Dr. David Harley
Dr. David Harley, MD, is a double board-certified facial plastic surgeon whose reputation for excellence has made Biltmore Plastic Surgery a sought-after destination for patients nationwide.
With 18 years of experience and training at prestigious institutions including Vanderbilt University Medical Center and the Texas Medical Center, Dr. Harley brings a wealth of expertise to his practice in Cashiers. A Dartmouth College graduate, he began his career in Asheville before relocating to Cashiers, where he and his family have found their permanent home.
Dr. Harley’s specialty is facial rejuvenation, with a particular focus on deep plane facelift and deep neck lift surgery, often combined with fat grafting and facial skin resurfacing. These procedures are not only his favorites but also the most requested by patients, many of whom report looking 10 to 20 years younger after surgery.
The practice also offers upper and lower blepharoplasty, brow and forehead lifts, and lip lifts, providing a comprehensive suite of options for those seeking a refreshed, youthful appearance.
What sets Biltmore Plastic Surgery apart is its status as a true destination practice. Since 2011, patients have traveled from all 50 states and abroad, often choosing Dr. Harley over renowned surgeons in major cities like New York and Beverly Hills. This national recognition speaks to the trust and satisfaction of those who seek his care.
Dr. Harley’s approach to surgery is uniquely patient-centered. All procedures are performed under local anesthesia with oral sedation, eliminating the need for IV medication or breathing tubes. This method enhances comfort and safety, allowing for a smoother recovery.
Dr. Harley is known for his personal touch, providing patients with his cell phone number and encouraging updates throughout the healing process. Many patients continue to share photos years after their procedures, celebrating their enduring results.
The practice is expanding, with a second office opening at Old Cashiers Square and new offerings such as hyperbaric oxygen therapy and carbon dioxide laser resurfacing. The close-knit team includes Abigail at the front desk; Savannah assisting with surgeries and postoperative care; and Nicole, Dr. Harley’s wife, managing operations.
Rooted in Western North Carolina for nearly two decades, Dr. Harley and his family are proud to call Cashiers home. Biltmore Plastic Surgery stands as a beacon of expertise, innovation, and personalized care in the heart of the mountains.
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