Medical Spa in Knoxville

June 14, 2026

A medical spa, commonly called a med spa, pairs the setting of a day spa with treatments that are medical in nature, including Botox and other neurotoxins, dermal fillers, laser procedures, microneedling, and intravenous (IV) therapy. In Tennessee these injectable and energy-based services are considered the practice of medicine rather than ordinary cosmetic care, which is why a Knoxville med spa is held to standards a salon is not. Knoxville is Tennessee’s third-largest city, with a population of roughly 195,000 as of 2024 (U.S. Census Bureau), and as the anchor of East Tennessee it draws patients from across the region for facial aesthetics, skin care, and related wellness services.

The defining requirement for a Tennessee medical spa is its connection to a licensed physician. State law requires a med spa to operate under the supervision or ownership of a physician who serves as the medical director, and procedures that involve injecting a prescription product or operating a medical laser must be performed by, or properly delegated and supervised under, a qualified medical professional. The physicians, nurse practitioners (NPs), physician assistants (PAs), and registered nurses (RNs) who provide these treatments are licensed through the Tennessee Department of Health. Nurse practitioners and physician assistants may perform injectable treatments under physician supervision, registered nurses work within their defined scope, and an unlicensed person may not perform injections.

Tennessee has placed the medical-director requirement directly in statute. Under TCA 63-1-153, any business operating or advertising as a medical spa must display the name of its medical director or supervising physician and indicate whether that physician holds board certification recognized by the American Board of Medical Specialties or the American Osteopathic Association. The state also maintains a public registry of medical spas through the Tennessee Board of Medical Examiners under TCA 63-6-105, which lists each spa’s name and address along with the supervising physician’s name, license number, and MD or DO designation. The intent is to let a consumer identify who is medically responsible for the care provided at a given location.

For Knoxville consumers, the practical step is to confirm that a licensed medical professional oversees treatment before booking. The Tennessee Department of Health offers free online license verification at apps.health.tn.gov, where a prospective patient can confirm that a physician, NP, PA, or RN holds an active and unrestricted license. Complaints about the conduct or clinical care of a licensed provider go to the Department of Health and its Health Related Boards through the Office of Investigations, while commercial disputes such as billing or advertising fall under the Tennessee Division of Consumer Affairs and the Tennessee Consumer Protection Act (TCA 47-18-104). Retail skincare products and certain non-medical services may be subject to Knox County’s combined sales tax rate of 9.25%. This article is informational and is not medical advice; decisions about any aesthetic or medical treatment should be made in consultation with a qualified, licensed healthcare provider.

Top Medical Spa Providers in Knoxville

1. Sarah Hitchcox Aesthetics

Address: 5113 Kingston Pike, Suite 15, Knoxville, TN 37919
Phone: (865) 489-8008
Website: https://hitchcoxaesthetics.com
Services: Botox and neurotoxins, dermal fillers, SkinVive, Kybella, laser hair removal, laser skin revitalization, lesion reduction, laser skin tightening, microneedling, hair restoration, GLP-1 weight loss
Description: Sarah Hitchcox Aesthetics is a Knoxville medical spa founded by Sarah Hitchcox, RN, who serves as owner and provider. The practice operates two locations, its Bearden office on Kingston Pike and a Farragut office at 102 S Campbell Station Road, Suite 8, in Knoxville. The service menu spans injectables such as Botox, fillers, SkinVive, and Kybella; a range of laser services including hair removal, skin revitalization, lesion reduction, and skin tightening; microneedling for skin rejuvenation and hair restoration; and a medically supervised GLP-1 weight-loss program using semaglutide. The clinic notes the use of Everesse radiofrequency skin-tightening technology among its treatment options.

2. Skin & Sculpt Medical Spa

Address: 248 North Peters Road, Suite 3, Knoxville, TN 37923
Phone: (865) 671-3630
Website: https://skinandsculptmedspa.com
Services: Botox and wrinkle relaxers, dermal fillers, Kybella, laser treatments, microneedling (SkinPen, Secret RF), DiamondGlow, chemical peels, facials, dermaplane, AgeJET, CoolSculpting Elite, weight management
Description: Skin & Sculpt Medical Spa is a Knoxville med spa on North Peters Road offering a broad mix of injectable, energy-based, and body-contouring treatments. Its injectable menu includes Botox and other wrinkle relaxers, dermal fillers such as Juvederm and SkinVive by Juvederm, and Kybella, while its device-based services use SkinPen and Secret RF microneedling, DiamondGlow, AgeJET, and CoolSculpting Elite. The practice also provides chemical peels, facials, and dermaplane, along with medically supervised weight-management options including phentermine and lipotropic injections, and it carries professional skincare lines such as EPICUTIS and medical-grade sunscreens.

