The growing physician-led organization now includes 24 aesthetic specialists working to advance care while preserving local independence.


Advanced Aesthetics Plastic Surgery has joined Ascend Aesthetic Partners, a management services organization in the field of plastic surgery and aesthetics, becoming the latest practice to align with the growing network of surgeons focused on collaboration, clinical excellence, and continuous learning in aesthetic care.

With the addition of Joseph Raniere, Jr, MD; Edward S. Gronka, MD; Takintope Akinbiyi, MD; and Amanda Fowler, PA-C, Ascend now includes 24 physicians across six states. The organization, which follows a physician-led model, aims to support surgeons in delivering high-quality care while providing access to shared resources and professional development opportunities.

Located in Atlanta, Advanced Aesthetics is known for its patient-centered approach and strong regional reputation. By partnering with Ascend, the practice will maintain its local focus while benefiting from a broader network of peers and operational support.

“What drew us to Ascend was the sense of alignment—not just around strategy, but around values,” says Raniere in a release. “It’s clear they’re building something that puts people first—patients, providers, and teams.”

Gronka adds in a release: “We’re joining a community of peers who are open, humble, and dedicated to learning from each other. That’s not easy to find—and it’s what makes this partnership meaningful.”

Innovation Through Collaboration

Leaders at Ascend say the partnership reflects a shared belief in preserving physician autonomy while fostering innovation through collaboration.

“What stood out about Dr Raniere, Dr Gronka, Dr Akinbiyi, and Amanda Fowler was their genuine commitment to their patients and their team,” says Dr William Hedden, chief medical officer of Ascend Aesthetic Partners, in a release. “They bring experience and curiosity, and we’re excited to learn from and grow with them.”

Ascend CEO Anthony Milonas notes that the organization is designed to support physicians beyond clinical work. “We built Ascend to be more than a business—we’re a network where physicians are supported, respected, and heard,” he says in a release. “This partnership is a reflection of that vision.”

Ascend Aesthetic Partners provides strategic investment and operational support—including finance, HR, IT, and marketing services—to affiliated practices. Its approach centers on maintaining the unique identity of each practice while enhancing its capabilities through shared expertise.

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