Totality Medispa

Dr. Nicole Nadel - Owner, Physician

Dr. Nicole Nadel is a highly-trained, board-certified physician. She has specialty training in aesthetic and regenerative medicine. Dr. Nadel is an alumni of New York University with a Bachelor of Science. Then she obtained her medical degree at New York College of Osteopathic Medicine. She did her residency training in Emergency Medicine at NewYork-Presbyterian Queens / Weill Cornell Medical Center. She then did subspecialty training in wound care, hyperbaric medicine and maximizing the healing potential of the skin. For the past several years, she has been focusing on aesthetic components of medicine and skin and hair rejuvenation.

Using her specialized aesthetic training, Dr. Nadel provides Totality Medispa patients with exceptional technical skill in injectables, such as volumizers, botulinum toxin, and fat dissolving medications. She also trained to perform laser and intense pulse light treatments and has recently purchased the “Rolls Royce of lasers”, which is capable of hair reduction and skin tightening. She is also specialized in therapies using concentrates of platelet-rich plasma (PRP) protein for skin rejuvenation and hair regrowth. Dr. Nadel’s philosophy is to find the most effective, and safest product on the market and bring them to her patients on Daniel Island where she can demonstrate her talents.

Our Aestheticians

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A true outdoor enthusiast, she ventured to Colorado with a Bachelor's degree under her belt having received her esthetics training from Trident Technical College.  Working alongside award winning plastic surgeons at the most prestigious medical spas, she developed her expertise in the field with an emphasis on laser technology, micro-needling, and CoolSculpting. She has attended advanced training for several modalities, procedures, and methods, providing her with an elite skill set that translates into a track record of consistent results.

Leah believes that your skin presents a story of who you are to the world.  It reflects your health choices, lifestyle, values, and self-respect.  She strives to help her patients correct past damage and practice preventative care by providing science-based patient education and unbiased advice.  Happy to be labeled a “skin nerd”, Leah keeps up with newest developments and research in aesthetics to promote optimal skin health.   Her goal is to connect with each patient so they feel valued, respected, and heard.

A CoolSculpting University graduate, Leah is a body sculpting wiz.  She will walk you through the process step-by-step, ensuring your comfort and maximizing results to match or exceed expectations.



She is a microblading (eyebrow tattooing) expert and nationwide instructor and we are honored that she joined us.  After three years of living in Chicago, Ariana is happy to return to Charleston. Ariana has always had a passion for the ever-growing skin care and beauty industry.  This passion is what drove her to study aesthetics at the Aveda Institute Chicago and obtain her license.  She learned all of the newest and most exclusive technologies and treatments to be able to provide them to her patients.  During her career, she has taken several specialized training classes in aesthetics but microblading has been her area of expertise.
Eyebrow microblading has been an industry breakthrough for those wanting beautifully shaped, natural looking brows.  Ariana’s goal is to make every patient feel more confident and achieve their ultimate brow goals.
It is a pleasure and privilege to bring this service, along with many other specialized services such as lash lift and permanent make-up, to Totality Medispa.



Brittany McMahon has completed seven years of studies in the field of Health Sciences. After earning her Bachelors degree in Biology, she applied her hard work and dedication to her passion and furthered her education at Von Lee International School of Aesthetics, which was the first school in the U.S. devoted exclusively to aesthetics and is renowned worldwide for its state of the art curriculum and high standards. After having graduated from Von Lee, she then continued her education by traveling internationally and completing courses in Advanced Chemical Peels, Microneedling, Microdermabrasion, Dermaplaning, Waterfacial, Bodysculpting, and Laser Hair Removal. She has a strong desire to help her patients achieve their target goals with healthy glowing skin. She takes a lot pride in her work and spends quality time to educate her patients when prescribing a customized home care regimen for patients to see the best results in their skin’s health and appearance. Call today to book your free skin consultation and skin care treatments!


Massage Therapists

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Elena is a South Carolina licensed massage therapist.  She brings years of experience in corrective medical massage, deep tissue, hot stone, warm bamboo, rain drop detox aromatherapy, feet reflexology, prenatal, sport, neuromuscular and chair massage.  She currently shares her work hours between Totality and Kiawah Golf Resort Spa. 


Front Desk Patient Coordinators

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Alicia is originally from a small town in southern Georgia. In recent years, Alicia has lived in Atlanta, Richmond, and Charlotte and now is excited to settle down in Charleston and call it her forever home. Over the years, she has worked in several different fields including veterinary medicine, modeling, acting and promotional sales before finding her calling in the health and wellness industry. She has gained experience and learned a lot about the Medispa/IV hydration business by working closely with plastic surgeons, physician assistants, and nurses who were always able to help her learn along the way. She has grown passionate and knowledgeable about the wide variety of aesthetic treatments available that can improve patients’ self-esteem and overall lifestyle. Since she is finally in a place where she can settle down and plant down roots, her overall goal would be to attend school for esthetics and become a medical aesthetician since skincare is her passion.

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Rachel calls Daniel Island her home along with her two daughters and a son.