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April 1, 2025 18 mins

Casey Cooper and Sarah Risse, nurse injectors at Thrive Medical Spa, are changing the narrative around cosmetic injectables by prioritizing natural-looking results that enhance—rather than alter—their clients' unique features. Both professionals bring exceptional credentials to their work: Casey's background in surgical assistance at plastic surgery practices and Sarah's experience in critical care nursing provide them with a deep understanding of facial anatomy and medical safety protocols.

What truly sets these injectors apart is their six-month to year-long training "bootcamp"—far more extensive than the weekend certification courses many practitioners complete. This comprehensive preparation, combined with years of daily hands-on experience, has honed their ability to deliver subtle, refreshed results that never look artificial or overdone. As Sarah puts it, "You should see the difference, I should see the difference... but nobody should point at you and say this is what you got done."

Perhaps most refreshing is their honest, patient-centered approach. They readily acknowledge that injectables aren't for everyone and sometimes refuse treatments that clients request when they aren't appropriate. For younger clients seeking preventative measures, they often redirect toward proper skincare and treatments like microneedling rather than unnecessary injectables. For clients seeking rejuvenation, they employ a "full facial balancing" technique that addresses how all features age together, treating multiple areas with conservative amounts rather than overfilling single features.

The bond between Casey and Sarah exemplifies the collaborative spirit at Thrive Medical Spa. Unlike the competitive environment often found in aesthetics, they support each other professionally, freely referring clients between them based on specialized skills, and covering for each other during personal time off. This partnership ensures consistent quality care that puts patients first.

Ready to explore natural-looking aesthetic solutions? Visit Thrive Medical Spa at 850 Mayfield Road, Suite 202 in Milton, Georgia, call 470-462-2915, or book online through their website. Your journey toward a refreshed, confident version of yourself begins with a thorough consultation where education, not sales pressure, leads the conversation.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
This is the Good Neighbor Podcast, where local
businesses and neighbors cometogether.
Here's your host, StaceyPoehler.

Speaker 2 (00:12):
Hey everybody, today we are talking about natural
looking aesthetics with expertsfrom Thrive Medical Spa, Casey
Cooper and Sarah Riese.
They are nurse injectors atThrive.
Lady, take a second tointroduce yourselves and talk
about your background and whatbrought you to Thrive.

Speaker 4 (00:30):
Sure, I'll go first.
I'm Casey Cooper.
I'm one of the nurse injectorsat Thrive.
I went to the University ofGeorgia and got my bachelor's in
psychology.
I was on my way to vet schoolbut I got my lips done for the
first time and I was like thisis life changing.
That was a huge insecurity ofmine.
So I got it done and I was likeI want to give this gift of
confidence to somebody else.

(00:50):
So I went to nursing school atMercer instead of vet school,
became a nurse, started at aplastic surgery office, became
first assistant surgery for acouple of years, then an
injector.
I started injecting with Sarahat that same place.
We learned how to injecttogether and now we're back
together again at Thrive MedicalSpa, which is so nice.

Speaker 3 (01:11):
I was born and raised in Roswell.
I went to the University ofGeorgia and then figured out I
wanted to be a nurse, sotransferred to Augusta
University, got my bachelor's ofscience in nursing and then my
background is in critical care.
I was an ICU nurse at theShepherd Center for three years.
I loved it.
It was truly my calling at thetime.
But then it was time to dosomething else and I found my

(01:33):
way into plastics and aesthetics.
Like Casey said, we started atthe same practice around the
same time.
I fell in love with it.
I loved being able to combine,you know, the critical care and
all the medicine that I didlearn in the hospital, but also
see healthy patients and seehappy patients and be able to
make people feel good aboutthemselves.

(01:55):
I started at Thrive when weopened over a year ago.
I've loved it.
It's a great place to work andhappy to have Casey one of my
best friends.
It's fun that we get to worktogether.

