By 1996, she had ventured forth on her own and set up DePiano Skin. Word spread about her customized programs – for both women and men – that combined the latest in skin care science, beauty and technology. In April 1999, American Spa magazine voted DePiano Skin’s Oxygen Facial as one of the Top 7 Facials in the industry. As new modalities such as LED light therapy, microdermabrasion, live cell therapy and the Organic Boost Facial were introduced to market, De Piano was there to learn it and deliver it to her clientele. At the same time, she was developing the consulting side of her business, advising on aesthetics services, product lines and treatment equipment for spas, salons and medical offices.