Neil J. Zemmel, MD, FACS * †
Kasandra R. Dassoulas, MD
Megan J. Goff, PA-C
Rachel M. Duke, NP, CANS
Caitlin M. Roop, LME
Short Pump Office
11934 W Broad Street, Suite 200
Richmond, VA 23233

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What is a Short Scar Facelift (MACS)?

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At Richmond Aesthetic Surgery, many of our patients seek facial rejuvenation procedures to achieve a more youthful, energized appearance. While a traditional facelift is still considered to be the gold standard in reversing the effects of facial aging, advances in surgical facial rejuvenation procedures have yielded new techniques that offer a number of unique benefits. For our patients seeking to lift and tighten the skin and underlying muscles of the face, we find that a short scar (or MACS) facelift can often be a great solution with a minimized recovery period and exceptionally natural-looking results.

With the MACS facelift technique, Dr. Neil J. Zemmel can lift and tighten tissues using a series of suspension sutures that help limit the necessary incisions as well as greatly reduce the risk of injury to underlying facial nerves. Due to the shorter incisions and refined surgical technique, the recovery from a MACS facelift can be much faster than that of more conventional facelift methods. To further improve enhancement, some of our patients also choose to combine this procedure with other complementary treatments – such as a neck lift, a brow lift, or blepharoplasty – for a more complete rejuvenation. If you would like to learn more about the MACS facelift, or to schedule a consultation, please contact our office today.

Richmond Plastic Surgeon Reveals Ideal Timing For Facelift Surgery

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Dr. Neil J. Zemmel of Richmond Aesthetic Surgery discusses facelift benefits and when patients should consider this facial rejuvenation procedure.

Richmond, VA — According to Neil J. Zemmel, MD, FACS, the face is an integral component of a person’s identity. Used for conveying thoughts and emotions, this board-certified plastic surgeon in Richmond says the appearance of the face is a vital communication tool as well as an outward reflection of the individual. Since the face is also one of the first areas of the body to show signs of age, procedures such as facelift surgery are among the most popular at his private practice.

Dr. Zemmel notes: “Traditionally, patients have waited until their 50s or 60s to undergo facelift surgery.” However, he also says the average age of a facelift patient is beginning to change. As more and more people are turning toward treatments such as injectables, fillers, laser resurfacing, and skin care products to treat the early onset of fine lines, wrinkles, and volume loss, patients can wait longer to address these concerns with surgery.

While nonsurgical options can certainly help patients maintain a more youthful appearance, the Richmond plastic surgeon highlights that there is no replacement for facelift surgery. Only a facelift can rejuvenate the deep layers of facial tissues and muscle. By repositioning soft tissues, tightening the underlying facial muscles, and redraping the skin, Dr. Zemmel can help his patients “turn back the clock” and take years off of their appearance.

Ultimately, Dr.Zemmel says the best time to get a facelift will vary from patient to patient. Men and women from their 30s to their 70s and older have achieved successful results with facelift surgery. To determine if a patient is an ideal candidate for facelift surgery, Dr. Zemmel recommends visiting a board-certified plastic surgeon for a one-on-one consultation.

About Richmond Aesthetic Surgery

Dr. Neil J. Zemmel operates Richmond Aesthetic Surgery. Dr. Zemmel is board certified by the American Board of Plastic Surgery and performs a wide range of cosmetic and reconstructive procedures for the face, breast, and body. He utilizes state-of-the-art surgical techniques to ensure the safest, most effective procedures, and is committed to staying up-to-date with the latest advancements in technology. Dr. Zemmel is available for interview upon request.

For more information about Richmond Aesthetic Surgery, visit,, and


Richmond Aesthetic Surgery
11934 W Broad Strest, Suite 200
Richmond, VA 23233
(804) 424-2000

Rosemont Media
(858) 200-0044

Plastic Surgery Through the Ages: 40s, 50s, and Beyond

Photo - 40:50s womenAs discussed in our previous blog post about plastic surgery in the teenage years, 20s, and 30s, younger patients tend to show interest in such options as reconstruction, cosmetic enhancement, body contouring, and skin treatments. Our plastic surgeon has found that people in their 40s, 50s, and older tend to seek the help of a surgeon for more advanced solutions to combat aging.

