This is a must-listen episode for anyone interested in hormones, menopause care, and the rapidly evolving world of hormone therapy.

Hormone therapy, menopause treatment, and testosterone therapy are some of the most misunderstood topics in modern medicine. In this must-listen episode of Not Just Lip Service, Carla sits down with Women’s Health Nurse Practitioner Amanda Gold to break down the latest science behind hormone replacement therapy.

They discuss the history of hormone therapy, how the Women’s Health Initiative study changed prescribing practices, and why newer research is reshaping how clinicians approach bioidentical hormone replacement therapy (BHRT) today.

Hormone therapy, menopause treatment, and testosterone therapy are some of the most misunderstood topics in modern medicine. In this must-listen episode of Not Just Lip Service, Carla sits down with Women’s Health Nurse Practitioner Amanda Gold to break down the latest science behind hormone replacement therapy.

They discuss the history of hormone therapy, how the Women’s Health Initiative study changed prescribing practices, and why newer research is reshaping how clinicians approach bioidentical hormone replacement therapy (BHRT) today.

In this episode you’ll learn:

• The difference between hormone pellets, creams, and injections
• When testosterone therapy is appropriate for women and men
• Why lab monitoring and individualized care are essential
• How misinformation about hormones spread for decades
• What patients and providers should know about modern hormone therapy

Whether you’re a patient navigating menopause or a medical provider working in aesthetics or hormone therapy, this episode delivers clear, practical insights you won’t hear everywhere else.

In this candid and reflective episode, Carla and Shelley step away from metrics and buzzwords to talk about the real life lessons that shape strong leadership. From the “1,000-minute rule” and the power of mindset, to Maslow’s hierarchy, boundaries, and the truth that clear is kind, they share hard-earned insights from business, parenting, and personal growth. This conversation is an honest reminder that leadership isn’t about perfection — it’s about clarity, balance, and knowing when “enough” truly is enough.

In this episode of Not Just Lip Service, we break down the complex world of compliance in medical aesthetics—covering crucial regulations that many medical professionals didn’t have to think about in traditional healthcare.

Join us as we explore:

• State license and certification requirements

• Medical director oversight and collaborative agreements

• Who can legally perform aesthetic services

• Responding to regulatory inquiries

• Staying current with ever-evolving guidelines

• HIPAA and patient privacy laws in an aesthetic setting

• The gray areas that trip up new providers

Whether you're an experienced injector or just starting out, this episode will help you navigate the regulatory landscape with more clarity and confidence.

⚠️ Disclaimer: This episode is for informational purposes only and should not be considered legal advice.

In this episode of Not Just Lip Service, Mary and Carla share exciting updates from behind the scenes at Smiley Aesthetics. From company growth to operational lessons, they unpack what’s new, what’s working, and what’s evolving across the med spa landscape.

Tune in for an honest, insightful conversation about the ongoing journey of building a multi-state medical aesthetics brand—and what they’ve learned along the way.

🔗 Want more? Join our exclusive community on Patreon for deep dives into med spa operations, clinical protocols, compliance strategies, and everything in between: Patreon.com/smileyaesthetics

Carla and Shelley take an advanced deep dive into KPIs and how to calculate them as well as the pitfalls of bad data and not understanding truly what you are measuring and how to use it to drive grwoth

In this episode, Mercedes Hester (Director of Training & Strategic Growth) and Paige Connor (Social Media Coordinator & Content Creator) take you behind the scenes of Smiley Aesthetics’ high-level partnership with world-renowned lip injector Julie Horne. From international logistics and live model demos to clinical breakthroughs and event planning lessons, they unpack what made this advanced lip filler training truly exceptional. Whether you're an injector, practice manager, or just obsessed with aesthetics, this episode dives deep into the future of lip augmentation, injector education, and how to create unforgettable training experiences.

In this episode of Not Just Lip Service, Tiana chats with Hollie and Meghan, two skilled injectors who helped launch the brand-new Smiley Aesthetics location in Rome, GA. They open up about the journey from independent practice to joining a growing aesthetics brand, what it’s like to build a client base in a new city, and how they’re making the Rome location feel like home.

You’ll hear their thoughts on patient education, favorite treatments (hello, lip filler and Botox), and how collaboration, confidence, and culture have helped shape their experience. Whether you're an injector, a med spa professional, or just love hearing about what happens behind the scenes in aesthetics, this episode is full of real talk and great insights.

In this episode of Not Just Lip Service, Mary is joined by Paige, Smiley’s Marketing Coordinator, for a behind-the-scenes look at why in-house marketing is a game changer for med spas. They discuss the real differences between hiring outside marketing agencies versus building an internal marketing team, the unique benefits of having someone embedded in your brand, and how in-house marketing creates stronger connections with clients.

Paige shares practical insights on how she learned the aesthetics industry from scratch, built brand consistency, and helps drive growth across Smiley’s locations. They also touch on the importance of social media, content planning, branding best practices, and offer tips for any med spa thinking about making the leap to an in-house marketing model.

🎯 Plus, stay tuned as Mary and Paige tease an upcoming series diving deeper into social media strategies, events, and marketing best practices for aesthetic practices!