About Outset Aesthetics

Outset Aesthetics is a modern medical spa built around one goal: helping you feel confident in your skin with results that look natural, balanced, and refined.

Amend with Nicole Malfitano, PA-C Founder

With over two decades in aesthetics and 13 years as a Physician Associate, Nicole Malfitano, PA-C, has cultivated an approach informed by international training, advanced clinical expertise, and mentorship under some of New York City’s most respected dermatologists. She earned her degree from Mercy College and has continued to refine her skills alongside leading voices in the industry, including Nicola Lowery, Arthur Swift, Julie Horne, Gab Major, Thuy Doan, and Shelby Miller, to name a few.

Nicole began her career with a strong foundation in medical and aesthetic dermatology, developing comprehensive, individualized treatment plans utilizing advanced skincare, chemical peels, and energy-based devices. As the aesthetics industry evolved, she found her true focus in cosmetic medicine, where she has spent years honing her expertise in minimally invasive procedures and refining both her technical precision and artistic eye.

Her work is guided by the belief that exceptional aesthetic outcomes require both precision and restraint. She understands that there are no standardized formulas or shortcuts in facial balancing; only thoughtful, tailored approaches that enhance each patient’s unique features.

Integrating science, artistry, and individualized care, Nicole is recognized for natural, elegant results and a deeply personalized patient experience. She partners closely with each patient to create intentional, long-term treatment plans that support confidence while preserving balance and authenticity.

Nicole founded Outset Aesthetics to create a space where elevated aesthetics and highly personalized care come together. She is grounded in expertise, artistry, and a commitment to doing things thoughtfully.

About outset

Outset Aesthetics is built on the belief that great results begin with intention.

Every treatment is thoughtfully curated, deliberate, and unhurried—never rushed, never pressured, and always personalized. At Outset Aesthetics, results are balanced, subtle, and aligned with your unique features. From neuromodulators to advanced skin rejuvenation, treatments are built on a holistic approach with an emphasis on long-term outcomes and skin health. Outset Aesthetics offers a calm, elevated space where trust, transparency and precision come always first.

Whether you’re new to medical aesthetics or have experience with treatments, the process is designed to feel comfortable, transparent, and personalized. You’ll always know what’s being recommended and why.

No pressure. No overdone results. Just honest guidance and treatments that make sense for you.

Start with a Consultation

Every treatment starts with understanding you. We take the time to learn your goals, assess your skin, and create a plan that feels right. No pressure, no overpromising, just honest recommendations and expert guidance.