About
the Institute
At Monti Institute, neurological medicine and aesthetic care are practiced together within a single physician-led practice — built on a simple conviction: that how you feel and how you carry yourself are rarely separate concerns.
A different kind of practice
There are excellent neurologists. There are excellent aesthetic providers. What is harder to find is a physician who understands both — and who has built a practice around that dual expertise with genuine depth in each.
Monti Institute was founded for patients who want more than a rushed appointment and a standard answer. For those managing migraine or chronic neurological symptoms, that means care that keeps pace with the real complexity of their condition. For those seeking aesthetic care, it means treatment guided by anatomy and clinical restraint rather than trend and volume.
The result is a practice that feels different — not because it is trying to, but because it is structured entirely differently.
Precision over volume
We made a deliberate decision not to scale. The practice is intentionally small, with a patient panel that reflects genuine clinical capacity rather than growth ambition.
This means longer appointments. More considered follow-up. A clinical team that knows you by your second visit, not your fifth. And a physician with enough continuity on your case to make genuinely good decisions — not just competent ones.
In most medical settings, volume is a business requirement. Here, restraint is.
Neurology and aesthetics, seen together
Most practices treat neurological care and aesthetic medicine as entirely separate domains. In our experience, they are not.
How patients experience their energy, their pain, their confidence, and their sense of themselves — these things are deeply connected. A patient managing chronic migraine carries burdens that extend well beyond headache frequency: disrupted sleep, lost workdays, social withdrawal, a quiet erosion of the life they want to be living. A patient seeking aesthetic refinement often has a considered reason — something meaningful to them about how they want to feel and present themselves.
We take both seriously. Every consultation — neurological or aesthetic — begins with the same question: what matters most to you right now, and what would genuinely improve your quality of life?
What it feels like to be a patient here
We designed this practice around a simple idea: that a medical appointment should feel like an unhurried conversation with a physician who is genuinely paying attention.
Your first visit is not a triage. It is an extended consultation — time to discuss your full history, previous treatments, current symptoms, and what has and has not worked. From that foundation, we build a plan.
Follow-up is equally considered. We review what has changed, what hasn’t, and what requires adjustment. The goal is not a good outcome at one visit — it is a care relationship that improves over time, with a physician who knows your case.
Reno, Nevada
Monti Institute is located at 2440 Vassar Street, Suite 3, in Reno, Nevada — a purpose-designed clinical environment that reflects the care and attention we bring to everything we do.
We serve patients from Reno, the broader Northern Nevada region, and the Western United States. For those traveling for specialist neurological or aesthetic care, we are pleased to assist with scheduling considerations that make the visit as straightforward as possible.
Getting started
New patient consultations are scheduled by appointment. Our team reviews every inquiry and responds within one business day.
Insurance is accepted for neurological services. Aesthetic care is private-pay. Insurance verification is available on request prior to your first visit.
Meet Dr. Monti
Dr. Ryan Monti is the founder and medical director of Monti Institute of Neuro Aesthetics — a physician whose clinical identity is defined by two things that rarely coexist in a single practice: academic-level expertise in neurological medicine and a deeply refined approach to aesthetic care.
He founded the Institute on a conviction born directly from clinical experience: that patients with chronic migraine and complex neurological conditions deserve more than an abbreviated appointment and a formulaic response. That patients seeking aesthetic refinement deserve more than volume-driven technique and trend-chasing outcomes. And that the physician who treats both is uniquely positioned to understand how profoundly they are connected.
Clinical Philosophy
Dr. Monti practices with a discipline that is increasingly rare in modern medicine: the discipline of restraint. In neurology, this means refusing to maintain a patient on a regimen that has stopped working — and committing to the longitudinal recalibration that meaningful neurological outcomes require. In aesthetics, it means treating the face as an integrated anatomical architecture, not a collection of features to be individually corrected. In both disciplines, it means knowing when not to intervene — and having the clinical confidence to say so.
Every treatment decision made at Monti Institute carries Dr. Monti’s direct clinical reasoning. He does not operate a practice that scales by delegating its most consequential decisions. Evaluations are unhurried. Diagnoses are precise. Plans are built from your anatomy, your history, and your goals — not assembled from a standard pathway.
Training & Academic Affiliation
Dr. Monti holds board certification in Internal Medicine and maintains active membership in the American College of Physicians (ACP) and the National Board of Physicians and Surgeons (NBPAS). He is a Fellow of the American Academy of Cosmetic Medicine (FAACM®) and holds an academic appointment as Associate Professor at the Medical College of Georgia (MCG) — a relationship that keeps his clinical practice aligned with the standards and advances of academic medicine.
