The Integrated Aesthetic Protocol™

A Model Built
Because It
Didn't Exist

Dr. Kevin Stepp & Dr. Joel Beck, FACS — a Board-Certified Urogynecologist and a Board-Certified Plastic Surgeon, practicing in the same office in Charlotte, NC.

"The model brings a Board-Certified Urogynecologist and a Board-Certified Plastic Surgeon into the same office, planning complex intimate aesthetic and reconstructive surgery from the same clinical roadmap."

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Dr. Kevin Stepp and Dr. Joel Beck, FACS — Urogynecologist and Plastic Surgeon, Charlotte, NC
Why the Model Matters

Two Specialists.
One Integrated Plan.

Referral-based collaboration — where a urogynecologist and plastic surgeon operate independently in separate facilities — can fragment surgical planning. Each surgeon may optimize within their own scope, without full visibility into the other's goals or constraints.

Dr. Stepp developed the same-office model to reduce that fragmentation. When both surgeons share the same space, the same patient record, and the same consultation from the first visit, the surgical plan can be integrated before a single incision is made.

The result: a patient can receive a unified roadmap that accounts for both pelvic architecture and external aesthetics simultaneously — not two parallel plans that have to be reconciled after the fact.

"We built this because it didn't exist. A Board-Certified Urogynecologist and a Board-Certified Plastic Surgeon — in the same office, on the same cases, from the same first conversation."

— Kevin Stepp, MD, FACOG, URPS

  • What a Urogynecologist Adds to the Plan

    Deep pelvic anatomy expertise, neurovascular mapping of the intimate region, functional repair of the pelvic floor, and the ability to address stress urinary incontinence or pelvic prolapse within the same surgical event. These capabilities are the product of dual fellowship training in a field where few surgeons hold both credentials.

  • What a Plastic Surgeon Adds to the Plan

    Plastic surgeon-level mastery of face, breast, and body — high-definition liposuction, structural facial refinement, breast reconstruction, and 360° body contouring. Dr. Beck works his scope simultaneously, not sequentially. The patient's face, breast, and body are addressed in the same surgical event, by the appropriate specialist, while Dr. Stepp addresses the pelvis.

  • Why Same-Office Changes the Surgical Plan

    Proximity is not incidental — it is structural. When both surgeons review the same goals before the consultation ends, fat harvest volumes, incision placement, and recovery sequencing are coordinated from the outset. The plan is different because both specialists shaped it from the beginning.

  • Single Anesthesia. Single Recovery.

    Combining procedures that would otherwise require two separate surgical events — with separate anesthesias, separate recoveries, and separate surgical teams — into one coordinated program may reduce cumulative anesthesia exposure, total recovery time, and overall cost for appropriate candidates.

The Institute Faculty

Two Disciplines. One Standard.

Each surgeon practices exclusively within their board-certified subspecialty. The collaboration does not dilute either scope — it extends both.

Urogynecology & Pelvic Architecture

Dr. Kevin Stepp

MD, FACOG, URPS · Double Board-Certified · Dual Fellowship, Cleveland Clinic

One of fewer than 10 surgeons in the United States with dual-fellowship training in Urogynecology & Reconstructive Pelvic Surgery (URPS) and Minimally Invasive Gynecologic Surgery (MIGS). More than 3,000 pelvic reconstructive procedures performed over more than 20 years of subspecialty practice.

Dr. Stepp's role in the Integrated Aesthetic Protocol™ is to address the pelvic foundation — anatomical structure, neurovascular integrity, and functional health — with the depth that fellowship-level urogynecologic training provides.

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
Plastic Surgery & Body Sculpting

Dr. Joel Beck, FACS

MD, FACS · Board-Certified Plastic Surgeon

Dr. Joel Beck is a Board-Certified Plastic Surgeon practicing within the same office as Dr. Stepp in Charlotte, NC. His scope within the Integrated Aesthetic Protocol™ runs in parallel to Dr. Stepp's — face, breast, and body contouring addressed at the same time Dr. Stepp is working within the pelvis, under a single anesthetic, inside a plan both surgeons built together.

His input shapes fat harvest volumes, body contouring sequence, and recovery planning from the first consultation — not after the intimate surgery is complete.

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
Signature Dual-Specialty Procedure

Liposuction + Labia Majora Restoration

A signature expression of the Integrated Aesthetic Protocol™: Dr. Beck harvests fat through targeted liposuction while contouring the donor area; Dr. Stepp can use that harvested tissue to restore volume and cushioning to the labia majora — a region commonly affected by age, significant weight loss, or GLP-1-associated adipose deflation.

This is a coordinated dual-specialty surgical event — one integrated plan executed by two specialists who designed it together.

  1. Precision Harvesting — Dr. Beck

    Dr. Beck performs ultrasound-guided liposuction using the AYON platform — targeted harvesting from the abdomen, flanks, or thighs that contours the donor area while preparing fat for transfer.

  2. Processing & Preparation

    Harvested fat is processed to isolate the highest-viability adipocytes for transfer. Technique at this stage directly affects long-term graft retention.

  3. Intimate Restoration — Dr. Stepp

    Processed fat is grafted to support labia majora volume, cushioning, and protective integrity — using neurovascular-aware technique designed to protect sensation and function.

