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07.10.2019

How Long Does Botox Take to Work?

As one of the most common nonsurgical cosmetic treatments, it’s estimated that over 11 million people worldwide have used Botox. Because of its popularity, it’s often administered in nonmedical settings. However, for the best results and safest experience, it’s extremely important that you get your injections from experienced professionals like those at ProMD Health in Baltimore, MD, and learn more about how long does botox take to work.

We understand that our patients’ primary goal is to get results, and our highly trained staff, state-of-the-art offices, cutting-edge techniques, and unique artistic approaches are all designed to help you achieve your goals, look younger, and feel great!

What Is Botox?

Botox is the name for a drug made from botulinum toxin type A. When the drug is administered to patients in small doses, it is a safe and effective way to smooth wrinkles, treat a variety of medical conditions, and leave patients feeling happier, healthier and younger-looking.

The drug works on the body by blocking nerve impulses that govern muscle contractions, causing temporary paralysis of the muscles that cause wrinkles and resulting in a smoother, younger-looking appearance.

What Are the Most Common Uses?

The most common areas of the face on which Botox is used include

  • Laugh/frown lines
  • Thick wrinkles on the neck
  • Vertical creases between the eyebrows
  • Forehead lines
  • Crow’s feet

It’s also used to treat various medical conditions including hyperhidrosis. Hyperhidrosis is characterized by excessive sweating; typically of the hands, feet, face, or underarms. It can be a debilitating medical issue for many sufferers, interfering with work, social life, and day-to-day activities.

Aside from skin rejuvenation and hyperhidrosis, it’s also used to treat conditions that cause muscle spasms, including multiple sclerosis, cerebral palsy, and cervical dystonia.

How to Get Started With Botox Treatment

If you think that treatment is right for you, the first step is to give us a call and set up an appointment with one of our medical professionals to discuss your cosmetic goals. You should bring information about your medical history with you, including info on any previous surgeries, present or past medical conditions, and any medications (including herbal or nutritional supplements) you are currently taking or have taken in the past.

Your skin will be examined by one of our medical professionals, and during the appointment, your skin’s texture, elasticity, and degree of wrinkling will be examined to determine if treatment is right for you. You’ll also undergo a test by which a small amount of treatment solution will be injected into your forearm. This is done to make sure you won’t suffer from any allergic reactions during or after the actual treatment.

What Happens Pre-Treatment?

If you and our medical professional determine that treatment is right for you, you’ll be given instructions on how to prepare for your upcoming appointment.

7 Days Before Treatment

For at least a 7-day period before your treatment, you’ll need to avoid over-the-counter blood thinners including Aspirin, Motrin, and Ibuprofen. You will also have to avoid herbal supplements, including garlic, vitamin E, Ginkgo Biloba, St. John’s wort, and Omega-3 capsules. Avoiding these medications and supplements will help prevent bruising after your treatment is complete.

3 Days Prior to Treatment

As you get closer to your treatment date, you’ll need to avoid topical skin products such as Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, Alpha Hydroxy Acid, and any “anti-aging” skincare products. You will also need to avoid waxing, bleaching, tweezing, or using hair removal cream on the area where you’ll be treated.

To completely minimize the bruising, you will have to avoid any and all alcoholic beverages 24 hours before and after your treatment. Alcohol is a blood thinner and can lead to additional bruising.

Day of Treatment

Make sure your face is clean and come to the office without applying any makeup whatsoever. If you like, you can bring makeup to apply after the treatment. A topical anesthetic may be applied before treatment, and sometimes a local numbing agent may be applied.

All of this is to maximize your comfort during the treatment. To ensure that the correction comes out smoothly, your provider may need to massage the area(s) you’re having treated. The massaging may result in temporary redness.

How Long Does It Take Botox to Work?

As a neuromodulator that relaxes muscles and keeps them from working at their full capacity, thereby reducing the wrinkles they cause, it usually begins to take effect anywhere from 3 to 5 days after treatment, though it can take up to a full 14 days after treatment for the full results to become apparent.