Patients in their 40s, for instance, typically have concerns about sagging skin, wrinkles, and fine lines on the face that make them appear older than they feel. This age group also tends to desire an improved body shape. Popular procedures include facelift, eyelid and brow lift, tummy tuck, breast augmentation and lift, and injectables.

As patients enter their 50s, they often wish to undergo procedures to help them age more gracefully. With deep wrinkles and skin folds becoming more noticeable, facial plastic surgery and skin rejuvenation are common treatment options for many people in this age group. Body contouring is also favored by those in their 50s or older, since people want to achieve a more attractive and youthful shape. Popular procedures for these more advanced patients include lifting procedures (i.e. facelift, neck lift, brow lift, eyelid surgery), as well as tummy tuck and liposuction.

If you are considering plastic surgery, we encourage you to schedule a consultation with our board-certified plastic surgeon to learn more about how you can reach your aesthetic goals.

Plastic Surgery Through the Ages: Teenage Years, 20s, and 30s

Photo - Women Young to OldThere’s no doubt that people of all ages wish to improve certain parts of their appearance. While the specific concerns vary from person to person, our plastic surgeon, Dr. Neil Zemmel has noticed patterns among patients at Richmond Plastic Surgery. Depending on the age of a patient, there are procedures and treatments that tend to be popular.

While teenagers are not the most frequent visitors of a plastic surgery office, there are treatments that these patients tend to be interested in. Since there is a large psychological component to surgery at this age, procedures are strictly reconstructive until they reach the age of 18. Such reconstructive options include breast reduction, rhinoplasty, and otoplasty. In addition to these treatments, patients in their 20s tend to undergo enhancement and body contouring procedures, including breast augmentation and liposuction.

As people get into their 30s, they may begin to see the effect that aging has on the skin and body. Resulting from this, patients often look into such options as non-surgical facial rejuvenation and liposuction. This is also a common time for women to have children, which is why post-pregnancy concerns are also prevalent, with popular procedures being breast lift, breast enhancement, and tummy tuck.

Stay tuned for part two of our “Plastic Surgery Through the Ages” blog series to learn about popular procedures for people in their 40s, 50s, and beyond. If you wish to learn more about a specific procedure, or are interested in scheduling a consultation with our board-certified plastic surgeon, Dr. Zemmel, please contact our practice today!

Achieving Beautiful Facial Results from Subtle Changes

photo1Dr. Zemmel recognizes his facial plastic surgery patients often want to look younger and more refreshed but don’t want a drastic change. As a result of this common goal, he employs the approach of “doing the most with the least.” He strives to make a significant improvement in a patient’s appearance through conservative means to avoid an overdone outcome.

To preserve a person’s natural appearance, Dr. Zemmel focuses on restoring what has been lost from the aging process. Rather than addressing each concern, he considers what changes have occurred over the years and how to correct the patient’s major concerns. By tailoring the consultation and treatment to each individual, Dr. Xemmel can determine which procedure or combination of procedures can most effectively help the patient achieve their aesthetic goals. In some instances, he can even limit incisions, such as when employing lifting techniques with facial fat grafting.

Overall, Dr. Zemmel’s goal is to make a positive impact on each patient’s facial concerns through minor treatments. This allows him to provide subtle yet meaningful changes that patients are proud to show off.

If you would like to learn more about options for achieving a natural, youthful facial appearance, please contact us today to schedule your consultation.

Richmond Plastic Surgeon on Most Popular Surgical and Nonsurgical Trends

plastic surgeon in richmond, breast augmentation, tummy tuck, liposuction

Dr. Neil Zemmel reviews the latest statistics obtained by the American Society for Aesthetic Plastic Surgery to see how they compare to his Richmond plastic surgery practice.

