I have been a licensed medical aesthetician for 18 years. I have watched this industry in North Jersey go from a handful of dermatology offices to a med spa on what feels like every other block, and I have fixed enough work from other places to have strong opinions about how you should choose.
So here is the guide I would give a friend. It is not flattering to my whole industry, but it is accurate.
Start with the person, not the machine
Every clinic advertises the device. Morpheus8. Ultraformer. Whatever the newest name is. The device matters far less than you think.
Two people can run the exact same machine on the exact same face and get completely different outcomes, because the settings, the depth, the number of passes and the read on your skin type are all judgement calls. That judgement is built over years, not over a weekend certification course.
So the first question is simple. Who is doing my treatment, and what is their license?
Not "who owns the spa." Not "who does the consultation." Who is physically in the room with the device in their hand. If the answer changes depending on the day, or if nobody can tell you until you arrive, that tells you something.
Four questions worth asking before you book
- Who performs the treatment, and what license do they hold?
- How many times have you performed this specific treatment?
- What is the total price, including the sessions I will need after this one?
- What happens if I have a reaction, and who do I call on a Sunday?
What Ella Beauty is, so there is no confusion
Since this whole article is about choosing between places, here is exactly what this one is. Ella Beauty Skin Care is a licensed esthetics studio, not a medical spa. There is no physician on site and no physician directing it. Priscila is a licensed medical aesthetician, which is a skin care credential, not a medical one, and she does not perform injectables.
What that means for you: the device treatments, peels and laser work happen here, performed by the same licensed hands every visit. Anything that needs a doctor gets a referral instead of a sales pitch.
In New Jersey, the scope of practice question is real
New Jersey draws lines around who can do what. A licensed esthetician can perform a long list of treatments. Certain procedures sit with physicians, physician assistants and nurses, or require medical direction. Injectables in particular are not esthetician territory in this state.
You do not need to memorise the regulations. You just need a provider who does not get defensive when you ask. I tell people plainly what I do and do not perform, and I have referred plenty of clients out when what they wanted was not mine to do. That should be normal, not remarkable.
Ask how they treat darker skin
This one matters enormously in Newark. Ferry Street alone serves Brazilian, Portuguese, Ecuadorian, Dominican, Puerto Rican, Haitian and West African clients, plus everyone else who lives in this city.
Melanin changes the math on almost every light-based treatment. The wrong laser or the wrong setting on Fitzpatrick IV to VI skin can leave you with hyperpigmentation, hypopigmentation or a burn that lasts far longer than the hair you were trying to remove.
The right answer sounds specific. It mentions wavelengths, test patches, cooling and conservative settings on the first session. A vague "oh yes, it works on everyone" is not an answer. I wrote a whole piece on laser hair removal on dark skin because I got tired of hearing that one.
Price transparency is a character test
Here is a pattern I see constantly. A client comes in with a quote from somewhere else. The quote is for one session. The treatment realistically needs six. Nobody mentioned that until after the deposit.
The number you care about is the total cost of the outcome, not the sticker price of one appointment. Laser hair removal is a series. Tattoo removal is a longer series. Morpheus8 is usually three sessions. Ask for the whole plan and the whole number.
My prices sit on the services page where anyone can read them without booking a call. Facials from $120. Chemical peel $100. Hollywood Peel $150. Microneedling with exosomes $250. Morpheus8 from $375. HIFU $600. If a studio will not tell you a number until you are in the chair, that is a choice they made, and it is worth noticing.
Look at their real results, not their stock photos
A polished website with beautiful models tells you a clinic hired a good designer. It tells you nothing about outcomes.
What you want is unretouched before and after photos of actual clients, ideally with skin that looks like yours, taken in the same lighting and the same angle. On our results page the photos are real clients, which is also why some of them are lit imperfectly. That is the tradeoff and I will take it.
Also read the reviews that are not five stars. A studio with only perfect reviews either has very few clients or is curating. How a place handles the one unhappy person tells you more than the other forty.
Small studio or big chain?
I am biased. I run a private studio and I perform every treatment myself, so of course I think that model is better. But let me be fair about the tradeoffs.
A larger med spa usually has more devices, longer hours and easier last minute availability. A private studio gives you the same set of hands every visit, someone who remembers your skin from four months ago, and a treatment plan that adjusts as you go instead of being sold to you as a package on day one.
If you want a fast appointment at 8pm on a Wednesday, the chain wins. If you want continuity and someone who will tell you not to buy something, the small studio wins.

Red flags I would walk away from
- Pressure to buy a package during your first consultation. A treatment plan can wait a day. If it cannot, that is a sales tactic.
- Discounts that expire in an hour. Real promotions have real dates, not countdown timers designed for your nervous system.
- No consent form, or a consent form nobody explains. These are procedures with risks. You should sign something and you should understand it.
- Guarantees. Skin is biology. Anyone promising a specific result in a specific number of sessions is guessing out loud.
- No patch test offered on lasers, ever. Especially on darker skin.
What a good consultation actually feels like
You describe what bothers you. Not what treatment you want. What bothers you.
A good provider then looks at your skin, asks about your history, your medications, your sun exposure and what you have already tried, and tells you the honest path. Sometimes that path is one treatment. Sometimes it is a series. And sometimes the honest answer is that what you have is not worth treating, or that you need a dermatologist and not me.
I have sent people home without booking anything more times than I can count. Nobody ever complains about that.
If you are in Newark
Ella Beauty Skin Care is a private studio at 520 Ferry Street in the Ironbound, a few minutes from Harrison, Kearny and East Newark, and an easy drive from Belleville, Bloomfield, Elizabeth and Jersey City. I do the consultation, I do the treatment, and I am the person you text afterwards if something looks off.
Consultations are free and there is no script. Bring your questions, including the uncomfortable ones about price.



