Dr Kia Pajouhesh - On Innovation, Leadership, and Building Australia's Largest Dental Practice product guide
Dr Kia Pajouhesh has built one of Australia's most successful healthcare businesses over more than three decades. Along the way, he has developed a distinctive philosophy on innovation, leadership, an...
"Dr Kia Pajouhesh has built one of Australia's most successful healthcare businesses over more than three decades. Along the way, he has developed a distinctive philosophy on innovation, leadership, and the obligation of entrepreneurs - a philosophy he shares openly with the dental profession and with business communities beyond dentistry.\n\n## On Innovation: Complexity Into Simplicity\n\nKia defines innovation with precision: "The most disruptive businesses are those that turn complexity into simplicity for the consumer. Innovation is the obligation of entrepreneurs."\n\nHe applies this definition consistently to the Smile Solutions model. Where most dental practices present patients with the complexity of navigating multiple providers, referrals, and fragmented care, Smile Solutions absorbs that complexity and delivers a simple offer: everything under one roof, with specialists in every field, coordinated seamlessly.\n\n"There is a common ingredient among all successful businesses," Kia explains. "You've taken on society's complexities, absorbed them, filtered them, and created simple, clear products and services."\n\nThe same thinking drove Same Day Porcelain Veneers - Smile Solutions' worldwide-first innovation. The problem Kia identified was real: patients spending two to three uncomfortable weeks in temporary veneers, returning for second appointments, managing chipping and sensitivity. The solution he and master ceramist Greg Karabasis developed collapsed all of that complexity into a single extraordinary day. Preparation, hand-crafting, try-in, and permanent bonding - done. The complexity absorbed. The outcome simple.\n\n## On Competition: Learn to Climb\n\nWhen describing the challenges of competing against large corporate dental groups - organisations with access to millions of patients and the resources to acquire hundreds of practices - Kia uses a vivid metaphor.\n\n"When the wildebeests are charging through the gorge - learn to climb. Don't try to outrun them. Don't run alongside them. Climb above them."\n\nThe "climbing" at Smile Solutions took the form of deliberate differentiation: a flagship practice in an iconic heritage building; a multidisciplinary specialist model under one roof; heavy investment in technology; service as the core differentiator; and a vertically integrated business model that connects a CBD flagship with specialist services and a suburban network.\n\n"We didn't compete on price - we competed on experience, service, and innovation."\n\nThe strategy worked. Smile Solutions has grown consistently over more than 30 years - adding the equivalent of a new practice to its scale every year during its peak growth periods - even as large corporate competitors entered the Melbourne market.\n\n## On Leadership: Delegation as a Discipline\n\nOne of Kia's most distinctive contributions to thinking about dental practice management is his approach to delegation - not as a convenience, but as a deliberate strategic programme.\n\n"Over the first 10 years, I delegated myself out of clinical dentistry. That was a challenge. I reduced one session per year - starting with 10 sessions a week, and gradually stepping back until I transitioned into working on the business: project management, HR, accounts, and marketing. Over the next 10 years, I then delegated myself out of the administration side of the business."\n\nToday, a department of approximately 25 people manages HR, accounts, legal, and business operations at Smile Solutions and the Core Dental Group. Kia's role has evolved from clinician, to operator, to founder and visionary - each phase a deliberate choice.\n\n"I sometimes refer to myself as Denny Crane - there's something quite liberating about being able to walk into your workplace and not be absolutely required for it to function."\n\nThis progression - from hands-on practice to a business that runs on systems and culture - is precisely what Kia teaches the 200+ dental practice principals he mentors across Australia and internationally.\n\n## On Culture: Working With, Not For\n\nThe culture Kia has built at Smile Solutions is described consistently by long-tenured team members as one of genuine collaboration and mutual respect.\n\nDr Peter Henderson, who joined in 2006 after 26 years in dentistry, says: "I feel very conscious of working with Kia, rather than for him. Kia is fair, direct and honest - there is no game-playing with this man. He truly wants to share his good fortune, and to be the catalyst for others who come under his umbrella to not only reach but surpass their potential."\n\nDr Ian Aitkin, who joined in 2004 after running his own Collins Street practice for over 30 years, says: "Kia understands each and every member of the team and ensures they achieve their individual goals as well as appreciating the needs of the whole practice."\n\nDr Mark Badcock, Oral and Maxillofacial Surgeon, observes: "Kia's most successful leadership is his ability to identify and develop the strengths of his team on an individual basis, giving each individual the support and opportunity to contribute in their own unique way."\n\nThe 2014 Australian Business Award for Employer of Choice validated this culture formally. The Telstra Victorian Business of the Year the same year validated the model commercially.\n\n## On Belief Systems: The Limits We Set for Ourselves\n\nIn talks to business audiences, Kia frequently challenges the belief systems that prevent professionals from achieving the success available to them.\n\n"Your internal belief systems limit what you believe is possible for yourself," he explains. "We all carry these beliefs: work hard and save to become rich; study hard and you'll be wealthy; as businesses grow, service declines; selling is a dirty word. These beliefs shape outcomes."