Richmond, VA — According to the American Society for Aesthetic Plastic Surgery (ASAPS), the number of cosmetic surgeries performed each year has risen steadily since 1997 (the amount of procedures has increased almost 250%). Dr. Neil Zemmel, a plastic surgeon in Richmond, says he feels this is due to the advancements made in cosmetic procedures, both surgical and nonsurgical. With today’s technology, he says patients are seeing more consistency and an increased level of safety, making the procedures more appealing to a larger audience.

Breast augmentation, liposuction, and tummy tuck top the list as the most popular surgical procedures performed in 2012, according to the data. Dr. Zemmel agrees that the statistics are accurate when compared to the surgical procedures most often requested by his Richmond plastic surgery patients. He notes that breast reduction and breast lift were also extremely popular choices for his patients.

Nonsurgical procedures have also shown a significant increase over the years. BOTOX® Cosmetic proved to be the most frequently elected nonsurgical cosmetic procedure, followed by injectable dermal fillers, such as Juvéderm®. Dr. Zemmel explains that his practice continues to follow the trend shown by the ASAPS statistics when it comes to nonsurgical procedures, with the exception of laser hair removal. In the national statistics, laser hair removal is the third most popular nonsurgical cosmetic procedure. However, Dr. Zemmel says, “Since we live in Richmond, Virginia, the most tattooed city in the U.S., laser tattoo removal exceeds laser hair removal in our practice.”

Dr. Zemmel says his patient population is generally younger in age when compared to the national average. He adds that he sees many female patients ages 22-34 requesting mostly breast augmentation or other breast rejuvenation procedures – such as a breast reduction or lift. According to ASAPS, patients ages 35-50 received the most cosmetic procedures in 2012, representing 43% of all surgical and nonsurgical procedures performed. When reviewing these numbers, the Richmond plastic surgeon notes that his female patients in this age category typically elect to have procedures that will improve their look after having children, such as breast enhancements and body contouring, procedures that are typically combined in what is commonly referred to as a “mommy makeover.” Other popular procedures for this age group, according to Dr. Zemmel, include nonsurgical facial rejuvenation through injectable dermal fillers, medical grade skin care, BOTOX® Cosmetic, and laser treatments.

Overall, Dr. Zemmel felt that the statistics were fairly accurate when compared to his practice. He predicts that tattoo removal will continue to be a popular procedure for his patients, due to new laser technology which allows him to remove many different ink colors with a fewer number of treatments. He also expects to see a continued rise in requests for breast augmentation, noting that “our practice is becoming known regionally and state-wide for the quality and consistency of breast augmentation results. We strive to produce natural, proportional breast augmentation results with the least invasive surgical techniques available.”

About Neil J. Zemmel, MD, FACS

Certified by the American Board of Plastic Surgery, Dr. Neil Zemmel is a highly-trained plastic surgeon practicing in Richmond, VA. Although he has experience in a broad range of surgeries, he focuses his talents on cosmetic and reconstructive plastic surgery. He is an active member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the Medical Society of Virginia. Dr. Zemmel has also dedicated his time and skills to Operation Kids, a surgical mission group that travels to Guatemala annually, providing complex reconstructive surgery to those in need. Dr. Zemmel is available for interview upon request.

Neck Rejuvenation

With age our skin loses its elasticity and begins to sag.  The skin on our neck and face are often the first to show these common signs of aging.  Dr. Neil J. Zemmel has helped many men and women achieve a smoother, tighter and youthful appearance through a Neck Lift.  A Neck Lift procedure can be done in combination with other facial rejuvenation procedures such as Face Lift, Brow Lift, and Eyelid Lift surgeries.  Contact our office to schedule your consultation with Dr. Zemmel and allow him to help guide you to a more youthful, vibrant looking you!