Speaker 2 (02:06):
That's awesome.
There's many misconceptionsabout injectables.
You know people are afraidthey're going to look artificial
or frozen or fake.
You know how do you educateclients to ease these concerns.
Casey, you start, and thenSarah can add it.

Speaker 4 (02:22):
Yeah, a lot of people are afraid to start with
neurotoxin or Botox to supportDaxify because they think once
you start you have to upkeepthat every three to four months
for the rest of your life.
That's not true.
If you want to try it one timeand never do it again, that's
fine.
If you want to do it twice ayear, that's great too.
It depends on the look you'regoing for and your finances.
I think as long as you'rerelaxing those muscles, going

(02:45):
for and your finances, I think,as long as you're relaxing those
muscles, not constantly foldingthat skin together and creating
deeper lines, that's all we'relooking for.
You don't have to stay on topof it Like everybody thinks.
Debunking things is huge.
We were taught to educate andlet everybody make their own
informed decision.
I always tell people.

Speaker 3 (02:58):
That's one of everybody's biggest fears.
For every one person you seewalking down the street where
you can look at them and be like, oh my gosh, they look crazy.
I don't want to look like that.
There's 10 people behind themthat have had great work done,
that you can't detect it.
And that's always our goal.
I always tell my patients youshould see the difference, I
should see the difference.
The two of us should be happy.

(03:19):
But nobody should point at youand say this is what you got
done.
Relaxing muscles, keepingthings natural, is our biggest
goal.
There's a lot of overdone workout there, like Casey said,
educating our patients thatthat's not the goal, that's not
what we're looking for, and thensteps that we're going to take
to make sure that that doesn'thappen.

Speaker 2 (03:39):
With the emphasis on natural beauty.
What are some key principlesbehind achieving that natural
look?
Just having people lookrefreshed, balanced and youthful
.
What guides you in doing that?

Speaker 3 (03:51):
I think one of the biggest things is respecting
your natural anatomy.
Like you, you're going to age.
You're going to wrinkle.
What works for one persondoesn't work for the next.
That's why an initialconsultation is really really
important Number one to makesure that we're a good fit, but
also to make sure that we havesimilar goals in mind.

Speaker 2 (04:14):
Yeah, Can you talk about that initial consultation?

Speaker 4 (04:19):
Casey yeah, first of all, we like to hear what
bothers you, because, unless youask for a full facial thing, I
don't want to be like, oh, this,this, this about you.

Speaker 3 (04:28):
Yeah, we're going to do our best to educate you, but
my job is not to make you leavehere feeling insecure about
something that you didn't comein asking for.
Just because you can't dosomething doesn't mean you need
to.
Nobody needs to do what we do.
We're here to listen to yourconcerns, educate you, guide you
in the right path that we thinkwould give you the best outcome

(04:49):
.
And I think, having thatinitial consultation, we both
hear each other out, make surewe're a good fit and, like Casey
said, if you come in for Botoxand you don't want to hear about
filler, then we're not going totalk about filler, because
that's not why you're here.

Speaker 4 (05:04):
I always tell patients if it ain't broke,
don't fix it, don't touchsomething if it's not bothering
you, because it's a snowballeffect.

Speaker 1 (05:09):
We want you to look like you.

Speaker 4 (05:11):
We don't want you to look like somebody else.

Speaker 2 (05:13):
We both have a lot of experience and worked at
different places with otherinjectors.
What sets a great injectorapart from somebody who might be
run of the mill and not as goodat their job?

Speaker 4 (05:24):
Sarah and I went through six months to a year of
bootcamp.
We weren't allowed to touchanybody until we finished.
Other injectors go to a weekendcourse, so they just go to a
couple of classes and get acertification, which, yes,
that's great, but at the sametime, it's time that goes by and
seeing a bunch of differentpatients and seeing
complications and how to fixthem and whatnot, and I feel

(05:44):
like, since we were able to havethat long stint of time where
we saw everything under the sun,it prepared us really well for
anything that could go wrong orright.
We also learned to speak abouteverything really well.

