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Carla Pierson

Dr. Carla Pierson is an accomplished healthcare leader turned entrepreneur whose passion for quality patient care and operational excellence led her to co-found Smiley Aesthetics. Raised in Nashville, TN, Carla was an avid athlete and went on to earn her Bachelor of Science in Nursing. Fueled by her drive for leadership and innovation, she subsequently pursued a Master of Science in Nursing Administration, a Master of Business Administration with a healthcare focus, and ultimately, a Doctorate in Nursing Practice.

Before launching Smiley Aesthetics with her identical twin sister, Mary Ford, Carla spent over a decade in nursing leadership and corporate healthcare, most notably at HCA. Her experience spanned critical care nursing, hospital operations, and healthcare business—expertise that now underpins Smiley Aesthetics’ strong foundation. Carla’s commitment to careful, sustainable growth helped the company reach an impressive milestone of one million dollars in revenue in under a year—an achievement she attributes to starting small, methodically identifying gaps, and building a robust, self-supporting model.

Under Carla’s strategic leadership and attention to quality, the company has flourished, creating a culture of excellence, safety, and genuine community in medical aesthetics. Today, she channels her passion for operational efficiency and patient care into helping others feel and look their best, proving that with resilience, adaptability, and integrity, success can follow even the most unexpected detours.

Frequently Asked Questions

What is Smiley Aesthetics?
Smiley Aesthetics is a medical spa group with 7 locations across Tennessee, Kentucky, and Georgia. We provide Botox, dermal fillers, Scarlet SRF microneedling, medical weight loss (GLP-1/semaglutide), facials, chemical peels, and laser treatments. We serve clients in Tennessee, Kentucky, Georgia, Ohio, Missouri, Kansas, Arizona, and Colorado. All aesthetic services are performed by licensed medical providers under the oversight of our medical directors.
Where is Smiley Aesthetics located?
We have 7 medical spa locations: Nashville (339 White Bridge Pike, home to our Nashville West med spa, Cosmetic Surgery Center, and Training Facility), Gallatin, Chattanooga (Ooltewah), Collierville, and Knoxville, Tennessee; Bowling Green, Kentucky; and Rome, Georgia. We serve clients in Tennessee, Kentucky, Georgia, Ohio, Missouri, Kansas, Arizona, and Colorado.
How much does Botox cost at Smiley Aesthetics?
Botox is priced per unit, typically $9 to $12 per unit depending on location and current promotions — among the most affordable in the markets we serve. Contact your nearest location for current pricing and specials.
Do I need an appointment, or do you offer same-day visits?
Appointments are recommended and can be booked online, but most locations offer same-day appointments based on availability.
What weight loss services does Smiley Aesthetics offer?
We offer medically supervised weight loss including GLP-1 medications such as semaglutide, plus vitamin and wellness support. Contact your nearest location for current pricing.
Who performs the treatments at Smiley Aesthetics?
Treatments are performed by licensed, trained medical injectors and providers who receive ongoing education, under the oversight of our medical directors.
Does Smiley Aesthetics offer injector training?
Yes. Through our training program and Nashville training facility, we teach nurses and medical professionals hands-on injecting, safety, and medspa business strategies.