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Refresh. Restore. Renew.

Cosmetic surgery and aesthetics that are all about you.

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Beautiful Location. Beautiful You.

A center for aesthetic beauty, surrounded by beauty. Our home in the Blue Ridge foothills brings the latest technology to a breathtaking setting.

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Meet “Team You”.

The Center for Plastic Surgery at Sentara Martha Jefferson is led by board-certified surgeons, Drs. Victoria Vastine and Brian Showalter who are supported by nurse practitioner Nicole Lepsch.

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The skills and experience for exceptional cosmetic surgery.

If you’re considering making a positive change, turn to The Center for Plastic Surgery at Sentara Martha Jefferson. Here, we combine skill and deep medical expertise to bring you options from surgeons you know you can trust. Our focus is on you, and on making you comfortable with every aspect of the experience, from first encounter to final outcome.

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Meet the Experts


Dr. Brian Showalter

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Dr. Victoria Vastine

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Emma Hartman, PA

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Nicole Lepsch, NP

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Kathy MacDonald Day, Registered Nurse Injector

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Kayte Tigert, Licensed Master Aesthetician

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"I just want Dr. Vastine and her whole team to know that you all made a life augmenting difference in my life and I am so grateful." — Patient of Dr. Vastine
"Dr. Showalter's professionalism, his surgical ability, his attention to detail, care and concern, has continued through the surgery into the post-op period and during all my follow up appointments.... We are forever grateful to Dr. Showalter and his wonderful staff." — Patient of Dr. Showalter


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