Medical Directors

Own Your Beauty From The Inside Out

Meet Our Medical Directors

Ryan Pickens

Ryan Pickens, MD

Medical Director – Tennessee

Dr. Pickens was born and raised in Murray, Kentucky. He received his medical degree from the University of Louisville College of Medicine. He completed his internship in general surgery and urologic training at the University of Tennessee Medical Center in Knoxville, Tennessee. He then completed a two-year urologic fellowship in Endourology and Minimally Invasive Surgery at Vanderbilt University Medical Center in Nashville, Tennessee.

David Sanusi, MD

Medical Director – Georgia

Dr. Sanusi is board certified in anesthesiology and his specialty interests include pediatric, obstetric, and regional
anesthesiology. He is also trained in ultrasound guided regional blocks, pain management, and aesthetic medicine.
Dr. Sanusi graduated from Louisiana Tech University and earned his medical degree from LSU Health Science Center. He completed his anesthesiology residency in Tampa, Florida at the University of South Florida, where he was selected to serve as chief resident. He then completed additional fellowship training in obstetric anesthesiology at LSU Health Science Center. Dr. Sanusi then became an instructor of anesthesiology and OBGYN at LSU Health Science Center in Shreveport, Louisiana. Eventually, he relocated to Marietta, Georgia practicing anesthesiology and pain management at WellStar Douglas Hospital where he was Director of Anesthesiology from 1995-2007 and Chief of Staff 2003-2005. Dr. Sanusi also served as Director of Anesthesiology at WellStar Cobb Hospital and Medical Director of ApolloMD – Anesthesia division. In 2013, he joined Emory Healthcare and is currently on staff at Emory Johns Creek, Emory Orthopedics & Spine Hospitals and Emory St. Joseph Hospital. Dr. Sanusi has been married 30 years and is the proud parent of four wonderful children.

Cira Monnig, MSN, APRN, FNP-BC

Medical Director – Kansas, Kentucky

Cira graduated with her BSN in 2007 and AANP in 2014. She worked in a variety of settings as a Family Nurse Practitioner including Family Practice, Pulmonary, and Urgent Care. During some of that time she began gaining experience as an aesthetic injector. Cira is now an experienced aesthetic injector/trainer with certification by American Medical Educators Training and our very own Smiley Aesthetics Advanced Training program. She also offers wellness services including Vitamin Infusions and Medical Weight Loss.
Cira is married with three children who are very active in sports and different activities. In her free time she enjoys spending family time at home or traveling. Cira loves treating her patients from a holistic approach. She enjoys truly listening to what her patient wants so that she can best meet them where they are. Just as our beauty originates from the inside moving outward, Cira believes our health starts on the inside moving outward as well. By practicing aesthetics and wellness in a safe and effective manner she strives for excellence for her patients.

Dr. Sean Griffin

Medical Director – Indiana

Dr. Griffin is an orthopedic surgeon and partner in Ellis and Badenhausen Orthopaedics. He practices in Louisville, Kentucky and Southern Indiana. Dr. Griffin specializes in adult hip and knee reconstruction as well as trauma and fracture care. He has a particular interest and specialty in anterior hip replacement and outpatient hip and knee replacements. Dr. Griffin has begun integrating the developing field of robotic-assisted joint replacements into his practice.

Professional Memberships:
• American Board of Orthopaedic Surgery (ABOS)
• American Academy of Orthopaedic Surgeons (AAOS)
• American Orthopaedic Association
• American Medical Association
• Kentucky Medical Association
• Fellow of The American Academy of Orthopaedic Surgeons, 2018

Medical Doctorate
University of Louisville School of Medicine

Dr. Randy G. Brown, MD, FACS

Medical Director – Kansas, Missouri

Dr. Randy G. Brown is a distinguished medical professional, holding dual board certifications by the American Board of Thoracic Surgery and the American Board of Surgery. His medical practice is located in the picturesque locale of Osage Beach, Missouri.

