Changing face.

PositionNC TREND: Charlotte Region

With Charlottes plethora of yoga studios, nail bars and salons, it's clear that its residents are preoccupied with looking their best. So it's not surprising that a 2014 study by RealSelf.com ranked Charlotte among the top five U.S. cities based on the number of board-certified plastic surgeons per capita. (Salt Lake City topped the list.) Much of the industry's recent growth is due to surging demand for nonsurgical procedures, which are less expensive and have minimal or no recovery times.

At the center of that growth is Charlotte Plastic Surgery, which is celebrating its 65th anniversary, making it one of the oldest practices in the country. Botox-maker Allergan ranks Charlotte Plastic Surgery 29th out of 34,000 clients in its aesthetics division, which also includes breast implants and fillers--injectables used to diminish wrinkles and plump up thin lips. Allergan is owned by Parsippany, N.J.-based pharmaceutical giant Actavis.

Years ago, patients went to great lengths to keep it a secret if they had "work done." Now, plastic surgery is mainstream as procedures have become more reliable and outcomes more predictable. "People come in for Botox like they go in to have their hair done," says Paul Watterson, partner and board chairman at Charlotte Plastic Surgery.

All age groups are showing up in greater numbers, says Watterson, one of the practice's six doctors. As an established practice, the group's patient base is now multigenerational: Longtime patients bring in their daughters and granddaughters. Men are a growth market, particularly for upper eyelid surgery and male breast reduction.

One of the most popular treatments is the "mommy makeover," a customizable combination of procedures that help a woman get her body back into shape after giving birth. The package, which can include breast lift or...

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