About Us
Premièr Medical Aesthetics
Welcome to Premier Medical Aesthetics. We have structured an amazing team of individuals working cohesively together, driven to give you superior skin results using the latest developments and newest technology. We carry the top brands of neuromodulators and dermal fillers from Allergan (Botox, Juvederm, Kybella, etc.) and Galderma (Dysport, Restylane, etc.), lasers, chemical peels (Alumier), microneedling (SkinPen), and so much more. With over 50 years of combined medical and aesthetic experience, your skin care needs are in good hands.
Located in the Los Coches Village Medical Center in the La Costa area of Carlsbad, our well-appointed office and professional staff are focused on providing the best care for anti-aging and skin rejuvenation treatments. Relax with one of our hydrating facials or restore a more youthful appearance with one of our chemical peels or laser treatments. Erase the signs of aging and build collagen with one of our dermal fillers. Unwind as we eliminate unwanted wrinkles and facial lines.
With a variety of cosmetic dermatology treatments, you’ve come to the right place to treat your skin issues. Everyone deserves to look their best. Avoid going under the knife with our minimally-invasive procedures designed to help you gradually look younger and more refreshed. Both men and women can benefit from healthier skin. Let us be a part of that journey.

KYNDRA L. MCKINNEY, RN, BSN
Registered Nurse | Bachelor of Science in Nursing | Founder
DR. FRANCES SEGAL, MD
Board Certified Dermatologist & Internal Medicine | Founder

CAROLYN C. WEBB, RN, BS
Registered Nurse | Clinical Nurse Educator | Aesthetic
Carolyn joins our practice with over 22 years of experience from a plastic surgery setting, focusing on dermatology, lasers, and cosmetic injectables. She has a Bachelor of Science in Biology from Westminster College in New Wilmington, PA, with BLS and ACLS certifications.
She has extensive experience with Botox and other dermal fillers, lasers, Ultherapy, microneedling with PRP, IPL, Fraxel Restore, Thermage, MOHS surgery, tattoo removal, and more.
AMY DERVETSKI, LMA
Licensed Aesthetician | Facial Specialist
Amy joins our aesthetic team with over two decades of experience in both the medical and luxury spa markets. Her extensive training and expertise set her above the rest in customized facials, chemical peels, dermaplaning, eyebrow shaping, face waxing, and so much more. She works closely alongside our doctor and nurses to formulate a comprehensive plan to give our patients clearer skin, even tone, and texture.
She started her career in New York City on Park Avenue. She then moved to the West Coast, where she cultivated an extensive celebrity clientele at The Four Seasons in Beverly Hills before opening her own space in Brentwood.
After getting married and having her two children, she moved to San Diego, where she worked for La Jolla Spa MD. She then eventually opened her own spa in the Cedros Design District in Solana Beach until 2010. Since then, she has focused her practice on her dedicated clients of over 15 years. Amy prides herself on offering a mix of medical-grade treatments with a luxury spa touch.
Amy is also a guest educator for Bellus Academy here in San Diego, both creating protocols and teaching master’s courses for already licensed aestheticians.