David H. Harley, MD

I am a 62 year old female that really wanted a refresh. As I write this summary, I am exactly one year post op from my procedure. I traveled to Cashiers NC from the midwest. I had followed Dr. Harley for 4 years before making the decision that he would be my surgeon. It is my first experience with any plastic surgery and I have to say that from start to finish, hands down, Dr. Harley was the RIGHT choice for me! He truly cares about his patients. He took time with me prior to answer any questions I had, and took time the morning of surgery to talk with me to confirm what the most important outcomes were to me. He called me to check in after the surgery and in the days following with texts. When my husband and I went in for the removal of bandage the day after, his mouth quite literally fell open when he saw my beautiful new neck and jawline! I am amazed with the results from my surgery and they are all due to the skilled hands of an expert like Dr. Harley. There was barely any pain and the swelling was as expected and I did follow every rule and preparation suggestion for the best outcome. I have to say that Dr. Harley's entire staff is welcoming, caring and friendly--every one of them! Dr. Harley continued monthly check-ins via text even at the 6 month mark, requesting pictures. I cannot recommend Dr. Harley enough--and if you are on the fence or scared of doing this I can tell you from the other side that it is WORTH IT a million times over! He is simply THE BEST.

As I write this review, I am one year post op almost to the day! I had a deep plane neck and facelift at Biltmore Plastic Surgery. I have to say that Dr. Harley and his staff made this a wonderful experience from beginning (phone consultation) to surgery and continuing thru post op visits and also in the weeks to follow. Having his personal cell phone number was such a comfort, and he checked in several times during the first week of recovery--and in the months following. Dr. Harley is patient, kind and has a great bedside manner, and TRULY cares about his patients. His office and staff are very welcoming and pleasant. He sat down with me the morning of surgery to explain everything before administering medications and to talk with me about what was most important to ME with regard to the results I wanted. There was never any pressure to add other procedures to my surgery. This was the first time I'd had any type of procedure, and I am convinced that I absolutely chose the right doctor! I am THRILLED with the results--they are very natural and the before/after photos are simply amazing. When my husband and I went in for the removal of bandages, his mouth actually dropped open when he saw my beautiful new jawline and cheeks. He was amazed, and so am I. In the weeks and months to come, Dr. Harley continued to check in with me to make sure I was healing correctly and answered any questions that I had. Like one other review I read, I have to say that with my experience and outcome with Dr. Harley is "worth it a million times over!" If you are on the fence about doing this, rest assured that you are in the gifted hands of one of the best surgeons out there. Amazing experience from beginning to end!

I had a deep plane facelift at Dr. Harley's practice in Cashiers, NC. The clinic is beautiful and serene. Dr. Harley and his staff are very caring and compassionate. He is an artist. The procedure was stress free and without pain. Very little pain afterwards. The results are very natural looking. I had two follow up appointments and several texts and calls to make sure I was healing well and comfortable. I highly recommend this practice.

I would highly recommend Dr. Harley for deep plane lift I left and lower face lift along with TCA treatment of skin. I waited approximately two years on a waiting list along with a drive of three hours to have the procedures completed. After viewing different physician's work on social media and talking with Dr Harley, he was the provider I decided upon. He took his time and listened. He didn’t try to sell me anything he gave me information of what to expect and carried through with my expectations. I’m approximately one year out from the procedure and I am extremely happy there is work that should be done afterwards such as continuing facials and good skin care along with occasional fillers and Botox. He has checked on me and given me his personal phone number, provided me with the care I anticipated; even over and beyond. I strongly recommend Dr. Harley in Cashiers, North Carolina for the Biltmore deep plane facelift for a beautiful natural rested look.

I am 40 and I know that sounds quite young to be getting a neck lift/lower face lift. I've never had a great jawline. But a few years ago I got liposuction under my chin. It really didn't do much. Then I lost 30lbs. My neck is just as bad or worse than before. I'll never know if the lipo made the skin sag or if it would have been just as bad with losing weight. Either way, here I am at 40 with this sagging neck and jowls. Part of it is the fact that I have a very bad overbite. I know it doesn't see so bad from these side pics bc I have a "compensating chin". Think underdeveloped jaw with a long chin bone lol. Not having much jaw structure there makes thinks look more saggy, plus makes me have a very round face. I've considered orthognathic surgery or even a lengthening genioplasty, but I figured I would try this first. It actually seems to be the less invasive choice. Updated on 25 Jul 2023: My surgery is now scheduled for sep 6, 2023. That’s about 6 weeks away! I will update my progress along the way. I will be traveling from out of state to get it done and leaving the day after or maybe 2 days after bc I have young children at home. Updated on 7 Sep 2023: Hello, I got the surgery done yesterday and I am very happy with it already I’m too tired to write a long review so I just wanted to drop a couple of pics. Updated on 9 Sep 2023: Hello I thought I would do an update and share how it’s going. So far today I haven’t used any prescription painkillers, just Tylenol. My face feels pretty stiff, my ears feel clogged. My neck is tender. I can’t open my mouth very wide when eating. My only concern at this point is that my lower lip is paralyzed on one side. I’ve heard that this is rarely permanent so I’m hoping this goes away soon. I’d really like to be looking pretty normal when I go back to work in another week. I’ve had very little bruising. I am pretty swollen though. I made a video to show what I look like now. Updated on 9 Sep 2023: Smile on day 3 Updated on 11 Sep 2023: I’ve attached some pics to show my progress. My smile is getting a little bit better every. My neck is showing some yellow bruising. My face is still swollen, mostly around my temples/cheek bone area. My cheeks are still swollen too but I can feel that more than I can see it. My glasses actually help hide the worst part of my face which is around the temple area. Updated on 11 Sep 2023: Smile from before through day 5. Updated on 14 Mar 2025: Still very happy with my results. Smile is totally back to normal. There is a very small white scar near my temples. Doesn’t bother me at all.