His subspecialty focus in migraine medicine and medical aesthetics reflects a deliberate, years-long commitment to clinical depth in both disciplines — not a broad generalist practice rebranded for market appeal.
Why He Built This Practice
The patients who come to Monti Institute are, with remarkable consistency, those who have been through the system and found it insufficient. They have seen the neurologist with the 12-minute appointment. They have tried the aesthetician who administered without evaluating. They are intelligent, discerning people who know the difference between care that is adequate and care that is genuinely excellent.
Dr. Monti built this practice for them. Not to be the largest neurological clinic in Northern Nevada, but to be the one where a physician with uncommon expertise takes the time to actually understand what a patient needs — and delivers it with the precision, continuity, and clinical seriousness it deserves.
Select Clinical Dossier
Associate Clinical Professor of Medicine
Medical College of Georgia (MCG) — Augusta University · Augusta, Georgia
Department of Internal Medicine · Faculty educator, clinical supervisor, and
attending physician for residents and advanced practice providers in
inpatient internal medicine.
Internal Medicine Residency
Hackensack Meridian Health — Mountainside Medical Center · Montclair, New Jersey
Three-year ACGME-accredited categorical Internal Medicine residency
with clinical rotations spanning acute care, critical care, cardiology,
neurology, and hospital medicine.
Doctor of Medicine (MD)
Avalon University School of Medicine
Graduated Summa Cum Laude · Valedictorian, Class of 2013 ·
Dean’s List · President’s List · Graduate with Honors
Bachelor of Science — Biology / Pre-Medical Studies
Felician University · Lodi, New Jersey
Graduated Summa Cum Laude
Summa Cum Laude
Doctor of Medicine, 2013
Class Valedictorian
Graduating Medical Class 2013
Graduate with Honors
Dean’s List · President’s List
Summa Cum Laude
Bachelor of Science, Felician University
Board-Certified
ABIM · American Board of Internal Medicine, 2017
ECFMG Certified
Educational Commission for Foreign Medical Graduates, 2013
FAACM®
Fellow, American Academy of Cosmetic Medicine
ACP Member
American College of Physicians, 2014–Present
NBPAS Certified
National Board of Physicians & Surgeons
Medical Director — Palliative Medicine Program
South Georgia Palliative & Hospice Medicine · Albany, Georgia
Physician medical director responsible for clinical oversight, care
standards, and quality assurance across a regional palliative
medicine and end-of-life care program.
Clinical Supervisor — Ambulatory Care Network
CareConnect Health · Urgent Care Network
Physician supervisor providing clinical oversight, quality review, and
medical direction for an ambulatory urgent care network.
Critical Care Council · Pneumonia Council · Sepsis Council
Phoebe Sumter Medical Center · Americus, Georgia
Physician committee member contributing to institutional protocol
development and clinical quality initiatives across critical care,
infectious disease, and sepsis management pathways.
ICU Committee · Code Blue Committee · High Value Care Committee
Hackensack Meridian Health — Mountainside Medical Center · Montclair, New Jersey
Resident physician committee appointee contributing to ICU standards,
resuscitation protocol review, and institutional high-value care
and resource stewardship initiatives.
Publication & International Presentation — Pulmonary Vascular Pharmacotherapy
The Use of Phosphodiesterase Inhibitors, Endothelin Antagonists, and
Prostacyclin Analogs in the Setting of Acute Pulmonary Embolism.
Published and presented at the WASET International Conference on
Internal Medicine, 2016.
Poster Presentation — 8th Global Cardiology Conference · Berlin, Germany
Left Ventricular Pseudo-Aneurysm in a Patient with Undocumented
Myocardial Infarction and No Prior Cardiac Surgery.
Selected for international poster presentation at the 8th Global
Cardiology Conference, Berlin, Germany, 2016.
Featured Case Series — Global Morning Report, Human Dx Project
Three clinically distinguished cases selected for the Global Morning
Report through the Human Dx Project, a global physician diagnostic
intelligence platform:
• Temporal Lobe Hemorrhagic Stroke — neurological case featuring
éjà vu as an early presenting symptom
• Right Middle Lobe Infiltrate Secondary to Severe Mitral Regurgitation
• Lyme Carditis — a rare and diagnostically complex presentation
Poster Presentation — American College of Gastroenterology Annual Scientific Meeting (ACG 2017)
Radiation-Induced Aorto-Esophageal Fistula Leading to Death:
How Recognizing the Chiari Triad Can Lead to Early Intervention
for Life-Saving Therapy.
