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About Us

Our mission statement is to deliver safe and effective treatments that improve skin health, amplify vibrance, and enhance confidence. Inclusivity, excellence, and kindness are our core values.
Kristen Shkhaidem, NP, is a nationally board-certified Family Nurse Practitioner specializing in aesthetic medicine, and the founder of Vitality.

She completed her training at the University of Tennessee, where she graduated Summa Cum Laude with a Masters of Science in Nursing.

She has performed thousands of aesthetic procedures over the last decade and loves to see her patients' confidence grow, while nurturing a team of like-minded providers. Click here to see NP Kristen's availabilities.


When not working, Kristen can be found on a hiking trail outside of the city, enjoying Little Italy, or at Del Mar dog beach with her two pups, a maltipoo and a Belgian Malinois. 


Favorite treatment? I have developed a love of Sculptra over the last few years. If you are looking for something that makes you look gradually more youthful in an undetectable way, Sculptra is the answer. My younger patients love the glow and “bounce” of their skin after Sculptra, and my aging patients literally turn back the clock and look softer and more lifted! 

I also love Morpheus8 because there is an all-over upgrade to the skin that occurs after this treatment. Little lines, sunspots, and scars have a way of vanishing! It’s also great for acne. And skin health is such an important part of our approach. 

My final favorite (it’s hard to choose!) is trap tox, because it brings my sports medicine background full circle. Using Botox to relieve tension, headaches, and pain is so impactful for the patient. 

Favorite products? Vitality Dream Cream, because I put my heart and soul into it! It benefits everyone's skin - literally, and is so well tolerated. It's a ceramide-rich moisture cream that has been a HUGE help to my dry skin! Line Refine Serum is a top favorite of mine as well because it's such a nourishing answer to retinoids! Lately, I've become a huge fan of Skinbetter's Detox Scrub mask, it's gentle enough to give me the perfect exfoliation! 

Biggest vice? Binge-worthy reality shows, such as Survivor or Special Forces.

Katie Duncan, NP

Katie graduated with her Bachelor of Science in Nursing from Colorado State University and completed her Masters’ at Pacific College to transition into the role of a Nurse Practitioner. She is deeply passionate about individualized, whole-person care and specializes in aesthetics with a holistic approach. She has a deep-found passion for utilizing nursing as a conduit to provide meaningful service to her patients. Katie’s mission encompasses modalities for aging radiantly and proactively empowering individuals to discover self-love, self-confidence and self-esteem to experience a richer life in their beautiful bodies.


When not working, Katie loves riding her bike along the coast, baking and painting.


Favorite treatment? Microneedling with PRP. This creates our most radiant glow and maintains the longevity of our skin heath.

Biggest vice? Espresso is my favorite delicacy. So yummy!

Click here to see NP Katie's Availabilities 

Katie Verboom, Licensed Aesthetician

Katie Verboom is a licensed aesthetician with a Masters Esthetics certification since 2010 with a focus on corrective skincare for acne and pigmentation utilizing various modalities as well as over a decade experience in brow design.

Beauty and wellness has been her passion from a very early age so it seemed natural to make it her profession. Throughout her career she has expanded her knowledge in day spas, resorts/hospitality and finally into the medical realm. With a wide range of skills and experience under her belt she loves and values sharing this passion with her clientele through education and specialized care. 

With Katie, focus on the client/therapist relationship is of the utmost importance for long-game outcomes. Together you will utilize results-oriented treatments and thoughtfully-curated skincare plans to ensure your skin wellness journey is beautiful as ever!  



When Katie isn’t working, she can be found cozy at home with her family and her pets watching genre films, deep-diving into music, playing board games, and cooking up some yummy vegetarian dishes. A homebody at heart, but she never turns down a foresty nature walk or a fun, scenic road trip excursion! 


FAVORITE Treatment?

Hydrafacial truly is my favorite treatment and has been for several years now because it never fails to deliver! It leaves your complexion squeaky clean like no other while restoring balance and hydration. Like pressing a reset button! Who doesn’t love that?


Hands down, sunscreen will always be at the top of my list. Living in sunny San Diego and forever fearful of the dreaded skin cancer, I am of course a giant fan of all things UV protective. Our Vitality Glowgetter is the perfect blend of skincare & SPF combined. It’s mineral. Not chemical. And it’s tinted for days you want to ditch the makeup but still have natural-looking coverage. 

Another must-have is SkinBetter’s Detoxifying Scrub Mask. It has a scrub element for physical exfoliation. It has gentle acids for an even more thorough clearing of dead skin and oil. And then it has a clay to draw out impurities. All while not over-drying and disrupting the skin’s barrier. Basically 3 product types rolled up into one. Genius!



Besides coffee and matcha? Cat naps…AKA beauty rest!

Click here to see Katie's availabilities.


Monique Marquez, Licensed Aesthetician

Monique is a seasoned licensed aesthetician with three years of dedicated experience in the industry. She has always had a love for beauty growing up and takes joy in assisting patients to both look and feel their best in their own skin. Monique is enthusiastic about ensuring patients have an exceptional experience and is thrilled to be a part of their journey towards radiant, healthy skin through personalized skincare treatments.

Growing up in San Diego, Monique enjoys the outdoors, physical fitness and traveling. Some of her favorite activities are yoga, hiking, going to the gym and spending time with family and friends.

Dermaplaning would have to be my go-to fav treatment for achieving that instant glow! It's like a mini-miracle worker. By sloughing off dead skin, removing vellus hair and prepping the skin for better product penetration and makeup application, it leaves the skin smooth and radiant. Plus, it pairs so well with other treatments!

Skinbetter Alpharet Overnight Cream! This powerhouse formula seamlessly blends the benefits of retinoid with AHA, providing a dynamic duo for your skin. It's enriched with ceramides for deep moisturization, AHAs for gentle exfoliation, peptides to combat wrinkles, niacinamide to reduce redness, and antioxidants for added protection. It's amazing for patients who have sensitivity to other retinoids and is suitable for all skin types!

Coffee and crumbl cookie! yum!

Click here to see Monique's availabilities.



Alex Roher, MD, Medical Director

After graduating from the University of Arizona’s College of Medicine in 2008, Dr. Alex Roher started his career in medicine as a board-certified anesthesiologist. While he knew his calling was is medicine, he wanted to use his knowledge and skills to help people who wanted to change their lives. In 2013 he opened SDBotox, following his true passion for aesthetics. He is proud to be the medical director for Vitality Aesthetics since 2018!