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(301)

One Founder, Two Locations: What AI Can Actually Carry to Your Second Site, and What It Can't

One Founder, Two Locations: What AI Can Actually Carry to Your Second Site, and What It Can't

In this episode, host Anji sits down with Audrey Campbell, founder of The Audrey Aesthetic, to tackle a costly growth mistake: treating AI as a shortcut to opening a second location. Audrey explains w...

10 Sep 23min

The 30-Day Owner Absence Test: What Breaks First in Your Aesthetic Practice?

The 30-Day Owner Absence Test: What Breaks First in Your Aesthetic Practice?

In this episode, host Anji joins Melissa Delfino to expose the hidden owner dependency that keeps many successful aesthetic practices from becoming truly scalable. Melissa explains why a busy, profita...

3 Sep 23min

Smart Capital Spending: How to Know If Your Practice Can Afford the Next Device

Smart Capital Spending: How to Know If Your Practice Can Afford the Next Device

In this episode, host Don sits down with Danielle Hayden, CEO of Kickstart Accounting, to address a costly problem in aesthetic practices: buying equipment based on enthusiasm or a sales promise inste...

27 Aug 36min

Permanent Reduction Isn't the Finish Line: How Top Aesthetic Practices Can Capture the Patients Laser Leaves Behind

Permanent Reduction Isn't the Finish Line: How Top Aesthetic Practices Can Capture the Patients Laser Leaves Behind

In this episode, host Don Adeesha sits down with Alana Zurek, founder and CEO of Beverly Hills Hairfree and CEO of Electrology Tech, to expose the patient gap laser-only med spas don't see coming. Ala...

20 Aug 31min

The Operator Trap: Why Your Practice Can't Survive Without You and How to Fix It.

The Operator Trap: Why Your Practice Can't Survive Without You and How to Fix It.

In this episode, host Manjali Kulathunga joins Mike de Jong to expose the operator trap, the profitable but unsellable reality that forms when an aesthetic practice cannot function without its founder...

12 Aug 28min

Fully Booked on $0 in Ads. Here's What She Built Instead.

Fully Booked on $0 in Ads. Here's What She Built Instead.

In this episode, host Don sits down with Dr. Sinehan Bayrak, a board-certified facial plastic surgeon who filled her Philadelphia practice in under two years without spending a dollar on paid advertis...

6 Aug 49min

Why Aesthetic Patients Don't Move Forward: Finding the Hidden Breaks in Your Patient Journey

Why Aesthetic Patients Don't Move Forward: Finding the Hidden Breaks in Your Patient Journey

In this episode, host Don Adeesha joins double board-certified dermatologist and somatic trauma specialist Dr. Kiera Barr to explain why a clinically excellent aesthetic consultation can still end wit...

30 Jul 42min

Why Discount Ads Fill Your Schedule With the Wrong Patients, And the Trust-Based Funnel That Fixes It

Why Discount Ads Fill Your Schedule With the Wrong Patients, And the Trust-Based Funnel That Fixes It

In this episode, host Don sits down with Naren Arulrajah, founder and CEO of Ekwa Marketing, to dismantle the med spa playbook of cheap ads and low-price Botox deals. Naren argues that discount-first ...

23 Jul 22min

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