Advisory for aesthetics & longevity practices
Operating expertise for the businesses shaping how people age.
We help medical aesthetics and longevity practices build the operating systems, clinical training, and growth strategy that took us from a single room to seven locations across our two brands in North Carolina and Virginia.
Why practices work with us
Most advisory firms teach theory. We've built the P&L.
The category's established firms are staffed by consultants and clinicians. We're operators. We built and sold a multi-site group, structured it to survive private equity diligence, and trained the providers who ran it. Longevity is the next layer we're adding: the practices that win the next decade will treat aesthetics and healthspan as one patient journey, not two service lines.
Built, not borrowed
Every framework we teach ran inside our own practices first.
Structured for exit
MSO and MSA design informed by an actual acquisition, not a case study.
Physician-fluent
Deep, direct fluency in surgical and med spa practice dynamics.
How we engage
Four ways in.
Diagnostic
A structured review of your operations, KPIs, and team against category benchmarks.
See engagement options→for DiagnosticBuild
Hands-on design of training, service lines, and MSO and growth structure.
See engagement options→for BuildInstall
On-site and remote implementation with your leadership and providers.
See engagement options→for InstallThe revenue leak
Most practices don't need more patients. They need to stop losing revenue.
Before adding a location, a device, or a new marketing spend, we find where revenue is already slipping through the business you have, then build the systems that keep it.
Underpriced menus
Services priced by habit or by the competitor down the street instead of by cost, time, and demand.
Idle provider hours
Open chair time and unbalanced schedules that quietly cap what each provider can produce.
Patients who never rebook
No structured retention, membership, or follow-up path once the first treatment is done.
Consults that stall
Interest that never converts because the consult process, pricing conversation, or handoff breaks down.
FAQ
Questions we hear often.
Who do you work with?
Medical aesthetics, med spa, plastic surgery, and longevity practices, from single flagship locations to multi-site groups preparing for their next stage.
How is this different from other consultants?
We are operators, not theorists. Every framework we bring ran inside our own practices first, including a platform we built, scaled, and took through a private equity acquisition.
Do we have to open new locations to grow?
No. Much of our work focuses on improving top-line performance inside the footprint you already have, through pricing, provider utilization, retention, and patient experience.
Can you help us prepare for investment or a sale?
Yes. We help practices get their structure, reporting, and story ready for outside capital or acquisition, informed by having sat on both sides of that table.
Do you work on-site or remotely?
Both. Engagements combine on-site work with your leadership and providers and ongoing remote support, nationwide.
How do we get started?
Start with a short diagnostic conversation. There is no obligation and no sales deck, just a clear look at where you are and where the biggest opportunities sit. Want a head start? Run your numbers through our free Revenue Leak Diagnostic first.
Try the free Revenue Leak DiagnosticWhat does it cost?
We scope and price each engagement after a short diagnostic conversation, so you know what you’re agreeing to before you start. The Revenue Leak Diagnostic is free.
Is the Revenue Leak Diagnostic really free?
Yes. Enter four numbers and see your estimated annual revenue leak in about two minutes. There’s no cost and no obligation, and it’s a good first step before a conversation.
Start a conversation
Ready to level up?
Tell us where your practice is today and where you want it to go. A short diagnostic conversation is the fastest way to find out if we're a fit.