WORCESTER — Determination drives Bella Krashenny, owner of Bellisimo European Day Spa & Laser Center, to help people be happy with the skin they are in.

A nurse practitioner by training and education in her native Russia, Ms. Krashenny said that what people eat and drink is reflected in the condition of their skin, which is the largest organ in the human anatomy.

“I practice medical aesthetics — the art of taking care of the skin. … If the skin is unhappy, the body is unhappy,” said Ms. Krashenny, who is also a certified laser technician.

She sought to become a nurse when she and her husband, Dima, emigrated from the former Soviet Union with their 7-year-old daughter, Sasha, in 1981 in search of political and religious freedom. Landing in New York City without money, relatives or English language proficiency, they came to Worcester a couple of months later after learning friends from high school were living here. Ms. Krashenny recalled her search for a school that would accept her Soviet education transcript for academic credit toward a nursing degree, but it was in California and too expensive. She instead worked several jobs, at a deli and house cleaning, then obtained her license in 1982 as an aesthetician.

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