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  • The medical aesthetics industry: a gold rush, or a carefully constructed illusion? Leisa Krauss, the "Bitchin' Beautician," argues the latter in this Scalpel of Truth episode. She dissects the industry, revealing a landscape far more complex than its glossy facade.

    Is the market saturated? Leisa says it's the wrong question. It's about the quality of your space, not just if there's room. Are you a player or a pawn, manipulated by those profiting from your entry? With 30 years in the game, Leisa sees a market flooded, where only the exceptional survive.

    She challenges those claiming "plenty of room," the device reps and consultants with dollar signs for eyes. Leisa, a consultant herself, discourages many from entering this costly, unforgiving arena. She delivers a bracing dose of reality: high entry costs, staffing nightmares, and marketing madness.

    Yet, thriving is possible. Drawing on her father's wisdom, "success leaves a trail," Leisa argues it demands more than a pretty Instagram. It requires a killer patient experience, quality services, a motivated team, and strategic pricing. She warns against the race to the bottom.

    Leisa also critiques the "consultant" industry, exposing the parrots who haven't walked the walk. She urges listeners to be discerning, to seek out true expertise. It's a call for critical thinking in the med spa echo chamber.

    This episode isn't just a podcast; it’s a call to action. It's a challenge to move from surviving to thriving. The industry isn't for the faint of heart, but for those willing to work, the rewards are there. But only for those who see beyond the mirage.

    Links & Notes

    ScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!
  • The episode explores contractors versus employees. Are contractors adding value, or are they "mules" who just inject and leave? Leisa describes contractors who don't recommend products, use clinic photos with their own branding, and give out personal cell numbers. This raises questions about management and a misunderstanding of the business.

    Leisa critiques the dabblers, the prick technicians, and the leeches who drain clinics. She challenges listeners to consider the true costs, not just financial, but to the industry's integrity. Is the field attracting those more interested in personal gain than patient care?

    This episode is a call to action. Leisa advocates for a holistic approach, valuing patient connections and comprehensive solutions. She champions invested business builders, not paycheck collectors. What defines success: procedures or lasting impact?

    Links & Notes

    ScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!
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  • In this episode of The Scalpel of Truth, Leisa plunges into the treacherous terrain of business partnerships. It’s a topic rife with peril, a landscape littered with the wreckage of broken dreams and shattered friendships. Why? Because, as Leisa so eloquently puts it, humans are "messy AF." We arrive at the entrepreneurial altar with our egos, our insecurities, and our wildly divergent visions of success. We envision a harmonious duet, but often end up in a cacophonous free-for-all.

    Leisa explores the seductive allure of partnerships: the promise of shared burdens, complementary skills, and that ever-elusive "moral support." But she quickly exposes the fault lines, the cracks that inevitably widen under the pressure of conflicting priorities, uneven workloads, and the corrosive power of money. Think of it as the business equivalent of buying a timeshare with your in-laws – initially appealing, ultimately disastrous.

    But Leisa isn’t just here to diagnose the disease; she’s offering a cure. She provides a no-nonsense playbook for those brave (or foolish) enough to embark on the partnership journey. Clear roles, transparent finances, ironclad contracts, and, crucially, an exit strategy – these are the non-negotiables, the sutures that can hold a business together when the inevitable storms hit. This isn’t just advice; it’s a survival guide.

    So, if you’re considering joining forces with another human in the pursuit of aesthetic domination, prepare to have your assumptions challenged, your illusions shattered, and your business acumen sharpened.

    Links & Notes

    ScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!
  • This week, Leisa tackles the dreaded "mass walkout," that stomach-churning moment when your team decides to jump ship en masse. It's a scenario that can cripple a business, leaving owners reeling and scrambling for answers. But Leisa breaks down the underlying causes of these dramatic departures. She explores the subtle signs of brewing discontent, from whispering cliques and phantom dental appointments to a sudden dip in the quality of work. These aren't just anecdotal observations; Leisa connects the dots, revealing the systemic issues that often precede such drastic measures.