Richmond Plastic Surgeon Offers In-House Med Spa Treatments

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Dr. Neil Zemmel provides patients with a variety of nonsurgical facial rejuvenation options

Richmond, VA – Dr. Neil Zemmel offers a variety of surgical and nonsurgical facial procedures at his Richmond plastic surgery practice. His goal is to provide each patient with safe, effective procedures that yield natural-looking results and boost self-confidence. Richmond Aesthetic Surgery’s Med Spa offers patients nonsurgical cosmetic treatments to replenish skin, reduce signs of aging, and improve common skin conditions to maintain a youthful, vibrant appearance.

Richmond Aesthetic Surgery’s Med Spa offers a wide variety of nonsurgical treatment options including:

  • BOTOX® Cosmetic
  • Fractional CO2 laser resurfacing
  • Chemical peels
  • Medical grade facials
  • Laser hair removal

Dr. Zemmel says surgical facial procedures are more invasive treatments that require incisions, anesthesia, and are performed in the hospital with an anesthesiologist. While surgical procedures provide a more dramatic change in appearance, some patients opt for less invasive, subtler approaches to facial rejuvenation. Dr. Zemmel notes that these nonsurgical treatments do not involve incisions or long recovery times, and serve as alternatives for patients who may not need invasive treatment to achieve their desired results.

Nonsurgical facial procedures provide benefits such as:

  • Reduction of minor wrinkles
  • Reduction of sun damage and age spots
  • Reduction of minor scarring
  • Soft tissue augmentation of the face
  • Lip augmentation
  • Treatment of thickened labionasal folds
  • Tightening of skin
  • Smoothing out discoloration or hyperpigmentation

Dr. Zemmel, a Richmond plastic surgeon, says that during their initial consultation at Richmond Aesthetic Surgery’s Med Spa, patients will be given an overview of their options and a customized treatment plan to achieve their individual needs. The Med Spa also offers packages that include a series of treatments to help patients attain healthier-looking skin with a smoother, more youthful sheen.

About Neil J. Zemmel, MD, FACS

A graduate of the College of William and Mary in Williamsburg, Dr. Neil Zemmel earned his medical degree at the University of Virginia School of Medicine and the Virginia Commonwealth University Medical Center. He has also lectured on a wide range of topics including the latest techniques in liposuction, artificial skin technology, breast reconstruction, and new facial rejuvenation techniques. Dr. Zemmel currently serves as a Diplomate of the American Board of Plastic Surgery and is the Director of Plastic Surgery Services at St. Francis Hospital. He is available for interview upon request.

What Is Endoscopic Cosmetic Surgery?

Though plastic surgeons are trained to make incisions in strategic directions and positions to minimize their visibility, all plastic surgeries heal with scars. Endoscopy is a surgical technique that uses an endoscope, a small camera, inserted in a small incision and moved around to view internal images to perform the surgical procedure. Some benefits to endoscopic cosmetic surgery are said to result in less scarring, smaller incisions, and faster healing. Face Lift, Brow Lift, and Forehead Lift are a few cosmetic surgeries that utilize the endoscopic technique.

Contact our office to see if endoscopic cosmetic surgery is an option for you.

Is A Facelift Right For You?

There are many options that can be taken to preserve or maintain your youthful appearance with skincare, Botox or fillers. But sometimes, a more permanent solution is needed. Dr. Neil J. Zemmel artistically customizes Face Lift and Neck Lift procedures specifically for each individual. Dr. Zemmel will help guide you in achieving a more youthful, vibrant, and “natural” rejuvenated appearance. A Face Lift is mainly performed to tighten and smooth facial skin and lessen the appearance of jowls. Deeper layers of tissue are often tightened, not only to increase initial improvement but to improve the longevity of your results. A brow lift and neck lift can also be done in conjunction with a facelift. However, it does not necessarily mean you need it. Come in for a consultation with Dr. Zemmel and he will guide you towards the best options to achieve your goals.