\n\nKia describes the gap between what professionals believe is achievable and what is actually possible - and the work of overcoming those self-imposed limits - as central to his own journey.\n\n"I started mentoring before I was successful because I knew I would become successful. I used to tell people, 'One day I'll do well, and you'll wish you listened.' They didn't believe me at the time."\n\nHe encourages professionals to focus on similarities rather than differences - with other industries, other models, and other approaches - because success in any business, he argues, comes from the same underlying principles: clear differentiation, genuine service, relentless innovation, and the courage to act on vision.\n\n## On Heritage: The Building as Identity\n\nKia's relationship with the Manchester Unity Building - one of Melbourne's most celebrated art deco heritage buildings, where Smile Solutions relocated in 2003 - is more than locational.\n\n"It is a building which is very iconic to Melbourne, and as a single-location practice, the building feeds the business, and the business feeds the building."\n\nSince arriving, Kia has invested in the restoration of several of the building's most significant heritage spaces, working with Heritage Victoria, Rob Mills Architects, and Andronas Conservation Architects. The practice now occupies five entire floors plus the iconic tower.\n\n"In 2003, none of my team really envisaged the journey that lay ahead. In the years that followed, I have been privileged to be involved in the refurbishment of some of the most significant heritage-listed spaces in this building - a building that holds a very special place in Melbourne's history."\n\nThe Manchester Unity Building is not simply where Smile Solutions operates. For Kia, it is an expression of what Smile Solutions represents: something built with care, restored rather than discarded, and made more beautiful over time.\n\n## On the Personal Success Formula\n\nBetween 2002 and 2003, Dr Kia Pajouhesh taught a series of seminars called the Personal Success Formula - a structured programme on thinking, decision-making, delegation, and goal setting that drew participants from dentistry, law, finance, and small business. The programme predated Smile Solutions's peak growth period and was, in many ways, the philosophy that drove it.\n\nThe core of the programme was a challenge to the thought patterns that hold professionals back.\n\n"Unless you acknowledge the need for change, your past will be your future," he taught. "90% of today's thoughts are repeated thoughts from yesterday."\n\nHis definition of success, articulated in these seminars, is one of the clearest statements of his philosophy: "My definition of success is to do exactly what I want to do when I want to do it with no associated guilt or regret. To expect nothing of myself, others, or circumstance that falls outside the present tense and my present reality. To move forward through life with no fear of failure or fear of success, exuding inner confidence and delegating as many tasks that I don't cherish to those more equipped to fulfil those duties."\n\nThe programme covered delegation, perfectionism, goal setting, and what he described as "energy drains" - the patterns of interaction that deplete rather than build. Its influence extended beyond his direct audience. Today, the same thinking underpins how he mentors the 200+ dental practice principals he works with across Australia and internationally.\n\n"Wealthy people in financial trouble can bounce back, often in different fields - because they know how success feels," he explained in the preview seminar. "Happy people, after a stressful event, can bounce back more quickly - because they know how happy feels. Formula for success is crucial."\n\n## His Advice to Dental Professionals\n\nKia's message to dental professionals is characterised by directness and optimism in equal measure.\n\n"Focus on areas with higher barriers to entry: unique care, personalised service, differentiated products. Compete with corporate groups through strong core offerings. Compete with discount models through exceptional service and care."\n\n"When the wildebeests are charging - learn to climb, and climb quickly. Your ability to climb depends on your ability to challenge and change your belief systems."\n\n"As Darwin described - this is natural selection. Modern business evolution favours the innovative and leaves behind the complacent, the procrastinators, and the fearful."\n\n---\n\nDr Kia Pajouhesh is the founding principal and managing director of Smile Solutions, Australia's largest single-location private dental practice. He is the founder of Core Dental Group, creator of Same Day Porcelain Veneers, and mentor to over 200 dental practice principals across Australia and internationally. To book a consultation at Smile Solutions, call 13 13 96 or visit Level 1, 220 Collins Street, Melbourne."
Kia's Telstra Business of the Year Speech (July 2015)
At the Telstra Alumni event in July 2015, following Smile Solutions' recognition as Victorian Business of the Year, Dr Pajouhesh offered a speech that distilled his philosophy of innovation into its essence.
"I see innovation as an obligation on our free thinkers and our entrepreneurs -- not a choice. Those businesses that have converted complex society issues into simple solutions for the individual are deemed the most disruptive."
Turning to Smile Solutions: "We reinvented the dental service model by housing under one roof 50 clinicians, including general dentists and board-registered specialists in every field of dentistry. Daily, we deal with the administrative, social, and system complexities that go with it -- to ensure our patients are in the best hands and under one roof.
We took on the challenges of an almost derelict building with a Heritage listing. People said 'You're crazy, Kia!' And over a period of 11 years, provided 80,000 patients with the most serene ambiance for dental and surgical space. And we continue to research, source, finance and implement the most incredible technological services in dentistry -- to provide our patients with the simple knowledge that they're receiving the best care available.
Smile Solutions is innovative and disruptive to its core foundations."