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Our experienced staff is committed to nothing short of excellence.

Before-N-After staff strives to help you achieve your weight loss and aesthetic goals. Research has proven that the key to a successful weight loss program is regular, personal care from a professional staff. Don’t be fooled into monthly programs that give medications without personal care from a licensed provider. Give our well trained and friendly staff the opportunity to discuss our program with you. Before-N-After is a distinguished Black Diamond level provider of injectables such as BOTOX® and Juvéderm®.

Dr. John Love

Dr. John Love
Medical Director and Weight Loss & HRT Specialist

Dr. John Love, MD is the co-founder, CEO, and Medical Director for Before-N-After INC. He is passionate about partnering with patients to optimize their health through weight loss, exercise, hormone replacement therapy, and achieving their desired aesthetic results. Dr. Love is also an emergency medicine specialist and has been practicing for 26 years. He graduated from Uniformed Services University Of The Health Sciences in 1994 and specializes in emergency medicine. He is a retired Navy Captain and continues to work at Scripps Health.

Dr. Lou Orosz

Dr. Lou Orosz
Medical Director and Weight Loss & HRT Specialist

Dr. Lou Orosz is a board-certified emergency medicine specialist that has 30 years of practice experience.   He graduated from the University of South Alabama College of Medicine in 1990 and completed a one year surgical internship before joining the US Navy.  During his 21 year Navy career he completed his Emergency Medicine residency in 1999 and subsequently served in overseas posts in Guam and Rota, Spain.  Since retiring from the Navy in 2012,  Lou has worked as an Urgent Care Physician in San Diego area and as a Medical Director for Before-N-After Inc.

Jill Koget Practice manager

Jill Koget
Practice Manager

Jill Koget is a Regional Manager who partners with CEOs, executives, and human resource specialists to grow their personal and professional brands, human-to-human. After spending nearly two decades working in personnel management, training, and development for multimillion-dollar brands and startups, Jill knows what truly drives the health and wellness industry. Jill has landed and mastered positions in sales, coaching, education and connecting with customers one on one. Her reputation in the industry is one of great trust, knowledge and living as the example.  She was hand selected to partner with the CEO of Medifast California to launch a brand that was recognized by Forbes Magazine as one of the top 100 “most trusted” companies. Her contributions entailed a ground-up launch from planning, budgeting, and allocation of resources as well as vetting all prospective employees and managers.  Jills mission is to help support people in achieving their health and aesthetic goals. 

Tony Rosales

Tony Rosales, DMP
Head of Aesthetics

A nationally certified Nurse Practitioner, Tony received his Bachelor’s of Science in Nursing from the University of Oklahoma in 1995, his Masters Degree of Science in Nursing from the University of Texas in 2002 as a Clinical Nurse Specialist. He then went on to receive a Post-Masters certificate from the University of Texas as a Nurse Practitioner and a Doctorate from the University of San Diego. A retired Naval Officer with 21 years of service Tony has been providing care for patients for over 20 years and is well respected in the field of facial aesthetics. A distinguished “Black Diamond” provider of Allergan products such as Botox® and Juvederm®XC. Allergan has ranked Tony as one of the country’s top 100 injectors. Tony’s conservative approach and light touch have resulted in a robust practice of aesthetic patients.

Ashley Farnham

Ashley Farnham, R.N.
Aesthetic Injector

Ashley is a Registered Nurse who has been working in the aesthetic field for over 6 years and specializes in cosmetic aesthetic injectables. Ashley has extensive knowledge and training all of which she draws upon to give her patients the best possible outcome. She strives to create a comfortable and enjoyable atmosphere for her patients so she can help achieve each patient’s aesthetic goals. Ashley is a highly skilled injector who specializes in Botox, Fillers, Kybella, and PDO Threads. Giving her patients the results and experience they desire is a top priority. Ashley works with her patients to create a collaborative plan to make them look and feel their best.

Mike Chammout

Mike Chammout, N.P.
Aesthetic Injector

Mike is a compassionate Nurse Practitioner working in our Menifee location. He comes to us from the LA county area. Mike has 8 years of outpatient experience to include advanced aesthetic skills, holding certifications in various injectable procedures. Mike loves working with his patients to help them achieve their aesthetic dreams. Mike continues to strive for excellence, he is currently working on his Doctorate degree with a focus on aesthetics.

