About Us

Derek Michael, PA-C & Elizabeth Michael, MD — Founders
About Reflections
Reflections is a provider-led medical spa and wellness clinic serving Johnson City, Unicoi, and the greater Tri-Cities region of Northeast Tennessee. We combine real medical expertise with an experience that feels nothing like a doctor's office — results you can see, delivered safely, without pressure and without judgment.
Every plan starts with a conversation, not a sales pitch. Tell us what you want to change, and we'll build a plan around it.
What we can do for you
- Soften lines and restore balance — aesthetic injectables: Botox, Dysport, dermal fillers and more
- Renew your skin — laser & skin treatments including Ignite RF, Morpheus8, and CO2RE resurfacing
- Rebalance your hormones — optimization programs for men and women
- Lose the weight for good — GLP-1 medical weight-loss programs with ongoing provider support
- Erase what no longer fits — laser tattoo removal
- Get care without the drive — telemedicine visits from the comfort of home
Why patients trust us
- Medically led. Reflections was founded and is medically supervised by Derek Michael, PA-C, and Elizabeth Michael, MD, whose combined background spans family medicine, orthopedic pain management, cosmetic treatment, and anesthesiology.
- Personalized care. Your plan is built from your goals — and where it matters, your labs. Never a package off a shelf.
- Transparent pricing. You'll always know the cost before anything happens, and financing is available through Cherry.
- Judgment-free. Whatever brings you in, you'll be met with respect — most of our patients started with the same questions you have now.
- Convenient. Visit us in office in Johnson City, or connect virtually from any of our telehealth service states.
Ready when you are
Book an in-office visit, schedule a virtual appointment, or call us at (423) 900-2994 — we're happy to answer questions before you ever book anything.
Reflections · 101 Med Tech Pkwy, Suite 406, Johnson City, TN 37604