Dr. Kevin Stepp performing laser vaginal surgery, Charlotte, NC
The Complete Aesthetic Continuum

Every Dimension. One Program.

The Integrated Aesthetic Protocol™ extends across face, breast, body, and intimate anatomy — within a concierge surgical program managed by two specialists who share a practice, a patient record, and a unified surgical philosophy.

Dr. Beck

Facial Rejuvenation

Facelifts, blepharoplasty, and structural facial refinement — plastic surgeon-level precision applied to high-visibility aging concerns, coordinated within the same surgical event where possible.

Dr. Beck

Breast Enhancement

Augmentation, lift, and complex breast reconstruction. Dr. Beck's breast surgery scope integrates naturally with body contouring as part of a comprehensive post-pregnancy or post-weight-loss restoration.

Dr. Stepp

Intimate Restoration

Internal architecture (vaginoplasty), external contouring (labiaplasty, clitoral hood reduction), perineal and mons contouring, and biological rejuvenation — built into a single bespoke surgical plan.

Integrated — Both

Fat Grafting & Volume Restoration

The dual-specialty procedure that most directly expresses the collaboration: ultrasound-guided liposuction by Dr. Beck on the AYON platform, intimate grafting by Dr. Stepp — a single surgical event producing two coordinated outcomes.

Dr. Beck

360° Body Sculpting

High-definition liposuction of the abdomen, flanks, thighs, and back — comprehensive body contouring that can serve as both a stand-alone outcome and the harvesting phase of an intimate fat grafting procedure.

Dr. Stepp

Sexual Wellness & Rejuvenation

Regenerative protocols — PRP, exosomes, laser therapy — may support sensation, tissue quality, and functional response within the same surgical or treatment program, extending the plan beyond anatomy when appropriate.

Extended Scope

The Extended Scope Protocol

Traditional procedures often address breast and abdomen in isolation. This model can coordinate 360° liposuction, breast restoration, and — critically — the pelvic floor. Vaginoplasty, stress incontinence, and intimate contouring may be addressed in the same surgical event, by the appropriate specialist, under one anesthetic, in one recovery when clinically appropriate.

Common Questions

What Patients Ask

The questions most commonly raised before a joint evaluation with Dr. Stepp and Dr. Beck.

Yes. Dr. Kevin Stepp, MD, FACOG, URPS operates the Integrated Aesthetic Protocol™ — a same-office collaboration with Board-Certified Plastic Surgeon Dr. Joel Beck, FACS. The model allows coordinated planning for intimate aesthetic and reconstructive surgery in Charlotte, NC. The practice is located at 11210 Golf Links Dr North, #100, Charlotte, NC 28277. Phone: (980) 771-0726.

A plastic surgeon brings mastery of face, breast, and body — high-definition liposuction, structural refinement, reconstruction. A urogynecologist brings deep pelvic anatomy expertise, neurovascular mapping of the intimate region, functional repair of the pelvic floor, and the ability to address stress urinary incontinence or pelvic prolapse within the same surgical event. These capabilities are the product of dual fellowship training in a field where few surgeons hold both credentials. When both specialists collaborate on the same patient — in the same office, reviewing the same goals — the surgical plan reflects both disciplines.

The Integrated Aesthetic Protocol™ is the formal name for the dual-specialty surgical program developed by Dr. Kevin Stepp and Dr. Joel Beck, FACS, in Charlotte, NC. It allows a patient to consider body contouring — liposuction, breast surgery, facial rejuvenation — from Dr. Beck in coordination with intimate pelvic restoration — labiaplasty, vaginoplasty, labia majora fat grafting, perineal contouring, sexual wellness — from Dr. Stepp, when clinically appropriate and aligned with the surgical plan.

Yes — this is one of the signature capabilities of the Integrated Aesthetic Protocol™. Dr. Beck performs ultrasound-guided liposuction using the AYON platform, harvesting fat from the abdomen, flanks, or thighs while contouring the donor area. Dr. Stepp then uses that harvested fat to support volume and cushioning in the labia majora — a region commonly affected by age-related volume loss, significant weight change, or GLP-1-associated adipose deflation — when the patient is an appropriate candidate.

Referral-based collaboration — where a urogynecologist and plastic surgeon operate independently in different facilities — can fragment surgical planning. Each surgeon may optimize for their own scope without full visibility into the other's goals. Dr. Stepp developed the same-office model to reduce that fragmentation. When both surgeons share the same space, the same patient record, and the same consultation, the surgical plan can be integrated from the first conversation.

The practice operates as an out-of-network, concierge practice with no required monthly or yearly membership fees. Cosmetic procedures are self-pay. For procedures that qualify as medically necessary — such as pelvic floor repair or stress urinary incontinence treatment — superbill documentation is provided for potential out-of-network reimbursement submission. This model allows both Dr. Stepp and Dr. Beck to allocate the unhurried surgical time that complex dual-specialty cases require. Located at 11210 Golf Links Dr North, #100, Charlotte, NC 28277. Phone: (980) 771-0726.

The Dual-Specialty Evaluation

One Consultation.
Two Specialists.

Begin with a joint evaluation where both Dr. Stepp and Dr. Beck review your goals. One roadmap. One recovery. Zero compromise between functional and aesthetic outcomes.

Schedule a Consultation About the Concierge Model