Welcome to Cynthia Gregg MD | Face & Body Specialists
Welcome to our practice! CYNTHIA GREGG MD, FACE & BODY SPECIALISTS, has been providing plastic surgery and aesthetic services to patients in Cary, Raleigh, the surrounding areas of North Carolina, and across the nation for over twenty years.
Founded by Dr. Cynthia M. Gregg, the practice has treated thousands of patients with both surgical and non-surgical procedures with excellent results. Dr. Cynthia M. Gregg established a culture of trustworthiness and mutual respect that encompasses both employees and patients. The practice is staffed by professional, ethical, giving and compassionate individuals who are committed to their patients, profession, and communities.
We are pleased that you are considering our practice for your cosmetic enhancement or reconstructive services. Our entire staff is available to assist you in realizing your aesthetic goals in our safe, accredited, state-of-the-art facility.
Welcome to
Cynthia Gregg MD, Face & Body Specialists
Our Board Certified Facial Plastic and Reconstructive Surgeon, Aesthetic Nurse Injectors, and Licensed Aestheticians are ready to help you meet your aesthetic goals.
PROCEDURES
Dr. Cynthia M. Gregg and her licensed, credentialed, and highly experienced clinical providers help patients restore confidence and a sense of self by providing natural-looking enhancements to their faces and bodies.
CONTACT US
Schedule a consultation with our Board Certified Facial Surgeon, Aesthetic Nurse Injectors, or Licensed Aestheticians
ASK THE SURGEON
Real questions from patients, real answers from our board-certified surgeon
TESTIMONIALSOur Surgeon
Cynthia M. Gregg MD, FACS
FACIAL PLASTIC SURGEON
Dr. Cynthia M. Gregg is a fellowship trained facial plastic and reconstructive surgeon.
Our Procedures
March/April Special
Get Your Face and Neck Ready for Spring!
Purchase a series of 3 microneedling treatments with PDGF+ for your face and your neck will be included for FREE! A savings of $600*!
PDGF+ (Platelet Derived Growth Factor) is the next generation of regenerative medicine. When combined with microneedling with SkinPen® Precision Elite, it enhances your skin’s response by delivering concentrated growth factors to accelerate collagen and elastin production, resulting in smoother, firmer skin with improved texture and reduced signs of aging.
Treating your neck along with your face provides a seamless, youthful, cohesive, and natural appearance!
Call our office today or book through our convenient online booking form to take advantage of this exceptional treatment. Refresh and renew your skin after winter’s harsh effects, and reveal a healthy, radiant glow just in time for Spring!
*Valid through April 30th or while supplies last
Blog
The human brain sees beauty in balance, natural proportions, and symmetry. The brain sees these things as a natural sign of health, vitality, and youth. Natural facial ratios are often subconsciously perceived as beautiful, harmony, and proportion signal balance to the eye—even when we don’t consciously realize it.
A great example is lip proportion. While the ideal shape varies by ethnicity, gender, and individual facial structure, a commonly referenced aesthetic guideline is a 1:1.6 ratio between the upper and lower lips, though 1:1 may be appropriate for some patients based on their ethnicity, age, or gender. In many naturally balanced faces, the lower lip is slightly fuller—about two-thirds of the total lip volume—while the upper lip accounts for about one-third. The lower lip also tends to project slightly more centrally, creating a soft, natural pout. Because of the variables involved, we customize each treatment to every individual.
When ratios are off, or mismatched, or not followed at all, the brain sees it as a distraction. I always tell patients the brain will “glitch” because it can’t make sense of what it is seeing. The brain perceives unnatural filler results through the “uncanny valley” effect, experiencing cognitive dissonance because the face appears almost human but is “not quite right” often appearing stiff, distorted, or overly puffy. The brain detects inconsistencies in facial animation, movement, and natural contours.
In our Practice, we all follow anatomical guidelines when injecting fillers into the human face, resulting in patients looking fresh, rested, and healthy, yet others can’t quite figure out what they’ve had done. Gender and ethnicity are never overlooked — they are fundamental to how we approach every treatment. The human face is not “one size fits all,” and injectable artistry should never follow a single template. There is no universal way to inject cheeks. There is no single method for lips. Injectors who practice with a fixed formula, rather than an individualized approach, risk creating results that look artificial or unbalanced, i.e., the “uncanny valley” effect.