    Beyond simply diagnosing the problem, Leisa offers actionable solutions. She provides a triage plan for those already in the throes of a walkout, emphasizing the importance of clear communication, swift action, and rewarding loyalty. She also offers preventative measures, highlighting the critical role of consistent policies, growth opportunities, and, yes, competitive compensation. This isn’t a conversation for those uncomfortable talking about money. Leisa argues that paying your team what they're worth is not just ethical, but essential for long-term success. She even shares a compelling anecdote from her own career, illustrating the profound impact of a supportive and appreciative employer.

    Links & Notes

    ScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!
  • Is your med spa a hotbed of simmering resentment? Do whispers and side-eyes follow your “favorite” employee down the hallway? In this episode of Scalpel of Truth, Leisa uncovers a hidden plague infecting med spas across the land: favoritism.

    It’s not just about hurt feelings, folks. Leisa reveals how this seemingly innocuous practice can unravel your team, decimate productivity, and hemorrhage profits. Think of it as a slow-acting poison, subtly corroding the very foundation of your business.

    From lopsided praise and preferential treatment to hushed hallway gossip and full-blown staff mutinies, Leisa exposes the insidious ways favoritism manifests, often without the boss even realizing it. She argues it's not enough to be a popular boss; you need to be a badass boss. One who understands that fairness isn’t just ethical, it’s essential for a thriving practice.

    Leisa doesn't just diagnose the problem; she offers the cure. She provides actionable strategies and verbal scripts to help course-correct, rebuild trust, and create a culture of equity where every employee feels valued. If you're ready to ditch the drama, boost your bottom line, and transform your med spa from a toxic swamp into a well-oiled machine, this episode is your prescription. It's time to stop playing favorites and start playing to win.

  • This week on the show, Leisa tackles a key demographic: men. Men, she argues, aren't just untapped potential; they're ideal patients – loyal, compliant, and refreshingly drama-free. They use recommended products, arrive on time, and resist the siren song of Instagram influencers.

    But why are men missing from med spas? Leisa explores societal perceptions that paint these spaces as female-centric. She critiques ineffective marketing and suggests a reframing. Think "Gentleman's Tune-Up," not "Floral Facial." It's about speaking their language.

    Leisa also highlights the power of existing female clients as ambassadors to the male market. These women, with their networks of husbands, brothers, and friends, are a potent recruitment tool and creating targeted gift campaigns and couples' promotions only add to the allure.

    She also envisions men-only events – spaces where men can comfortably explore med spa treatments. Imagine "Beers and Botox" or "The Sculpted Gentleman." It's about creating a comfortable, masculine environment.

    Finally, she stresses social media's role. Showcase men undergoing treatments, share testimonials, and normalize male self-care. It's about visibility and shattering outdated stereotypes.

  • Hey there, bichachos! Welcome back to the Scalpel of Truth, where your girl Leisa (aka the Bitch'n Beautician) slices and dices through the BS of the med spa world. This episode is ALL about creating a rave-worthy patient experience – the kind that turns clients into walking, talking billboards for your business.

    I'm spilling the tea on everything from the MUST-HAVES (think personalized everything and anticipating needs like a psychic ninja) to the major NO-NOS (like rushing clients and pushing sales harder than a CrossFit instructor). We're talking VIP vibes only, people! So grab your favorite cocktail (or mocktail, whatever floats your boat), buckle up, and get ready to level up your med spa game. This episode is packed with actionable tips you can implement today to make your patients feel like the queens (and kings) they are.

    And don't forget to join Club Bachacho for even MORE juicy goodness! Head over to scalpeloftruth.com to sign up and get access to early episodes, exclusive content like my secret scripts for handling tricky client situations, and all the behind-the-scenes secrets that will make you the star at your med spa. This is the after-party you don't want to miss!

    Links & Notes

    ScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!
  • This week on the show, Leisa delivers an unflinching critique of common operational pitfalls - from untrained staff to chaotic front desks. She challenges the industry's status quo, particularly addressing the delicate matter of experienced healthcare professionals transitioning into aesthetic medicine.

