Why I Tell Clinics Not to Start with Aesthetics - EP 191

If you're just starting in the medical clinic space and think Botox and fillers are your ticket to quick profits… pump the brakes. In this episode, I explain why I never recommend starting your clinic with aesthetics as your core service line. The competition is brutal, and the big players can undercut you on price all day long. You’ll be fighting uphill battles before you’ve even found your stride.

But does that mean you should avoid aesthetics completely? Absolutely not. Once you’ve built a steady stream of clients who trust you and value your expertise, aesthetics can become a powerful upsell tool if you approach it strategically. I’ll walk you through exactly what needs to be in place to make it work: the right provider, a clear upsell path, and a full facial assessment model that drives higher-ticket services like fillers, skin care, micro needling, and more.

I’ll even share a real-world example of a $1.2 million/year clinic we bought that made $0 in profit, all because they relied solely on Botox. After stepping in, we had to completely restructure the service offering to include high-margin treatments that actually moved the needle. If you’re serious about growth and long-term profitability, tune in. This is what most people won’t tell you about the aesthetics game.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

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Introduction to the Spinoso Podcast (0:15)

Advice on Starting with Esthetics Services (0:47)

Strategies for Profitable Esthetic Services (2:31)

Real-World Example of a Successful Clinic (3:42)

Conclusion and Call to Action (5:00)

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