3. Smiley Aesthetics

Address: 525 Union Avenue, Knoxville, TN 37902
Phone: (865) 350-6187
Website: https://smileyaesthetics.com
Services: Botox and dermal fillers, semaglutide weight loss, CoolSculpting Elite, hair restoration, laser hair removal and IPL, Aquafirme XS facials, Agnes RF, Scarlet SRF microneedling, NOUVADerm laser resurfacing, BioRePeel, B12 and lipo injections
Description: Smiley Aesthetics operates a downtown Knoxville location on Union Avenue as part of a multi-clinic group with sites across Tennessee, Kentucky, and Georgia. At the Knoxville location, the team includes Alex Hoskins, RN, as clinic manager and Jazmine McClendon, RN, as clinic injector. The menu combines injectables such as Botox and dermal fillers with a medically supervised semaglutide weight-loss program, body and skin treatments including CoolSculpting Elite, laser hair removal and IPL, Agnes RF, Scarlet SRF microneedling, and NOUVADerm laser resurfacing. The clinic also offers Aquafirme XS hydrating facials, BioRePeel, red light therapy, and B12 and lipotropic injections, and carries the SkinMedica skincare line.

Frequently Asked Questions About Medical Spa in Knoxville

Q: What is a medical spa, and how is it different from a regular day spa in Knoxville?

A medical spa offers treatments that are considered the practice of medicine in Tennessee, including Botox and other neurotoxins, dermal fillers, medical lasers, microneedling, and IV therapy. A day spa provides non-medical services such as massage and basic facials. Because medical procedures are involved, a Knoxville med spa must operate under the supervision or ownership of a licensed physician and have these treatments performed by qualified medical professionals, which is what sets it apart from a salon or traditional spa.

Q: Does a Knoxville med spa have to have a physician medical director?

Yes. Tennessee law requires a medical spa to operate under the supervision or ownership of a licensed physician who serves as the medical director, and under TCA 63-1-153 the spa must display the name of that medical director or supervising physician along with whether the physician is board certified. The Tennessee Board of Medical Examiners also maintains a public registry of medical spas under TCA 63-6-105 that lists each spa with its supervising physician’s name and license information.

Q: Who is allowed to inject Botox or filler at a Knoxville medical spa?

Injectable treatments must be performed by a qualified, licensed medical professional. Physicians, nurse practitioners, and physician assistants may perform Botox and filler injections under appropriate physician supervision, and registered nurses may administer certain treatments within their defined scope of practice. An unlicensed person, such as an aesthetician without the proper medical credential, may not perform injections in Tennessee.

Q: How can I verify that a provider at a Knoxville med spa is licensed?

The Tennessee Department of Health offers free online license verification at apps.health.tn.gov, where you can confirm that a physician, nurse practitioner, physician assistant, or registered nurse holds an active and unrestricted license and check for any disciplinary history. Before booking, it is reasonable to ask which licensed professional will perform your treatment and who serves as the practice’s supervising physician.

Q: How do I file a complaint about a medical spa or its provider in Knoxville?

Complaints about the conduct or clinical care of a licensed provider are filed with the Tennessee Department of Health and its Health Related Boards through the Office of Investigations, reachable at 1-800-852-2187. Disputes that are purely commercial, such as advertising, billing, or refund issues, fall under the Tennessee Division of Consumer Affairs and the Tennessee Consumer Protection Act (TCA 47-18-104). Keeping your consent forms, receipts, and treatment records strengthens a complaint.

Q: Are medical spa treatments taxed in Knoxville?

A professional medical treatment performed by a licensed provider is generally a healthcare service rather than a taxable retail sale, but retail items such as skincare products, supplements, and certain non-medical services are subject to sales tax, which reaches a combined 9.25% in Knox County. Patients should request an itemized invoice that separates professional services from any taxable products. This information is general and not medical or tax advice; consult a licensed provider or tax professional for your situation.