Team

Tracy Holzman, MSN, NP-C

FOUNDER & SENIOR AESTHETIC NURSE PRACTITIONER

I understand what it feels like to be an overstimulated consumer in the beauty and aesthetics industry. There is always a new cream, treatment, trend, device, or celebrity-driven campaign telling you that this is the thing you need. It’s a lot. And honestly, figuring out what is actually worth doing can be confusing.

That is a big part of why I do what I do.

I’m a board-certified Nurse Practitioner specializing in medical aesthetics, and I’ve worked in the aesthetics industry since 2011. My job isn’t to convince you that you need more treatments. It’s to help you understand your face, your skin, your options, and what actually makes sense for you.

Sometimes that means doing something. Sometimes it means doing less. And sometimes it means telling you that you don’t need anything at all.

Aesthetic medicine has been the focus of my career from the beginning. Before becoming an aesthetic injector, I worked as an aesthetic pharmaceutical sales representative and trainer with many of the products I now use in practice. That gave me a perspective on this industry that is a little different. I’ve seen aesthetics from the business side, the product side, the training side, and now, for more than a decade, from the patient-care side.

Today, I am the founder and Senior Aesthetic Nurse Practitioner at Ritual by Tracy Holzman NP-C, a medical aesthetics practice in Washington, DC. I specialize in natural-looking facial rejuvenation, cosmetic injectables, facial balancing, neurotoxins such as Botox, Dysport, Jeuveau and Xeomin, dermal fillers, biostimulatory and regenerative treatments, laser treatments, and long-term skin health.

But treatments are only part of the conversation.

I look at the face as a whole. Facial anatomy, proportions, movement, skin quality, aging patterns, lifestyle, and—most importantly—what is actually bothering you all matter when I create a treatment plan. The goal is never to make everyone look the same. It is to understand what makes your face yours and make thoughtful decisions around that.

I also firmly believe that no concern is too small or too specific. If you have been staring at something in the mirror for six months and wondering if anyone else can see it, I want to hear about it. It doesn’t automatically mean we need to treat it—but it deserves a conversation.

My approach to aesthetics is preventative when it makes sense, restorative when it is needed, and always intentionally natural. I want you to look refreshed, balanced, and like yourself—not like you have been “done.”

I believe in normalizing self-care. I believe great skin and balanced facial proportions should make makeup more fun, not something you feel like you need to hide behind. And I believe the best aesthetic work is often the work no one can quite put their finger on.

Ultimately, I want my patients to feel educated enough to make good decisions, comfortable enough to ask me anything, and confident enough to know that we are playing the long game.

Because effortless, radiant beauty shouldn’t feel complicated.

Education:

Vanderbilt University, MSN – Summa Cum Laude
Stratford University, BSN – Magna Cum Laude
University of Alabama Birmingham, BS

Licensure & Certifications:

American Academy of Nurse Practitioners, NP-C
District of Columbia Board of Nursing, APRN (NP-C)
Maryland Board of Nursing, CRNP (NP-C)
Maryland Board of Nursing, RN Compact License (to include 40 additional states)
American Heart Association, Basic Life Support

Tracy – @ritualbyth

Amanda Muiter, NP-C

Senior Aesthetic Nurse Practitioner

I believe the best aesthetic work doesn’t change who you are – it helps you feel even better in the skin you’re already in. As a board-certified Family Nurse Practitioner and Aesthetic Nurse Practitioner in Washington, DC, I bring a thoughtful, detail-oriented approach to every treatment, grounded in nearly two decades of nursing experience and a genuine investment in the people I care for.

Before finding my way to aesthetic medicine, I spent nearly 20 years caring for patients in the Neonatal Intensive Care Unit. I earned my Bachelor of Science in Nursing from the University of Michigan and later my Master of Science in Nursing from Purdue University Global, graduating with honors. I was drawn to aesthetics because it gave me a new way to care for people – one that combines my clinical background with my passion for skin health, wellness, and a thoughtful approach to aging well.

