About Defy

Defy Aesthetic Boutique is a luxury medical aesthetics practice in Novi, Michigan, built on precision, structure, and results. Every treatment begins with comprehensive assessment and strategic planning. Our anatomy-driven approach is designed to deliver visible outcomes while preserving balance, proportion, and what makes you uniquely you. No shortcuts. No trend-chasing. Just intentional, expertly delivered results.
Defy unites experienced medical professionals who share a commitment to precision, safety, and refined outcomes. Through collaborative planning and advanced clinical expertise, we ensure each patient receives care that is cohesive, intentional, and thoughtfully delivered.

Meet The Team

Susan “Susie” Shenkosky, DNP, CRNA

Founder & Advanced Aesthetic Provider

Susan Marie Shenkosky, known to patients as Susie, is the founder and advanced aesthetic provider at Defy Aesthetic Boutique in Novi, Michigan. She brings 21 years of nursing experience, including six years in medical aesthetics, to a practice centered on thoughtful assessment, individualized planning and natural-looking results.

Credentials and licensing

Education and ongoing training

  • Bachelor of Science in Nursing — Madonna University, 2005.
  • Master of Science — University of Southern California, 2013.
  • Doctor of Nursing Practice — California State University, Long Beach, 2018.

Her aesthetic education includes comprehensive training in 2021 and advanced training in 2022, followed by ongoing education in injectables, microneedling with PRP, and laser and energy-based treatments. She was a Jonas Nurse Scholar during her doctoral program and is a member of the American Association of Nurse Anesthesiology (AANA).

Susie founded Defy on the belief that confidence changes how people move through the world. Her approach emphasizes clear explanations, measured recommendations and treatment plans shaped around each patient’s anatomy, goals and long-term skin health.

Rachel Mills

Licensed Esthetician

Rachel brings a science-driven, detail-focused approach to corrective skincare. She is passionate about ingredient intelligence, barrier health, and optimizing long-term skin performance.
Through customized skin consultations and targeted in-office treatments, she pairs professional procedures with intentional home care to address congestion, dehydration, pigmentation, and overall skin resilience.

Known for her gentle, attentive care, Rachel believes skincare is foundational — and that consistent, strategic treatment is what creates lasting confidence in your skin.

Kristina O’Dowd, RN

Aesthetic Nurse

Kristina brings over 13 years of clinical nursing experience to Defy, with a foundation rooted in precision, vigilance, and compassionate care.

For the past two years, she has focused on aesthetic medicine, advancing her expertise in injectables, regenerative treatments, and advanced skin therapies through continued education.
Her approach is grounded in anatomical accuracy and thoughtful treatment planning, with an emphasis on enhancing natural structure and supporting long-term skin integrity. She prioritizes subtle, balanced results that align with each patient’s goals and overall facial harmony.

Kristina’s focus is simple: deliver refined results that build confidence over time.

The Defy Difference: A Sanctuary of  Trust

Medical-Grade Standards

Our team utilizes only curated, clinically tested products from leading lines like Marini SkinSolutions and Colorescience to ensure predictable, natural results.

Specialized Assessment

Every treatment begins with thoughtful assessment — evaluating your anatomy, lifestyle, and skin health to ensure recommendations are intentional and aligned with your goals.

Intentional Culture

Luxury without excess. Expertise without intimidation. A space designed to feel calm, welcoming, and judgement free.

Outcome-Based Planning

We don’t chase quick fixes. Our team develops structured, multi-step treatment plans designed to address underlying concerns and deliver results that last.