The reason for this delay is due to the time it takes for the body to start reacting to the Botox after it’s been injected. Because of this, we like to have our patients come back after two weeks to check on their progress.

Other Personal Factors

Sometimes, additional factors can figure in when it comes to how long it takes for the treatment to take full effect. For example, individuals with strong facial muscles may take a little longer for the treatment to begin taking effect. Do not worry if you’re one of these people. You can enjoy the rejuvenating, wrinkle-eliminating effects of Botox, too.

For individuals with particularly deep lines or those who are getting their first injection late in life, more than one injection may be necessary to see the desired results. Additionally, patients may be interested in other treatments we provide, such as dermal fillers.

If you’re getting treatment for the first time because you want to look your best for an upcoming event or vacation, it’s critical that you have your first consultation and treatment session at least two weeks before the event or occasion so you can enjoy the optimal results.

Generally speaking, treatment will take effect faster if you’re using it to treat fine lines and wrinkles as opposed to deep lines. If you’re treating crow’s feet around your eyes, for example, the effects are likely to show up much faster than if you’re treating deep forehead lines.

How Long Does Treatment Last?

Since the effects of Botox depend a lot on the body’s ability to respond, the length of time its effects will last tend to vary from person to person. The effects often last longer after more than one session, when your skin has had more time to regenerate the collagen necessary to fill in lines and wrinkles.

When used for cosmetic purposes, you can expect the effects to last for an average of 4 to 6 months. If you are a first-timer, the effects may wear off sooner. Many patients prefer to schedule follow-up treatments 2 or 3 months following their first.

Factors That Affect How Long Treatments Last

The time it takes for the effects of Botox to show varies from person-to-person, and so does its longevity. There are a variety of elements that can affect how long the treatment’s effects will last.

Dilution of the Dosage

Botox is usually diluted with 1 to 3 ccs of saline solution, though the amount can vary depending on the area you’re having treated. The more concentrated the solution, the more precise the targeting area. With more diluted solutions, the liquidity allows it to diffuse into surrounding areas that could also benefit from treatment.

In some less reputable clinics, the solution is over-diluted, and the patient does not receive the full benefits of their treatment. That’s why it’s so important to use an experienced, quality provider such as ProMD Health as opposed to going to a beauty spa or Botox party.

Freshness Matters

Botox itself comes in a frozen powdered form to which a saline solution is added prior to the injection to create the proper solution strength. Once mixed, the solution should be used within 24 hours, as it is usually most potent during this period. Once it has been opened, a vial of Botox can be used for up to two weeks.

When you visit a busy, reputable provider for your treatment, vials of Botox will be opened and used on a daily basis, guaranteeing your access to a fresh product.

Your Individual Metabolism

The speed of your metabolism plays a part in how long the effects of your treatment will last. The faster your metabolism is, the quicker your body will eliminate the Botox, fading its effects. Those with a slower metabolism often experience the opposite.

If you’re an athlete, whether professional, semi-pro, or amateur, or if you’re someone who simply keeps in excellent physical condition, you likely have a high metabolism and should be aware of its effects on your treatment.

The Injection Site

Another factor that can influence how long your treatment lasts is the size of the muscle being treated. Treatments in larger muscles, such as the frontalis muscle on the forehead, tend to last for shorter periods of time than treatments in smaller muscles, such as those responsible for crow’s feet.

On average, treatments that target the frontalis muscle last for about 3 months, while those targeting the eyes can last an average of 4 months.

Dosage

The smaller the dose, the quicker movement is going to return to the muscles at the injection site. For many first-timers, it’s best not to over-inject, so more conservative doses are often used until the patient and the provider are familiar with the patient’s personal reaction to Botox. After the first time, patients are usually able to handle stronger, more concentrated doses with effects that last for longer.

