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Valeri Rusco, PA-C


Founder/Owner, Injection Specialist

Throughout my 16-year career as a board certified Physician Assistant, I have worked in Emergency Medicine, Addiction Medicine and Orthopedic Surgery.

My passion for aesthetics began years ago when my outdoor hobbies started taking their toll on my skin. I decided to broaden my skill set so that I could bring high-level aesthetic services to patients in a comfortable environment. My focus is education about skin care and services that enhance/refresh (not change) your appearance. Direct Aesthetics is patient centered and offers appointments and events at our downtown Rockford location. My office adjoins Studio Monroe, and together we strive to meet all of your aesthetic needs in one convenient, accessible and welcoming location. 

Get to know the team

Kaely Crawford, PA-C


Injection Specialist

I am from Grand Rapids and I embrace several passions in life, one being aesthetics! I enjoy practicing yoga and creating things in my free time, and I am married to my husband Steven who is an avid outdoorsman. I went to WMU for PA school and also currently work as a Cardiothoracic Surgery PA-C where I first assist in surgeries. My love for working with my hands in surgery and wanting to explore a more creative side of medicine where I can help others feel good about themselves and their skin brought me to exploring aesthetics. I have studied medical aesthetics extensively under the guidance of Valeri, PA-C, and am excited to continue learning! I am currently seeing patients for Botox, Dysport, and vitamin B12 shots here in the office. I offer some evening appointments and Saturdays as well!

Tammy Kirby, DNP

Injection Specialist

Hi! My name is Tammy Kirby, and I am very excited to be joining Direct Aesthetics in downtown Rockford, where I can guide my patients on skincare and aesthetics.

I gained my skill set from over 18 years in the medical profession. I worked for many years as an RN in the ER as well as a nurse practitioner in family practice and acute care settings. I earned my Doctorate of Nursing in 2020, and am always looking to hone my skills when it comes to serving my patients. I became certified for injecting neurotoxins and fillers in 2017. When I'm not smoothing out wrinkles or addressing dark spots, I enjoy CrossFit, running, traveling, and hiking with my husband and dogs. I'm also an avid reader and am always open to great book suggestions. I can't wait to meet you!

Emily Conley


Practice Manager & Client Coordinator

My name is Emily, and I am the manager and client coordinator for the practice. I was a full-time stay-at-home mom to our four young children for seven years. Before children, I taught middle school and high school Spanish and Biology and helped run my husband's online vanilla bean and spice companies. My hobbies include reading, volunteering in my kids' classrooms, cheering on my girls at their gymnastics meets and dance competitions, watching my boys swim, and early morning workout classes. Science, beauty, and anti-aging have always been fascinating to me, making this opportunity perfect for me. You will find me at the front desk at Direct Aesthetics!

Lindsey Grinwis

My name is Lindsey, and I am better known around Direct Aesthetics as Emily’s sister. By day, I am a middle school administrator in Northview Public Schools and by night, I am a mom to two teenagers and a preteen. Thankfully, I find teenagers to be an absolute riot most of the time, my own included! I have a soft spot in my heart for them when they are struggling to find their way through the tough times in life. My hobbies include reading, camping, watching my kids at their many sporting events, learning how to play golf and spending time with my girlfriends. If it isn’t my sister, Emily, at the front desk, it will likely be me.


Brianna Eslinger

Social Media & Web Management 

I've been working behind the scenes for Direct Aesthetics since November 2021 and absolutely love working with Val! When I'm not working with Valeri, I am  behind a camera since I own my own photography/videography business called The Unfiltered Collective. I love assisting in the development of small businesses and have been doing that since 2014! My passions include helping others, being creative, and bringing awareness to mental health. Outside of work I'm a mother, I enjoy cooking, reading and I'm an avid gym goer. Looking forward to connecting more with all of the Direct Aesthetics family.

My experience with Valeri and direct aesthetics has been just wonderful, every time. It is always obvious to me how much she loves what she does, and how good she is at it. I feel special and beautiful each time I leave and always look forward to the next time. She does not disappoint ! Her office is lovely and laid back, and she is warm and genuine. She exudes professionalism, competence and genuine gratitude to make people more beautiful. Thanks Val!!! I’ll be seeing you soon !


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