Dean Faiello worked in construction before being employed at a day spa, where he became skilled at hair removal. In 1996, he began his own practice, SkinOvations, from an office on Park Avenue. The medical spa offered blood vessel removal, electrolysis, laser hair removal, laser skin treatments, tattoo removal, and facials. Faiello was fraudulently practicing medicine as a dermatologist when he was arrested by the New York Police Department in October 2002, after one of his “patients” was reported missing and was suspected dead.