Patient Age

As we get older, our skin’s elasticity and ability to produce collagen diminishes. It’s one of the effects of aging and leads to deeper wrinkling and fine lines becoming more defined. In these patients, the effects of Botox often wear off faster.

Can You Make the Effects Last Longer?

While the effects of treatment vary from person-to-person, some say they’ve had success in extending the longevity of its effects.

Zinc Supplements

The botulinum toxin used to create Botox is zinc-dependent, and a supplement known as Zytase has been said to increase the duration of your treatment’s effects if taken for several days before treatment.

Avoid Exercise Immediately After Treatment

If you exercise right away after your treatment, the post-exercise increase in your metabolism could flush the solution from your system before it’s had a chance to affect the target area. It’s usually best to wait for at least 24-hours after your treatment to perform any type of exercise.

Treat Regularly

As mentioned above, first-time treatments tend to have the shortest durations. The more regular you are with your treatments, the longer they’ll last.

Of course, if you have any questions or concerns about the longevity of your treatment, you should always consult your provider or MD before doing anything.

The ProMD Guarantee

We’re proud to stand behind our goals of wanting our patients to look and feel younger with ProMD Health. That being the case, we provide complimentary follow-ups and, in most cases free touch-ups to give you youthful-looking results you will love. Give ProMD Health in Baltimore, MD a call today and see what we can do for you.

07.10.2019
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Kelly Cochran

Medical Esthetician

About

Kelly Cochran a licensed esthetician with over 20 years of hands-on experience. Kelly has dedicated her career to quality outcomes and providing a luxury service to every patient she sees. As a ZO Skin Health Expert, Kelly works with her patients using in office services and at home treatments to award them the best results available. Come see Kelly for her personally designed custom Hydrafacials! In her spare time, Kelly enjoys ballroom and professional dancing and spending time with her friends and family.

Jessica Hogg

Medical Esthetician

About

Bio coming soon!

Jillian Krebs

CRNP

About

Jillian has spent the last 6 years of her career working in neurosurgery with WellSpan Health, York PA. Jillian’s extensive surgical background and understanding of the head and neck make her an advanced practitioner in the field of medicine. Graduation from York College, as a Registered Nurse, Jillian immediately worked to become a certified Nurse Practitioner. She has spent 15 years of her career dedicated to the health and wellness of the patients surrounding her home town. Jillian has spent months training along side the brightest and most talented injectors in the world of esthetics and is thrilled to offer the patients of Westminster, MD her expertise. Jillian is passionate about health, wellness and ensuring her patients feel and look their very best. An avid athlete, Jillian spends her time with her fiancé and family enjoying the outdoors.

Bailey Babowicz

Esthetician

About

Over the past four years, I've been a Certified Medical Electrologist (CME). I've collaborated with dermatologists and worked at medspas, performing a variety of laser treatments such as BBL, Moxi, laser hair removal, and acne treatments. Since I was young, I've always had a passion for helping people feel their best, and I'm fortunate to be able to do this through my career.

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Brynn Blackstock

Esthetic Consultant

About

Brynn is one of our Esthetic Consultants. She graduated from Penn State University in 2021 and holds a Bachelor of Science in Biobehavioral Health. She brings over 5 years of experience in customer service within the beauty industry to the team. Brynn has a passion for helping others look and feel their best and strives to make each patient feel welcome at our practices.

Kaitlin Lemenze

Medical Esthetician

About

Kaitlin Lemenze is our medical front desk and licensed medical esthetician. Kaitlin is patient focused and detailed-oriented. She is very personable and courteous in all interaction with patients and team members and skilled at anticipating physician and practice needs. Kaitln specializes in HydraFacial, medium depth chemical peels, dermaplaning, acne treatments, microneedling, skincare assessments, and in-depth treatment plans. All of Kaitlin's treatments incorporate goal oriented results while offering relaxation and pampering. Kaitlin is passionate about eshetics and helping others to love the skin they're in. 

