All Medical Procedures are performed By Dr. Kellyann Kosma, DNP, MSN, NP-C, the owner of Premier Medical Aesthetics!

Co- founded Premier Medical Aesthetics, along with Danielle Grauer, in 2015. Mrs. Kosma is a lifelong resident of Connecticut. She attended Western Connecticut State University and earned a Bachelor of Science in Nursing. She worked as a staff nurse at The Hospital of Central Connecticut New Britain campus and Hartford Hospital. Mrs. Kosma has worked in the emergency department, critical care unit, and cardiac telemetry unit.  She attended Quinnipiac University and earned a Master of Science in Nursing with an Adult Nurse Practitioner focus. Mrs. Kosma graduated with high honors from Quinnipiac University and was given the Trewin award for academic achievement. She is a member of Sigma Theta Tau, the International Honor Society of Nursing. Mrs. Kosma is a member of CT APRNS and the American Academy of Nurse Practitioners. She completed her Doctorate of Nursing Practice at Chamberlain College of Nursing. Dr. Kosma developed of passion for medical aesthetics after dealing with her own skincare problems for many years. After seeing what the field of medical aesthetics could do for her own skin, Mrs. Kosma wanted to help others. She specializes in neuromodulators (Botox, Dysport), dermal fillers (Juvederm, Voluma, Restylane) and treatments for acne and acne scarring.

Facial Treatments


Wrinkle Relaxers

What is BOTOX/Dysport/Xeomin?

BTX-A is a natural purified protein that is injected into the muscle to temporarily block the conduction between the muscle and the nerve resulting in a softening of your lines and wrinkles.
BTX-A is an excellent treatment option for :

  • Forehead lines
  • Crows feet
  • “11’s” – the lines between your brows
  • Relaxation of the lines around your nose and mouth
  • To temporarily stop excessive sweating

What you can expect from your treatment:

  • Natural looking results
  • Quick and simple procedure
  • Relatively painless
  • Results can be seen within days
  • Treatments last from 3-4 months
  • There may be some bruising around the injection sites, but most people can return to their daily activity

Dermal Fillers

Dermal fillers are an injectable gel  into the areas of facial tissue where moderate to severe facial wrinkles and folds occur to temporarily add volume to the skin. Dermal fillers are made of hyaluronic acid (HA), a naturally occurring substance that binds to water. The gel-like liquid is injected under the skin to take up the extra space that has been created from your body’s loss of collagen.  As we age, we lose collagen, add in sun damage, environmental factors and genetics, the result is sagging skin, lines and wrinkles.
Dermal fillers help to restore lost volume, plump skin, and ease lines and wrinkles.

Dermal Fillers:  Juvederm® Ultra XC, Restylane®, Restylane® Silk, Belotero Balance®   Perlane®, Radiesse®
Long Term Dermal Fillers:  Bellafill®, Juvederm Voluma

Micro Needling

Micro Needling is done using an Automatic Micro-Needling (also known as Percutaneous Collagen Induction Therapy) and uses tiny needles to create controlled micro channels (tiny holes) in the skin.  The process stimulates your skin’s natural ability to heal itself and in the process produces collagen and elastin.

This process is used to:

-Helps build collagen

-Stimulates growth factors

-Improve Texture and tone

-Improve Surface scarring

-Improve Fine wrinkles

– Hyperpigmentation

-Stretch Marks

Micro needling is safe for ALL skin types.

PRP Therapy via Micro Needling AKA “Vampire Facial”

PRP (Platelet Rich Plasma) Therapy

Platelet Rich Plasma is a concentrated preparation of platelets and contains growth factors.

PRP treatments are used to boost the freshness of the skin and improve skin texture and tone.  Also used to promote faster healing

micro needling

About PRP Therapy

Why we use the automated MicroPen

MicroPen uses sterile single-use surgical grade disposable needle tips. There is no potential for cross contamination between patients because there is never a re-use of needles.

How many treatments will I need?

Recommend treatment is 3 treatments 6 weeks apart. This is all depending on personal concern and area of treatment. For deeper wrinkles, advanced sun damage, and stretch marks may require 6 or more treatments.

What areas can be treated?

Micro needling can safely be used on nearly all parts of the body

How long will it take for me to see results?

Clients can see improvements in the skin after their first treatment. Although induvial results vary, the biggest difference is noticed within 1-2 weeks.

How long will my results last?

Micro Needling Results through the stimulation of growth factors and collagen, thereby promoting new skin cells to surface. As our skin ages, our collagen production naturally slows down. Your overall result will last longer when using an at home skin care regimen that includes a daily Retinoid product. Your medical provider is best suited to make this recommendation. However, a series of treatments is typically recommended for best results.

Will Micro-Needling treatment hurt?

Prior to the treatment the medical provider will apply a topical numbing agent. Most people say they feel almost nothing after having been pretreated with a topical numbing agent.

How will I look after treatment?

Right after your skin will look slightly pink to moderately red.  Depending on your skin’s sensitivity your redness can last for another 24 hours. We can recommend a skin care regime after your treatment to best fit your individual needs.

Can I use makeup after my treatment?

Directly after your treatment we recommend using only mineral based foundation, as it cannot build bacteria.


Hair Restoration with Platelet Rich Plasma (PRP)

What is PRP and how does it WORK?

A sample of blood is drawn which is then spun in a centrifuge. That leaves only the enriched cells or platelets remaining to be used for hair restoration.

Human blood contains stem cells and specific growth factors that assist in tissue regeneration and healing its efficacy. The highly concentrated platelet rich plasma (PRP) is then injected into the scalp. PRP contains many growth factors that stimulate the hair follicle’s growth. Suggested treatment is 3-6 treatments every 4-6 weeks then a maintenance of twice a year.

PRP contains special cells called Platelets, that can theoretically cause growth of the hair follicles by stimulating the stem cells and other cells in the microenvironment of the hair follicle. These special Platelet cells promote healing, accelerates the rate and degree of tissue healing and regeneration, responds to injury, and formation of new cellular growth. The primary purpose of using PRP in hair restoration is to stimulate inactive or newly implanted hair follicles into an active growth phase.

Inside the Platelets are many intracellular structures such as glycogen, lysosomes and alpha granules. These granules within the PRP contain clotting and growth factors that are eventually released during the healing and repair process.

prp hair restoration

Who Should Not Have PRP Treatment?

Patients with history of heavy smoking, drug and alcohol use. Medical diagnosis such as platelet dysfunction syndromes, thrombocytopenias, hypofibrinogenaemia, hemodynamic instability, sepsis, acute and chronic Infections, chronic liver disease, anti-coagulation therapy, chronic skin diseases or cancer, metabolic and systemic disorders.

Can I Use Other Medical Therapies Concurrently?

Absolutely. In fact, we encourage it and prescribe PRP therapy as a compliment to a nonsurgical approach for those patients who are not eligible for surgery or who want to delay hair restoration surgery.