PPSD: Piedmont Plastic Surgery and Dermatology Charlotte, NC

The skin check turns up a spot the doctor wants excised, and the same patient has been putting off a consult about her eyelids for two years. Ordinarily that is two offices, two intake queues, the same medical history recited twice to strangers who will never compare notes. PPSD is built on the premise that one practice can hold both halves of that week.

The initials stand for Piedmont Plastic Surgery and Dermatology, and the operation behind them is large by any private-practice measure: eleven offices spread across the western half of North Carolina, with three in Charlotte, two in Hickory, and one each in Gastonia, Huntersville, Shelby, Denver, and Forest City.

The site describes its physicians as board-certified or board-eligible in their specialties, which in surgery and dermatology is the baseline worth insisting on. One outside review source goes further and ranks PPSD among the largest private practices of its kind in the country, with thirty board-certified surgeons and dermatologists and ten certified physician assistants.

The scale claim is a reviewer's, and the roster of offices listed on the site makes it easy to believe.

PPSD, in short, is a lot of medical machinery for a group that also does Botox.

Eleven offices, two specialties

Geography is the quiet advantage. Dermatology runs on repetition, follow-up checks, laser sessions spaced weeks apart, treatments staged over months, and a patient who starts at a Charlotte office can move appointments to Huntersville or Shelby without leaving PPSD or re-explaining a case from scratch. Towns the size of Forest City rarely get this kind of specialty coverage at all; the usual pattern is a long drive into the nearest metro every time something needs looking at.

Two offices in Hickory alone show the group treats the foothills as home territory, and the Charlotte trio covers that metro from more than one side. A patient portal ties the visits together, and there is an online shop besides, more convenience than centerpiece.

The stronger argument for housing the two specialties together is clinical, and it shows up most plainly in cancer care. A mole gets biopsied; the result comes back malignant; Mohs micrographic surgery takes the lesion off layer by layer while sparing whatever healthy tissue it can. When that excision sits on a nose, an eyelid, or a lip, the repair is plastic surgery in the fullest sense, and at PPSD the people who do that work are colleagues of the person who found the cancer.

The whole episode can stay inside one practice. Most patients will never need the hand-off. The ones who do are spared starting over with a stranger across town.

Medical dermatology and Mohs surgery

General dermatology at PPSD covers the everyday load: acne, eczema, psoriasis, rosacea, warts, and hair loss, with more than twenty further conditions on the practice's own count. None of that is glamorous. Acne alone covers teenagers and adults, and rosacea and psoriasis are chronic, the sort of conditions where a patient keeps the same doctor for years. It is bread-and-butter work, which is exactly what a person with a stubborn rash wants to see listed, and it keeps the group anchored in skin disease as the day job.

Skin cancer sits at the serious end of the same department, and Mohs surgery is the tool the practice leads with there.

PPSD also lists dermatopathology, the microscope side of the specialty where biopsy slides get read and diagnoses settled. Keeping that discipline inside the same organization as the exam room says something about clinical depth; plenty of skin clinics send the work out.

Cosmetic surgery and the injectable tier

The surgical catalog runs long. Breast augmentation, lift, and reduction are all present, along with gynecomastia surgery for men, liposuction, tummy tucks, Brazilian butt lifts, and the mommy makeover packages that bundle several procedures into a single recovery. Facial work at PPSD spans facelifts, neck lifts, rhinoplasty, eyelid surgery, brow lifts, and ear surgery. Nothing on that list is exotic for a big cosmetic practice; the number of surgeons available to do it is the uncommon part, and it means an elective date does not hang on one person's calendar.

Below the operating room sits the injectable and device tier. Botox and Dysport are here for lines, Juvederm and Restylane for volume, plus Sculptra, and Kybella for under the chin, the most specific job of the lot. Lasers cover hair removal, skin resurfacing, tattoo removal, and acne therapy; CoolSculpting, chemical peels, dermabrasion, and PRP treatments fill out the rest, with staff estheticians for the maintenance visits between bigger decisions. On this ground PPSD competes with any med spa in its orbit, and does it with an operating room and a pathology bench standing behind the front desk.

Outside opinion mostly supports the picture. Birdeye aggregates 4.7 stars from 1,389 reviews, a volume at which a rating stops being noise and starts being a pattern. Yelp splits PPSD's Charlotte presence into two pages, 19 reviews for the Sharon Amity Road office and 80 for the Blakeney Park Drive one, smaller pools with the blunt candor that platform is known for.

PPSD's own reviews page advertises 4.7 stars from 674 as well, though a score a business publishes about itself belongs in a separate mental column from one gathered on independent platforms. No Trustpilot or Better Business Bureau presence turned up in searching, which for a regional medical group is unremarkable.

Worker sentiment at PPSD runs cooler. Glassdoor shows 2.8 stars from 30 employee reviews, and Indeed carries 72 more. The distance between 4.7 outside and 2.8 inside deserves at least a raised eyebrow. I turned that Glassdoor figure over for a while before deciding it belongs in a patient-facing review, because staffing churn in a medical group eventually reaches the waiting room as scheduling friction, even when the clinical work stays sharp. It is a caveat, not a verdict.

Reaching a human is simple: the main phone number is printed on the home page, and a proper contact page backs it up. The harder research question is personal rather than institutional, since thirty physicians means the PPSD name by itself does not determine which surgeon or dermatologist ends up across the desk from you. Results in cosmetic surgery follow individual hands, so the sensible move is to ask directly who performs the procedure in question, and how often, at whichever office is closest.

The natural comparison in Charlotte is Atrium Health, the hospital system that dominates medicine in this corner of the state and fields specialist clinics of its own, dermatology included. A patient whose skin cancer is tangled up with broader oncology treatment, or who wants every specialist under one hospital umbrella, has a fair case for the system route, which also keeps billing and records inside a network many Charlotte patients already belong to.

For the rest of this work, the recurring skin checks, the injectables, the elective operation a person chooses on their own schedule, PPSD is the more direct door: a private group whose entire business is skin and the surgery adjacent to it, big enough that appointments do not bottleneck on a single famous name, and present in eleven towns where the alternative is usually a highway. Weighed against the hospital giant, PPSD holds its ground comfortably.

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