Dr. Harley did a deep plane facelift with upper & lower blepharoplasty and Juvederm lip injections. I had several friends that went to Dr. Harley for their face life 4-5 years ago and they looked absolutely beautiful and the way he performs his facelifts it’s nearly impossible to even see whatsoever around the ear where he cut. Dr. Harley is far above any plastic surgeons before & after pictures and his reviews are the highest I could find so it was a no brainer for me. I had my procedure just done on 6/13/23 and still healing and did have a few medical concerns as my b.p. got way out of control and Dr. Harley addressed and handled a highly stressful situation with the utmost professionalism and has consistently checked up on me every few days and the office staff was also top notch. I just cannot say enough about how I feel my face looks just 2 weeks out .. I cannot imagine how fantastic it’s going to look in 6 months. I will be sure to add my before 0ics, right after my procedure and once I’m fully healed so you have a frame of reference as to what you too can expect. I did also hear that many celebrities have gone to Dr. Harley so that speaks volumes about his work as well. He may not be the cheapest facial plastic surgeon but as the old adage always goes., you get what you pay for and my face is not alone place I choose to skimp on and neither should you. Trust me you will NOT regret your decision having him do anything with your face. All the best!

Excellent. Very kind. Set nerves at ease. Easily healed. Follow instructions in order to heal quickly. When I had the bandage and drain’s removed there was little to no swelling and absolutely no pain. Tylenol was enough for the pain.

I turned 60 and started to think about getting some sort of surgery to reduce the amount of wrinkles and sagging I was seeing in the mirror. I searched and researched my best options thoroughly. Honestly, I almost went to CA to a well known doctor there. I reached out to Dr. Harley's office as well. I am certainly happy that I decided to trust in Dr. Harley to take on the task of making me look younger.

I’m two weeks out and the results are stunning. High cheekbones are back, saggy jawline has been pulled up, neck is more defined than it ever was. Still swollen and waiting for that to go down over a few months, but just… WOW. My skin and muscles look healthy and are correctly in place again. My stitches were so small and Dr. Harley carefully hid incisions on the edges of earlobes and tight against the hairline. It seems unbelievable, but the scars are flat and difficult to see with nothing concealing them after only two weeks. If you are afraid of scars, just let Dr. Harley know so he can take a close look at how he can help you in that area. My plan is to post pics in a few months when I can show y’all how things look after swelling goes down. I’d also like to mention how awesome and compassionate Team Harley is. Dr. Harley is a top doctor and artist, but he has somehow managed to check his ego at the door and show up with empathy and this is also reflected in his team. Wonderful people. Updated on 26 Feb 2023: In retrospect, I should have realized this would happen, but… As I’ve grown older, one of my brows was becoming lower than the other. I had eye & brow surgery to correct this before getting a DP, but restoring brow symmetry was one part that didn’t work out so well. After getting the DP, my brows are lifted and symmetrical. I wondered how this could be as I did not get a another brow lift during the DP procedure. I think this has to do with ligaments that were pulling on each other no longer doing so and this resulted on my brow no longer being pulled down by other ligaments. On one side of my face (the side with droopy brow), things had fallen more than the other side. Now, with ligaments & muscle moved to the original location, everything has just snapped back to where they would have been naturally before age pulled things down. I think if you also need eyelid & brow surgery it might be better to do it with the DP than before because of the connected nature between what is below and above. Other than that, still healing but things are looking great. Updated on 5 May 2023: I still don’t feel comfortable uploading pictures, but the results of this surgery are nothing short of stunning. I look like me at least 10-15 years ago, except more symmetrical with a defined and elegant jawline. How people treat me has noticeably changed. People want to linger and talk. People are nicer, both men and women. Very attractive younger men out of a demographic I feel comfortable with have tried to ask me out. It’s a bittersweet reminder that while many may not want to admit it, we are a species drawn to attractive things, and that includes a pretty, symmetrical face. It’s bizarre and appreciated to feel seen again. The scars around my hairline are something I need to do something about. They are small, but I expect them to turn white (it’s how I heal) and I’ll need to get a follicle transplant to cover them later this summer.

Being in my mid 40’s, I started noticing a sagging jawline and cheeks. I also lost about 80+ lbs and knew that a defined jawline was not going to be in my future without modern medicine helping me out. So I began researching facial plastic surgeons about two years ago and finally decided on Dr Harley due to his consistent results that span over several years. While I was losing the last bit of weight to get to my goal, my mother decided to see him herself and had fantastic results. If that wasn’t enough, meeting him in person made me even more sure of my decision. He has a great bedside manner being both confident but also very approachable. He is easily reachable and gives patients his personal number to reach him with any questions or concerns. I’m just one day post op and just had the dressings removed and I am very happy! Looking forward to seeing the final results Updated on 29 Jan 2023: Still having some swelling in cheeks and jawline but improving everyday. Pictures do no capture the difference you see in real life. I tried to recreate same lighting and no makeup for comparison but forgot about pulling hair back. Incisions around front of my ears are healed and look good and are currently pink in nature ( that is how I scar: pink for 4-5 months then pretty much disappear). I’m very happy with everything. Updated on 4 Feb 2023: Things continue to improve as swelling gets better. My neck measurement has lost one full inch in circumference and now looks longer. Incisions in front of ears are very flat. I tend to have pink scars for a few months before they fade- these are doing really well. I’m very happy with my decision to go with Dr. Harley.