Selected national poster presentation at the ACG Annual Scientific
Meeting, 2017.
Carson-Tahoe Regional Medical Center
Carson City, Nevada · Attending Nocturnist Physician
Northern Nevada’s primary regional acute care facility serving
the Carson City and Lake Tahoe corridor. Providing acute
inpatient and overnight hospital medicine coverage.
Post-Acute Medical — Greater Reno, Nevada
Greenstone / Post Acute Medical · Reno, Nevada
Physician providing post-acute and transitional care oversight
for medically complex patients in the greater Reno metropolitan
area, bridging the continuum between acute hospital medicine
and ambulatory care.
Phoebe Sumter Medical Center
Americus, Georgia · Attending Hospitalist & Nocturnist Physician
Three-year hospitalist tenure with dedicated overnight medical
coverage and active committee participation in critical care,
sepsis, and pneumonia quality councils.
Monti Institute of Neuro Aesthetics
Founder & Medical Director · 2440 Vassar Street, Suite 3, Reno, Nevada
Physician-led outpatient institute specializing in migraine medicine,
longitudinal neurological care, and advanced aesthetic medicine
for patients throughout Northern Nevada and the Western United States.
Active Multi-State Medical Licenses
Nevada · Georgia · Alaska · Tennessee · Indiana · Arizona · Oregon · Idaho
Select Research & Global Presentations
What follows is not a formality. These contributions represent a decade of active clinical inquiry into the most demanding territories of internal and neurovascular medicine — the same depth of understanding that informs every diagnostic and interventional decision made at this practice today.
Phosphodiesterase Inhibitors, Endothelin Antagonists & Prostacyclin Analogs in the Management of Acute Pulmonary Embolism
WASET International Conference on Internal Medicine · Published & Presented, 2016
An investigation into the pharmacological management of acute pulmonary embolism using three distinct classes of vasodilatory agents: phosphodiesterase inhibitors, endothelin receptor antagonists, and prostacyclin analogs. The research examined the hemodynamic rationale for each class, their respective mechanisms of action on pulmonary vascular resistance, and their clinical application in acute, life-threatening presentations.
Selected for publication and international presentation at the World Academy of Science, Engineering and Technology (WASET) International Conference on Internal Medicine — peer-reviewed and presented to an international medical audience.
Left Ventricular Pseudo-Aneurysm Following Undocumented Myocardial Infarction
8th Global Cardiology Conference · Berlin, Germany · 2016
A case report documenting a rare and diagnostically elusive complication: left ventricular pseudo-aneurysm formation in a patient with no known cardiac history and no prior cardiac surgery. The case required a precise synthesis of clinical pattern recognition, cardiac imaging interpretation, and an understanding of post-infarct structural sequelae that are missed when the inciting event is never documented.
Temporal Lobe Hemorrhagic Stroke Presenting as Déjà Vu
Global Morning Report · Human Dx Project · 2016
A diagnostically exceptional case in which a temporal lobe hemorrhagic stroke presented not with the hallmark signs of acute neurological event — sudden weakness, facial droop, loss of speech — but with the subtle and easily dismissed symptom of déjà vu. Selected for the Human Dx Global Morning Report, a curated platform on which the world’s most challenging and instructive cases are surfaced for the global physician community.
Radiation-Induced Aorto-Esophageal Fistula: How Recognizing the Chiari Triad Enables Life-Saving Early Intervention
American College of Gastroenterology Annual Scientific Meeting · ACG 2017 · National Poster Presentation
A case study in critical clinical pattern recognition: the identification of a radiation-induced aorto-esophageal fistula — a rare and near-uniformly fatal complication — through early recognition of the Chiari Triad (mid-thoracic pain, sentinel arterial hemorrhage, and delayed exsanguination). The presentation argued that this triad, when recognized early, creates a narrow window for life-saving surgical intervention that does not exist once the full complication unfolds.
Our Clinical Staff
Monti Institute is built on the understanding that exceptional care requires exceptional people. Every member of our clinical staff was selected for deep subspecialty expertise, genuine attentiveness, and an alignment with the philosophy of conservative, unhurried, physician-guided care.
