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Your Practice Has a
Growth Constraint.
We Find It.
We tell private equity firms, operators and owners exactly what's broken before they write another check.
Who This Is For
We Work With the People
Who Write the Checks.
Private equity firms acquiring aesthetic practices. You bought the asset. Now you need someone who has worked inside this vertical since 2001 to tell you where the real growth is hiding and what the seller's marketing was masking.
Multi-location operators scaling a portfolio. You're rolling up practices and discovering that what worked at one location doesn't transfer to three. You need a system that works the same at every location.
Practice owners ready to dominate their market. You've been the second or third name in your city long enough. You want the playbook that took Skin Vitality from #4 to #1 on Allergan's list.
If you want someone to run your Facebook ads, or a vendor who nods along and sends reports, we're the wrong call.
The Formula
Find It. Fix It. Then Grow.
Most agencies start running campaigns before they understand the problem, and that's why most marketing doesn't work. We find the real constraint first, then decide what to run.
01
Find
We audit how the practice grows: marketing, conversion, operations and where it stands against competitors. Most owners think they have a marketing problem. More often the marketing brings patients in and the practice loses them before they book.
02
Fix
You get a plan with the priorities in order, the projected return on each, who owns each step and what it should produce.
03
Grow
We stay on every month to see the plan through, measuring and adjusting across your locations until you own your market.
Advisory starts with the diagnosis, then continues month to month while we see the plan through with you.
The Track Record
We've Worked Inside Aesthetic
Practices Since 2001.
Twenty-five years inside one vertical, with hundreds of millions in managed spend, is long enough to see what moves revenue and what only moves reports. The practices on this page went from #4 to #1 on Allergan's list, from one office to three, and to 2.4 times the revenue a year after we started. The numbers are on the case studies with the names attached wherever the client let us use them.
Featured in Inc. Magazine and The Globe and Mail. Speaker at IMCAS, the world congress for aesthetic medicine. Author of "A Cut Above," the Amazon #1 Best Seller in Plastic and Cosmetic Surgery.
2.4x
Quarterly revenue a year in. Revery Medical Aesthetics, from the clinic's own sales records.
72 → 125
Surgical consults a month, in a recession. A plastic surgeon on Avenue Road in Toronto.
1 → 3
Offices, New Jersey to Upper Manhattan. Gartner Plastic Surgery, fixed from the inside first.
#1
Botox, Juvéderm and CoolSculpting provider in the country. Skin Vitality, up from #4.
Proof
Three Practices Grew After
We Fixed What Was in the Way.
2.4x
Revenue, One Year In
Revery Medical Aesthetics in Windsor, measured from the quarter before we started against the same quarter a year later. The clinic added nurses, aestheticians and two lasers.
Read the case study →#1
Market Position
Skin Vitality, #4 to #1 Botox provider in the country on Allergan's list, and 4 clinics to 8 within two years. 14 clinics today.
Read the case study →1 → 3
Offices
Gartner Plastic Surgery was losing patients to its own payment policies. We fixed the inside first, then grew one New Jersey office into three, including Upper Manhattan.
Read the case study →Intelligence Report
70%
of acquisitions fail to create value.
The Growth Gap
Why most aesthetic practice acquisitions underperform — and the 3 operational failures PE firms miss in diligence. Data from 40,000 deals, 7.37M patient calls, and 1,980 clinicians.
Get the ReportIs Your Practice a Fit?
We take on a handful of practices at a time. Tell us where yours is and what's in the way. If it's a fit, we'll set a time for you to meet Nick Dumitru, our founder, who has worked with plastic surgeons and aesthetic clinics since 2001.
See If We're a Fit