undergone facelift surgery, neck lift, blepharoplasty, rhinoplasty, facial fat grafting, and other facial procedures at Aesthetic Surgery of Charlotte.
Facial procedures can address the effects of aging, refine an individual feature, or improve how the face works as a whole. Dr. Augenstein selects and adapts each technique according to the patient’s anatomy rather than applying the same operation to every face.
Facelift surgery restores definition to the cheeks, lower face, and jawline by repositioning tissues that have descended over time. Dr. Augenstein carefully manages the deeper facial structures so the skin can settle smoothly without carrying excessive tension. The procedure may be appropriate for patients who have developed jowls, deeper facial folds, loose skin, or a disconnect between how old they feel and how tired their face appears. The result should look rested and naturally integrated with the rest of the patient’s features.
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A deep plane facelift releases and repositions deeper layers of facial tissue as a connected unit. For the right patient, this approach can restore the cheeks, soften the transition into the lower face, and improve the jawline while limiting tension on the skin. Dr. Augenstein determines whether a deep plane facelift, SMAS facelift, or another approach is most appropriate after evaluating the patient’s anatomy and pattern of aging. No single technique is automatically right for every face.
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Loose skin, muscle banding, and fullness beneath the chin can blur the line between the jaw and neck. A neck lift addresses these changes by tightening the underlying structures and removing excess skin or fat when appropriate. Because the face and neck age together, neck lift surgery is frequently incorporated into a facelift plan. It may also be performed on its own when the upper face remains well supported, and the primary concern sits below the jawline.
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The eyelids can begin to look heavy or tired long before the rest of the face shows advanced aging. Upper blepharoplasty removes excess skin that folds over the eyelid, while lower blepharoplasty can improve bags and contour irregularities beneath the eyes. In some patients, excess upper eyelid skin can also interfere with vision. Dr. Augenstein plans eyelid surgery conservatively, preserving the natural shape of the eyes and enough tissue for comfortable function.
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Facial aging includes a gradual loss and redistribution of fat. The cheeks may flatten, the temples become hollow, and the area beneath the eyes can look less supported. Facial fat grafting uses a patient’s own fat to restore carefully controlled volume in these areas. Dr. Augenstein performs facial fat grafting in conjunction with facelift surgery when volume loss is part of the patient’s aging pattern. The facelift repositions descended tissues while fat grafting restores support where it has been lost, creating a softer and more balanced rejuvenation.
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The nose has a strong influence on facial proportion because it sits at the center of the face. Rhinoplasty can refine the bridge, tip, nostrils, or overall size of the nose while preserving characteristics that belong naturally to the patient. Dr. Augenstein’s training in facial plastic surgery and otolaryngology–head and neck surgery allows him to consider appearance and nasal function together. For patients with structural breathing concerns, the procedure may include functional corrections as part of the surgical plan.
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Facelift and neck lift surgery restore the deeper structures of the face, while laser resurfacing addresses the condition of the skin. Dr. Augenstein may incorporate laser treatment into the recovery plan to improve fine lines, sun damage, uneven tone, and rough texture.
By performing laser resurfacing during the same general recovery period, Dr. Augenstein can improve skin quality while the deeper facial tissues continue to heal. This coordinated approach addresses both facial contours and the skin’s surface as part of one comprehensive rejuvenation plan. The timing and intensity of treatment are tailored to the patient’s skin, healing progress, and surgical plan.
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Many facial concerns begin with changes in the skin and can often be improved with nonsurgical treatments before surgery is ever recommended. Aesthetic Surgery of Charlotte offers injectables, laser treatments, energy-based procedures, and personalized skincare for patients who want focused improvement with less downtime.
Neurotoxins such as Botox and Dysport can soften lines caused by repeated facial movement. Restylane fillers can restore support or improve the proportions of the lips, cheeks, chin, and jawline. Sculptra gradually encourages collagen production for broader improvement in facial volume and skin support. These treatments are planned with restraint so movement, expression, and individual character remain intact.
Laser and skin treatments address concerns that injectables cannot. Depending on the treatment selected, patients can improve brown spots, redness, fine lines, acne scars, enlarged pores, and uneven texture. Our aesthetic team may recommend BBL, MOXI, HALO, microneedling, or a medical-grade skincare program based on the condition of the skin and the amount of downtime available.
Some patients who consult with Dr. Augenstein are not ready for facial surgery or are not surgical candidates at that point. Rather than recommending surgery prematurely, he may develop a nonsurgical treatment plan and continue evaluating the patient over time. Many patients return when structural aging makes surgery appropriate because they trust that his recommendation is based on what will genuinely benefit them.
For patients moving forward with a facelift or neck lift, laser resurfacing may also be incorporated into the surgical plan. Performing both treatments during the same recovery period allows Dr. Augenstein to improve the deeper facial contours and the quality of the skin together.
“Run, don't walk to see Dr. Augenstein and be prepared to be the best possible version of yourself!”
Schedule Your Consultation
You don’t need to know which procedure you need before scheduling a consultation. You only need to be able to explain what has changed and what you would like to improve.
Dr. Augenstein will evaluate your face, listen to your concerns, and help you understand the available options. Your recommendation may include facelift surgery, a more focused facial procedure, nonsurgical treatment, or a combination planned over time.
For the highest quality care and results, book your consultation with Dr. Augenstein at Aesthetic Surgery of Charlotte. We can’t wait to help you realize your best life.
