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The Center For Plastic Surgery At Sentara Martha Jefferson
A center for aesthetic beauty, surrounded by beauty. Our home in the Blue Ridge foothills brings the latest technology to a breathtaking setting. The Center for Plastic Surgery is led by board-certified surgeons Drs. Victoria Vastine, Brian Showalter and Elizabeth Chance, who are supported by nurse practitioner Nicole Lepsch. 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. We wanted you to know how appreciative we are of your excellent work. Clearly, you and your office team deliver the absolute best care and attention to your patients.

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.
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Face
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If you're not happy with the way you look, you do have an option to change.
That's why we're here.
Our job is to help you realize what you'd like to see in the mirror, and work toward achieving it.
Call us today to schedule a private consultation.
About facelift A facelift is one of the most commonly performed procedures at our practice and provides a remarkable improvement in your appearance.
This procedure is the ideal treatment for correcting a sagging jawline, fallen cheeks, and an unpleasing neckline.
Surgical
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Every consultation we see starts with a story about what brings the patient to wanting to change something about the face they show to the world.
Just as each face is unique, each patient has an individual motivation and desired outcome are also individual.
Hearing that story and determining our goals for treatment is what your initial consultation is all about.
These five steps are crafted specifically to help guide both the patients and us as the providers through developing a relationship and a rapport so that common goals for treatment are established.
Facelift
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A facelift is one of the most commonly performed procedures at our practice and provides a remarkable improvement in your appearance.
This procedure is the ideal treatment for correcting a sagging jawline, fallen cheeks, and an unpleasing neckline.
The techniques of facelifts have significantly evolved in the last 10 years.
Patients now experience newer and better techniques to relocate the deeper tissues of the face and neck, without the telltale signs of facelift surgery.
These advanced techniques give both a more natural and also longer lasting result.
Neck Lift
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A neck lift involves treating the sagging skin and muscle of the aging neck.
It is usually performed as a portion of a facelift, however may be performed as a standalone procedure if the patient is satisfied with his or her facial appearance.
Fat is generally removed from beneath the chin and the muscle layer (platysma) of the neck is tightened in order to provide a more youthful appearance.
The ideal candidate for a neck lift is a patient that is seeing neck signs of aging.
The typical patient is 45 years old and above and wishes to improve his or her appearance.
Facial Fat Transfer
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One of the telltale signs of facial aging is the loss of youthful facial volume.
This typically begins in and around menopause for women or when body fat drops and can be seen in all areas of the face and body.
All areas of the face can be affected, but most patients identify the cheeks, lips, temples, nasal folds and chin as the most common areas for fat loss.
Fat grafting, or "autologous fat transfer" involves liposuctioning excess body fat from preferably the tummy, love handle, or thigh area for purposes of adding volume to these sunken areas of the face.
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