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Ashley Santamaria

PA-C

About

Ashley Santamaria is a Board-Certified Physician Assistant with a master’s degree in Medical Science from Lincoln Memorial University – DeBusk College of Osteopathic Medicine. She has an extensive healthcare background of 12 years as a Patient Care Representative, Emergency Medical Technician, Certified Nursing Assistant, Medical Assistant, and now as a Physician Assistant. She’s an active member of the FL Academy of Physician Assistants and the American Academy of Physician Assistants. Ashley fell in love with Esthetic Medicine because “it is where science meets art; where research marries creativity” and therefore has completed multiple neurotoxin and injectable certifications, along with a certification in hormonal optimization therapy.

Steele Bolton

RN

About

Steele is a native Texan who has called DC home for almost 3 years! He first graduated from Texas State University with a Bachelor’s degree in Microbiology and Biochemistry, and then a degree in Nursing from Brookline College in Phoenix, Arizona. He has experience in various avenues of nursing ranging from the Neuro-Intensive Care Unit, to Orthopedics, Case Management, Home Health, as well as School nursing. He discovered his passion for anti-aging medicine as a client of a MedSpa in 2021 and could not be more excited to step into the industry. “My goal for each client is to feel more confident in themselves and their image with each step in the process of achieving their esthetic goals. The greatest feeling is knowing that you’ve helped boost someone’s confidence.”

Farah Hizoune

Esthetic Consultant

About

Farah is a Baltimore native and our Esthetic Consultant for Tox Bar. Farah has always had a passion for making people feel beautiful and confident. As a current cosmetology student, she is always learning to grow her knowledge in all things beauty. She has worked in medical esthetics for over 3 years and is a certified makeup artist. She looks forward to using her broad beauty acumen to help our patients achieve their esthetic goals!

Cailie Murphy

CRNP

About

Cailie is a Baltimore native who joined ProMD in August 2022 as a Certified Registered Nurse Practitioner. She received Bachelors degrees from University of Denver and Thomas Jefferson University. She also completed her Masters in Nursing from Thomas Jeff

Mariel Castronova

Medical Esthetician

About

Mariel is our Medical Esthetician in the Columbia office. In addition to her esthetics certification from Fortis Institute, she received her Bachelor of Science Degree from Towson University in Human Services as she thoroughly enjoys working with and helping people. Her knowledge and passion surrounding skin care allows her to educate patients while building treatment plans based on skincare goals. Her previous experience in a spa setting allows her to cater to patients’ needs and expectations during treatment, while providing a relaxing environment.

Kathy Hoang

Esthetic Consultant

About

Kathy is an esthetic consultant and studied Health Administration and Public Policy at the University of Maryland Baltimore County. She has a strong passion for healthcare and the esthetics industry. She enjoys working with patients to create plans to achieve their esthetic goals. On the weekends, you can find her golfing or spending time with her family and friends.

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James Hogan

Esthetic Consultant

About

James is one of our Esthetic Consultants. He graduated from the Smith School of Business at the University of Maryland in 2021 and holds a Bachelor of Science in Operations Management and Business Analytics. Combining his love for esthetics and his experience in consulting and customer service, James has made it his passion to keep up with the ever-changing industry to serve as a knowledgeable resource to patients while providing exceptional care.

Natalie Aponte

Esthetic Consultant

About

Natalie is one of our esthetic consultants at our Columbia location. She has been a part of the Columbia team for the past 3 years, where she worked as a front desk receptionist, and upon graduating from the University of Maryland at College Park, she has transitioned into the esthetic consultant position. Natalie has a passion for esthetics and aspires to attend medical school in the coming years with the intent of pursuing cosmetic dermatology. She is passionate about making patients feel confident and comfortable, and uses her customer service experience to ensure patients leave satisfied and feeling their best. She works hard to bring a positive attitude to the office, and offers a helping hand to all of our team members to ensure the office runs smoothly.

