Okay, med spa owners, aestheticians, Botox bandits, and anyone with a laser and a dream—this one’s for you. In this no-holds-barred episode of The Scalpel of Truth, your host Leisa Krauss (a.k.a. The Bitchin’ Beautician, a.k.a. The Profit Queen, a.k.a. the woman screaming “Data is sexy!” while your P&L sheet cries in the corner) is here to perform a full-blown, surgical-grade takedown of lazy business practices in the aesthetics industry. And let me tell you—it’s spicier than a jalapeño facial.
Leisa—who, by the way, has coached more clinics than you’ve had overpriced green juices—unleashes an unapologetic monologue about what it actually takes to stay afloat in 2025’s aesthetics landscape. Spoiler: It’s not “positive vibes” and “good Botox.” It’s ruthless strategy, relentless data tracking, and firing that employee who’s been “working on their sales skills” since the Obama administration.
In this episode that’s equal parts war cry and masterclass, Leisa slices into:
- Why your patient experience might be trash (and yes, your candles do smell like plastic anxiety)
- The KPI commandments that separate profit powerhouses from broke Pinterest boards
- Emotional hiring and why your cousin Becky needs to either produce or peace out
- Membership models that don’t feel like gym contracts from hell
- And the difference between “upgrades” (good) and “upsells” (ew)
This is a chapter from the business Bible your med spa never knew it needed.
So buckle up, Bitchachos. You’re about to get a verbal microneedling with a side of economic reality and an aftercare kit full of strategy. Because the only thing more painful than this episode? Running a clinic like it’s still 2019.
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Links & Notes
- ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!
- Check out our MedSpa Workshops and Trainings and schedule a discovery call today!
