In 1999, Olivia Ramirez Smith opened a med spa in Victorville, California, and started paying attention to something her clients were not there to discuss. They came for skin. Treatments, consultations, the standard menu of a med spa in a high desert town. New Image and J. Michaels grew into a practice with fifty people on staff, and for two decades Olivia Ramirez Smith stood in the middle of it, watching women arrive. What she watched was not t…
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