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Jennifer Aponte

PA-C

About

Jennifer is a Maryland native and lived in Columbia for 9 years before moving to Catonsville. She received her Bachelor of Science in Dietetics from The University of Maryland College Park and completed her Master’s as a Physician Assistant from St. Francis University. Jen worked as a physician assistant at Prince George’s Hospital in obstetrics and gynecology before working for Concentra as an urgent care and occupational medicine physician assistant. She has always had an interest in cosmetic dermatology. She completed a rotation in dermatology and completed training under Dr. Gavrilla. She is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants.

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Meg Landymore

PA-C

About

Meg is a Physician Assistant, board-certified by the National Commission on Certification of Physician Assistants. She is a Baltimore-area transplant, originally from Connecticut, who moved after completing her Master’s as a Physician Assistant from Seton Hall University. Meg has over 9 years of experience in the fields of Neurosurgery, Emergency Medicine, Occupational Medicine and Army medicine as a member of the Army National Guard. Meg brings her wealth of experience to clinical esthetics where she focuses on helping people look and feel their best. Meg underwent training under Dr. Gavrila and is certified in Botox, dermal fillers and hormone optimization therapy.

Paige Scott

Master Esthetician

About

Paige has been in the beauty industry for 5 years. She has a passion for making people feel confident in their own skin. Paige’s combination of a personal and professional approach welcomes and comforts everyone who comes in for treatment. Paige passionately believes self care is the best care and the most beautiful thing you can wear is your own confidence.

Amanda Pittillo

PA-C

About

Amanda is a Baltimore native and ingrained in the local community and surrounding areas. She received her Bachelor in Nursing from Salisbury University and completed her Master’s as a Physician Assistant from Towson University. Amanda worked for five years as a registered nurse in cardiac care and an emergency room nurse. She is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants. Her strong patient care background and attention to detail drives high expectations for quality in her work. “Patient satisfaction is a direct reflection of the quality of care I provide. I want every patient to leave my office feeling like a person and not a number.”

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Natalie Gavrila

Lead Esthetician

About

Bio coming soon!

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Diana Gavrila

Senior Esthetician

About

Bio coming soon!

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Jodie Snodgrass

Esthetician

About

Bio coming soon!

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Jaclyn Fischer

Esthetic Consultant

About

Jaclyn is one of our medical office assistants at our Timonium location. She graduated from Medix School in Towson as a certified Medical Office Assistant. Jaclyn has worked in the medical field and customer service for over 15 years. Jaclyn is passionate about esthetics and is here to help all of our patients have the best experience possible.

Yasmin Miremadi

Esthetic Consultant

About

Yasmin Miremadi has been a Licensed Esthetician for 5 years. Graduating from Von Lee International School of Esthetics, she began her career specializing in facials and chemical peels. Yasmin enjoys putting together a skin care regimen based on patients specific needs. Most importantly she has a passion for helping others feel and look their best.

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Carmella Ellis

Esthetician

About

Carmella is a Baltimore native who has always had a passion for skincare. It is this passion that led Carmella to receive her esthetician license under Diana Gavrila at Diana’s European Skin Care in 2014. For the last 8 years, Carmella has been able to bring her passion for skincare to all of her clients, where Carmella’s artistic eye and attention to detail are evident with every treatment. She has extensive experience working with people of all skin types, particularly individuals with aging skin, and skin prone to acne. She is always looking to learn more new and improved ways to better serve her clients, as technology and medical research are constantly evolving.

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Amanda Gauthier

PA-C

About

Amanda is a board-certified physician assistant with over 4 years of experience in plastic and reconstructive surgery. She holds her Bachelor of Science degree from James Madison University and completed her Master of Science degree in Physician Assistant Studies at Thomas Jefferson University in Philadelphia. She is a member of the American Academy of Physician Assistants, mentors physician assistant students, and volunteers with the PA Foundation performing scholarship reviews. Amanda enjoys developing strong relationships with patients and being part of their transformative process. "I truly believe in natural-looking results, and I am passionate about helping patients look and feel their best from the inside out."