Product Spotlight
HA⁵® Hydra Collagen Water Burst Moisturizer with Vegan Collagen from SkinMedica®
New from SkinMedica®, this Hydra Burst Moisturizer is formulated with HA⁵® Vegan Hydra Collagen technology and Microbiome Barrier Complex to support a healthy skin barrier and microbiome. It provides all-day hydration, improves moisture retention and smoothness, and adds visible plumpness.
Clinically proven to improve skin dryness and provide dewy, bouncy, hydrated skin immediately after use, immediately improves overall dry skin by 89% after 1 use, and is safe for acne-prone and sensitive skin.
“I love how this moisturizer combines lightweight hydration with collagen support to give skin an immediate glow and soft, bouncy finish without feeling heavy. It is an excellent addition to your skincare routine!” – Lisa, Licensed Aesthetician
Read Our Current Newsletter
Subscribe:
Ask the Surgeon
If you have questions you would like Dr. Gregg to answer, please email them to info@cynthiagreggmd.com, and we will include them in a future Ask The Surgeon Column.
Q: I have been using GLP-1 for weight loss, and I am concerned about the sagging and wrinkles appearing on my face. I am really unhappy with my appearance due to this and want to know if there is anything that can be done to make my face look fuller/healthier?
A: We do have some options for treating these signs of facial aging.
The use of glucagon-like peptide-1 receptor agonists, such as semaglutide (Wegovy, Ozempic), tirzepatide (Mounjaro, Zepbound), and liraglutide (Victoza), is expected to continue to grow in the US. Currently, up to 12% of Americans report using a GLP-1 for weight loss.
The desired weight loss achieved by patients on GLP-1s is often accompanied by an increase in their facial aging due to volume loss and increased sagging and wrinkling in the skin. This appearance has been called “Ozempic Face.”
Studies are now confirming what clinicians have long noted: the resulting facial aging is not just due to loss of volume in the face, but also to accelerated skin aging. This increased skin aging is attributed to a decrease in the dermal white adipose tissue (DWAT). This superficial layer of adipose tissue can compromise up to 10-20% of the total body weight in lean adults, with the thickness of the layer varying across different regions of the body. Studies suggest that this fat layer is a significant source of adipose-derived stem cells (ADSC). ADSCs play a crucial role in skin regeneration by secreting various essential growth factors and peptides. The possible depletion of this DWAT layer may lead to the reduction of skin integrity by negatively affecting skin rejuvenation.
Treatment of the facial changes that occur with the use of GLP-1s should not only replace volume loss but also target the stimulation of ADSCs in this fat layer. Non-surgical treatments to address this include dermal fillers, biostimulator injectables microneedling, and PDGF+. Those procedures can not only add volume but also stimulate the ADSCs to release growth factors, helping to rejuvenate the skin. PDGF+ placed in the dermis is another way to increase the concentration of growth factors to achieve facial skin rejuvenation.
Studies show that injecting fat in the form of Nanofat is a surgical option to stimulate the creation of new collagen and elastin, leading to improved skin texture, reduced wrinkles, and a rejuvenated appearance. Nanofat is an emulsified microfat harvested from the inner thigh or abdomen and processed in a sterile manner before being injected under the facial skin. Because it is derived from the patient’s own body, it is biocompatible, reducing the risk of allergic reactions and providing a natural-looking result. Additionally, surgical procedures such as a lower facelift or necklift can help improve facial appearance by repositioning and removing any skin and muscle laxity that occurs after weight loss.
Each patient has unique facial anatomy and skin quality. For a patient seeking to reduce the facial aging effects of rapid weight loss, a thorough assessment is needed to determine which option can help meet their aesthetic goals. Our Aesthetic Nurse Injectors are all highly experienced in working with patients who want to address the effects of the “Ozempic Face” to restore their appearance. Call our office or use the Appointment Request Form on our website to schedule a consultation with one of our Aesthetic Nurse Injectors to begin your journey in eliminating the visible effects of rapid weight loss. Should they determine that non-surgical methods will not successfully address your concerns, they will refer you to me to discuss surgical intervention.
– Cynthia Gregg, MD, FACS