Speaker 3 (05:56):
Yeah, it's not something you learn in nursing
school.
There's no textbook on it.
You learn once you get into theindustry, and we were really
lucky to be given a really greattraining program and a lot of
education, and so I think one ofthe big things that sets a
great injector apart isexperience.
Everybody starts somewhere andyou have to gain that experience

(06:16):
.
But it doesn't always matterlike the letters behind
somebody's name.
I think it more matters likehow long they've been doing it.
Do they do it all day, everyday?
Is it something that they'rejust dabbling in?
We've both been really lucky tobe trained pretty extensively.
We both have about four yearsof experience doing Botox and

(06:38):
filler all day, every day, sowe've really been able to hone
our craft and be able to spotcomplications.

Speaker 4 (06:45):
Sarah has critical care background.
That's huge.
I have the background of seeinga patient's face open with a
facelift, seeing anatomy fromthat point of view and also the
number one thing that sets usapart is yes, obviously this is
a very lucrative business and welike money, but we will turn
you away if you and I don't havethe same goals.
If you're not hearing me andI'm not hearing you, if I'm

(07:07):
uncomfortable and you'reuncomfortable, we're not
injecting.
If you don't need somethingwe're not going to do it.
It's just that's what sets usapart, I think, and that's also
what sets apart good work versusbad work.

Speaker 2 (07:18):
I imagine there's ongoing education, especially
with technologies changing.
Can you talk about that?

Speaker 4 (07:24):
Yeah, we have training regularly.
There's always new products andreps bringing a trainer to show
proper techniques.
But I think there's a lot ofthings on Instagram and TikTok
that are so misleading andeverybody gets like you always
say a bee in their bonnet aboutcertain things that just
sometimes going back to thebasics is best.

Speaker 3 (07:42):
Tiktok and Instagram are great, but it kind of makes
people I think that's a lot ofwhat our job is Educate people
come in Like I saw this onTikTok, and most of the time
you're saying, okay, that's notgoing to work for you, cause
that girl's 23 and you're 20years older.
Social media is a great tool,but sometimes it works against

(08:04):
us.
It's our job to educate ourpatients.
Yes you saw this on social media, but that doesn't mean it's
true.
Here's my take on it and here'swhy I would guide you more in
this direction.
Like Casey said, we have greatreps, great relationships with
these companies, so we're ableto continue our training.
We have each other, we injectsimilarly and have similar
aesthetic eyes, but we'redifferent injectors, so being

(08:24):
able to bounce ideas off eachother, and there's times when I
have a patient that Casey mighthandle better or likes doing
better, so I'll say, hey, youshould see Casey for this.
And so I think that's a reallygreat thing that we have just a
relationship with each other,just always kind of supporting
each other and building eachother up and making sure our
patients are in the best hands,whether it's me or Casey.

Speaker 2 (08:45):
Yeah, and that sounds like a true partnership.
Neither of you are possessiveover your clients.
If people can't get in with oneof you, they see the other one.

Speaker 3 (08:54):
I have a baby due in July and I have another baby,
Casey.
Saw all my patients onmaternity leave and I always
tell people you can't go wrongwith either of us.

Speaker 4 (09:04):
We're pretty similar.
We're really lucky too, becausethe industry is very cutthroat,
but from day one we were justlike we're friends.
It's never going to be likethat here, which is nice.

Speaker 2 (09:13):
You have to tailor treatment plans to the
individual right.
How do you work with clientsand have those conversations
about their features?
Sometimes you have to tellpeople they shouldn't do
something or you won't dosomething.
Talk about how you make peoplefeel comfortable but still get
that information across to them.

