meet your team


our exceptional


With years of experience and a passion for the aesthetics industry, these are the visionaries who lead OrangeTwist each and every day.

Clint Carnell

Founder + Executive Chairman

Clint has served as chief executive officer for The HydraFacial Company since December 2016, bringing broad and deep experience in non-invasive aesthetics and skin health. Clint championed the rebranding of the company in 2017 and drove the company strategy and culture shift that has resulted in explosive revenue growth and rapidly growing global recognition.

In 2000, he founded and later successfully sold Charleston Renal Care, a chain of dialysis centers, to DaVita. He was instrumental in the development of LASIK during the early 2000s as head of surgical for Bausch + Lomb, contributing to the rapid growth of corporate refractive chains.

Clint brought his skills to non-invasive aesthetics, joining Thermage in 2005 where he was chief operating officer and helped take the company public in 2006. Later named Solta Medical, the brands Thermage, Fraxel and Clear + Brilliant are still globally recognized by consumers and physicians alike. He is also chairman of OrangeTwist Brands.

Chief Operations

Paul Gainer

Paul Gainer is our Chief Operations Officer, bringing with him over 20 years of executive management and global retail experience, from leading start-up companies to overseeing multi-billion dollar businesses.

Paul spent 15 of those years at Disney, serving six of those years as their EVP, Global Retail. His earlier experience included senior roles with Store of Knowledge, eToys, and Babystyle.

Paul joined the Orange Twist team in early 2020 and will help lead the team into the next phase of growth.  His energy will be focused on driving both future strategy and operational excellence, with the priority on customer experience, while joining the management team in leading with a spirit of optimism.

Chief Commercial

Denise Keeler

Denise Keeler is our Chief Commercial Officer. She is native to Canada, moving to the Bay Area in 2004. Denise has been a part of OrangeTwist from the very beginning, and has been instrumental in the growth of the centers, team and culture.

Denise graduated from Cordon Blue in San Francisco, which led her to a role as General Manager in French Brasseries and high-end Steakhouses. This opportunity with Vine Solutions, under Ed Levine, gave her the experience in launching restaurants and operating them once opened, responsible for revenue growth of 20% YOY. In this role, Denise was also responsible for revenues, employees and overall growth during her tenure.

Transitioning into a Customer Experience position in the medical device space helped to bridge the gap between hospitality and medical making a seamless, simple, yet high touch experience to our doctors and now to the OrangeTwist clients.

Chief Financial

Gary Fischer

Gary Fischer is our Chief Financial Officer, with almost 20 years of financial and operational management experience with both multi-billion-dollar public and private-equity-backed consumer product and medical device companies. Most recently, he served as the VP Finance / Controller for a small consumer products company and VP Finance – M&A at Alphaeon, a predecessor of Evolus. Prior to that, he spent 10 years at Allergan, including Director, Finance of Facial and Breast Aesthetics.

VP, Chief Medical

Dr. Francis Palmer

Chief Medical Officer for The International Center for Aesthetic Surgery and The Palmer Code Institute in Beverly Hills, California, Dr. Palmer is one of the most sought-after plastic and cosmetic surgeons in the world. Dr. Palmer and his expert plastic surgery techniques have been featured in many broadcast and print media, including CNN, ABC, CBS, NBC, Fox News, The New York Times and Los Angeles Times. His aesthetic vision and surgical expertise have attracted a wide array of international clientele, who trust him to improve and rejuvenate their appearance through his unique knowledge of cutting-edge techniques and state-of-the-art technology.

Regional Director

Donna Wilson

Bio to Come.

We designed our centers for client convenience, invested in recruiting the best teams, trained them extensively and carefully curated our treatments to optimize your experience and your results.

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