Health Update: Health Update: Female Founders Expand South Florida’s Preventive Wellness Market as Five Elements Medical Spa Scales Operations – What Experts Say– What Experts Say.
South Florida’s wellness economy continues to accelerate as experienced healthcare entrepreneurs Diana Ustayev and Ornela Rothermel expand their prevention-focused medical spa concept through the continued growth of Five Elements Medical Spa & Wellness Center.
The sister founders are not entering the space as traditional aestheticians or lifestyle operators. Their background is rooted in clinical healthcare entrepreneurship. Prior to relocating to Florida, the duo built and successfully exited a hospice and home healthcare company serving families across the Philadelphia region. Years spent supporting patients in end-of-life care shaped their perspective on the gaps in the healthcare continuum and the need for earlier intervention.
Their latest venture reflects a shift toward proactive wellness rather than reactive care.
Five Elements Medical Spa & Wellness Center has evolved into an integrated wellness destination combining medical aesthetics, recovery therapies, hormone optimization, and longevity-focused services under one operational model. The founders say the concept was designed to address rising consumer demand for science-backed preventive services delivered in a hospitality-driven setting.
Industry data supports the timing. The Global Wellness Institute valued the global wellness economy at approximately $6.3 trillion in 2023, with projections showing the market reaching nearly $9 trillion by 2028. Growth is being driven by increased consumer focus on longevity, stress management, and preventative health strategies that reduce long-term medical risk. The U.S. remains the largest wellness market globally, accounting for roughly one-third of total industry spending.
Within that ecosystem, medical spas represent one of the fastest-growing verticals. The American Med Spa Association reports the U.S. medical spa sector has expanded at a double-digit annual rate over the past decade, fueled by consumer interest in non-invasive aesthetic procedures, hormone therapies, and recovery services that blend medical oversight with lifestyle convenience.
Five Elements serves clients across the broader South Florida corridor, including nearby Boca Raton, where affluent residents and seasonal populations continue to fuel demand for premium health, beauty, and performance services. Population growth across Palm Beach and Broward counties has created favorable conditions for wellness operators, particularly those offering preventive and longevity-focused solutions.
The founders describe their strategy as building a “wellness ecosystem” rather than a standalone spa model. In addition to treatment rooms, the facility includes dedicated space for educational programming, community events, and collaborative services with nurse practitioners and specialty providers. This structure allows Five Elements to operate as both a service provider and a professional hub for allied wellness practitioners.
Female entrepreneurship is also central to the company’s identity. Women now control or influence approximately 85 percent of consumer spending decisions in the United States, including a significant share of household healthcare and wellness expenditures. The founders believe this positions female-led wellness companies to better understand client priorities around longevity, preventative care, and work-life balance.
As South Florida continues to evolve into a national hub for finance, technology, and entrepreneurship, demand for preventative wellness infrastructure is rising in parallel. Five Elements Medical Spa represents a growing class of businesses built by healthcare operators who see opportunity in closing the gap between medical treatment and long-term wellness planning.
For Diana and Ornela, the expansion into preventive wellness is less a career pivot and more a continuation of their healthcare mission — reaching individuals earlier, before crisis dictates care decisions. For more information visit Five Elements Medical Spa & Wellness Center.