Speaker 3 (09:34):
Part of it is our personalities and our bedside
manner.
Our goal is to always make thisis a very intimidating thing.
A lot of women are superintimidated to walk into the
office and so just trying tomake people feel comfortable and
heard and reassuring thatyou're not the only one that
feels this way I probably havehad five people before you in

(09:55):
that day have the same concernbut also to just I always, I
always explain, even if it'sjust you know, simple Botox I
always.
The first time I see someone, Ialways explain why you're
getting what you're getting.
Simple Botox I always.
The first time I see someone, Ialways explain why you're
getting what you're getting,where you're getting it, the
dosing.
So many times I've had somebodywho's had Botox for five years

(10:15):
but they've been going somewhereelse and they end up in my
chair and ask them where intheir face did they get it?
Do they know how many units?
So many times I hear I don'tknow.
They just do it.
I don't love that answer.
I think it's important mypatients know why they're
getting what they're getting,where we're putting it, if they
do have this outcome.
This is why I think that makespeople feel comfortable, because

(10:38):
at the end of the day, it stillis a medication, it still is a
prescription, and I do think youshould walk out feeling like
you understand and kind offeeling empowered.
So that's one of the thingsthat I emphasize.
I feel like I know you do too.

Speaker 4 (10:51):
Yeah, you're getting a full anatomy lesson, your
first consultation with us.
You're going to know everything, because again you have to make
a good, educated decision foryourself.

Speaker 1 (10:59):
You know what I?

Speaker 4 (11:00):
mean.
And also I think buildingpeople up.
So when you walk in here, wewant you to feel even better
than, or when you walk out ofhere, we want you to feel better
than when you walked in.
We're going to flood you withcompliments because, no matter
what you look like, you haveunique, beautiful features.

Speaker 3 (11:15):
Self-love is huge in this industry it's very easy to
pick yourself up, look in themirror and pick yourself apart,
and it's easy as a provider todo that, so we do our best to
make sure that's not what.
Even if we're doing a full faceassessment, I never want
someone to leave thinking aboutsomething they didn't think
about when they walked in,because once you point it out,

(11:37):
that's all they're going to see.
If it ain't broke, don't fix it.
That balance of listening topatients' concerns, seeing what
bothers them and pointing outwhat you notice within what's
appropriate.
It's a balance and over timeyou perfect your assessment,
bedside manner and aesthetics,because it's something that can

(12:00):
be kind of fragile and so wedefinitely want to so respect
that.

Speaker 4 (12:04):
Yeah, and spending time with people too.
We're not just cranking Botoxpatients out every 15 minutes.
We're spending at least 30minutes with you.
We're talking about your life,your kids.
What happened in the last threemonths?
Sarah and I also give peopleour personal phone numbers
because we want you to feel youcan access us anytime If you
have questions.
Don't go on Google, it's goingto make you spiral.
We'll talk you off the ledge.

(12:26):
We're going to explain thingsto you again, because our
initial consultation isoverwhelming with a lot of
information.
What sets us apart?
We take the time.
You are our friend, we careabout you.

Speaker 3 (12:37):
Parts of this job, too, is like the relationships
that you form with people.
You know.
When you do establish trust andyou do, you find a person that
you agree, you know.
We kind of learn your face, welearn what you like, we learn
your, what looks good to you,you're happy with, and then when
we're able to replicate thatevery three, four plus months,

(12:59):
and also, too, I don't know weget to know you and your life.
You come in, we chat, but it'sfun.
We've had people that we'veseen since day one, so we've
known for years now.

Speaker 2 (13:09):
You guys see clients of all ages, some for
preventative measures and somefor restorative.
Can you just talk a little bitabout that and how you might
manage somebody who's youngerand looking to prevent things
from sagging and wrinkling inthe future and versus somebody
who needs some you know,restoration?

Speaker 4 (13:30):
People trying to prevent focus on skin health.
Can you imagine the amount oftimes that 18 year olds are like
it's my birthday, I want babyBotox everywhere, like no, save
your money.
You don't even have theslightest wrinkles.
Instead, let's do microneedlingor talk about medical grade
skincare.
So I think it's putting peoplein the right direction, because

(13:52):
all these young women and menthink that once they turn a
certain age or you know, they'removing their face and they see
a dynamic wrinkle that is sodifferent than a snap wrinkle
Like you don't need that yetthere definitely is, like I
would say, over the course ofyears that maybe, like average
age that we see has gotten alittle bit younger.

