About
OUR STORY
The idea for Total Anti-Aging and Wellness was born in 2016. Garey MacDowell and Leah MacDowell had the vision to open a unique medical facility in Daytona Beach providing services to individuals in need. Leah MacDowell, our main provider, studied for two years with AAFE and was determined to have the highest levels of training in facial aesthetics and other medical procedures. Relying on Leah’s over 25 years of medical experience, she became one of Florida’s first Autonomous Nurse Practitioners. In addition, Leah has an extensive background in cardiology and emergency room medical care. Additionally, Leah interned with one of the top endocrinologists and has advanced training in endocrinology.
Garey MacDowell
A lifelong Daytona Beach native, Garey MacDowell is a U.S. veteran whose military service includes the U.S. Navy Presidential Honor Guard and the U.S. Marine Corps.
He holds a Bachelor of Science degree in Business Management, with studies at Daytona State College and Bethune-Cookman University.
A former Mr. Florida and nationally ranked Super Heavyweight bodybuilder, Garey MacDowell has dedicated more than 35 years to fitness, nutrition, coaching, and performance. Throughout his career, he has coached professional athletes as well as everyday individuals committed to improving their health, fitness, and quality of life.
His expertise and experience have been recognized through published articles in leading fitness publications, including Muscular Development, Muscle & Fitness, and FLEX Magazine.
He is the owner of Total Nutrition Gym and Total Anti-Aging and Wellness, where he combines his extensive background in fitness, nutrition, wellness, and performance with a commitment to helping clients achieve their individual health and wellness goals.
In addition to his entrepreneurial and fitness career, Garey brings 30 years of law enforcement experience, providing a unique foundation of leadership, discipline, service, and dedication to the community.
His career reflects a lifelong commitment to health, performance, leadership, service, and helping others become the best version of themselves.
Leah MacDowell
Advanced Registered Nurse Practitioner
Originally from Oklahoma and a longtime Florida resident, Leah is a U.S. Marine Corps veteran whose military service included an overseas assignment with a helicopter squadron, followed by service at Marine Corps Headquarters.
Leah brings more than 25 years of experience in the medical profession and has been a Nurse Practitioner for more than eight years. Her clinical background includes extensive experience in cardiology, emergency care, and endocrinology. She was also among the early Nurse Practitioners appointed to practice autonomously in Florida.
Leah earned her undergraduate degree from Daytona State College and the University of Central Florida, followed by a Master’s Degree from Chamberlain University. She has pursued extensive advanced education in medical aesthetics, including approximately two years of master’s-level aesthetics training through AAFE, as well as additional certifications and advanced training through Allergan. She is currently completing additional education through the American Academy of Anti-Aging Medicine (A4M) in anti-aging medicine and endocrinology.
With a personal background in competitive fitness as a figure competitor, Leah understands the importance of discipline, wellness, and maintaining confidence at every stage of life.
Her aesthetic expertise includes advanced treatments with Potenza™ RF Microneedling, DEKA CO₂ CoolPeel®, and the Syndeo HydraFacial® system. She is highly experienced in dermal fillers, neuromodulators, and PDO threads, with a strong emphasis on precision, natural-looking results, and individualized treatment planning.
Leah is known for her attention to detail, approachable personality, and patient-centered philosophy. She takes the time to understand each patient’s medical history, goals, and concerns before developing a personalized approach to their aesthetic and wellness needs.
Her combination of extensive medical experience, advanced aesthetic training, military discipline, and genuine dedication to her patients allows Leah to provide a comprehensive approach to health, wellness, aesthetics, and healthy aging.
Rebecca Merson
Rebecca Merson, Clinical Office Manager, leads daily operations, supporting practice growth and, most importantly, patient experience. Additionally, Rebecca has 17 years’ experience in micropigmentation, color application, scar treatment, areola re-pigmentation, and permanent cosmetics, along with additional training in weight and wellness management.
Rebecca and our team are nationally qualified NPC competitors. Our firsthand experience with the discipline and lifestyle changes involved in physique goals is an exceptional complement to the support our weight-loss patients receive as they work to meet theirs.
Designed Around You
Thoughtful care starts with listening. We explain how each treatment works, what to expect, and which options fit your goals, never a one-size-fits-all approach. Every plan prioritizes safety, comfort, and natural-looking outcomes. Your provider takes time to answer your questions and walk you through each step, so you can make decisions with clarity and confidence. As your goals evolve, your plan can be adjusted to keep your care aligned with how you want to look and feel.