A personalized approach to aesthetics
LTD Aesthetics & Wellness was created to offer a more refined, patient-focused approach to aesthetic care.
Here, treatments are never rushed and never standardized. We take the time to understand your goals, evaluate your features, and develop a plan that enhances—not alters—your natural appearance.
Our philosophy is simple: subtle, balanced, and long-lasting results always outperform aggressive or overdone treatments.
Our philosophy
We believe in:
- Enhancing natural beauty, not masking it
- Preventative care as much as corrective treatments
- Long-term skin health and structural support
- Honest recommendations based on what you actually need
What makes us different
Unlike high-volume med spas, LTD focuses on:
- Quality over quantity
- Personalized consultations
- Advanced regenerative techniques
- A calm, professional experience
Your visit, step by step
1. Consultation
We start by understanding your goals and evaluating your skin and facial structure.
2. Personalized plan
3. Treatment
4. Results
Meet the team
Michelle Samarian-Ducato, PA-C
Michelle Samarian-Ducato is a board-certified Physician Assistant who completed her Master’s Degree in Physician Assistant Studies at Wayne State University. Her years of experience as a Dermatology PA have cultivated a deep passion for providing patients with a compassionate, individualized approach to skin health and anti-aging.
Michelle’s focus is skin health and rejuvenation, with a goal of enhancing each patient’s natural beauty in the most subtle and impactful way. She believes this is best achieved through personalized, long-term treatment plans, and she values the lasting relationships that develop as a result.
Committed to continual learning, Michelle attends various conferences annually and regularly updates her skills and techniques to ensure the safest and best possible outcomes for her patients.
Born and raised in Southeast Michigan, Michelle enjoys spending time with her husband, Dr. Ducato, and their two daughters, Lucine and Taline — the inspiration behind the name LTD Aesthetics and Wellness.
Dr. Michael Ducato, MD
Dr. Ducato is a Board Certified Family Medicine Physician with over a decade of medical experience. His training began with undergraduate studies in biology at Wayne State University in Detroit. He then completed his medical school training at St. George’s University in Grenada, followed by a transitional year of General Surgery training at St. John Medical Center in Detroit and his Family Practice residency at Resurrection Hospital in Chicago, Illinois. His areas of interest include primary care, weight management, and mental health.
When he is not practicing medicine he enjoys spending time with his family, physical exercise, cooking, and entertaining with friends and family.