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Dr. Ramiro Perez, Jr., a native of Miami, attended college at the University of Florida in Gainesville. There, his love of science and his desire to help others directed his professional path towards medicine. He attended Meharry School of Medicine in Nashville, Tennessee, where he decided upon a career in surgery.
After medical school, it was his goal to return to Miami to be closer to his family. He completed residencies in both general surgery and plastic surgery at the University of Miami.
Dr. Perez is double boarded in plastic surgery and general surgery and has been in private practice at MOSA Plastic Surgery in South Miami since the completion of his residency. His areas of interest include aesthetic surgery and breast reconstruction.
Not only is Dr. Perez a very dedicated, caring, and empathetic doctor, but he is also a very committed family man, who loves to spend his free time with his wife and young son.
Physician Assistant in Miami, FL


  • Diplomate of the American Board of Plastic Surgery
  • Diplomate of the American Board of Surgery
  • Hospital Affiliations through out South Florida
  • Past President of the Miami Society of Plastic Surgery


Melissa Troha brings to Optimal Health and Skin a rich background in cosmetic and medical dermatology. She is a board-certified physician assistant with a passion in helping her patient’s regain confidence in how they look and feel. Born and raised in Miami, FL, Melissa attended Florida State University where she graduated Magna Cum Laude with a bachelor’s degree in exercise science. Melissa completed her graduate studies at Nova Southeastern University where she earned her master’s degree in medical science.

Melissa is certified by the National Commission on Certification of Physician Assistants (NCCPA) and is licensed by the Florida Board of Medicine. She is a member of the American Academy of Physician Assistants, as well as the Society of Dermatology Physician Assistants and Florida Society of Dermatology Physician Assistants. Melissa regularly attends national conferences to stay current on her medical education as well the latest advancements in dermatology and aesthetics. She is fluent in both English and Spanish.

Melissa is passionate about providing quality medical care with an emphasis on patient education to help her patients look and feel their best.


Physician Assistant in Miami, FL


  • Florida State University – BS (Magna Cum Laude)
  • Nova Southeastern University – MS
  • Board-certified Physician Assistant
  • Florida Board of Medicine Licensed Physician Assistant
  • Member: Florida Academy of Physician Assistants and American Academy of Physician Assistants
  • Specialties: Medical and Cosmetic Dermatology

Renee Dunn

Renee Dunn is a licensed Esthetician, Oncology Certified Esthetician and a Certified Medical Electrologist. Renee started her career in skin care in 2000. She has always had the desire to help others and found that Esthetics helped her clients feel good about themselves. Prior to devoting herself to skin care full time she owned a Curves workout facility which also fulfilled her desire to help others. Renee believes we all have a purpose and hers is to help others feel good about themselves. As Renee says, “Beauty comes from within but gleams through your skin.”

Renee specializes in corrective skincare. She incorporates many modalities in order for her clients to receive results. Whether it’s a chemical peel, microdermabrasion, LED light therapy, Dermafrac, etc. her objective is for your skin to work while you are in her care.

Renee believes that education is key in this everchanging world of esthetics. She has attended many continue education courses over the years with Rhonda Allison, Advanced Chemical Skin Peeling Course, Skin Classic, Dermafrac, TAMA Microcurrent. PCA Skin Biology and Chemical Peels, The International Dermal Institute, Galvanic and High Frequency just to name a few.

Licensed Esthetician in Miami, FL

Community involvement is also important to Renee she has been a member of Soroptimist International of Homestead since 2004, Brightseasons Foundation since 2018, and recently joined the Chamber of Commerce in Key Largo and Homestead. She is a previous member of Toastmasters in Homestead achieving her CC and CL. She is also a member of the Associated Skin Care Professionals.

In Renee’s spare time she likes to travel, fish and spend time with family and friends.