Hannah Keenan

Director of HRT

About

Hannah is the Director of Hormone Optimization Therapy. She holds a Bachelor’s degree in Science from Towson University with a focus in Nursing and Psychology. Hannah is dedicated to improving each patients health and quality of life through Hormone Optimization Therapy. She recognizes that each patient is a unique individual and takes pride in providing quality patient care and promoting a healthy lifestyle for everyone. Hannah is responsible for managing patient medications, answering any questions about the procedure process, as well as assisting the physicians during the patients procedure.

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Amber Elliot

RN

About

Amber Elliott, a Registered Nurse, graduated from Baltimore County Community College in 2013. Immediately after completing her degree, she began working within the field of Esthetics. Amber’s skills and passion for all aspects within the industry have brought her to ProMD Health where she is the Laser Specialist. She helps clients with a wide range of issues such as hyper-pigmentation, acne and acne scarring, as well as uneven skin tone or texture. Additionally, Amber is skilled in the tattoo removal process, whether it is tattoo fading for cover ups or complete removal. Amber’s down to earth personality, along with her honest and genuine approach to skincare and medicine, allows patients to feel comfortable, safe and confident.

Christina Anyikwa, M.D.

Physician

About

Christina Anyikwa is a physician from Fort Lauderdale, Florida, with a passion for helping patients look and feel their best. After graduating from Spelman College with a Bachelor of Science in Biology, Dr Anyikwa graduated from Ross University School of Medicine and later completed her residency training at the Medical College of Georgia. During her residency, Dr Anyikwa served as Chief Resident, where she led a team of residents and helped to coordinate patient care. After completing her residency training, Dr Anyikwa worked as a hospitalist physician in Washington DC for several years, where she gained valuable experience in managing complex medical cases and providing compassionate care to her patients. Her passion for esthetics and helping patients feel confident in their own skin led her to transition to medical esthetics with ProMD Health. As a medical esthetics provider, Dr Anyikwa combines her medical expertise and artistic eye to create personalized treatment plans that help her patients achieve their esthetic goals. Outside of work, Dr Anyikwa enjoys traveling, trying new restaurants, and spending time with her family and friends.

Madeline Eggerl

Esthetic Consultant

About

Madeline is one of our Esthetic Consultant, she joined the ProMD Health team in 2021. Maddie received her Bachelor of Science in Public Health from College of Charleston in South Carolina. Working in the Esthetics Industry since 2018 she is knowledgeable about all things anti-aging, and loves working with customers to reach their esthetic goals.

Katelynn Evans

Esthetic Consultant

About

Katelynn is one of our Esthetic Consultants, she joined the ProMD Health team in 2021. Katelynn graduated from University of Maryland with an Associates in Biology. She has over 8 years of experience in the medical field. Her attention to detail and care for each clients personal needs, provides our patients with a comfortable and pleasant experience.

Soraya Namazi

CRNP

About

Soraya Namazi, a Certified Registered Nurse Practitioner, graduated from the University of Maryland with her Master’s in Nursing, Clinical Nurse Leader degree. Immediately after gaining her nursing license, she enrolled in a Nurse Practitioner program at Chamberlain University with the expected graduation date of Fall 2022. She fell in love with the world of esthetics and loves being able to combine her medical knowledge with her artistic hand to make people look and feel their best.

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Max Lenowitz

CRNP

About

Max is a Certified Registered Nurse Practitioner that joined ProMD Health in June of 2021. He is a member of the American Academy of Nurse Practitioners who brings several years of experience in Dermatology, Cosmetic Dermatology, and Oncology focusing on identifying and treating skin cancers. Born and raised in Columbia, MD, Max returned back to the Greater Baltimore area after receiving degrees from Penn State University, Thomas Jefferson University, and Davenport University. He chose to specialize in cosmetics as he is passionate about how medicine and art can integrate to positively impact someone’s life. “Being able to make someone feel the best version of themselves is a unique and wonderful feeling.” Max’s bedside manner and attention to detail make him a great addition to the ProMD family.

