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My Background

Josette Giuffrida, DNP, FNP-C, owner of REFRESH Medical Spa & Wellness, has been in healthcare for over 25 years. Her 20 year background in primary care has enhanced her ability to provide quality care and services. She has practiced  in the aesthetic area and medical spa field for over 14 years. She has continually updated her knowledge and skills in the medical aesthetic industry, which allows her to offer her clients the most up to date and effective treatments, unique to them.  Josette truly enjoys helping men and women feel more confident in their appearance and overall well-being.


Josette continues on her journey in providing quality patient experiences and top of the line services and products.

Josette enjoys all outdoor activities and spending time with her husband, Anthony, and two dogs.

Josette M. Giuffrida


Leda Amiri, MSN, FNP-C, is our newest provider and injector. She is a native Charlottean with an extensive background in aesthetics and wellness. She started her nursing career at UCLA Medical Center and continued her education at Northeastern University. Throughout her Master’s program she trained in family practice at Tryon Medical Partners and in aesthetics and plastics with the focus of using her skills and talents as a Cosmetic Nurse Practitioner to enhance the lives of others with injectables, skin care, and weight wellness.


Leda loves using medical science to enhance natural beauty to create classic, timeless results.


In her free time Leda enjoys traveling, cooking, live music, health and spending time with her family and animals.

Leda Amiri


We are excited that Christine is part of the REFRESH team!  She brings over 20 years of experience in cosmetic surgery and medical aesthetics with her to REFRESH.  She is a licensed aesthetician, as well as being certified in Phlebotomy and IV Therapy.  

Her love of skin and everything beauty makes her an asset to achieve your beauty goals.  She is results-driven, using the newest, most effective treatments available.    

When she is not working, Christine enjoys spending time with her four children and two grandsons.  

 Christine Guastella
Licensed Medical Aesthetician


 Jess Valliere
Spa Manager 

Jess is married to Stephen and they have two kids - Asher and Ava Jaimes. They live out in the country in Davidson and are currently working on building their 'funny farm'. They have 3 dogs, 4 cats, some fish...and hope to add a goat one day!


Jess loves a theme party, vintage antiques, interior decorating, shopping, travel, reading, skincare and makeup!


"I believe that everyone deserves to feel beautiful so I am thrilled to be a part of the incredible team at REFRESH! I can’t wait to help you start your SKINvestment journey!"

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