
Beyond the Surface
Your skin is a reflection of your unique health, history and lifestyle — and we take the time to truly understand it. During your consultation, Dr. Kristine Romine and Sara Romine, DNP, FNP-C, use advanced VISIA imaging to analyze your skin at both the surface and sub-surface cellular levels. This technology allows us to see what’s not always visible to the eye: sun damage, pigmentation irregularities, vascular issues and more.
However, the most valuable insight comes from you. We take time to listen carefully, ask thoughtful questions and explore not just what you want to change, but how you want to feel. This includes discussing:
- Your skin history and sensitivities
- Current skincare habits and products
- Lifestyle and wellness considerations
- Short and long-term aesthetic goals
- Comfort level with different treatment options
This conversation isn’t rushed or sales-driven. It’s designed to be grounded in education, empowerment and trust — the cornerstones of the BelleSante difference.
Our “Education First” Approach
As a Functional Aesthetic Dermatologist who works at the intersection of advanced aesthetics and longevity science, we view aging not just through the lens of injectables, lasers, or body contouring, but also through a broader systems biology perspective. We now understand that the aging process is governed by a series of interconnected biological changes known as the Hallmarks of Aging. These aren’t just theoretical concepts, they are measurable, actionable targets that impact both HealthSpan and skin aging.
What makes these hallmarks so compelling is their clinical relevance. First, they naturally emerge as part of the aging process. Second, when we accelerate them, whether through stress, inflammation, or metabolic dysfunction, we see a rapid decline in both internal vitality and external appearance. But here’s where it gets exciting for those of us in the space of functional aesthetics: when we intervene, whether through advanced peptide protocols, targeted supplementation, genomics-informed therapies, or even high-performance fitness regimens, we can not only slow these processes, we can begin to recalibrate them.
The hallmarks aren’t isolated, they operate as an intricate biological symphony. A disruption in one area, say mitochondrial dysfunction or cellular senescence, can cascade and amplify others like genomic instability or inflammation, resulting in accelerated aging both systemically and visibly through the skin. That’s why in our practice, we treat aging as a networked event, addressing both the aesthetic and internal markers through a precision approach that integrates the best of regenerative dermatology, longevity medicine, and high-performance wellness.
We’re here to partner with you, not pressure you. At BelleSante, education always comes first. Rather than recommending a one-size-fits-all solution, we help you understand how your unique skin health, beauty, and overall health are all interconnected.
Based on our expert assessment, we walk you through every option, explaining what each procedure accomplishes and how it fits into your long term plan. You’ll leave your consultation with a deeper understanding of your skin, a clear explanation of what’s possible, based on the latest, most advanced technology and artistic excellence. You’ll also receive a written, customized, comprehensive strategy tailored to your comfort level — whether that means starting with “baby steps” or going “all in” to address your concerns — so you can confidently begin your journey to a “Lifetime of Healthy, Beautiful Skin™.”

What to Expect During Your Expert Aesthetic Consultation
At BelleSante, each Expert Aesthetic Consultation includes:
- Education on the science behind the “Hallmarks of Aging”
- A full facial analysis and skin exam
- VISIA imaging and review
- A discussion of facial balance and symmetry
- An overview of treatment options by area of concern
- Honest answers to every question — no matter how small
- A personalized comprehensive treatment plan with clear next steps
We give you space to reflect, ask follow-up questions and take your time. Many patients choose to move forward with a treatment the same day, while others prefer to wait. Either way, the choice is always yours — and we’re here to support you every step of the way.