The hands
behind Reviv.
Four practitioners. A physician, a nurse, an aesthetician, and an aesthetic technician. Every treatment plan is built by the practitioner who will deliver it — considered, collaborative, and adjusted over time.
Gayle Misle, MD
Anesthesiologist by training, founder of Reviv. Leads protocol design across face, body, and wellness. NPI 1609846401, CA Medical License G38840.
Megan Sosnick, MSEL, MSN, RN, PHN, CNL
Twelve years at Reviv. Performs aesthetic injection work — neurotoxins, fillers, lip work — under Dr. Misle's medical direction. MS in Entrepreneurial Leadership from Babson College.
Hanadi Al Ramahi
Licensed Esthetician focused on personalized skin care and the hands-on Renewal Rituals — manual lymphatic drainage, facial cupping, red light therapy.
Kelly Guevarra, LVN
Trained at Gurnick Academy of Medical Arts. Came to aesthetics in 2018 from Senior Education at Sephora. Body contouring and laser hair removal lead.
Continuity matters.
We don't rotate practitioners.
From your initial consultation through long-term care, you'll know the team. We won't move you between providers without your knowledge — outcomes depend on the practitioner remembering your last visit and adjusting from there.
Every treatment is performed under medical oversight by Dr. Misle. Aesthetic injection work, body contouring, lasers, RF, and wellness protocols sit with the practitioner whose scope and training fit best.