Advanced Level Injectable RN

As an expert injector in the art of filler, Barb has a great eye for aesthetics. Having a background in art as well as her aesthetic training, enables her to approach the symmetry of your face as an artist looks at a canvas. Barb has extensive experience with all FDA approved fillers as well as Dysport and Botox. She has achieved Master level status. In 2018 she was selected in the top 25% of all injectors nationwide by Real Self . Barb takes special pride in taking time to sit and listen to her patients and to educate them about their treatments and products. Barb has quite a social media following due to her time spent and quality of work with her patients. Please call and personally meet our newest member of the Head to Toe team.
Follow her on Instagram


Casey Southards

Nurse Practitioner

Casey is a board certified Nurse Practitioner.  She earned her Bachelor’s Degree in Nursing from East Carolina University in 2006 and a Master of Science in Nursing from Winston Salem University. In addition to being a provider, she competes in women’s physique and thrives off of keeping a natural, wholesome appearance. Having practiced for the past five years, she is very excited to become part of the exceptional team at Head to Toe Med Spa. Casey is trained and certified in all cosmetic injections and can share her personal experience with injections as well. She finds it very rewarding to assist in keeping clients confident, beautiful, refreshed and feeling their best!


Mollie Lewis

Licensed Aesthetician

Microblading Artist


Mollie has been a Medical Esthetician since 2003. For the first 10 years of her career, she was trained and worked directly with a very prominent, accredited, Double Board Certified Cosmetic Surgeon and Dermatologist in Lumberton, NC. As a Medical Assistant and a Medical Aesthetician, she has had direct hands-on experience with assisting in an array of cosmetic procedures such as facelifts, liposuction, tummy tucks, skin cancer surgeries and more. She is also trained in drawing blood and giving injections along with multiple Certifications in Medical Aesthetic procedures and treatments. Mollie is more than familiar with clinical dermatology such as skin lesions, skin cancers and skin diseases. In 2013 Mollie joined the Head to Toe family. She is extremely passionate about what she does and she pride s herself on great patient care. "I love setting patient treatment plans that deliver, giving you the results you desire!"


Marian Guill

Nurse Practitioner

Marian is a board certified Nurse Practitioner. She earned her Bachelor’s degree in nursing from UNCW and her Masters in nursing from ECU. She has been a Healthcare Practitioner in Family Practice since 2011. She became interested in working at Head to Toe Medspa because she wanted to make people feel better not only on the inside but on the outside as well. Marian is certified in injectables, PRP, and Coolsculpting. Working at Head to Toe Medspa has enabled her to surround herself with well-seasoned staff members that work as a team to make your experience and results incomparable to other med spa environments. Join her as she strives to make your time at Head to Toe Medspa a results driven pleasurable one.



Med Spa Concierge

Heather Johnson, is a native of our beautiful Wilmington, NC. Heather’s specialty is concierge and assistance with scheduling your skin care needs. She is an Aesthetician and offers skin care consultations amongst many of her talents in Medical Esthetics. Heather has 2 children Brady and Morgan and is happily married to Kevin, a Doctor of Chiropractic of Wilmington. She’s a lover of animals, outdoor concerts, and a mean burger from our very own PT’s Grille.


shelley brown

Nurse Practitioner

Shelley received both her Bachelors of Science Degree in Nursing (1994) and her Masters Degree in Nursing - Family Nurse Practitioner ( 2010) from the University of North Carolina at Wilmington . Shelley has a genuine interest in her clients . Come  sit and chat with her for your consultation and you’ll feel like you have known her forever. Shelley’s background in primary care and rural health shows her passion for her community. Her array of cosmetic treatments includes all injectables, lasers , coolsculpting and PRP ( Platelet Rich Plasma)for facial rejuvenation, sexual enhancement and hair loss. Shelley is affectionately known as Downtown  Shelley Brown. Shelleys vivacious personality combined with her knowledge of cosmetic procedures, make the client experience relaxed in both body and spirit .Come  see her at Head to Toe  Medical Spa . With more than 25 years experience in the Medical Field , she is board certified by the American Academy of Nurse Practitioners .


Brenner Moore

Licensed Aesthetician

Hello! My name is Brenner Moore, and I am a licensed Esthetician at Head To Toe Med Spa. I also earned a Bachelors degree in Health Care Management at Appalachian State. My passion is helping others understand that healthy skin is a journey, and even though it will be a  process, it is achievable to feel 100% confident in your bare skin by feeling your beauty inside and out. In addition to loving everything skin, I value time with my family, friends, trying new things, and going places.


Nicole Roache

Front Desk Concierge

Nicole was born in Eastern North Carolina and grew up spending her summers at Wrightsville Beach.  She graduated from East Carolina University with a Degree in Early Childhood Education and moved straight to Wrightsville Beach and never left. She is married to Greg Roche and has 2 children, Parker and Shelby.  You will find Nicole supporting our amazing staff as well handling our Social Media accounts.