Recent News: Fall 2008: We are happy to announce the newest member of our team Martha Mundy, NP. Read More >>

Services We Provide:

Dr. Armstrong provides a wide range of cosmetic and medical services. Trained at Johns Hopkins Hospital, he is board-certified in Otolaryngology - Head & Neck Surgery and in Facial Plastic & Reconstructive Surgery.

Cosmetic Services:

COSMETIC CONSULTATION

Not sure what you need? Don't worry! During this consultation, Dr. Armstrong will help you develop a strategy to achieve or maintain your cosmetic goals. A detailed ENT medical examination is performed to exclude related problems. (Further evaluation or treatment of any medical problems will be billed appropriately and may require a referral.) Prices listed below describe the range of fees for the most common procedures requested. Discounts generally apply to combinations of multiple procedures. Anesthesia and surgical center fees are not included. Financing is available.

Special Offer: Call for an appointment whithin the next 6 weeks and recieve a afree 1 hour facial ($75 value) with one of our licensed estheticians following your appointment. You will also recieve 10% off any cosmetic supplies purchased during your first visit. Back to Top >>

BOTOX

The fastest growing service in facial rejuvenation, botulinum toxin has been FDA-approved in 2002 for the treatment of facial wrinkles. Regular maintenance can delay or prevent the formation of deep creases from hyperactive facial muscles.
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SKIN CARE

We will help you select appropriate products for your skin type to prevent sun damage and reduce the visible effects of aging. A combination of good skin care and Botox injections can actually prevent many age-related changes.Back to Top >>

RESTYLANE & JUVADERM

Hyaluronic acid is a crystal-clear gel that may be used for filling out facial wrinkles, facial folds, and the lips. Learn more here.
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GLYCOLIC ACID WASH

This “lunch time” chemical peel uses natural fruit acids to strip away dead layers of skin, leaving your face refreshed and rosy. A series of six treatments (for the price of five) can stimulate collagen reorganization and reduce the appearance of fine lines.
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CHEMICAL PEEL

This medium depth peel removes skin down to the upper dermis. Fine lines and most freckles are removed. Within one to two weeks, the skin is completely replaced with smoother, pinker, more homogeneous skin. Back to Top >>

BLEPHAROPLASTY

A popular procedure with men, blepharoplasty can refresh tired, sagging eyelids, and promote a younger, more alert appearance. Dr. Armstrong’s fat-conserving techniques may reduce the hollowness that can sometimes appear after surgery.
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FOREHEAD LIFT

Removal of upper eyelid skin is often requested when in fact the forehead and eyebrows are sagging. Dr. Armstrong can lift the entire forehead, upper eyelids, and cheeks through tiny incisions hidden in the scalp. Forehead wrinkles generally disappear, and the eyes appear dramatically wider and more alert.
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RHYTIDECTOMY (FACELIFT)

The lower face and neck are lifted at the level of the subcutaneous muscular layer (SMAS). This procedure is most effective for removal of jowls around the chin and turkey waddles in the neck. Liposuction of the face and neck is included.
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MIDFACE LIFT

A direct lift of the soft tissues in the cheek provides the most dramatic restoration of the lower eyelid and mid-cheek contour. A lower eyelid blepharoplasty is included. Back to Top >>

RHINOPLASTY

The most common facial plastic procedure for teens, young adults and men, a nose job can help to balance facial features. As an accomplished sinus surgeon, Dr. Armstrong provides comprehensive medical and surgical care to the nose - He can help you feel as great as you’ll look! Back to Top >>

CHIN AUGMENTATION

Patients who perceive that they have a large nose often have a small chin that magnifies the apparent size of the nose. Dr. Armstrong may use digital imaging to illustrate the advantage of a chin implant in addition to nasal surgery. Our goal is to create a natural harmony of facial features, not a tiny bobbed nose!
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OTOPLASTY

Children can be cruel to classmates who look different. The ideal time to correct prominent ears is age five or six. By this time, the ears are 85% full grown, yet your child is young enough to have minimal impact on self-esteem. Adults can often be treated with local anesthesia at a reduced price. Back to Top >>