    The episode weaves between tactical advice and strategic insights, offering listeners a masterclass in operational excellence. Leisa's colorful commentary particularly shines when addressing the distinction between what she calls "paycheck collectors" and "revenue-generating business builders" - a paradigm that challenges traditional employee categorization.

    For VIP Club Bitchacho members, the episode extends into a detailed framework for conducting operational audits. This extended content provides a sophisticated approach to practice management that balances accountability with team empowerment.

    Links & Notes

    Join Club Bitchacho Today!
  • This week, Leisa rips the bandaid off the festering wound of flaky AF med spa staff. She’s had it with the BS excuses, the last-minute cancellations, and the "can't make it" culture that's costing med spa owners time, money, and their GD sanity. She's calling out these lazy-ass employees and contractors who disrespect their team and the business, offering no-nonsense advice for managers ready to ditch the doormat persona and embrace their inner villain.

    Leisa breaks down the financial fallout of no-shows, from wasted training investments to lost patient revenue. Forget sob stories and empty promises—Leisa preaches tough love: write 'em up, put 'em on a PIP, and if they still don't get it, fire their asses. She stresses the importance of setting clear expectations and enforcing consequences, because letting this stuff slide breeds a toxic culture of disrespect, drama, and even theft.

    But it's not all fire and brimstone. Leisa also offers proactive tips for building a team that's actually excited to learn and grow. Think fun trainings, incentives, and even letting the team weigh in on what they want to learn. For her VIP Club Bitchacho members, Lisa dives deeper, sharing scripts for confronting chronic no-shows, advice on creating ironclad attendance policies, and more. So, if you're ready to ditch the daycare vibes and build a team of badass business builders, tune in to Scalpel of Truth. Lisa's got the scalpel, and she's ready to slice and dice the bullshit.

  • Hey bichachos! Lisa here, the Bitch’n Beautician, and on this episode of the Scalpel of Truth, we're slicing and dicing the impact of appearances in the medical aesthetics industry. We're talking FASHION FACELIFTS, baby!

    We’re getting raw and unfiltered about why looking the part directly affects your bottom line. We're covering everything from scrubs vs. dress clothes (and why you NEED a lab coat if you choose the latter), the importance of hair, nails, and hygiene (no janky nail shacks allowed!), and how your makeup and skincare routine can make or break your credibility.

    If you're in the beauty biz and not looking the part, you're shooting yourself in the foot! So tune in, get your act together, and let's elevate this industry one polished professional at a time. Plus, VIP Badass Bichachos get exclusive after-party content!

    Links & Notes

    Listen to "The Janky Nail Shack"Join Club Bitchacho!
  • Hey there, gorgeous trailblazing bichachos! Leisa, the Bitch’n Beautician, is back and slicing through the BS of the medspa industry. This week, she's diving deep into the nitty-gritty of data-driven decisions – because numbers aren't just sexy; they're the key to a profitable, kick-ass med spa. Leisa breaks down the must-know metrics, from P&Ls and KPIs to industry benchmarks and production numbers. She's giving you the no-holds-barred truth about why understanding your data is crucial for everything from hiring and firing to launching successful marketing campaigns and investing in new equipment.

    So ditch the gut feelings and embrace the power of data! Leisa’s got the scalpel, and she's ready to help you cut through the crap and build the medspa of your dreams. Plus, she's got some big news about the brand new VIP Badass Club Bichacho — an exclusive after-party for subscribers with all the juicy insider secrets you need to level up your game — Available Right Now!

  • This week we muck around in the ever-present sludge of manipulative patients in the medical aesthetics industry. We explore common manipulative tactics employed by patients, from serial complaining to freebie seeking and excessive neediness and offer practical strategies for setting boundaries and protecting our practices. We emphasize the importance of clear policies, strong consent forms, and the empowering act of firing a patient when necessary.

    Plus, we’ve got scripts! Scripts for calmly and firmly asserting our policies, for highlighting the importance of rebooking appointments to maintain patient engagement, for safeguarding our time, for dealing with negative reviews… the works.

    Plus, get ready! We’re about to launch Club Bitchacho, your pass to early access, Q&As, ad-free episodes, and bonus goodies! Stay Tuned!

