Take a journey with me.

There is a new phase in my life that’s about to happen.

I want you to take the journey with me through a series of blogs I write over the next few months.

You will have a chance to determine if this is the right step for you and learn a few things along the way.  What’s my journey, you ask?  The journey is starting my own practice.  Gulp.  Someone, hand me a wine glass, please! And, hurry!

This might be the most insane decision I have made in my professional career.  Well thought out, but insane.

Right now, as I type, I am smack dab in the middle of this journey.  I have made the decision to leave my successful plastic surgery office and venture into the unknown world of private practice.   The decision was not easy, it has been full of tears and fears; however, I pray on my knees every night that the Lord will see me through this vision, finding favor in my work.

Today, I will blog on how I came to the decision of going out on my own.  As I continue to blog over the next few months, I will discuss decisions made regarding office chairs, software, malpractice insurance, staffing, etc.

For eight years, I have been with the same plastic surgery practice; it’s awesome, it’s amazing.  We have built a solid nonsurgical practice that once sold thirty vials of Botox a year to now using thirty vials a week.  We are a top 250 account with Allergan.  We have five nurse injectors; all days are staffed with RNs and it’s become my second family.  Eight years ago when I started, I worked on the surgical side, scrubbing when needed, even answering the phones, until my nonsurgical practice became too busy to stay surgical.  I went to full time injecting about six years ago.   My goal for the practice was to become Black Diamond, we achieved that several years ago.  Today, we are the largest nonsurgical practice in Middle Tennessee.  Humbled is an understatement.  Team work at it’s best is why we have achieved so much.

For almost two years, I have been Director of Nonsurgical Services, providing leadership and direction for all nonsurgical services.  My surgeon trusts me with any decision I make, essentially, my wishes are almost always his desires.  He and I have a strong professional relationship that is mutually respected and endearing.  Even better, his wife is unbelievably fantastic.    I tell you all this because I had to consider how great my current state is in order to determine whether the risk outweighed the benefit of leaving.

First of all, I live in a state where nurse practitioners can operate their own medical clinic.  If this was not the case in Tennessee, there would be no decision to be made, unfortunately.  I need to medical director who specializes in the same speciality as I practice; they must sign off on twenty percent of my charts, one hundred percent if I write narcotics scripts.  You must know your state laws before venturing down this decision tree.

Next, I had to consider my strengths in order to make a long term decision.

I suggest taking the Strength Finders Test as I did.  Based on the survey of questions, my top themes are 1. Achiever  2.  Responsibility  3.  Relator  4.  Maximizer and  5.  Harmony.

At my core, I am someone who is always looking to achieve.  I get bored easily.  I get bored with Botox, let’s be honest.  It doesn’t take a rocket scientist to do it so that’s why teaching is so instrumental for my professional satisfaction.  I love launching someone else’s career and mentoring their passion in aesthetics.  My primary passion is teaching aesthetics, mentoring others along the way, followed by injecting.  In order to be a great mentor, I truly believe one must keep a current practice in order to teach effectively and stay current.

Finding my strength is what led to the decision of starting my own practice.   I am ready to achieve my vision to educate, mentor and practice aesthetics.  I want my practice to be the one people model their own practice.  Yes, I could have done all of these things under the umbrella of my current plastic surgical practice but when my total gross annual revenue is over $700K consistently, it makes sense to go out on my own at this point.  My earnings are based on a commission structure and over ninety percent of my new clients are word of mouth based.

Yes, I could negotiate a higher commission.  Yes, I could negotiate partnership opportunities.  Yes, I could be satisfied with what I have, what I make and have comfort knowing I always have a place to work.  Yes to all, but I want to achieve something more.  I still have a vision that hasn’t been fulfilled yet.   Simply put, I am ready to achieve more on my own.

Is it worth it to leave financially, emotionally or professionally?  It may not be your time yet.  I considered the possibility of leaving about two years ago, but at that time, it wasn’t the right decision and I felt comfortable staying put.

Every thing meaningful in life requires a vision.  Right now, I just opened the book, “Visioneering” by Andy Stanley.  If you don’t have a vision for what you want in your life in the next five to ten years, you need to start thinking about it.

Be intentional about your professional career in aesthetics.  Be intentional about your future.  What do you want your practice to look like in five, ten, twenty years?  Where do you want to be?

Have you thought about it?

2017-03-06T19:42:27+00:00 By |Training|9 Comments

About the Author:

Haley Wood, offers her cosmetic patients a unique combination of experience, knowledge and personal attention. With almost a decade of experience in the field of Aesthetic Nursing, her areas of expertise include non-surgical facial rejuvenation with her distinctive injection technique.


  1. Janice Ellen Cosentino June 8, 2017 at 1:47 am - Reply

    I love Halee Woods philosophy and I feel that contouring of the face with the micro cannula filler technique is the way to go . However, Fillers do not last long enough therefore I am interested in Permanant Fillers such as Bellafill or Artefill? Is that a possibility?

    • Haley Wood July 15, 2017 at 7:19 pm - Reply

      Hi Janice,
      I am not a fan of dermal fillers that cannot be reversed, or dissolved. Although I do enjoy the result fillers like Bellafil and Sculptra offer, for me and my practice, I choose to only use fillers that can be reversed in case of emergency. Safety is of upmost concern to me. I am not saying that these other fillers are not safe, however, they cannot be reversed in the event of vascular occlusion, which is always my number one concern.

  2. jessica July 8, 2017 at 8:28 am - Reply

    How do you find your state laws for aesthetic practices?

    • Haley Wood July 15, 2017 at 7:12 pm - Reply

      The best and most current way I have found is to call the professional board in which you practice, such as the State Nursing Board. Ask for information surrounding cosmetic procedures.

  3. Mark Abbott July 31, 2017 at 6:22 pm - Reply

    I am so excited to see you making the leap and opening your own practice! It can be so scary but as incredibly worth i!! I am struggling to decide if its better to have a separate aesthetics spa or keep it in my family practice. Its a lot of work managing one business much less two completely separate entities. So many decisions! I’d love to come visit sometime and check out your set up!! Best of luck and thank you for sharing your information! Mark at http://www.MarkAbbottNP.com

    • Haley Wood August 2, 2017 at 4:40 pm - Reply

      Hi Mark,
      You are welcome to visit the new office any time!

  4. Jill Caruso June 29, 2018 at 11:48 pm - Reply

    Congratulations Haley! I’ve been following your career since I met you at a training years ago. I’m excited to see where your journey leads you. Good luck! And thanks for your blog and the information you provide! 🙏🏻😊

  5. Rose September 17, 2018 at 10:51 am - Reply

    What do you suggest for RN’s trying to get into the field of aesthetics with no aesthetic experience?

    • Haley Wood October 20, 2018 at 4:38 pm - Reply

      I would search for a position within a plastic or derm office. Gain experience and then move into the injectable world!

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