Nobody ends up on this team by accident.
Everyone here chose this field on purpose, and they learn from a founder who teaches laser technology to other practices. They keep learning, and nobody is ever pushed to sell you anything.

Licensed, every one.
A registered nurse, a nurse practitioner and licensed aestheticians. The laser work is taught here by a founder who teaches it to other practices. Whoever you sit down with, the first visit works the same way: a conversation, an assessment, and an honest plan.
William Espinoza, RN
Nurse Injector
Will is a registered nurse and the practice's nurse injector.
The first visit is a conversation and an assessment, and the plan comes out of that, whichever provider you sit down with.
Treatments are performed under the supervision of our medical director, Dr. Anit Thakur. For certain medical treatments we may ask for your medical history or a consultation with him before going ahead.

Marissa Martinez-Thiele, LME
Founder and lead medical aesthetician
She founded the practice. Her other job is teaching.
Patients call her the crazy scientist. She takes it as a compliment.
What fits you depends on your skin, your medications, your life and what you have already tried. In her words: “There’s no Google in the world that is going to tell you how to do that.” And after all these years: “There’s always more to learn. Still learning.”
The Hudson Valley School of Advanced Aesthetic Skin Care
She graduated in 2006.
Midtown Manhattan
Her career started in medical spas and cosmetic surgery centers in midtown.
Her own practice
Then she opened her own practice in the Hudson Valley.
A teacher of the technology
She is a laser trainer and educator for Learn Aesthetics, and an international clinical laser trainer for Cutera. Other practices learn this technology from her.
Past ten thousand procedures
Then she stopped counting. What she cares about now is that everyone on her team can do it as well as she can.
Trained by the person who trains other practices.
Marissa Martinez-Thiele founded the practice, and her other job is teaching. She is a laser trainer and educator for Learn Aesthetics, and an international clinical laser trainer for Cutera. Other practices learn this technology from her.
Her own team learns it from her first. When a new machine comes in, people fight to be in the training room. The technique gets drilled for months, down to the small adjustments you would never notice.



- Licensed, every one
- A registered nurse, a nurse practitioner and licensed aestheticians, with treatments performed under the supervision of a medical director.
- Taught by a teacher
- The founder teaches laser technology to other practices, for Cutera and for Learn Aesthetics. Her own team learns from her.
- An assessment first, whoever you see
- The first visit is a conversation and an assessment, and the plan comes out of that, whichever provider you sit down with.
From the founder.
A few things Marissa has said over the years. The team hears them often.
She said you were honest
A skeptical patient asked about a high-ticket procedure. Marissa recommended something that fit better and cost less. "Is that the trick?" Six months later the patient came back, apologized, and started sending friends. Every one of them said the same sentence: she said you were honest.
The crazy scientist
Friends ask a patient what she is getting done. "I don't know, Marissa does her crazy science thing. But I trust her."
In good hands
For a nervous patient: a hand on the shoulder, and "I promise you're in good hands."
Ten thousand
Past ten thousand procedures. She stopped counting.
No search bar
"Forty tabs later everything sounds the same." Figuring out what fits you is our job, not yours.
The assessment is the skill. The treatment is the easy part.
Everything on the menu is a tool, and knowing how to run a device is the least of it. What takes years is knowing which one fits the person in the chair, and when the answer is none of them yet.
See every treatment- Art and science
- We love the science and the craft, not just the outcome. Every treatment here starts with understanding the skin in front of us.
- Honesty over selling
- We recommend what fits, even when it costs less, and we will tell you when you do not need anything yet. Nobody here is pushed to sell.
- Want, not need
- Nobody on this team will ever tell you that you need something. This is about what you want, when you want it.
- We don't leave you hanging
- Beginning to end: the prep, the treatment, and everything after.
Meet the team in person.
Your first visit is a complimentary consultation, in person in Fishkill or on Zoom. Tell us what has been on your mind, and we will tell you honestly what fits, and what it costs.


