Running a Medical Spa 8 Years Ago vs. Today: The Strategic Evolution of Vendor Partnerships, Compensation Models, and Unit Economics

Running a Medical Spa 8 Years Ago vs. Today: The Strategic Evolution of Vendor Partnerships, Compensation Models, and Unit Economics

In this episode, host Don Adeesha sits down with Amy Engel, owner of Sweet Spot Medispa and a top 50 Evolus partner, to dismantle the most expensive phrase in aesthetics: "we've always done it this way." Amy argues that practices five, eight, and ten years in are bleeding margin to legacy vendor contracts, unprofitable services, and W-2 hires their summers can't support.

Amy walks through the math behind her pivot from the Allergan bundle to challenger brands like Jeuveau, RHA Revance, Xeomin, Dysport, and Daxxify, pricing Botox at $14/unit and Jeuveau at $12, running the "Jeuveau Day" volume play that has booked 70 clients in a single shift, and using GLP-1s as a recurring-revenue engine that underwrites capital purchases like in-house skin analysis. She also explains why charging for injector training and defaulting to 1099 contractors protects practices from the hidden costs of free education and idle payroll.

Her final warning to practice owners going into 2026: subtract before you scale. Drop services that can't pay for an advanced provider, drop fillers and toxins where newer competitors have better research and better rebates, and rebuild your top-of-funnel around Google reviews, the channel that turned a solo room into a top 14 national Evolus partner.

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Episoder(292)

Your Practice Is Hiding the Answer: The Internal Audit Method That Exposes What's Actually Blocking Your Growth

Your Practice Is Hiding the Answer: The Internal Audit Method That Exposes What's Actually Blocking Your Growth

In this episode, host Anji reconnects with Kara McClanahan, executive business consultant at Aesthetic Practice Partners and VP of Operations at Genesis Lifestyle Medicine, to break down why most aest...

9 Jul 22min

The Data-Backed Diagnostic: "What Your EMR Already Knows About Whether Your Med Spa Will Survive the Next 24 Months"

The Data-Backed Diagnostic: "What Your EMR Already Knows About Whether Your Med Spa Will Survive the Next 24 Months"

In this episode, host Don Adeesha sits down with Dr. Tiffany Hall, Chief Growth Officer at Aesthetic Record, to dismantle the biggest myth in medical aesthetics: that revenue is the number that decide...

2 Jul 30min

How to Show Up on Google AI Overviews: What Aesthetic Practices Are Getting Wrong in 2026

How to Show Up on Google AI Overviews: What Aesthetic Practices Are Getting Wrong in 2026

In this episode, host Don Adeesha sits down with Naren Arulrajah, founder of Ekwa Marketing, to tackle the single most disorienting shift in aesthetic practice growth right now: the collapse of tradit...

25 Jun 27min

The 1099 Trap: Why Most Aesthetic Practices Are One Audit Away From a Six-Figure Penalty

The 1099 Trap: Why Most Aesthetic Practices Are One Audit Away From a Six-Figure Penalty

Host Don Adeesha sits down with Kara Kelly, CEO of Clinical HR, to tackle the people problems that quietly derail aesthetic practices, from the moment a clinician becomes a reluctant manager to the ch...

18 Jun 42min

Building a Skincare Brand Gen Z Actually Trusts-and Turning That Trust Into Long-Term Revenue

Building a Skincare Brand Gen Z Actually Trusts-and Turning That Trust Into Long-Term Revenue

In this episode, host Don Adeesha sits down with Dr. Whitney Havnik, a double board-certified dermatologist and fellowship-trained Mohs surgeon, to tackle a problem every practice is now facing: an en...

11 Jun 34min

The Future of Clinical Integrity: Implementing Evidence-Based Education and Elevating Industry Standards

The Future of Clinical Integrity: Implementing Evidence-Based Education and Elevating Industry Standards

In this episode, host Don Adeesha sits down with industry legend Tracey A. Hotta, past editor of the Plastic Surgical Nursing Journal and past president of ISPAN, to confront a problem hiding behind t...

4 Jun 28min

Surviving the Zero-Click Era: How Aesthetic Practices Win Patients When AI Answers Before the Click

Surviving the Zero-Click Era: How Aesthetic Practices Win Patients When AI Answers Before the Click

In this episode, host Don Adeesha sits down with Naren Arulrajah, CEO of Ekwa Marketing, to confront the biggest shift in local healthcare marketing in a decade. AI is now answering patient questions ...

21 Mai 31min

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