Cosmetic Services

Cosmetic Services

Offering the latest innovations in skin care, Cosmetic Center by VIVA combines the highest quality treatments with the medical expertise you trust.

We understand that when it comes to aging gracefully, our patients want to look natural, not noticeable. Whether you are searching for routine beauty maintenance or considering cosmetic enhancements for the first time, we seek to serve our patients’ unique needs through attentive communication and customized care.


BOTOX® by Allergan®  temporarily reduces or eliminates forehead creases, crow’s feet, or bands on the neck.


Dermal Fillers

  • Dermal Fillers can temporarily reduce or eliminate unwelcome lines and signs of aging. We offer five high-quality formulations by Juvederm®, each crafted to meet a specific need. Whether you want to plump your lips, smooth lines, or lift & contour your cheeks— Juvéderm® will help achieve the results you want. Formulations crafted by Juvéderm® include:
    • Juvéderm® Ultra XC
    • Juvéderm® Ultra Plus XC
    • Juvéderm® Vobella XC
    • Juvéderm® Voluma XC
    • Juvéderm® Vollure XC
  • Hyaluronic acid, or HA, is a naturally occurring substance that delivers volume to the skin. JUVÉDERM® is a long-lasting, non-surgical option that contains a modified form of HA. Fillers that include HA are a top choice for patients — over 90% of filler patients receive an HA dermal filler.*


*ASAPS Practice Survey Data, 2017 (N = 795).



Kybella® by Allergan® permanently reduces or eliminates the appearance of a double chin by destroying fat cells under the chin.


Laser Skin Treatments

  • Uneven skin tone can be treated with our GentleMax Pro® laser.
  • Laser breaks unwanted pigment into smaller particles that are then absorbed by the body. Treatment area can be targeted to specific spots or more generalized to address areas like the face or décolleté. Spots initially become darker as pigment is pulled from deeper layers of the skin. There can be a bit of swelling at the site as well as redness. Photo Facials are recommended in a series of three consecutive treatments spaced about one month apart.
  • Results are noticeable within one week
  • No downtime
  • Fast and effective
  • No redness
  • No pain
  • Topical numbing cream is applied so the treatment is comfortable
  • It will not look and feel like a sunburn.
  • Dark spots may initially appear darker for about a week
  • Can be covered with concealer right away if wanted
  • Results will be seen in about a week. It takes about a week for the darkening to fade.
  • Full face treatment
  • Only one treatment needed for results

Laser Hair Removal

Put an end to waxing & shaving with GENTLEMAX PRO®

If you experience unwanted body hair on the arms, underarms, legs, back, chest, face or bikini area those areas can be effectively treated with GENTLEMAX PRO®.

Hair growth is reduced after each laser treatment and the number of treatments required will be based on your hair color and type, body area and skin tone. A treatment plan will be outlined by one of our physicians. With the GentleMax Pro®, typically 4-6 sessions are needed spaced approximately 6 weeks apart.


Hyperhidrosis Treatment

The Food and Drug Administration (FDA) has approved Botox injections to treat excessive underarm sweating. It works by blocking a chemical in the body that activates the sweat glands. According to the International Hyperhidrosis Society, underarm Botox injections can reduce underarm sweating by 82–87%. The effects can typically last 4–12 months, or up to 14 months in some cases. People who receive underarm Botox injections tend to see results 2–4 days after treatment. The full effects are usually noticeable within 2 weeks.


Hair Restoration

Call 540-376-7777 for additional information and a free consultation.


R. Donald  Doherty Jr., MD

Interventional Radiology // Fellowship trained in Angiography and Interventional Radiology at the University of Virginia.

Gustavo Elias, MD

Interventional Radiology // Fellowship Trained in Interventional Radiology from Yale University.

Samer Hijaz, MD

Interventional Radiology // Fellowship trained in Interventional Radiology from MedStar Georgetown University Hospital.


10401 Spotsylvania Ave #203
Fredericksburg VA 22408
8:00AM - 4:30PM
(540) 376-7777

Request a Cosmetic Appointment