About Us

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!

— Neil


2018 top dentists winner from Richmond Magazine
2019 top dentists winner award from Richmond Magazine
Our Health Best Bedside Manner Award
virginia living top doctor acs cosmetic
ReadersChoiceLogo 2020

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 three years in a row and won multiple Top Doctor Awards in Richmond Magazine.

Dr. Agnihotri is a fellow of 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 also an executive council member of the Virginia Society of Oral and Maxillofacial Surgeons.

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. .
  • 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.

Meet the Team


Hello, I’m Katy! I am the Office Manager you’ll meet at our Short Pump 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.


Hi ya’ll! My name is Cassie and I’ve been in the cosmetic field for over 6 years. I started with Dr. Agnihotri as his Surgical Treatment Coordinator in August of 2020 and I absolutely love being part of his team! I work with Dr. Agnihotri and his assistants to make sure your appointments are scheduled without any conflict and answer any questions you may have along the way. I am from Midlothian, Virginia and a proud mother of three. When I am not in the office, I enjoy fishing and cooking with my family.

Abigail Surgical Assistant


Hey there! My name is Abby. I have recently started with Dr. Agnihotri and ACS cosmetic as a surgical assistant and I absolutely love it! I was born and raised in North Chesterfield but moved out into Bumpass county with my family. Outside the office I enjoy traveling and spending time with friends and family. A few of my favorite hobbies are hiking, baking, and relaxing on a beach.

Barbara Surgical Assistant


Hello, I’m Barbara, one of Dr. Agnihotri’s assistants. I’m originally from Pennsylvania and now live in Chesterfield with my husband and children. I’ve been with ACS close to 5 years and really enjoy helping people and working in a fun environment. I have an identical twin sister who lives in the area who is my best friend. I enjoy spending time with family, going to concerts and Halloween is my favorite holiday.

Katelynn Empl


Hi, I’m Katelynn. I recently joined Dr. Agnihotri and team as a surgical assistant and it’s safe to say that I love it! I am from a small town called Urbanna. I have lived there for 20 years and still reside there today. I enjoy spending all of my free time with family and friends by the water. Some of my favorite things to do outside of work are relaxing on a dock, traveling and shopping!