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Molly Myers

Esthetic Consultant

About

Molly is one of our medical office assistants. She brings experience from the beauty industry and customer service to the team. Molly uses her experience and skillset to make sure every one of our patients is delivered the best care and leaves feeling satisfied and beautiful.

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Skyla Barnett

CRNP

About

Skyla is a New England native who recently moved to Maryland in 2021. She graduated with her Bachelor’s of Nursing in 2014 from Keene State College. From there, she worked as a neurology/neurosurgery RN for 6 years at Boston University Medical Center. Skyla completed her Master’s in Nursing from Regis College in 2021 and received certification as a Certified Registered Nurse Practitioner in the state of Maryland. Skyla approaches each patient encounter with enthusiasm. Her passion for making others feel great about themselves, along with her keen eye for detail generates beautiful patient outcomes.

Shannon Ballard

Esthetic Consultant

About

Meet Shannon, an accomplished Esthetic Consultant passionate about helping people look and feel their best. Her journey began with a deep love for all things beauty-related.  After completing her education in Business Management, Shannon found her true passion in practicing cosmetology.  Shannon found that ProMD's core values aligned with her own and sought the opportunity to fulfill patient needs by providing direct patient care as an esthetic consultant for ProMD. 

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Kelly Battista

Master Esthetician

About

Kelly is a board certified Registered Nurse and Skin Coach here at ProMD Health. She graduated with honors and earned her Bachelor of Science in nursing from George Mason University in 2010. With 9 years of nursing experience and a true passion for skincare, Kelly brings up-to-date, effective, results-oriented medical esthetic services to ProMD Health. Kelly is an expert in comprehensive skin consultations, esthetic laser treatments, micro needling treatments, and hydra-facials. She takes great pride in her work and strives to make every visit a rewarding experience for her patients. As ProMD Health’s Skin Coach, Kelly believes “that investing in your skin is a benefit that lasts a lifetime.”

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Katarina Markulin

Master Esthetician

About

Katarina has been practicing medical esthetics for 15 years. After completing her education in Master Esthetics from the prestigious Catherine Hinds Institute in Boston, she has gained extensive experience treating all different skin types. Katarina specializes in chemical peels and finds it very fulfilling to connect with her patients, establish trust, and give personal attention to detail and clientele needs. Katarina attends workshops and conferences with top vendors on a regular basis to widen her knowledge and improve her skills as she strives to offer the best possible level of service to her clients.

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Tori Thursby

RN

About

Tori graduated from Towson University with a Bachelor of Science in Nursing, and began working at University of Maryland in the Medical Intensive Care Unit. She then went on to be a travel intensive care nurse until joining the ProMD Health team in October 2021. Tori is currently attending Chamberlain University to earn her Master’s degree as a Nurse Practitioner. Her desire is to make each patient feel comfortable and to take time to listen to each individual’s concerns. Tori sees both men and women for hormone related issues and is passionate about helping others feel their best and will use her clinical expertise to assist with our Hormone Optimization Therapy.

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Laken Tychostup

Director of Clinical Operations

About

Laken Tychostup is one of our Esthetic Consultants, she joined the ProMD Health team in 2017. Laken graduated from the Esthetic Science Institute and brings over 6 years of knowledge and experience in the cosmetic industry to the team. She works closely with all of the providers and strives to make every patient feel comfortable and welcome at our practices.

