Our Team Members


Megan Donnelly

Nurse Practitioner

Megan Donnelly is a board-certified family nurse practitioner. She received her Master of Science in Nursing from the University of South Florida in 2019. She is an active member of the American Association of Nurse Practitioners. Prior to her advanced practice role, she was a registered nurse for six years in various environments including critical care and cardiac recovery.

Megan knew that specializing in the field of cosmetic dermatology was where she belonged. Her favorite part about working at Ultimate Image Cosmetic Medical Center is creating a personalized treatment plan for each patient. Megan specializes in treatment plans that focus on natural enhancements through cosmetic injectables, laser technology and ThermiVa treatment for feminine rejuvenation.

Favorite procedure: One of my favorite procedures that I perform is the Fraxel. This is a laser resurfacing skin treatment effective for photodamage, fine lines and wrinkles, acne scars, surgical scars, melasma and actinic keratosis. I love each result of this procedure! The minimal downtime, long lasting results and the confidence I see in my patients after Fraxel make this one of my favorites!

Favorite Product: One of my favorite products to help slow the signs of the aging process is Tretinoin also known as Retin-A. Tretinoin helps increase cell turnover, increase the production of elastin and collagen and help smooth fine lines and wrinkles. Tretinoin can also help fade pigmentation, age spots and improve skin texture. A vigilant sunscreen regimen is important while using Tretinoin. This is a prescription that is available in various strengths, come in for a consult to assess the benefits of this addition to your skincare regimen!

Megan Pitchford


Megan Pitchford is a board-certified nurse practitioner through the American Academy of Nurse Practitioners. Born and raised in Clearwater, Florida, she received her Bachelor of Science in Nursing (BSN) at the University of North Florida, and her Master of Science in Nursing (MSN) at the University of South Florida. She is an active member of the American Association of Nurse Practitioners and the International Society of Plastic and Aesthetic Nurses. Prior to being an aesthetic nurse practitioner, she was a registered nurse for 8 years in various specialties including critical care, and post-anesthesia care.

Megan is passionate about aesthetic medicine and enhancing each patients’s natural beauty. She enjoys taking time to accurately assess and educate patients to provide the most individualized experience possible. Her priority is understanding each patient’s treatment goals in order to achieve natural results. She specializes in cosmetic injectables, laser procedures, and customizing medical skincare regimens.

In her free time, she enjoys spending time with family, friends, and her dogs. She also enjoys going to the beach, hiking, boating, and spending time outdoors.

Melissa Poley



Alexis Pohle

Management/Senior Medical Assistant

Justin Casey

Management/Patient Care Coordinator

Justin has worked alongside Dr. Besnoff, as part of the Ultimate Image team since April 2013. His role as Patient Care Coordinator is to consult, evaluate and educate clientele on potential treatment(s) and ensure they’re elated with their results. With previous firsthand experience in cosmetic treatments, Justin can easily identify with some of the aesthetic services and medical procedures that Ultimate Image has to offer. He will truly make sure you have a pleasurable and satisfying experience, while assisting you in becoming the most Ultimate you. Justin would have to say his favorite treatment is Dermal Filler because you’re able to enhance one’s natural beauty, while also creating structure and volume; giving you a more youthful appearance. He can’t just pick one favorite product; it’s a tie between the Ultra Replenishing SPF 40 and then Alastin Restorative Skin Complex. The SPF 40 is a light weight product with a combination of Zinc/titanium dioxide that helps protect UVA/UVB /HEV which shields the skin from premature aging as well as blue light. While the Alastin Restorative Skin is a serum used AM/PM which helps the skin produce natural healthy collagen, restores volume to plump skin, improves appearance of fine lines and wrinkles, evens out skin tone as well as helps skin from future damage.

John Ritenour

Office Manager / Marketing Administrator

John Ritenour, Marketing Administrator, oversees the Marketing Department and marketing team at Ultimate Image Medical Cosmetic Center in the Clearwater and Tampa Bay area. He joined the company in 2018. John spent over 20 years working with pharmacy store chains in the administrative field. John’s vast experience includes maintaining high employee morale and using his strong work ethics to lead others.

John’s favorite product is the Restorative Skin Complex by Alastin. This serum is wonderful because it supports the skin’s natural ability to produce its own healthy collagen. John’s favorite benefit is the product evens and softens skin tone and restores volume to thinning skin!

John’s favorite procedure is Botox injections. He loves the result Botox has on his skin. This procedure gives John a tightening and youthful appearance in just a few days. Botox’s powerful ability to smooth out fine lines and wrinkles make it John’s favorite!

Patient Care


Medical Assistant


Alanna Whaley

Aesthetician & Medical Assistant

Alesha Oreskovich

Front desk receptionist/ Aesthetician

Kalena Buckowski

Lead Aesthetician


Arlene Oca

Senior Marketing Representative

Brooke Nunley

Marketing Representative

Michelle Escamilla

Front Desk Receptionist

Ruby Besnoff

Office Mascot

We want to introduce our new office mascot – Ruby!

Dr. Besnoff’s buddy in the office! She is a Golden Doodle! Ruby has been an excellent office dog, and we look forward to having her here often!