JUL-AUG 2019

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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Page 55 of 68 | JULY/AUGUST 2019 53 After residency, Dr. Kirby completed a one-year fellow- ship in craniofacial surgery with Louis Morales, MD, in Salt Lake City—a move partly inspired by her desire to open her own private practice. "He is a well-known craniofa- cial surgeon who has transitioned into private practice," she notes. "It's pretty much unheard of to do craniofacial surgery and be in private practice. That is why I chose this fellowship. I wanted to do it all and fi gured I should learn from somebody who was making it work." During her time with Dr. Morales, she worked with him on pediatric craniofacial surgeries as well as cosmetic cases, all while learning about the managerial responsibilities of practice ownership. Worth the Effort After completing her fellowship with Dr. Morales in 2011, Dr. Kirby, who grew up in Iowa, moved to Fort Worth, Texas, to launch Kirby Plastic Surgery. "My sister went to Texas Christian University, so I spent quite a bit of time in Fort Worth even before I applied to Texas A&M," she says. "She and her husband had a baby while I was in medical school, so I babysat a lot. Texas is the only other place [besides Iowa] that feels like home to me, so I knew I'd be back, ideally in Fort Worth." During her time at Texas A&M, Dr. Kirby also began dating her future husband, Randol, a Texan. "One of the things he asked me early in our relation- ship was, 'How do you feel about Texas?'" she says. "I had a feeling it might be a relationship-ending question, so I told him I planned on moving back to Texas at some point and living there. He said, 'OK. Good. We can keep dating.'" Her husband earned an MBA while at Texas A&M, and he is heavily involved in the business side of Dr. Kirby's medical practice. "We've really done this as a joint venture," says Dr. Kirby. "His experience is in business. Mine is in medicine. So we've both had a lot of learning to do. When we were setting up the business plan, it seemed like every item we checked off the list would generate 10 more. It was a matter of diving in and fi guring out how to do it, talking to people and asking advice. Just plowing forward." In the early days of the practice, she would take as many as 10 trauma cases at the hospital each month. "It was a way to get started," she says. "Not only are you getting paid but you can also generate a few patients. I treated one pediatric patient, and three of her family members came to me later for cosmetic procedures." Dr. Kirby also traveled around town introducing herself to the other doctors. "I actually called all the plastic surgeons in Fort Worth before I came to town just to introduce myself, tell them I was coming and ask for words of wisdom," she says. "They were very friendly, which you don't fi nd everywhere. This has been a great community to practice in." Thanks to physician referrals and word of mouth, her practice began to grow. "I realized we were going to be OK when I started to see patients on the schedule who I didn't recognize and I didn't know where they had come from," she says. "I wanted to do it all and fi gured I should learn from someone who was making it work." Dr. Kirby was drawn to aesthetics and the ability to build patients' confi dence and self-esteem.

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