Medicine is advancing in leaps and bounds. When our health is at stake, ﬁnding top quality, up-to-date, and effective treatment is critical, but that’s only part of the story. Partnering with a healthcare provider with experience and skill, someone you trust and believe in, is possibly the most important part of your search. Whether you’re experiencing a significant health issue, such as skin cancer, or you wish to improve your appearance, the professional team at Piedmont Plastic Surgery & Dermatology (PPSD) has all you need—expertise, cutting edge technology, and of course, abiding interest in your positive outcome. With two offices across the parking lot from each other in Hickory, they are close at hand and very convenient for everything you might require.
DERMATOLOGY—Surgical, Medical, & Cosmetic
I met with Dr. Charles Johnson, a board-certiﬁed dermatologist with over 20 years of experience as a specialist in Mohs micrographic surgery and cutaneous oncology. What does this mean? Dr. Johnson treats skin cancer with the newest, most effective procedures available. “What I’m most excited about is offering SRT, superﬁcial radiation therapy, in addition to Mohs surgery for my skin cancer patients,” he explained. “SRT is as good as it gets for nonsurgical skin cancer treatment. We’re the only group in the region doing this procedure.” SRT is not the type of radiation used for breast or colon cancer; rather it’s low dose, like X-ray. It penetrates only 7mm into the skin to only the cancer site.
Very small doses are given over about two months at quick,
in-and-out visits. SRT treatments are prescribed for superﬁcial basal cell and squamous cell carcinomas. It is particularly useful for patients who would not tolerate surgery, elderly patients, and those with multiple medical issues.
Dr. Johnson is one of only a handful of surgeons whose expertise is Mohs surgery. He explained, “It’s the gold standard in removing non-melanoma skin cancers, typically on the face, hands, head, neck, and genitals. It’s a tissue-sparing procedure. I remove skin cancers layer by layer, each microscopically evaluated for remaining cancer cells before I decide whether to remove another layer. A Mohs surgeon is a dermatologist, pathologist, and cutaneous oncologist rolled into one.” This advanced technique results in the smallest possible skin defect and minimal scarring. The site is repaired during the same one to four-hour procedure with local anesthesia. More complicated procedures might require a PPSD plastic surgeon to reconstruct defects. “Moh’s cure rate is 98% to 100%,” Dr. Johnson said. “Anyone with a biopsy-proven skin cancer should schedule an appointment and consider this effective treatment.”
Drs. Bethany Bergamo, George Magel, Dori Hunt, and Jerry Pruitt specialize in general and cosmetic dermatology, treating conditions of the skin, hair, and nails. At Piedmont Plastic Surgery & Dermatology, patient comfort and safety are priorities.
Your dermatologist is a trained eye and an honest guide when evaluating how to improve your looks. The dermatologists at PPSD listen carefully, evaluate skin conditions, and develop a treatment plan to achieve goals and match interventions to the patient’s budget. Dr. Bergamo says “Connecting with patients on a personal level, while educating and providing comprehensive dermatologic care, is one of the most enjoyable and rewarding aspects of my profession.”
“We provide patients with safe, convenient treatments for natural looking results, minimal down-time,” says Dr. George Magel. Treatment plans for renewing youthful radiance may include Botox, peels, and laser treatments, which diminish sunspots and small blood vessels and remove unwanted body hair, plus prescription quality skincare products. Juvéderm has several different products for wrinkles, bags under the eyes, lip augmentation, and sagging skin. They are safe, effective, and can last up to two years. Other lines at PPSD include Restylane and Radiesse. Also popular are Kybella, which targets stubborn double chin fat, contouring the neck and jaw and for those women experiencing thinning eyelashes, Latisse can increase length and fullness.
PPSD’s newest treatment is Profound-Microneedling RF. Known as the non-surgical facelift, Profound-Microneedling RF is a revolutionary energy-based, skin-needling treatment. It creates new elastin, collagen, and hyaluronic acid—building blocks that keep skin smooth and elastic. It’s great for improving aging skin and can helping reduce dreaded cellulite.
They also offer a wide variety of treatments such as the Broad Band Light (BBL) and Yag and Alexandride lasers. These modalities provide added benefit to help reduce unwanted veins, hair, and brown spots.
COSMETIC & RECONSTRUCTIVE PLASTIC SURGERY
“Plastic surgeons treat all parts of the body, and we see patients of all ages,” says Dr. Gregory Swank. “People who are unhappy with the appearance of their face or body, whether from aging, weight fluctuation, or genetics, can make improvements. During a free consultation, I assess your concerns, explain surgical options, and what they can expect from surgical intervention,” Dr. Swank said. “People may have multiple concerns, and I usually suggest we start with your biggest concerns. The more the patient understands what we can and cannot accomplish surgically, the better decisions they can make.”
Surgical procedures include breast surgery (augmentation, reduction, lift, and reconstruction), nose and ear reshaping, facelifts, brow lifts, and eyelid surgery, as well as body contouring, such as butt lifts, tummy tucks, and liposuction. “There are more choices in breast implant options than ever before,” Dr. Swank said. “Breast implants are safe and truly help women feel better about themselves. I always go over associated risks, including the risks of getting a breast implant placed in the body. After childbirth, some women ﬁnd that their body isn’t quite the same. Mommy makeovers combine breast reshaping and body contouring.” Body contouring is also important for people who have lost weight, and the surgeons at PPSD work closely with bariatric surgeons and their patients. Cosmetic surgery for men, such as breast reduction, liposuction, and even tummy tucks are common. Other indications for plastic surgery include injuries from trauma, such as dog bites.
Reconstructive surgery might be needed to restore the breast after a tumor is removed, after mastectomy, or after skin cancer removal to provide the best cosmetic outcome.
Drs. Gregory Swank, Steven Siciliano, and Rosiane Roeder are all experienced in cosmetic and reconstructive surgical procedures. There are many conditions that can be corrected at PPSD’s in-house operating rooms where the highest standards of care are maintained. Consumers need to make certain they are seeing a qualiﬁed physician who has proper training and credentials. Unfortunately, there are non-plastic surgeons with little or no training who do some of these procedures. All of the Hickory surgeons at PPSD are board-certified by the American Board of Plastic Surgery, the only board recognized by the American Board of Medical Specialties.
A TEAM APPROACH
Piedmont Plastic Surgery & Dermatology has 10 ofﬁces in Hickory, Gastonia, Shelby, Charlotte, Denver, Cornelius, and Forest City. The dermatologists are some of the most skilled and respected in the nation, and they partner with their nationally recognized plastic surgeon team. Together, they develop comprehensive, integrated treatment plans to address all aspects of any issue or condition.
Health and beauty are the basis of our well-being. Each can be enhanced and improved. Selecting Piedmont Plastic Surgery & Dermatology as your healthcare provider is the ﬁrst step in protecting your health and beauty. I recommend you contact them to learn more and begin taking better care of yourself.
Piedmont Plastic Surgery & Dermatology
315 19th St. SE, Hickory, NC 28602
Charles Johnson, MD; Gregory Swank, MD, FACS;
Steven Siciliano, MD; and Rosiane Roeder, MD, FACS
Building 200: 828.328.3500
Dori Hunt, MD; George Magel, MD;
Bethany Bergamo, MD; and Dr. Jerry Pruitt, MD