Ryan Monti, MD
Board-Certified Internal Medicine · ACP · NBPAS · FAACM® · Assoc. Prof. MCG
Dr. Monti is the founder and driving clinical intelligence of the Institute. Board-certified in Internal Medicine, focusing on migraine medicine and medical aesthetics, he practices with the discipline of a physician who has made a deliberate choice to treat fewer patients with greater depth — rather than more patients with less. His aesthetic philosophy is grounded in neuroanatomy and structural restraint; his neurological practice is built on longitudinal relationships and outcome-driven recalibration. He is, in both disciplines, a clinician who takes the long view.
Morgan Melton
MSN, APRN, CPNP-PC · FAACM®
Morgan Melton is a board-certified nurse practitioner with over 11 years of clinical experience and a practice philosophy grounded in structural refinement and proportional integrity. As our lead aesthetic injector, she approaches every treatment as an anatomical problem to be solved with precision — not a preference to be accommodated. Her outcomes are consistently conservative, harmonious, and lasting.
Sean Kump
PA-C · Physician Associate
Sean Kump brings concentrated subspecialty expertise in migraine therapeutics and interventional headache medicine to every patient relationship. Precise, unhurried, and exceptionally attentive, he functions as an indispensable clinical extension of Dr. Monti — maintaining the same standard of physician-grade depth and continuity that the Institute's neurological patients require and expect.
Sara Zivich
RN, BSN · Medical Aesthetics · Laser Therapeutics
Sara Zivich holds the distinction of being Monti Institute’s inaugural aesthetic nurse — the first clinical voice who established the aesthetic nursing standard at this practice and now serves as clinical lead for the nursing staff. Her expertise spans advanced medical aesthetics, laser therapeutics, and cellular skin rejuvenation, and her approach reflects the same anatomical precision and conservative calibration that defines every treatment decision made here.
Addison Jensen
RN · Critical Care · 8+ Years Clinical Experience
Addison Jensen brings the discipline and clinical acuity of over eight years in critical care to the art of medical aesthetics. As an aesthetic nurse injector, Addison specializes in advanced facial rejuvenation — pairing precision injectable technique with a refined understanding of facial anatomy and skin health. Every treatment plan is approached with meticulous, individualized attention, prioritizing natural-looking outcomes within an unhurried, premium patient experience.
Megan Phares
RN · Operations & Clinical Leadership
Megan Phares leads the operational and clinical infrastructure of the Institute as Director of Operations. A registered nurse with expertise in healthcare administration and care coordination, she ensures that every element of the patient experience — from initial inquiry through long-term follow-up — reflects the clinical excellence and concierge-level standards that define this practice.
Zack Ballingham
APRN, FNP-BC · Board-Certified Family Nurse Practitioner
Zack Ballingham is a board-certified Family Nurse Practitioner with more than 15 years of experience in acute care and hospital medicine. A native Nevadan and University of Nevada, Reno graduate, he has dedicated his career to evidence-based, patient-centered care and the management of complex inpatient medical conditions. His background in clinical decision-making and multidisciplinary team collaboration directly complements the longitudinal, physician-supervised care model of Monti Institute.
Ty Petty
BSN, RN, CCRN · Critical Care Registered Nurse · 13 Years Clinical Experience
Ty Petty, BSN, RN, CCRN brings over 13 years of healthcare experience — including 5 years in EMS and 8 years as a Critical Care RN — to the field of aesthetic medicine. Known for his precision, attention to detail, and commitment to safety, Ty specializes in delivering natural-looking results through personalized treatment plans designed to help clients look and feel their best.
Sydney Stansell
BSN, RN, AACM-CI · Registered Nurse · DNP-FNP Candidate
Sydney Stansell, BSN, RN, AACM-CI brings nearly 9 years of healthcare experience — including 4 years as an EMT and 5 years as a Registered Nurse in critical care, post-operative orthopedic care, and hospice. Her extensive clinical background has cultivated a meticulous attention to detail, commitment to patient safety, and passion for delivering exceptional patient experiences. Sydney specializes in creating customized treatment plans that enhance her patients’ natural beauty while achieving balanced, refreshed, and confidence-boosting results. She is currently pursuing her Doctor of Nursing Practice–Family Nurse Practitioner degree to further expand her expertise and commitment to excellence in patient care.
Begin a conversation
If you have questions about whether this practice is the right fit, we encourage you to reach out. A brief conversation is often all it takes to know.