Meet Our Providers

Cheryl Sugar, PA-C

Physician Assistant

MS: Biology, Towson University, Towson, MD
Member: American Academy of Physician Assistants, Maryland Academy of Physician Assistants
Associate: American Society of Plastic Surgeons

“After meeting the patient and listening to their concerns, I enjoy helping them through the process of self-improvement. My work is extremely satisfying, knowing that we can help bring their self-esteem to a new level. Through both nonsurgical and surgical options available to today’s woman, the ability to achieve goals is easier than ever.”

As a physician assistant for Dr. Birely, Cheryl Sugar both assists in the operating room as well as administers the injectables and fillers for patients at Artistry in Plastic Surgery in Baltimore. A former patient herself, Cheryl offers patients compassion, understanding, and a woman’s perspective regarding surgical and nonsurgical enhancement. She has worked closely with Dr. Birely for over 14 years. Like Dr. Birely, she believes successful plastic surgery results from a combination of good communication, realistic patient goals, and meticulous surgical technique.

“Not many people are able to say they love waking up and going to work. I feel fortunate to be one of those people who do. I have been with Dr. Birely’s office for over 14 years and have always enjoyed the work atmosphere. From the people I work with to the patients, my day is always very gratifying.”

Follow Cheryl on Instagram: @botoxbysugar

Melissa Streett, RN, CRNP

Nurse Practitioner

Bachelor’s of Arts in Biology, Gettysburg College
Bachelor’s of Science in Nursing and Masters of Science in Nursing
Johns Hopkins University School of Nursing

Member: American Association of Nurse Practitioners

“My goal as a Nurse Practitioner is to provide a supportive and caring environment to encourage patients to feel comfortable discussing their expectations and concerns. I believe that it is important to work together with the patient to create a plan with realistic expectations that leads to natural looking, exciting results.

By combining an extensive knowledge of human anatomy with a sense of symmetry and proportion, the patient’s desired look can be achieved. Helping patients achieve their goals and leave our office feeling refreshed is extremely fulfilling to me!” As a Nurse Practitioner for Dr. Birely, Melissa Streett administers the injectables, such as Botox and Dysport as well as various fillers. She also assists in the operating room. After a long career in Pediatric Specialty care, Melissa joins Dr. Birely’s team at Artistry in Plastic Surgery with enthusiasm and a fresh perspective.

Follow Melissa on Instagram: @botoxnursemissy

Sam Kenney, BSN, RN

Certified Nurse Injector

Sam Kenney is a Nurse Injector based in Bel Air, Maryland, with a passion for creating natural, balanced results through thoughtful, anatomy-driven aesthetic treatments. She has been a registered nurse for 7 years and has specialized in aesthetic injecting for the last 5 years. Her philosophy is simple: aesthetic treatments should enhance what makes each patient unique—not change who they are.

Sam's primary areas of focus include full-face Dysport and other neuromodulators, lip filler, facial balancing, and biostimulatory treatments such as Sculptra . She approaches every treatment with careful consideration of facial anatomy, proportions, muscle movement, and each patient's individual goals.

Upper-Face Dysport & Tox

Sam has a particular interest in upper-face neuromodulator treatments, including Dysport, Botox, and Xeomin for the forehead, glabella (“11s”), and crow's feet. Her approach focuses on softening unwanted lines while preserving natural facial movement and creating a balanced, refreshed appearance.

She understands that treating the upper face is about more than simply reducing wrinkles. Brow position, lid laxity, muscle dynamics, facial proportions, and individual anatomy all play a role in achieving a natural result.

Lip Filler

Lip filler is one of Sam's specialties and areas of particular passion. She focuses on enhancing lip shape, definition, hydration, and proportion while respecting each patient's natural anatomy. Her goal is refined enhancement rather than a one-size-fits-all approach, with treatment customized to the patient's existing lips and desired outcome.

Sculptra & Biostimulatory Treatments

Sam also has a strong interest in biostimulatory aesthetics, including Sculptra. Rather than relying solely on traditional volume replacement, biostimulatory treatments can be incorporated into individualized treatment plans designed to support gradual, natural-looking changes over time while improving skin quality.

Commitment to Education

Sam believes that excellent injecting requires an ongoing commitment to anatomy, technique, and education. She has completed cadaver-based anatomy courses and continues her advanced aesthetic education each year to further develop her knowledge and injection techniques.

Her philosophy is simple: aesthetic treatments should enhance what makes each patient unique—not change who they are.

Areas of Focus

Upper-face Dysport & neuromodulators
Forehead, glabella, and crow's feet
Facial balancing with fillers
Lip filler & lip enhancement
Sculptra and biostimulatory treatments
Individualized treatment planning
Natural-looking, balanced results

Amanda Gauthier

Physician Assistant

With over 8 years of experience as a Physician Assistant in plastic and reconstructive surgery and medical aesthetics, Amanda Gauthier brings a deep understanding of facial anatomy, balance, and natural results to every treatment she performs.

Amanda began her career in Philadelphia, working alongside top plastic surgeons where she honed her skills in surgical anatomy and patient care. Four years ago, she and her husband relocated to Maryland, where she continues to pursue her passion for helping patients look and feel their best through aesthetic medicine.

Her surgical background gives her a unique, anatomy-based approach to injectables, allowing her to deliver precise, safe, and beautifully natural outcomes. Amanda takes pride in creating personalized treatment plans that enhance each patient’s individual features.

Her mission is simple: to ensure every patient leaves feeling confident, refreshed, and comfortable in their own skin.

Outside the office, Amanda enjoys spending time with her husband and two children, reading, cooking, baking, and exploring the outdoors on family hikes.