Pelvic & Plastic Surgery,
Planned Together
Urogynecologist Dr. Kevin Stepp and plastic surgeon Dr. Joel Beck work from the same Charlotte office. For appropriate patients, they coordinate intimate or pelvic surgery with face, breast, or body procedures in one treatment plan.
When Two Surgical Specialties Are Needed
Some patients want to address pelvic or intimate concerns at the same time as breast, face, or body concerns. A same-office consultation allows both surgeons to understand the full set of goals before recommending a plan.
Each surgeon remains responsible for his own specialty. When combined surgery is clinically appropriate, the surgeons can coordinate procedure selection, fat harvesting, incision placement, anesthesia, and recovery in advance.
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What a Urogynecologist Adds to the Plan
Dr. Stepp evaluates pelvic support, vaginal and vulvar anatomy, continence, comfort, sensation, and intimate aesthetic goals.
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What a Plastic Surgeon Adds to the Plan
Dr. Beck evaluates face, breast, and body procedures, including liposuction, body contouring, breast surgery, and facial surgery.
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Why Same-Office Changes the Surgical Plan
When both specialties are involved, the surgeons can coordinate the sequence of procedures, fat harvest needs, incision placement, and recovery plan.
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Combined Surgery When Appropriate
Selected procedures may be performed during one anesthetic with one recovery period. The decision depends on the planned operations, medical history, expected surgical time, and safety.
Defined Roles Within One Plan
Each surgeon evaluates and performs the procedures within his own area of training.
Dr. Kevin Stepp
Based on Dr. Stepp’s review of currently practicing surgeons, fewer than 10 in the United States have completed fellowships in both Urogynecology and Reconstructive Pelvic Surgery (URPS) and Minimally Invasive Gynecologic Surgery (MIGS). He has performed more than 3,000 pelvic reconstructive procedures during more than 20 years of subspecialty practice.
Within the Integrated Aesthetic Protocol™, Dr. Stepp addresses pelvic and intimate anatomy, support, continence, comfort, sensation, and appearance.
Scope Within the Protocol
- Labiaplasty & clitoral hood reduction
- Vaginoplasty & internal architecture
- Labia majora fat grafting & tightening
- Perineal & mons contouring
- Sexual wellness & regenerative rejuvenation
- Pelvic floor repair & stress incontinence
- Neurovascular-preserving intimate surgery
Dr. Joel Beck, FACS
Dr. Joel Beck is a board-certified plastic surgeon practicing in the same Charlotte office as Dr. Stepp. Within the Integrated Aesthetic Protocol™, he addresses face, breast, and body procedures.
When a plan includes both specialties, his input helps determine fat harvest needs, body contouring sequence, incision placement, and recovery planning.
Scope Within the Protocol
- High-definition liposuction & body sculpting
- Fat harvesting (AYON platform, ultrasound-guided) for labia majora grafting
- Breast enhancement & reconstruction
- Facial rejuvenation & blepharoplasty
- 360° body contouring
Liposuction + Labia Majora Restoration
For appropriate patients, Dr. Beck can harvest fat while performing liposuction, and Dr. Stepp can use that tissue to restore volume and cushioning to the labia majora. This may be considered for changes related to age, significant weight loss, or GLP-1-associated volume loss.
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Fat Harvesting — Dr. Beck
Dr. Beck performs ultrasound-guided liposuction using the AYON platform, harvesting fat from the abdomen, flanks, or thighs while contouring the donor area.
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Processing & Preparation
The harvested fat is prepared for transfer according to the surgical plan.
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Labia Majora Restoration — Dr. Stepp
Dr. Stepp places the prepared fat to address labia majora volume and cushioning, with attention to surrounding anatomy, sensation, and function.
Procedures That May Be Coordinated
The plan may involve one specialty or both. Procedures are combined only when they fit the patient’s goals and can be performed safely together.
Facial Rejuvenation
Facelift, blepharoplasty, and other facial procedures may be coordinated with pelvic or intimate surgery when appropriate.
Breast Enhancement
Breast augmentation, lift, or reconstruction may be considered alongside body, pelvic, or intimate procedures.
Intimate Restoration
Options include vaginoplasty, labiaplasty, clitoral hood reduction, perineal or mons contouring, and selected regenerative treatments.
Explore surgical optionsFat Grafting & Volume Restoration
Dr. Beck can perform liposuction and fat harvesting while Dr. Stepp performs labia majora fat grafting during the same surgical event.
Learn about labia majora restoration360° Body Sculpting
Liposuction of the abdomen, flanks, thighs, or back may be performed alone or provide fat for labia majora restoration.
Sexual Wellness & Rejuvenation
PRP-based or energy-based options may be considered for selected concerns as part of a broader treatment plan.
Explore nonsurgical careWhat Patients Ask
The questions most commonly raised before a joint evaluation with Dr. Stepp and Dr. Beck.
The Integrated Aesthetic Protocol™ is a coordinated service developed by urogynecologist Dr. Kevin Stepp and plastic surgeon Dr. Joel Beck in Charlotte. It allows appropriate patients to consider pelvic or intimate procedures together with face, breast, or body procedures in one treatment plan.
A urogynecologist evaluates pelvic support, continence, vaginal and vulvar anatomy, comfort, sensation, and intimate aesthetics. A plastic surgeon evaluates face, breast, and body procedures. When both specialties are needed, planning together helps coordinate procedure selection, incision placement, fat harvesting, anesthesia, and recovery.
Yes, for appropriate patients. Dr. Beck can perform liposuction and harvest fat from the abdomen, flanks, or thighs. Dr. Stepp can then use the prepared fat to address volume and cushioning of the labia majora during the same surgical event.
No. Some procedures may be performed during one anesthetic with one recovery period, but safety comes first. The recommendation depends on the procedures being considered, medical history, expected surgical time, and recovery needs.
Dr. Stepp performs the pelvic and intimate portions of the plan. Dr. Beck performs face, breast, and body procedures, including liposuction and fat harvesting. Each surgeon remains responsible for the work within his own specialty.
APSU is an out-of-network practice with no monthly or annual membership fee. Cosmetic procedures are self-pay. For qualifying medically necessary services, APSU may provide documentation that patients can submit for possible out-of-network reimbursement. Read the complete insurance and cost information.
Start With a Coordinated Consultation
Tell us which pelvic, intimate, face, breast, or body concerns you would like to discuss. The team will determine whether your consultation should involve Dr. Stepp, Dr. Beck, or both.
Request a Consultation Insurance, Costs & Financing