Meet Dr. Mountcastle

Timothy S. Mountcastle, M.D. is the Medical Director of Mountcastle Plastic Surgery & Vein Institute serving Reston, Ashburn, and Leesburg, VA. He is a plastic surgeon and Former Chief of Plastic Surgery at INOVA Loudoun Hospital, and has been practicing aesthetic and reconstructive surgery since 2004.  He is also board certified in General Surgery through The American Board of Surgery. He serves as the Medical Director of the National Center for Veins and has offered advanced vein removal surgery since 1999. Dr. Mountcastle also specializes in DIEP-Flap breast reconstruction surgery, as well as vascular surgery. In 2014 and 2015, Northern Virginia Magazine named Dr. Mountcastle as a “Top Plastic Surgeon” and he received the Loudoun Times-Mirror Reader’s Choice Award for “Best Plastic Surgeon” in Loudoun County. 

Skills and Specialties

Dr. Mountcastle performs cosmetic surgeries for the face, hands, breasts, and abdomen. Through his experience and advanced training, he provides a variety of clinically proven solutions for varicose and spider veins using ultrasound-guided sclerotherapy, VeinWave thermo coagulation, and the minimally invasive VNUS closure procedure. For more than a decade, he has performed more than 10,000 vein procedures in Northern Virginia.

Dr. Mountcastle also specializes in breast augmentations, breast lift and breast reduction surgery, breast reconstructions, and male breast reduction surgery. He is one of only a few plastic surgeons in the Washington D.C. metropolitan area that performs DIEP-flap breast reconstruction. At Mountcastle Plastic Surgery & Vein Institute, he provides men and women with a variety of plastic surgery and nonsurgical skin enhancements such as tummy tucks, liposuction, facial procedures (nose surgery, and face, brow, eyelid lifts), injectables and skin tightening laser treatments. His practice has Allergan Black Diamond status, and is among the top 1% of all BOTOX Cosmetic and filler injectors in the United States.

Education and Training

Before medical school, Dr. Mountcastle earned a Bachelor’s degree in biology from James Madison University. Dr. Mountcastle graduated with honors as one of the top five students of his Howard University medical school class. He trained at the prestigious Charity Hospital in New Orleans for seven years and received degrees in both general and plastic surgery from Louisiana State University. During his residency at LSU, he was appointed Chief Resident in both general surgery and plastic surgery.

Certifications & Memberships

Dr. Mountcastle is board certified in general surgery and is a member of the National Capital Society of Plastic Surgeons and the Virginia Society of Plastic Surgeons. He is a member of the Alpha Omega Alpha Honor Society. Currently, he is on staff at Reston Surgery Center, INOVA Fair Oaks Hospital and INOVA Fairfax Hospital. Dr. Mountcastle is also a panel physician at Fauquier Health's Wound Healing Center. 

Publications and Awards

As one of the best plastic surgeons in the country and a leader in his field, Dr. Mountcastle has been asked to speak at national conferences for plastic surgeons and has authored many articles about cosmetic and reconstructive surgeries. In 2014 and 2015, Northern Virginia Magazine has named him as a “Top Plastic Surgeon,” and he received the Loudoun Times-Mirror Reader’s Choice Award for Best Plastic Surgeon in Loudoun County. Mountcastle Plastic Surgery & Vein Institute has the esteemed Allergan Black Diamond status, and is among the top 1% of all BOTOX® Cosmetic and filler injectors in the United States.


Dr. Timothy Mountcastle’s distinguished career as a plastic surgeon in Virginia detailed below includes a remarkable record of experience and leadership.

Plastic Surgeon & Vein Doctor
Loudoun Medical Group
July 2006 – Present 

Owner & Plastic Surgeon
Mountcastle Plastic Surgery & Vein Institute
June 2006 – Present 

Chief of Plastic Surgery at INOVA Loudoun Hospital 
Mountcastle Plastic Surgery & Vein Institute
January 2010 – December 2013 

Radiance Medical Spa
January 2010 – March 2013 

Personal & Interests

As a Virginia native, Dr. Mountcastle was delighted to return to the area after finalizing his training in Louisiana. An active member of his Leesburg community, he is dedicated to community service and charities (Children's Outreach), and he sits on the Board of Directors of Borromeo Housing Inc., which manages the Elizabeth House residential program for homeless teenage mothers and their children in Arlington, VA. Dr. Mountcastle also provides site assistance to medical missions in Honduras, Colombia, and Bolivia.

At his practice, he is known by his staff and patients to be warm, caring and passionately detail oriented in all of his cosmetic surgeries. When he is not diligently changing lives, he enjoys spending time with his wife, Meredith, and their daughters, Catherine and Noel. Their family has a loveable pug named Madison. Dr. Mountcastle also loves participating in soccer, tennis, boating, water and snow skiing.

Medical Privileges

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.