About Us

Providing Comprehensive Medical and Beauty Care to Johnson City and Unicoi

Reflections is owned and operated by husband and wife duo, Derek and Elizabeth Michael. The two have a history in both medical and health and wellness industries, and each of them have a unique passion for helping others.

Derek has been a practicing physician’s assistant since 2012, and has a history in family medicine, orthopedic pain management and cosmetic treatment. Derek was also in the Navy and later worked as a firefighter.

Elizabeth graduated with a Medical Doctor degree from University of Alabama in Birmingham. She then completed a Residency in anesthesiology at UT Medical Center in Knoxville, TN and later became the medical director of a medical spa.

Between the two, Derek and Elizabeth have years of experience and both contain a wealth of knowledge about the health and wellness arena. They look forward to going to work each day and love getting to know new clients. Reflections Health Spa medical spa will make you feel right at home.

Keisha Johnson is a southwest VA native living her best life in TN. She is happily married to her husband Seth who is also in the medical field. They have a big family: 4 kids, 2 dogs, & 2 cats.

She is a board certified family nurse practitioner with 9 years experience as a NP and 11 years as a RN. Her specialty areas of practice have ranged from neuro-trauma intensive care, pulmonary & sleep, perioperative medicine, & medical aesthetics.

She has completed basic & advanced tox + dermal filler courses, trained with American Association of Aesthetic Medicine & Surgery, Galderma, Merz, Aesthetics & Skin Institute, ZO Skin Health, InMode & Candela Candela.

As someone who has always struggled with self-confidence, it is her dream to make people feel as beautiful as they truly are.

Let her help you enhance your natural beauty to look and feel like the best version of yourself!

Lauren Pearson is a board certified Nurse Practitioner who brings 18 years of nursing experience including a background in ICU and post operative care. She has been in the aesthetic industry for over 10 years and brings with her a wealth of aesthetic knowledge. 

A southern girl at heart, Lauren is originally from Mississippi but recently relocated to the Tri-cities area from Portland Oregon to get back to her roots and be closer to family. Lauren appreciates that aesthetics is an ever evolving discipline and enjoys continually learning and improving her skills and techniques.

She enjoys being able to build relationships with her clients while helping them look and feel their best. In addition to providing aesthetic treatments Lauren works as instructor at Pacific Northwest Aesthetic Academy where she trains medical professionals on the art of aesthetic injections and cosmetic treatments.

Lauren began her education earning her bachelors of Science in Nursing from the University of Mississippi school of Nursing. She has continued her education by earning her Masters in Nursing from Maryville University in St. Louis Missouri.

Lauren is a member of the International Society of Plastic and Aesthetic Nurses and holds her Certified Aesthetic Nurse Specialist Certification which ensures that she is meeting the highest standards in aesthetic medicine.

In her free time Lauren enjoys traveling and spending time with her husband, daughter, and their family dog exploring their new city. When she is not at work she can be found hiking, biking, cross-fitting or on the water enjoying the many outdoor activities eastern Tennessee has to offer.


Payton Johnson is a native of the Tri-Cities. She began her nursing career at Niswongers Children's Hospital in 2019, specializing in Pediatrics.  During her time currently at the hospital, she has served as a charge nurse, preceptor and became crossed-trained to all units of Niswongers Children's Hospital.  

During her tenure at NCH, she has received the Daisy Award and Impact Service Award. Payton earned her BS in Nursing from East Tennessee State University. Payton enjoys building relationships with her clients and making sure they feel confident in their own skin by enhancing their natural beauty.  She is passionate about expanding her knowledge and education on fillers and neurotoxin to exceed her patients goals.

She has trained with Merz, ZO Skin Health, InMode and Galderma.  In her free time she enjoys walking her dog, getting her lashes done and of course shopping. 



We work together to exceed expectations of our clients, provide a comfortable experience, and care from start to finish.

Located in Unicoi and  Johnson City Reflections  provides exceptional health and beauty treatments for the Tri-Cities area and Northeast Tennessee, under the expert medical supervision of Derek and Elizabeth Michael. Whether you goal is to lose weight, improve your complexion, diminish the signs of aging, or all of these, the caring professionals at Reflections can help you achieve your health and beauty goals.

  • Anti-Aging Medicine
  • Laser Skin Resurfacing
  • Botox and Injectables
  • Hormone Replacement Therapy
  • Laser Hair Removal
  • Weight Loss