My approach to aesthetic treatments is warm, honest, and results-driven. I don’t believe in looking at a single feature or chasing a particular treatment. Instead, I consider facial balance, skin quality, collagen, volume, movement, and the natural aging process to create a treatment plan that makes sense for you. I’m especially passionate about injectables, including Botox and dermal fillers, advanced laser treatments, skin rejuvenation, and regenerative aesthetics. I love combining treatments to create comprehensive, individualized plans with refined, meaningful results over time. My goal is always to enhance what is already there, so you still look unmistakably like yourself.

Outside of Ritual, wellness and movement are a big part of my life. I love being active, traveling, time with the people I love, being Aunt Manda to my nephew Nolan, and a perfect martini. I believe taking care of yourself extends far beyond aesthetics – it’s how we move, how we nourish ourselves, the people and experiences we make time for, and the intentional choices we make every day.

Education:

Purdue University Global, MSN – With Honors
University of Michigan, BSN

Licensure & Certifications:

American Academy of Nurse Practitioners Certification Board, FNP-C
Washington, DC Board of Nursing, APRN (FNP-C)
New York State Board of Nursing
American Heart Association, Basic Life Support (BLS)
American Academy of Pediatrics, Neonatal Resuscitation Program (NRP)

Amanda – @injector_amanda_

Victoria Kartseva, BA, LME

Medical Master Aesthetician

I’m Victoria, a skilled aesthetician with a passion for transforming skin and enhancing natural beauty. With over 10 years of experience in the industry, I specialize in preventative and corrective medical skincare and have developed a deep understanding of skin physiology and a keen eye for detail. My journey began with a degree in esthetics, where I cultivated a strong foundation in skin analysis, facials, and various skin treatments. Over the years, I have continued to expand my expertise through advanced medical training in chemical peels, laser resurfacing treatments, laser hair reduction, and Morpheus8 for skin tightening. Committed to staying up-to-date with the latest skincare advancements, I continually explore innovative techniques and products to provide my clients with personalized, effective solutions.

My goal is to build a trusting relationship with each client, listening concerns and tailoring treatments to address their unique needs. It is incredibly rewarding for me to witness the positive impact that my work has on my clients’ confidence and self-esteem. With a warm and caring approach, I strive to create a comfortable atmosphere where clients can relax and indulge in a rejuvenating experience. Always passionate about my craft, I am dedicated to helping individuals achieve their skincare goals and feel their absolute best!

Victoria – @victoriaskinritual

Mackenzie Disbrow, MSN, FNP-C

AESTHETIC NURSE PRACTITIONER

I’m a board-certified Family Nurse Practitioner with a clinical background in emergency medicine and a passion for natural, thoughtful aesthetics.

I earned my Bachelor of Science in Nursing from the University of South Carolina and my Master of Science in Nursing from the University of Cincinnati. I began my nursing career in the Emergency Department at MedStar Washington Hospital Center and have also worked as a travel nurse in a variety of clinical settings.

Before joining Ritual as an Aesthetic Nurse Practitioner, I completed Ritual’s intensive 12-week Advanced Injection Fellowship under the direct mentorship of founder Tracy Holzman, NP-C. My training focused on facial anatomy, patient assessment, individualized treatment planning, injectables, complication management, and Ritual’s approach to natural, comprehensive aesthetic care.

My philosophy is simple: aesthetic medicine should enhance what is already there, not change who you are. I love creating subtle, refreshed results while making sure my patients feel comfortable, educated, and involved in their treatment plan.

I’m especially passionate about neurotoxins, laser and energy-based treatments, and long-term skin health.

Outside of work, I’m originally from New Jersey and love trying new workout classes, cooking, exploring new restaurants, and reading psychological thrillers.

