About Us

At Living Well Institute for Skin and Laser, it is our goal to reveal the most healthy, natural looking skin attainable through minimally invasive products and services. We offer our clients only the most effective treatments, not simply the latest trend in Hollywood. Our highly experienced, talented and compassionate providers will skillfully guide you to achieving your goals through careful listening and expert care. You will come away from our services appearing not as someone who looks completely different, just a healthier, younger version of yourself.

Chad Pfefer, M.D.

Medical Director

After performing numerous facial aesthetic procedures over the years, Dr. Pfefer developed a keen interest in aesthetic medicine. His vision: highly trained, experienced and compassionate personnel who take the time to listen to patients’ specific needs and concerns combined with effective, clinically proven services and products. As Medical Director, Dr. Pfefer continues to oversee Living Well Med Skin & Laser, improving and expanding treatments and further researching evidenced based data with proven, effective results. Dr. Pfefer believes in delivering the most successful and minimally invasive procedures to our clients, continuing to evolve and not only add more, but better treatments and products. He is also a well-respected instructor with Oregon Health & Science Family Nurse Practitioner Program. Dr. Pfefer lives in Portland with his wife, 2 sons and 2 dogs. He likes spending time with his family, traveling and cooking.

Marin Metzen

Practice Manager

Marin Metzen the Manager at Living Well Med Skin & Laser joined our team in 2017. Marin has worked in the aesthetic industry for the past 15 years. Her vast understanding in aesthetics, ability to relate to patients and put them at ease is her passion. She believes beauty starts from the inside out. She enjoys her relationships and daily interactions with our patients and feels the most rewarding part of her job is to connect with our patients on a personal level and help them reach their goals. Marin feels fortunate to work with such an amazing team. In Marin’s free time, you will most likely find her, hiking, baking, eating good food and enjoying the company of her boyfriend, and their two dogs. Marin is also huge football fan.

Nora Medina

Certified Advanced Esthetician/CMA

Nora Medina is a licensed Advanced Aesthetician and Medical Assistant specializing in the unique benefits of laser applications in aesthetics at Living Well Med Skin & Laser. Lasers have become an ever-evolving technology with an expanding range of treatment modalities for patients. Nora's broad experience utilizing laser technology to provide her patients with exceptional results is her personal commitment to her patients. In addition to laser modalities, Nora's expertise in skin-rejuvenation and replenishment therapies provide her patients with an extensive range of treatment options. Nora's focus on an optimal patient outcome and an outstanding patient experience stem from her professional background in the medical and aesthetics fields. With nearly two decades of patient experience, she stays on the cutting edge of skin care through continuing education. Nora personally enjoys hiking, travel, spending time with family and her adorable grandson.

Amanda Madrigal

Aesthetic Nurse Injector/RN

Amanda Madrigal our Aesthetic Nurse Injector has over a decade of nursing experience specializing in emergency medicine, critical care and surgical services. Amanda graduated from Los Angeles Valley College with her Associate Degree in Nursing and continued her education at Grand Canyon University where she obtained her Bachelor of Science in Nursing. Amanda received her injectable training in Botox® and dermal filler at the Pacific Northwest Aesthetics Academy. She believes in continuing her education and doing extensive research to provide the best evidence based treatments to achieve optimal outcomes for her patients. She has a passion for aesthetics and believes everyone can look as young as they feel! When Amanda is not working at Living Well Med Skin & Laser, she is training at the gym as a BeautyFit® Sponsored NPC Bikini competitor or spending time with her twin daughters and Fire Lieutenant husband.

Latest Updates

Upcoming Events