Our Providers

The Center for Plastic Surgery at Sentara Martha Jefferson is fortunate to have two highly-skilled, highly acclaimed surgeons at the helm. These board-certified physicians work with you to bring your vision to life. Drs. Victoria Vastine and Brian Showalter specialize in plastic surgery for the breast, body, and face. Both offer cosmetic plastic surgery and reconstructive surgery as well. In addition, we are fortunate to have Emma Hartman, PA, and Nicole Lepsch, NP, supporting our patients in their pre- and post-operative care, Kathy MacDonald Day, our registered nurse injector, and Kayte Tigert, our licensed master aesthetician.


Dr. Brian Showalter

Dr. Showalter’s capabilities cover a broad range of aesthetic and reconstructive services. His particular specialties include breast reconstruction, Mohs reconstruction, complex wound management, facial aesthetics, cosmetic breast surgery, and body contouring procedures.

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Dr. Victoria Vastine

Dr. Vastine specializes in aesthetic and reconstructive surgery, and she has a special interest in breast and body procedures. This highly acclaimed surgeon has been practicing in Charlottesville since 1998. In April 2012, the practice she built became Martha Jefferson Aesthetic & Reconstructive Surgery. 

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Emma Hartman, PA

Emma Hartman became a physician assistant because she was interested in many different areas of medicine ranging from surgery to neonatology. She loves that she gets to help patients navigate the entire surgical process– from their initial consultation, to scrubbing …

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Nicole Lepsch, NP

A nurse practitioner focusing on surgical patients, Nicole Lepsch works closely with the surgeons of The Center for Plastic Surgery at Sentara Martha Jefferson.

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Kathy MacDonald Day, Registered Nurse Injector

Kathy MacDonald Day is a registered nurse injector trained in advanced anatomy who offers cosmetic patients a unique combination of experience, knowledge, and personal attention. Kathy has more than 30 years of experience as a registered nurse, with over a …

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Kayte Tigert, Licensed Master Aesthetician

Kayte Tigert is a Licensed Master Aesthetician with a decade of experience in the aesthetics industry. She received her Basic Aesthetic Licensure from Blue Ridge School of Esthetics in Staunton, Virginia, and began practicing as an aesthetician and teaching esthetics …

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