An hour to start
Your first visit begins with a conversation. Goals, history, hesitations — everything on the table before anything else.
Patient of Rachel Duke? You're in the right place.
Same team, same standard, new name.
Love who you see in the mirror.
We provide wrinkle relaxers, fillers, and facial aesthetic treatments so you feel like your most beautiful self.
Trained, certified, and teaching the field
- Injecting since2005
- Allergan trainer since2015
- CredentialsMSN, NP, CANS
- RealSelfTop 25 Most Loved Injector
- Featured inRichmond BizSense
You know your face better than anyone.
Maybe you’ve started noticing small changes in the mirror. Maybe a wedding or reunion is coming up and you want to walk in looking like yourself on your best day. Or you’ve decided it’s time to put some care into the face you lead through life.
Wanting that is a good instinct. Beauty is individual, and the right treatment makes you look more like you.
That starts with providers who listen before anything is planned.
Book your one-hour consultationThe Signetté Standard
Signetté was founded by Rachel Duke, NP, CANS, who has been injecting since 2005 and has trained other injectors for Allergan, the maker of Botox, since 2015. She built this practice so every patient gets her standard, whichever provider they see.
At Signetté, patient care is easy to understand:
A plan for your year
You leave with a bespoke written plan, so you know what to expect and when. Treatments are staged thoughtfully across all your visits.
Advice you can trust
If a particular treatment style is or isn't right for your skin, we’ll tell you.
Care after you leave
We text the day after filler, see new patients again 2 to 3 weeks after their first treatment, and keep a text line open after hours.
Aesthetics changes fast. Our providers keep learning, including at national meetings, so you get today's techniques, not last decade's.
Confidence, elevated, never altered.
Where would you like to start?
Neuromodulators, dermal fillers, and skin treatments for the face and neck, in Richmond.
Lines and wrinkles
Wrinkle relaxers, also called neuromodulators, soften the lines that form with expression. We’ll help you choose between Botox, Dysport, and DAXXIFY, and at every visit we’ll look at how your last treatment held up.
Explore wrinkle relaxers
Lost volume
Dermal fillers restore the volume your face loses with age and with weight loss, which is why many patients come to us after losing weight.
Explore dermal fillers
Skin that needs more
Skin rejuvenation works on the skin itself, not just the lines. Sculptra and Renuva are biostimulatory injectables that work with your body over time, and microneedling builds skin quality treatment by treatment.
Explore skin rejuvenation
Not sure where you fit?
Every new patient gets a full hour with one of our nurse practitioners, whether you treat anything that day or not. We look at your whole face, talk through every option, and you leave with a written plan for the year ahead.
Your first visit, start to finish
- 01Book online or call us, and we’ll email your paperwork before you arrive.
- 02Your provider sits down with you for a full hour. We’ll go over your history, look at your whole face, and walk you through every option, including ones you didn’t come in asking about.
- 03Before you leave, you’ll get a written plan for the year ahead, so you know what to expect and when.
- 04We’ll text you the day after filler and see you again 2 to 3 weeks after your first treatment. If a question comes up after hours, you can text us.
Already a patient and short on time? We can have you in and out in 15 minutes. First visits are never rushed.
Book your one-hour consultationWhat patients tell their friends
4.9 out of 5 stars from 42 Google reviews
Patient story / Richmond
What really sets her apart is the time she takes to explain everything—from how each product works to the physiology behind facial structure and aging. She has such a deep understanding of aesthetics, and I always feel educated, safe, and completely comfortable in her care. She has an eye for natural, beautiful results and always makes me look (and feel) fabulous.
Kate W.Google review · Patient of Rebecca Luck
01 / 06
It’s clear she genuinely cares about achieving natural results that fit your goals rather than upselling treatments.
Colleen F. / Google review
01 / 05
Many of our patients first heard about us from a friend.
BeforeAfter
Real patients. Real results.
Real Signetté patients, with the treatment and the time since noted on every photo.
- Treatment
- [Treatment]
- Seen at
- [Time since]
- Rhythm
- [Rhythm]
Individual results vary.
View before and aftersBuilt on one standard.
Carried by one team.
Signetté was founded by Rachel Duke, NP, CANS, who built it so every patient gets the same standard of care, whichever provider they see. Here, providers are invested in, developed, and elevated alongside the practice, because confidence belongs to everyone inside these walls.
Our team spans generations, so whether you're in your twenties or your nineties, you'll find someone who feels like a fit. We keep learning, including at national meetings, so you get today's techniques.
Giving back is part of how we practice. Signetté supports World Pediatrics and Tuckahoe Elementary School.
Aesthetic nurse practitioner
Rebecca Luck
NP-C
Trained under Rachel, Rebecca pairs 13 years of clinical experience with a passion for personalized injectable, skincare, and laser treatment plans.
Founder
Rachel Duke
NP, CANS — Certified Aesthetic Nurse Specialist
Owner of Richmond's first independent injectables boutique, with nearly two decades of experience and a national teaching role with the Allergan Medical Institute.
Front desk coordinator
Kailyn Richey
Your first call and your first hello.
Kailyn brings a background in patient-facing service and leadership — and a genuine care for people — to every interaction at Signetté.
Answers to the questions patients ask in the chair
Aging after weight loss
Why your face can look older after weight loss, and what helps
Rapid weight loss changes the face as well as the body. Here's what's happening and what your options are.
Filler and surgery
Do I still need filler if I have facial plastic surgery?
A common myth says surgery means you no longer need injectables. Here's how each treatment works and how to time them together.
Your first visit
What happens at your first appointment at Signetté
An hour with your provider, a look at your whole face, and a written plan for the year ahead. Here's what to expect, step by step.
Questions people ask before their first visit
FAQ
Why does a first visit at Signetté take an hour?
A first visit at Signetté takes an hour so nobody is rushed. Every new patient gets a full hour with one of our nurse practitioners, whether you treat anything that day or not. You leave with your questions answered and a written plan for the year ahead.
FAQ
Will Signetté pressure me into treatments I don't need?
No. Signetté will never push treatments on you. Patients tell their friends we don't push, and we'll say so when we think you don't need something.
FAQ
Will I still look like myself after treatment at Signetté?
Yes. At Signetté we plan natural-looking results, so you leave feeling more confident and not like something about you was changed.
FAQ
Can Signetté help if I've been unhappy with treatment somewhere else?
Yes. Many Signetté patients come to us after an experience that felt rushed or didn't turn out as they hoped. We start by asking about your past treatments, and if a result isn't what it should be, we make it right.
FAQ
Can I have injectables at Signetté if I'm considering facial plastic surgery?
Yes. Signetté works with facial plastic surgeons, so we can help you time treatments around a procedure or refer you to a surgeon.
FAQ
Does Signetté treat men?
Yes. Signetté treats men as well as women, and the number of male patients is growing.
Consultation
Ready when you are.
Book a one-hour consultation and leave with a plan that's yours.
A new home is on the way.
Signetté is moving to a new space, coming soon. Until then, you'll find us at 1630 Wilkes Ridge Parkway, Suite 103, Henrico, VA 23233.