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Johanna Duarte

Jessie Cabrer

Cynthia Gavilanes

Michelle Penaranda

Jacob Sanchez



Founder of GR & CRNA



Johanna Duarte MPAS, PA-C is a board certified Physician Associate that specializes in Aesthetic medicine. She completed her undergraduate education at Florida International University majoring in biological sciences and her master's degree at the Herbert Wertheim College of Medicine. She started her career interning at Get Refreshed working alongside Jacob Sanchez and eventually got offered a position at the prestigious Med spa. She has dedicated every single day to learning and mastering all of the techniques. In a short period of time she has captured patients  trust and has even began teaching courses at the Aesthetic Vision Institute. She dedicated to improving the industry's standard of care and gaining patients trust while managing their aging process.

Jessie Cabrer, APRN, CRNA is a board certified Nurse Anesthetist with a sub specialty is aesthetics. Jessie completed her undergraduate studies of Nursing at the University of South Florida in 2009 and her Master's degree at the University of Miami in 2012. In 2019 Jessie began her transition from anesthesia into anesthetics by joining the Get Refreshed staff. In 2020 she became faculty at the Aesthetic Vision Institute and in 2021 she received an award for teaching in excellence. Jessie is devoted to not only helping her patients achieve their aesthetic goals but also to inspiring and assisting other practitioners achieve their career goals.

Michelle Peñaranda is a board certified Nurse Practitioner. She has a double Master’s degree in nursing and business from the University of Miami. Michelle’s experience spans over 12 years in healthcare and includes critical care, trauma, oncology and healthcare administration. She is passionate about providing her patients with optimal and safe outcomes. As an instructor for the Aesthetic Vision Institute, she is committed to Get Refreshed’s overall mission of increasing the standard of aesthetic medicine by teaching injectors the latest techniques in the industry.

Jacob Sanchez CRNA, APRN, is a Board-Certified Registered Nurse Anesthetist with a subspecialty in Aesthetics. He began his Nurse anesthetist career working at the number one ENT hospital in the country in 2012. Jacob made his presence known quickly in academia by having been recognized by Harvard’s Anesthesiology department for Teaching in excellence.

In 2018 Jacob started an independent injectable practice while simultaneously working as an independent contractor. He Quickly began gaining notoriety for his aesthetic eye. At a three-day operation in 2018, Get Refreshed began selling more fillers and neurotoxins than group purchasing organizations within the country. Since then, he has been recognized as America’s top injectors four years consecutively and has gathered a substantial social media following. Jacob Sanchez and Get Refreshed have rapidly become the most well trusted brand when it comes to injectables while being recognized as an authority figure within the industry. His success is solidified by a state-of-the-art accredited educational program that provides not only the latest techniques using his very own cadaver institute but also turnkey ready solutions for practitioners seeking to build a seven-figure income practice. He’s formula for success has influenced over 300 practices across national and international borders across all disciplines of medicine. Jacob Sanchez is also known for being philanthropist within domestic and international borders. Having worked alongside of several 504b non-profit organizations, he’s determined to make the world a better place by having provided funding, medical aid, and resources to impoverished communities within Haiti and Dominican Republic and funding for childhood cancer awareness within the United States of America.

Cynthia "Cyndi" Gavilanes, PA-C is a board certified Physician Associate specializing in urology and aesthetics. Cyndi completed  a Bachelor of Science majoring in Biology at Nova Southeastern University in 2003 and her Physician Associate degree at Touro College in NY in 2005. Cyndi has been a urology PA for 16 years focusing on advanced prostate cancer and male sexual health. She became a PA preceptor for FIU in 2016 and has educated future PA students as well as prospective PA students. In 2018 Cyndi began her transition in to aesthetics by taking several courses and then joined the Get Refreshed staff in 2020. In 2021 she became faculty at the Aesthetic Vision Institute educating future and established  injectors.