My Philosophy

Having performed thousands of facial procedures over the last 17 years, I’ve had the chance to meet excellent surgeons and clinicians from all over the world. With advanced fellowship training, I’ve had the privilege to meet children and adults with complex facial concerns ranging from functional to cosmetic and everything in between.

My goal is always to address my patients’ concerns with both a scientific and artistic approach, always striving for consistency, predictability and a focus on the best possible outcome, keeping in mind not just safety but the most up-to-date procedures, materials and techniques.

Thank you for taking the time to visit my cosmetic facial surgery page and I look forward to seeing you soon!



ReadersChoiceLogo 2020
best of virginia winner award
2019 top dentists winner award from Richmond Magazine
2018 top dentists winner from Richmond Magazine
Our Health Best Bedside Manner Award

Meet Dr. Neil Agnihotri

Dr. Agnihotri is all about family. He treats each patient as if they are a part of his own. This is one of the many reasons why he has been voted Top Cosmetic Surgeon by Style Weekly & Virginia Living two years in a row and won multiple Top Doctor Awards in Richmond Magazine.

Dr. Agnihotri is a fellow of the American Academy of Cosmetic Surgery and the American College of Surgeons. He is board certified by the American Board of Oral and Maxillofacial Surgery. He has Cosmetic Surgery Procedures Certification and maintains his medical license from the Commonwealth of Virginia. Dr. Agnihotri is an executive council member of the Virginia Society of Oral and Maxillofacial Surgeons and a board member of the Cosmetic Surgery Foundation.

So what does all this mean? It means he is an expert of the face. His background in Oral & Maxillofacial surgery literally translates to he can only operate from the neck up. Most plastic surgeons can operate on the whole body, but at ACS Cosmetic our only focus is on your most precious asset.

Being a surgeon always meant that he wanted to be able to pay it forward. He supports numerous local and international charitable organizations. Both Dr. Agnihotri and his wife have been involved with the Richmond non-profit Runway2Life since 2016; a 501(c)(3) that encourages open dialogue about mental health, suicide awareness, and provides necessary resources for mental health education. He also supports VCU’s Women & Wellness, Richmond’s Heart Ball, SOAR365, Greater Richmond SCAN, UNOS, Greater Richmond Fit4Kids and more. During his residency Dr. Agnihotri volunteered with SmileTrain, an international children’s charity with a sustainable approach to a single, solvable problem: cleft lip and palate. Today, his commitment to providing care to patients with aesthetic, functional, and social issues remains a priority.

Dr. Agnihotri is also a clinical assistant professor at VCU’s School of Dentistry, in the Department of Oral and Maxillofacial Surgery. He routinely attends, and schedule permitting will speak, at local, regional, and national orthognathic and cosmetic facial surgery lectures.

If you haven’t met him yet, the quickest way to his heart is through some sort of outdoor fitness activity. Dr. A can always be seen training for something – whether it be running marathons, triathlons, obstacle courses or completing an IronMan!  His enthusiasm for self-care is evident in his team, as the team building activities include: Shiver in the River, the Monument Ave 10k, SportsBackers Corporate 5k and the Richmond Half Marathon events. But truly, His favorite out-of-office activity is spending time with his wife and their 3 children.


  • Dr. Agnihotri is an executive council member of the Virginia Society of Oral & Maxillofacial Surgeons. He serves on the Cosmetic Surgery Foundation, a group dedicated to promoting research and clinical training fellowships in cosmetic surgery.
  • Dr. Agnihotri is active in the community, coordinating care and providing free oral health screenings for people in the community and a number of outreach programs.
  • Dr. Agnihotri and his team are always excited to have visiting students eager to learn about full-scope maxillofacial & cosmetic facial surgery. They have hosted a number of high school, college and dental students who have shadowed and spent time learning about full-scope oral & maxillofacial surgery in his office. He is excited to offer a summer internship for interested students.
  • Dr. Agnihotri’s personal interests include running and obstacle course races. He has a particular interest in Active RVA and has participated in multiple races including local triathlons, the Richmond Half and Full Marathons. He is always eager to have everyone in the office participate in local events as well.
three cosmetic surgery awards

Meet the Team


Hello, I’m Katy! I am the Office Manager you’ll meet at our West End location. I am a born and raised Richmond-er hailing from Short Pump now residing in Mechanicsville with my husband and two children. I have been in the facial surgery field for 19 years and with Dr. Agnihotri since he started practicing, just 10 short years ago. I like to say I’ve helped shape him into who he is today. Outside of the practice, I love to vacation in the Outer Banks, N.C., fish and kayak with my friends and family.


It’s great to meet you, I’m Cindy! I have been with Dr. Agnihotri for 10 years and in the medical industry for 33! I do a little bit of everything at ACS, but you will mainly see me as your treatment coordinator. I work with Dr. Agnihotri and his assistants to schedule appointments and make sure we stay on track to reach your goals as efficiently as possible. I am originally from Pittsburgh, PA but now reside in Caroline County where I enjoy beautiful views of Lake Caroline. You’ll usually find me kayaking on the lake or on the beach with a Vodka Sunset in my hand.


Welcome, I’m Alyse! I am the Marketing Director for the practice and am the one you can thank for all the ACS ‘swag’ around town. I am a Long Islander born and raised, and moved to Richmond from New York in 2015 where I happily ended up with the amazing crew at ACS. I have a Marketing degree from West Virginia University and love putting it to the test. Outside of the practice, I enjoy living a healthy lifestyle and being active with my husband and our two dogs: Yellow Lab, Comet and Malinois, Degan.


Hey There, I’m Lauren! I’ve been in the cosmetic dental field for the past 6 years, and know a lot about good patient care. I work side by side with Dr. Agnihotri supporting him as one of his assistants. I was born and raised in Richmond, and now reside with my husband and two dogs in Hanover, VA. Outside of the office, you can catch me running and enjoying the best that Virginia has to offer – its wineries!

Start looking the age you feel, today!