About

premier med spa

Expert aesthetics designed for confidence

Founded in November 2012, two sisters and a physician combined their overarching passions of wellness and anti-aging and created Premier Med Spa. Initially starting with just two small rooms in an orthopedic doctor’s office, they quickly expanded their services and their clientele to advance to their own location in Richardson, Texas in May of 2015. This location is where they were able to expand their staff, their clients, and their offered services to further fit the demographic’s wants and need including the addition of botox, fillers, laser therapy, medical weight loss, IV therapy, and much more.

premier med spa

meet the team

Payton Austin

Spa Coordinator

Payton Austin Spa Coordinator-Payton loves her position at Premier Med Spa because she gets to combine her love for people, beauty and greeting positive experiences every single day. As the first friendly face clients see she’s passionate about making everyone feel welcome, comfortable, and truly cared for. 

Juliana DeFrancis

RN, BSN

Juliana DeFrancis, RN, BSN is a nurse injector with decades of medical experience. Her keen eye for aesthetics, coupled with her nursing background, allows her to create natural and harmonious enhancements for her clients, making her a trusted name in aesthetic medicine.

Tessa Horton

Nurse Extern

Tessa Horton, Nurse Extern and dedicated nursing student who chose healthcare because of her mother’s influence and the example she set. Inspired by that foundation, Tessa is driven by a genuine desire to care for others and make a meaningful impact during some of the most important moments in people’s lives.

Jennifer Orshalick

Nurse Practitioner

Jennifer Orshalick Nurse Practitioner, with over 10 years of experience specializing in hormone replacement therapy, PRP treatments, and medical aesthetics. She earned her Bachelor of Science in Nursing from University of Texas at Arlington before completing her Family Nurse Practitioner degree at Walden University.

Nichole Dominguez

Certified Medical Assistant / Medical Weight Loss Consultant

Nichole Dominguez Certified Medical Assistant and dedicated Medical Weight Loss Consultant who provides professional, supervised guidance to help individuals achieve sustainable, long-term weight loss.

Katy Rohr

Registered Nurse and Professional Laser Technician

Katy Rohr, RN, BSN, began her career in the aesthetics industry in 2004 as a licensed aesthetician, building a strong foundation in advanced skin health and corrective treatments. In 2012, she expanded her expertise by becoming a clinical aesthetician

Lauren Rottino

Functional Nutrition Therapist

Lauren Rottino, FNTP is a Functional Nutritional Therapy Practitioner specializing in autoimmune health, gut healing, PANDAS support, and hormone optimization. 

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premier med spa

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Your best self is just one appointment away. Let our team of expert medical professionals create a personalized treatment plan designed specifically for you — because you deserve nothing less than exceptional.

Payton Austin

Spa Coordinator

Payton Austin Spa Coordinator-Payton loves her position at Premier Med Spa because she gets to combine her love for people, beauty and greeting positive experiences every single day. As the first friendly face clients see she’s passionate about making everyone feel welcome, comfortable, and truly cared for. She is currently in nursing school and working toward her goal of becoming a registered nurse. With a heart for helping others, she’s excited to build a career where she can truly impact and make a different in people lives. Graduating high school a year early as well as currently enrolled in an accelerated bachelors program, Payton is ambitious to reach her goals. Outside of work and school, she values time with loved ones as well as spending time with her new dog. She values genuine conversations and enjoys building real relationships with everyone who she comes in contact with and strives to create a positive, welcoming environment.

Juliana DeFrancis

RN, BSN

Juliana DeFrancis, RN, BSN is a nurse injector with decades of medical experience. Her keen eye for aesthetics, coupled with her nursing background, allows her to create natural and harmonious enhancements for her clients, making her a trusted name in aesthetic medicine. Whether through her artistry in injectables or her dedication to patient advocacy, Juliana embodies a holistic approach to health and beauty.

Beyond her clinical practice, Juliana serves on the board of the National Association of Specialty Pharmacy (NASP), advocating for vital therapies needed by the sickest patient populations.

Tessa Horton

Nurse Extern

Tessa Horton, Nurse Extern and dedicated nursing student who chose healthcare because of her mother’s influence and the example she set. Inspired by that foundation, Tessa is driven by a genuine desire to care for others and make a meaningful impact during some of the most important moments in people’s lives. She aspires to work in either labor and delivery or the emergency department, drawn to the fast-paced, hands-on environments where compassion and quick thinking matter most.

She values organization and efficiency, taking pride in keeping both her work and surroundings structured and running smoothly behind the scenes. Outside of nursing, Tessa enjoys going to the gym, cooking, traveling, and listening to music. She treasures time with her family and her dog, and she loves reading as a way to relax.

Jennifer Orshalick

Nurse Practitioner

Jennifer Orshalick Nurse Practitioner, with over 10 years of experience specializing in hormone replacement therapy, PRP treatments, and medical aesthetics. She earned her Bachelor of Science in Nursing from University of Texas at Arlington before completing her Family Nurse Practitioner degree at Walden University.

Jennifer is passionate about helping individuals enhance their quality of life through a balanced approach that integrates natural medicine, exercise, and nutrition. She believes that sustainable wellness comes from addressing the whole person — creating a comprehensive plan that supports long-term vitality, confidence, and overall health. Her goal is to empower patients with the knowledge and tools they need to achieve lasting, manageable results.

Outside of work, Jennifer enjoys traveling with her family, attending her children’s sporting events, and spending time exploring the outdoors.

Nichole Dominguez

Certified Medical Assistant / Medical Weight Loss Consultant

Nichole Dominguez Certified Medical Assistant and dedicated Medical Weight Loss Consultant who provides professional, supervised guidance to help individuals achieve sustainable, long-term weight loss. She specializes in customized programs that may include prescription medications such as GLP-1s, comprehensive nutrition counseling, metabolic monitoring, micronutrient optimization, targeted supplementation, and personalized exercise regimens.

After personally overcoming her own weight loss journey, Nichole developed a deep passion for helping others conquer their struggles and build healthier, more confident lives. She believes weight loss is not just about the scale — it’s about creating sustainable habits, restoring metabolic health, and empowering clients with the tools they need for lifelong success.

When Nichole isn’t encouraging her clients to get healthy and stay in shape, she enjoys spending quality time with her family and her beloved grandchildren.

Katy Rohr

Registered Nurse and Professional Laser Technician

Katy Rohr, RN, BSN, began her career in the aesthetics industry in 2004 as a licensed aesthetician, building a strong foundation in advanced skin health and corrective treatments. In 2012, she expanded her expertise by becoming a clinical aesthetician and obtaining her laser license, allowing her to offer more advanced, results-driven therapies.

In 2015, Katy transitioned into cosmetic injecting, where she quickly developed a passion for facial artistry and natural results. She later earned her Bachelor of Science in Nursing, further elevating her clinical knowledge and commitment to safety and precision in every treatment.

Katy specializes in full facial balancing and precision tox treatments, blending medical expertise with an artistic eye. With extensive experience in skin therapies, lasers, injectables, and chemical peels, she takes a holistic approach to aesthetics—focusing on facial harmony, skin health, and long-term results. Her goal is to help every client feel confident, refreshed, and authentically beautiful.

Lauren Rottino

Functional Nutrition Therapist

Lauren Rottino, FNTP is a Functional Nutritional Therapy Practitioner specializing in autoimmune health, gut healing, PANDAS support, and hormone optimization. After personally overcoming a year-long battle with myositis that left her bedridden, she became passionate about helping others uncover root causes and restore balance through personalized nutrition, holistic therapies, and individualized wellness strategies designed to support lasting vitality and whole-body healing