Mackenzie – @mackenziethenp

Caitlin Hunter

Clinical Coordinator

I’ve always been drawn to the world of beauty, wellness, and self-care. My career began over 15 years ago as a licensed cosmetologist, where I fell in love with the way a single treatment could transform how someone felt about themselves. Nearly a decade ago I found my true calling in aesthetics, which later led me into executive leadership, partnering with aesthetics and wellness organizations to scale operations, design successful frameworks, and launch programs that elevated both patient outcomes and business growth.

While that work was rewarding, I realized my heart has always been with hands-on patient care. That’s why I am now pursuing a nursing career in aesthetics.

I love staying at the forefront of industry advancements, but what truly inspires me is education and empowering patients with knowledge so they feel confident in every decision. My greatest joy comes from seeing someone leave not only looking beautiful, but also feeling seen, supported, and radiant from the inside out.

At Ritual my goal is simple: to create a safe, welcoming space where every patient feels cared for, valued, and inspired to embrace their best self

Javier Ruisanchez

Practice Administrator & Social Media Director

As Ritual’s Practice Administrator & Social Media Director, I help bring the Ritual experience to life both in the office and online. After serving in several roles within the practice, including Patient Care Coordinator and Medical Assistant, I have a deep understanding of the thoughtful, personalized care that makes Ritual special.

Working closely with Tracy, I oversee daily operations and our digital presence, ensuring every patient feels welcomed, supported, and cared for from their first interaction.

Outside of Ritual, I am a former professional artistic swimmer with 15 international medals, including nine World Cup victories and four gold medals from the 2025 World Aquatics Championships in Singapore. I also choreograph routines for international teams around the world.

I also have a love for creating fresh floral arrangements. Every arrangement you see throughout the Ritual office is designed by me, and the team is always joking about my dream of one day opening my own flower shop.

Teamwork, discipline, creativity, and connection are at the heart of everything I do, and I am proud to bring that same energy to Ritual.

Education:
BSJ, University of Phoenix, Arizona

Cayla Katz

Practice Operations Manager

As the Practice Operations Manager at Ritual by Tracy Holzman NP-C, I am dedicated to making every patient experience feel seamless, welcoming, and thoughtfully organized. I believe the patient experience begins long before treatment, from the first phone call or message to the details that help each visit feel calm, prepared, and personal.

I grew up in Virginia Beach and went on to study Biomedical Engineering at Virginia Tech before earning my MBA from William & Mary. My background allows me to bring a unique blend of clinical understanding, operational insight, and thoughtful problem-solving to the Ritual experience.

Behind the scenes, I help coordinate the many details that keep the practice running smoothly, so our patients and providers can stay focused on care. My goal is to ensure every patient feels informed, supported, and confident throughout their aesthetic journey. Whether I am helping with scheduling, answering questions, coordinating care, or supporting the day-to-day flow of the practice, I take pride in creating an experience that reflects Ritual’s standard of warmth, organization, and excellence.

Outside of Ritual, I enjoy staying active through travel, hiking, and running half marathons.

Education

Virginia Tech, B.S.
William & Mary, MBA

Jin Sohn

Operations Coordinator

I love being part of the Ritual team, where my role as Practice Administrator allows me to ensure every detail of the patient experience feels seamless, supportive, and genuinely thoughtful. With a Bachelor of Science from George Mason University and a strong background in management and customer service, I bring both warmth and precision to everything I do whether I’m coordinating operations behind the scenes or welcoming you at the front desk.

My bright and bubbly energy helps me connect easily with patients and team members alike, and I’m passionate about creating an environment that feels modern, elevated, and grounded in care. Outside of Ritual, I stay inspired by fashion, skincare, and all things beauty passions that perfectly align with our world of aesthetics.

Jin – @ritualbyth.jin

follow us On Instagram

@ritualbyth

Schedule An appointment

At Ritual, we set a new standard of care in aesthetic medicine. As a trusted medical practice specializing in aesthetics, we prioritize safe, effective, and natural-looking outcomes using evidence-based treatments tailored to each patient.