With a career marked by excellence, Dr. Brown‘s expertise in the medical field has consistently placed him at the forefront of his profession. In 2022, he held the esteemed position of Medical Director for a prominent aesthetic company. Driven by an unwavering commitment to advancing the field of aesthetics, he has recently taken on the role of Medical Director for Smiley Aesthetics, overseeing the mid-Missouri region.

His impressive qualifications, coupled with his demonstrated leadership, solidify Dr. Randy G. Brown‘s position as an exceptional and trusted figure in the medical community. His presence at Smiley Aesthetics is a testament to the company’s commitment to delivering the utmost quality and oversight in aesthetic healthcare services.

Adriane Rohrer, MSN, APRN, AGAC-NPBC

Medical Director – Arizona, Colorado

Adriane is a dedicated healthcare professional with a rich and diverse background in the field of nursing and aesthetics. Having embarked on her nursing journey in 2014, she initially specialized in emergency room care, honing her skills and gaining valuable experience in high-pressure healthcare environments.

In 2019, Adriane took a significant step in her career by becoming a Nurse Practitioner graduating from Grand Canyon University, further expanding her knowledge and expertise. Her specialization in Advanced Wound Care allowed her to provide essential care and support to patients dealing with complex skin issues and concerns.

Adriane’s journey into the world of aesthetics marked a turning point in her professional life. As an Advanced Nurse Practitioner, she delved into the realm of aesthetics, where her passion truly flourished. At Smiley Aesthetics, Adriane has found her niche, combining her medical proficiency with the artistry of aesthetics.

One of Adriane’s favorite aspects of her role at Smiley Aesthetics is witnessing the growth and development of injectors under her guidance. She takes pride in nurturing their skills and knowledge, continuously exploring new techniques to remain at the forefront of aesthetic advancements.

Adriane derives immense joy from witnessing individuals pursue their passions and witnessing their personal growth. She is always eager to lend her support and expertise to help others achieve their goals. With her unwavering dedication and commitment, Adriane is a valuable asset to the Smiley Aesthetics team, and she is ready to contribute in any way she can to promote the well-being and success of both her colleagues and clients.

Dr. Jennifer Powell, MD

Medical Director – Missouri

Raised in central Illinois, Jenny explored various career avenues before discerning her true vocation. At the age of 30, propelled by a divine calling from God, she ventured into the medical realm. She attained a bachelor’s degree in Microbiology from the University of Illinois and subsequently honed her skills at its College of Medicine in Peoria. Her medical journey was further enriched at the Southern Illinois University Family Practice Residency in Decatur.

Jenny extended her services in Clinton, Illinois, collaborating with the Sisters of the Third Order of Saint Francis, and later joined the Mercy Clinic in Lebanon, Missouri. Guided by a divine vision, Jenny felt compelled to adopt a more patient-centric approach, free from third-party interferences. This transformative insight led to the founding of Direct Primary Care Clinics, LLC. Direct Primary Care, often referred to as DPC, is a membership-based healthcare model which prioritizes a direct financial relationship between patients and their healthcare providers, eliminating third-party hindrances and fostering a closer patient-doctor bond.

While Jenny adopts a predominantly allopathic approach, she intertwines this with elements of herbal and Eastern medicine, integrating treatments such as acupuncture. Moreover, while she doesn’t directly practice aesthetics, she ardently supports its role within the medical sphere, recognizing the value it brings in enhancing holistic well-being. In essence, Jenny’s practice seamlessly combines traditional and innovative modalities, championing a holistic and comprehensive approach to patient care.

Dr. Katrina Brown Briggs

Medical Director – Ohio

Dr. Katrina Brown Briggs currently practices anesthesiology and pain medicine in Portsmouth, Ohio, where she is renowned for her comprehensive approach to pain management. She received her medical degree from Marshall University, Joan C. Edwards School of Medicine in 1992 and brings over 32 years of experience to her patients. Dr. Briggs is dedicated to utilizing advanced pain management techniques to enhance patient recovery and well-being, affirming her commitment to excellence in medical care.