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Mario Nelson

Chief Growth Officer

About

Mario is the Chief Growth Officer of ProMD Health and is primarily responsible for driving the growth of the ProMD Development Group by launching new franchise locations and identifying opportunities to strategically grow ProMD’s footprint nationwide. Mario graduated from Johns Hopkins receiving a master’s degree in Health Administration, a Bachelor of Arts in Public Health Studies, and a minor in Entrepreneurship and Management. Mario has an extensive history in startups, business development and healthcare. Prior to joining ProMD, Nelson worked at several firms and most recently was a senior manager at New York-based Cold Start Ventures, where he helped build and launch early-stage healthcare companies. In 2020, Nelson was CEO and Co-Founder of New York-based Micro Audio, Inc. He built the company and grew its platform to 10,000 users in the first 90 days of operation. From 2014 to 2018 Nelson worked at global consultancy Deloitte as a senior consultant where he spearheaded a $1 billion financial turnaround of a leading healthcare system. He also developed a five-year strategic plan for military hospitals in the Washington, D.C. area, and he executed a complete digital overhaul of a hospital system in the Midwest, resulting in 20 percent cost reductions. In his spare time, Mario is an avid Basketball player and fan and is passionate about education and volunteers as a tutor in New York City after school programs.

Safa Aljuboori

Safa Aljuboori

Chief of Staff

About

Safa Aljuboori is our Quality Assurance Manager. She joined the ProMD health team in 2018 after five years of business analytics and management experience. Safa holds a Bachelor of Science in Applied Mathematics. As ProMD Quality Assurance Manager, Safa is responsible for developing and overseeing an effective quality management system to continuously identify opportunities for improving the patient’s quality of life.

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Abby Ramos

Chief Marketing Officer

About

Abby is our Marketing Director. She joined the team in 2017 after graduating from UMUC with a Bachelor’s degree in Healthcare Administration and Marketing. She currently works remotely in Colorado Springs. Abby’s primary focus is to increase brand awareness and track and analyze marketing efforts to help drive business results. By managing and creating content for various marketing channels, she strives to use her skills and experience to keep ProMD Health’s patients well educated and informed about the latest and greatest ways to Look and Feel their best.

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Carla Cook

Vice President of Operations

About

Carla is ProMD Health’s practice manager. She passionately believes in our core values and strives to provide the highest level of quality patient care. Carla works every day to make sure the administrative aspects of the office run smoothly, manages staff efficiently, and handles patient concerns. Her clinical experience as a Certified Esthetic Consultant has given her the knowledge and expertise to provide the practice with the necessary tools to help patients Look and Feel their best.

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Scott Melamed

President

About

Scott has led the ProMD team to win many awards including the Torch Award for Business Ethics from the Better Business Bureau. Scott brings a wealth of experience from scientific research and a management consulting background. Scott has worked in academia studying pancreatic and urologic cancers at Weill Cornell, Columbia NY Presbyterian Hospital, Sloan Kettering, and Johns Hopkins. Scott attended the Johns Hopkins Medical Institution, where he earned his graduate degree and focused his coursework on Novel Drug Development and Large Firm Leadership. Scott is a published author in academic journals. In his free time, Scott sits on the Allergan Esthetics Advisory Board and the Baltimore Child Abuse Center Advisory Board. Scott is a consultant and Faculty for Galderma's GAIN Business Unit. Scott is also an active volunteer with Johns Hopkins Alumni recruiting, the Baltimore Animal Rescue & Care Shelter, The House of Ruth, VOLO City, Pi Kappa Alpha, the Better Business Bureau, the American Foundation for Suicide Prevention, & several other organizations including ProMD Helps, which is the philanthropic foundation inside of ProMD Health, of which he is the Executive Director.

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George Gavrila, M.D

Founder & Medical Director

About

Dr. George Gavrila is a native of the Greater Baltimore area and has spent time studying medicine, primary care, functional, esthetic, and integrative medicine. Dr. Gavrila completed his residency at the University of Maryland and served as a Fellow at the Center of Integrative Medicine at the University of Maryland School of Medicine. He’s currently a member of several prestigious medical organizations such as AMMG (Age Management Medicine Group), A4M (American Academy of Anti-Aging Medicine), and AAAM (American Academy of Aesthetic Medicine).

Dr. Gavrila has treated a wide range of patients, including celebrities, models, athletes, and international royalty, and is renowned throughout the country as a trainer of other physicians.