Hannah Moore RN

Hannah Sims, R.N.
Aesthetic Injector

Hannah is a registered nurse working in our San Marcos location. Hannah was born and raised here in San Diego. She achieved her masters of science in nursing through the University of San Diego in 2008. She has spent most of her career in emergency departments and urgent care settings. For the past 6 years Hannah has been able to combine her love of aesthetics with her nursing background, specializing in Botox and dermal fillers. She believes that every person is different and focuses on listening to the clients desires when enhancing their natural beauty. She also sees the importance in staying educated and up to date on latest in the aesthetic world. Hannah strives for nothing but the best for her clients and their aesthetic goals.

Carrie Randle NP

Carrie Randle, N.P.
Aesthetic Injector

A graduate from the University of San Diego and a practicing Nurse Practitioner for over 15 years, I have spent most of my career working in the emergency room at the Naval Medical Center SD. I was first introduced to aesthetics by Dr. Love in 2013, and since then, I continue to work as an expert injector at Before-N-After. The reason that I continue to work in aesthetics is because I have fallen in love with helping women feel confident and look their best. My strength is having the ability to look at someone’s natural features and enhancing those features to achieve their best look. I have two dogs and a fiancé that I share my life with. In my free time I stay active by snowboarding and stand-up paddle boarding. My passion is to travel to places where I can explore and hike. I have hiked Machu Picchu, Mount Kilimanjaro, and Mount Rainier.

Madison Holtz PA

Madison Holtz, P.A.
Aesthetic Injector & Weight Loss Provider

Madison is a board-certified physician assistant who graduated from Southern California University of Health Sciences. She started her career specializing in pain management, administering Botox injections for various pain conditions before transferring her skills into the field of aesthetic medicine, where she found her niche. What resonates with Madison are the working relationships she develops with her patients and creating personalized treatment plans to achieve natural and satisfactory results that promote individuality and confidence. She strongly values attention to detail, patient education, and life-long continuing education, and continuously attends trainings to stay up to date. She is committed to delivering excellence in aesthetic and overall wellness, with the highest regard for patient safety.

Nikki

Nikki Selby, R.N.
Aesthetic Injector

Nikki Selby is a registered nurse working in our San Marcos location. She started her nursing career in the US Navy, providing care to active duty and retired military members along with their families.

Nikki has over 16 years experience as an RN, with a background in critical care, emergency medicine, flight nursing and military operational and trauma medicine.

After retiring from the military, Nikki made the transition into medical aesthetics and is currently trained in injecting Botox treatments. The combination of using artistry and medicine to enhance the natural beauty of a person, is what enticed her to follow this new career path. 

Alyssa Everson lead weight loss nurse

Alyssa Everson, L.V.N.
Lead Weight Loss Nurse

In 2011 Alyssa became an LVN. I have been working at Before-N-After for 10 years. I have lost over 160 pounds and understand the struggles that most people face in trying to lose weight and to keep it off. My ability to relate has helped others in achieving their weight loss goals as well. In the lead nurse role, I am responsible for the clinics staying compliant and leading a team of nurses. I enjoy cooking and often share my daily recipes on social media. Eating healthy does not mean it has to be plain or boring, friends.

Lindsey Kristensen LVN

Lindsey Kristensen, L.V.N.
Weight Loss Nurse

Lindsey was born and raised in Southern California. In 2019, she graduated from the Vocational Nursing program at Pacific College in Costa Mesa, CA. Lindsey is passionate about nursing, health, and wellness. She is currently furthering her education at Mt. San Jacinto College, where she is enrolled in the Registered Nursing program.

Lindsey and her husband Matthew have four wonderful boys, Ryan, Jonathan, Matthew, and Hunter. On her off days, you can find her spending quality time with her family and friends.

Monica Diaz

Monica Diaz, L.V.N.
Weight Loss Nurse

Monica has been an LVN since 2014 and has worked in many fields which eventually led her here to join our weight loss team. She loves helping people achieve their weight loss goals and helping them feel their best. While she is not working she is a full-time student furthering her career in medicine. She is also a wife and soon-to-be mother. She loves spending time and making time with her family.

Rachel Griesinger

Rachel Griesinger, L.V.N.
Weight Loss Nurse

Rachel has been an LVN nurse since 2014 and she absolutely loves her job. Being able to help those on their weight loss journey and seeing people become the best versions of themselves is such a joy for her. She is a wife and mother, when she is not at the clinic she is enjoying time with her boys. Rachel also loves photography and capturing life’s most precious moments on film.

The Medical Professionals at Before-N-After have either authored or reviewed and approved this content.