Speaker 3 (14:12):
So that is due to social media, the stigma with
botox and filler it's much moretalked about now.
People are open about it,always posting on social media.
You know their before andafters healing journey.
Um, so I think one of thethings that's really healing
journey, um, so I think one ofthe things that's really great
about thrive is that outside ofcasey and I, we have great laser

(14:33):
estheticians, we have differentmodalities.
Botox and filler are great, butthere's, there's other things
that would be more beneficialfor you.
It's not always the answer.
So the fact that we have kindof like a full-service clinic
and we're able to refer peopleto for needling or laser if skin
health isn't up to par,whatever we do, it's not going

(14:55):
to look great.
You know, a lot of times I'mthat's the reason I'm having
with people is we can do this.
Because we can doesn't mean weshould.
Maybe we should start with.
You know, let's, let's, let's,let's take some of that image.
Let's start on a retina.
Let's do A, b and C before weget to you know, what I, what I
can provide.
I think just because we candoesn't mean we should.

(15:16):
Sometimes I'm the last step,sometimes we're referring you to
one of our surgeons.
Maybe it's a surgical issue andI will always tell people that
you know, if surgery issomething that's on the table
and they're open to, that'sgoing to give you a better
result than what I can do.
So I think the fact that wekind of have all of those
options here is reallybeneficial for our patients,
because the answer is not alwaysBotox and filler.

Speaker 4 (15:39):
We both like to use injectables as a cherry on top
too, doesn't have to be justthat, you know.
And then, as far as people thatare looking for to be
rejuvenated you know, maybethey're in their fifties and
sixties Sarah and I use a fullfacial balancing approach.
I feel like it looks much morenatural when you kind of touch
more areas with a little fillerthan one area with a large

(16:02):
amount of filler, cause that'swhen you're like, oh my God,
duck lips, huge chin chipmunkcheeks, everything ages together
.

Speaker 3 (16:09):
Yes, so you have to treat everything together to
keep a natural look, and so wealways try to put an emphasis on
that as we age, our facialskeleton recesses into itself.

Speaker 4 (16:20):
So all of the fat pads that used to have the
structural support of thosebones and plus gravity, they
don't really have anymore.
So everything starts to fall.
We use filler to bringeverything back up.
We're not trying to give youbigger cheeks.
We're not trying to give you abigger chin.
We're just restoring bone lossand fat pad loss, never trying
to make you look like Catwomanor anything like that.
Yeah, we want you to look likeyou.

(16:41):
You got a good night's sleep,like maybe we turn the clock
around 10 years or so.
That's the goal.

Speaker 2 (16:48):
Awesome If folks want to visit you or book an
appointment.
Can you share how they can dothat?

Speaker 4 (17:00):
You can call the front desk at 470-462-2915.
You can visit us at 850, that's850.

Speaker 3 (17:08):
Mayfield Road or suite 202 in Milton, georgia.
We also have online booking, soif you go to
thrivemedicalspacom you can bookonline, but more often than not
calling in that phone number,the ladies at the front desk are
amazing and happy to help.
We're across from Muse Salon onone side and then Hyde
Breweries on our other, so ifyou know either of those spots,
my Instagram is Casey CooperAesthetics.

Speaker 4 (17:29):
You can follow us on Instagram, and we also have a
booking link in that bio as well.
And then you have an Instagramtoo right yeah, mine at
sarahreesey underscore.

Speaker 2 (17:38):
Thanks for joining us today.
We appreciate your perspectiveand education this morning.
Hope folks check you out.
Thank you, nice to meet you.

Speaker 1 (17:56):
Come see us out, thank you, thank you.
Thank you.
Thank you for listening to thegood neighbor podcast, milton
and more.
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