About Us


Beauty standards shift from one year to the next, and the burden of societal expectations is a heavy one to bear. That’s why we don’t focus our time and expertise on bending to the whims of the latest trend.
Instead, we work with each patient to chart an individualized course that puts their self-esteem and goals front and center. Your decision to have a cosmetic procedure is a personal and important one, and we honor that by ensuring that our process is tailored to your unique needs, features, and goals.
Empowering Clients for 25 Years
A Supportive Experience
When you come into our office, we know you are making a very personal decision, so we want to make sure you have a supportive experience from start to finish. We treat every patient with compassion first and foremost. Our office is a safe and judgment-free space for you to discuss your concerns, expectations, and most importantly, your wants and needs. We’re here to listen and guide you on your journey to help you reach your desired goals safely and efficiently.
Your Body, Your Beauty Standard
We believe that plastic surgery isn’t about transforming you into someone else or following a trend, it’s about enhancing your natural beauty. Your “before” is just as beautiful as your “after.” We have no desire to pick apart imperfections and tell you everything you should change about yourself. At Gayoso Plastic Surgery and MedSpa, our goal is not to sell you as many procedures as possible. Our job is to align the treatment that’s best for you to the outcome you desire. We believe it’s your body, your beauty standard, and your decision. You tell us what you want, and we provide it.
“The human body is the best work of art.”
Jess C. Scott
Meet Our Providers
Annie Smalley, FNP-C is a Board-Certified Nurse Practitioner born and raised in the Tampa Bay area. Annie has extensive experience both in surgical and dermatological specialties, creating a solid foundation for her to pursue her ultimate passion, aesthetics.
Annie Smalley, FNP-C is a Board-Certified Nurse Practitioner born and raised in the Tampa Bay area. Annie has extensive experience both in surgical and dermatological specialties, creating a solid foundation for her to pursue her ultimate passion, aesthetics.

What to Expect
The first step on your journey is to schedule a complimentary consultation with one of our providers. They will listen to your goals and work with you to determine what options will give you the best results. During your consultation, our providers will also evaluate your candidacy. We put the safety of our patients first and we will be honest if we think surgery isn’t right for you. Then we can help you find a better alternative to reach your goal. When you come to us for guidance, know that we don’t take your decisions lightly. We know you are making a commitment, and we will guide you to your desired outcome with safety, compassion, and expertise.