OTOLARYNGOLOGY
(EAR, NOSE AND THROAT) SERVICES

Dr. Armstrong provides general otolaryngology care that includes medical and surgical treatment of most diseases above the shoulder, excluding the brain, spine, and eyes. He is experienced in advanced sinus surgery, and has introduced several new techniques to the Richmond area. He adores working with children, and sees patients of all ages. We accept most insurance, including HMOs and Medicare. For your convenience, we will bill the insurance company directly. In order for us to do this, you must bring your insurance card, any applicable co-payment and any required referrals. We cannot obtain your referral for you. Back to Top >>

ALLERGIES

Nasal allergy is one of the most common conditions for which patients see an ear, nose and throat specialist. Dr. Armstrong is a member of the American Academy of Otolaryngic Allergy, and the American Rhinologic Society, which are dedicated to research and education on the medical and surgical treatment of the nose.
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EARACHES

Otitis media is the most common reason small children require surgery. Placement of tubes in the ears can immediately restore hearing blocked by fluid and can reduce the frequency of infections for as long as the tubes remain in place. As a physician and father, Dr. Armstrong quickly establishes trust with small children. With the help of his nurse practitioners, he can often reduce the long waiting times for appointments, and eliminate delays in the office. Back to Top >>

HEAD AND NECK TUMORS

Otolaryngologists - Head & Neck Surgeons are trained to diagnose and treat most tumors of the face, mouth, throat and neck. Early diagnosis and treatment can greatly improve survival or reduce the suffering from most cancers. A comprehensive head and neck examination is routinely offered to all new patients. As a board-certified Facial Plastic Surgeon, Dr. Armstrong is trained to provide the best possible reconstruction following removal of head and neck tumors. Back to Top >>

HEARING LOSS

Our certified clinical audiologists offer sophisticated testing to help identify medical conditions that affect hearing. Some hearing aid salespeople do not have this training, nor do they have physician supervision. We offer the latest in digital hearing aids. A simultaneous physician consultation is available. You can also try this simple test yourself. Back to Top >>

SINUSITIS

Dr. David Kennedy introduced endoscopic sinus surgery to the United States at Johns Hopkins Hospital. As a resident at Johns Hopkins, Dr. Armstrong learned state-of the-art techniques, many of which he has later taught at courses throughout Virginia. Rapid advances in technology have virtually eliminated the external scarring, bruising and swelling associated with sinus surgery - some techniques can even be performed in the office! Dr. Armstrong has published several articles on sinusitis and served as principle investigator on numerous clinical trials. He is a consultant to several pharmaceutical companies who have developed new medical treatments for sinusitis. Back to Top >>

SNORING

Snoring affects the majority of men over fifty years of age and most women over the age of sixty. Up to one-fourth of people who snore have such severe obstruction that it interferes with their own sleep. Obstructive sleep apnea is a serious medical condition that can only be diagnosed through appropriate clinical testing. We offer a two-channel sleep study that can be used to exclude sleep apnea in the privacy of your home. A comprehensive nose and throat examination can identify areas of obstruction. Dr. Armstrong is experienced in all aspects of airway management. Most cases of snoring can be cured. Back to Top >>

SORE THROATS

Tonsillitis and strept throat are common childhood illnesses. Although strept throat is a self-limited illness, it can cause severe heart and kidney disease if not treated promptly with antibiotics. If the frequency or chronicity of tonsillitis should require surgery, please see us for a comprehensive pre-opoperative pediatric ENT consultation. Dr. Armstrong uses the latest coblation technology for tonsillectomy, greatly reducing or eliminating the pain following surgery. Dr. Armstrong was voted one of the best pediatric otolaryngologists in Richmond in 2002- - come see why!
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SKIN CANCER

When skin cancers are too big to treat in the office, many dermatologists call upon Dr. Armstrong for assistance. Using a serial excision technique first developed by Frederick Mohs, Dr. Armstrong can obtain a 99% chance of cure with most non-melanoma skin cancers, while preserving as much normal skin as possible. He then uses the principles of cosmetic units to reconstruct the defect, hiding the scars within natural borders or in the hairline. You can trust your face to a facial plastic surgeon. Remember - the best treatment for skin cancer is prevention - use sunscreen!Back to Top >>

FINANCING

Financing is available for cosmetic services, hearing aids, and unpaid medical claims. Affordable loans payable over 1-5 years provided by Capital One and are just a phone call away, or accessible through their web site. You can finance the entire cost of your surgery, anesthesia and facility fee no as single step and enjoy the benefits of good health or better hearing now.