  • This week Leisa takes you into the very beating heart of the the SWOT analysis. Forget sugarcoating; Leisa delivers an unfiltered breakdown of this essential business strategy, emphasizing its importance beyond an amateur annual review. She advocates for monthly, even weekly, SWOT analysis sessions to keep your med spa ahead of the game in a rapidly evolving industry.

    Leisa stresses the importance of involving the entire team in the SWOT analysis process, encouraging individual self-assessment alongside a collective examination of the clinic's strengths, weaknesses, opportunities, and threats. This approach, she argues, fosters accountability, transparency, and a unified vision for growth. From identifying outdated equipment to maximizing employee strengths, Leisa provides practical examples and actionable advice for implementing the SWOT analysis effectively.

    Get ready for concrete tips for turning weaknesses into opportunities and threats into strengths. Leisa emphasizes the importance of open communication, proactive problem-solving, and consistent evaluation to stay ahead of the curve in a competitive market. She underscores that success in the med spa industry requires more than just skill; it demands a strategic mindset, constant adaptation, and a commitment to continuous improvement.

  • This week on the Scalpel of Truth, Leisa tackles the epidemic of copycatting plaguing the medical aesthetics industry. From crashing competitors' events to shamelessly stealing marketing materials, Leisa exposes the unoriginal offenders who are more interested in quick fixes than building a brand with integrity.

    This is an episode about the importance of authenticity. It’s about learning to embrace our unique strengths and invest in our own creativity. Forget the cheap knock-offs. Originality is the only facelift your brand needs.

    But it's not all tough love and sharp wit. Leisa provides practical advice on cultivating genuine innovation, encouraging listeners to tap into their teams, engage with their patients, and even look outside the industry for inspiration. She reminds us that success in this business requires more than knowing the right injection techniques—it demands courage, creativity, and a commitment to ethical practices.

  • This week on The Scalpel of Truth, Leisa tackles a problem that plagues many medical spas: toxic management. She dissects the various forms toxic management can take, from the egomaniac who rules by fear to the lazy service provider who coasts on seniority. She argues that these individuals, often placed in positions of power without earning their keep, can cripple a med spa's potential, leading to decreased productivity, high turnover, and, ultimately, a decline in patient satisfaction.

    The episode isn't all doom and gloom, however. Leisa offers practical solutions for med spa owners, urging them to "inspect what they expect" from their managers, closely monitoring performance metrics, conducting regular performance reviews, and creating a safe space for employees to voice concerns without fear of retribution. She stresses the importance of data-driven decision-making, encouraging owners to address issues head-on and make tough choices when necessary, even if it means letting go of long-time employees.

  • On this week's episode of The Scalpel of Truth, Leisa Krauss is serving up a generous portion of tough love for medical aesthetics professionals. Lisa dives deep into the concept of a unique value proposition, or as she puts it, "Why the hell prospective patients should choose to do business with you in a saturated market."

    For Leisa, success in this industry boils down to standing out from the crowd. She emphasizes the importance of building a brand around expertise, personalized treatment plans, and a commitment to staying ahead of the curve with cutting-edge technology. However, she cautions that true luxury lies not just in shiny new devices but also in the finer details that elevate the patient experience.

    Think sparkling clean treatment rooms, a welcoming ambiance, and, most importantly, a team that exudes professionalism and genuine care.

    Leisa stresses the power of a comprehensive consultation that leaves patients feeling informed, empowered, and eager to book their next appointment.

    Don't forget to subscribe to The Scalpel of Truth and check out Lisa's website for more business tips and industry insights. Until next time, stay sharp, stay focused, and stay fabulous!

    Links

    vanityempireconsulting.com@scalpeloftruthpodcast
  • Get ready for a wild ride as Leisa dives into the wild world of medical aesthetic marketing with her guests, Ontonio Karam and Danial Aziz, the masterminds behind Skinfluence Marketing. They're spilling all the tea on the BS you need to watch out for, like those agencies promising you the moon and stars (spoiler alert: it's probably a scam).

    They're calling out cringey marketing tactics (ahem, having your receptionist run your Instagram) and revealing why cookie-cutter websites are about as effective as a dull scalpel. Plus, they're dropping truth bombs about the importance of killer before and after photos that actually showcase your skills (and no, your iPhone pic most likely isn't going to cut it).

    This episode is your ultimate guide to upping your marketing game, attracting the right clients, and avoiding those shady marketing traps. So grab your scalpel. It's time to cut through the BS!

    Links & Notes

    Skinfluence MarketingFind Leisa at Vanity Empire Consulting
  • This week under the Scalpel, Leisa dives deep into building the ultimate dream team with top-tier talent for your med spa. Leisa breaks down the episode into seven crucial segments, starting with defining your ideal candidate and their non-negotiable skills and qualities. She then moves on to crafting compelling job descriptions, interviewing like a pro, onboarding effectively, building a positive clinic culture, providing continuous training and development, and implementing retention strategies to keep your top talent happy and loyal.

    Throughout the episode, Leisa emphasizes the importance of being clear, direct, and honest in your expectations and communication when seeking out and managing top-tier talent. She stresses the significance of creating a supportive and engaging work environment, offering competitive compensation and growth opportunities, and investing in your team's future through ongoing training and personal development plans. Leisa also highlights the value of building a strong clinic culture and reputation within the industry to attract and retain the best talent in the field.

    Links & Notes

    Get the Bitch’n Templates package: A collection of templates, including educational agreement templates, to help streamline your practice's operations and save time.Discovery call with Leisa Krauss: An opportunity to discuss your onboarding process and receive guidance on how to improve it to attract and retain top-tier talent.
  • In this episode of The Scalpel of Truth, Leisa Krauss and her guest Christine Mytrunec from Gold Raven Studio delve into the importance of responding to negative online reviews for med spas. It’s time to gear up and learn how to handle these reviews with professionalism and empathy because a well-crafted response can turn a negative situation into an opportunity to showcase your commitment to customer satisfaction.

    Leisa and Christine discuss the significant impact online reviews have on a med spa's reputation and bottom line. They cite statistics showing that 95% of consumers read reviews before making a purchase decision and that 91% of 18-34 year-olds trust online reviews as much as personal recommendations. The duo stresses the importance of striving for a 5-star rating on Google, as anything below 4.5 can drastically reduce a med spa's visibility in search results.

    Throughout the episode, Leisa and Christine share examples of poorly handled negative reviews and offer advice on how to address them effectively. They emphasize the need for owners and staff to take responsibility for their shortcomings, investigate the root causes of the issues, and take action to prevent future occurrences. The pair also addresses the problem of fake reviews left by competitors, advising med spas to respond professionally and request that the reviewer contact them directly to resolve the matter.

    In the end, they strategies for encouraging satisfied customers to leave positive reviews. They suggest asking for reviews directly, making the process easy by providing links or QR codes, and following up with patients after their treatments.

    Links & Notes

    VanityEmpireConsulting.comInstagram: @thebitchnbeautician and @scalpeloftruthpodcastHug Your Haters by Jay Baer
  • In the latest episode of "The Scalpel of Truth," Leisa Krauss—affectionately known as the Bitch‘n Beautician—dives into the art of hosting purchasing events at your med spa. Leisa lays out a roadmap for turning these events into revenue-boosting, loyalty-building extravaganzas. From creating urgency and exclusivity to leveraging personal consultations and educational opportunities, she offers a masterclass in event planning that’s anything but dull.

    As always, Leisa doesn’t hold back. She dishes out no-nonsense tips on avoiding the dreaded “discount” label, rallying a motivated team, and ensuring your guests are happy (and buying) throughout the event. Whether she’s advocating for mid-month scheduling or stressing the necessity of a well-organized RSVP list, Leisa’s advice is as practical as it is entertaining. So, grab your favorite bev, buckle up, and get ready for an episode packed with laughter, insight, and a healthy dose of salty language.

    We encourage you to invest in templates and tools to work smarter, not harder. We offer a 30-minute discovery call for those who purchase our templates package, demonstrating our commitment to helping you take your practice to the next level.

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