Welcome, Bitchachos, to another episode of The Scalpel of Truth—the only podcast where business reality gets sliced thinner than prosciutto at a bougie brunch spot.

Today’s topic? The utterly baffling phenomenon of aesthetic business owners clutching their wallets like a Victorian maiden clutching her pearls. That’s right—if you're waiting for a mythical financial fairy godmother to sprinkle prosperity dust over your broke-ass clinic, spoiler: she’s not coming.

If your luxury med spa looks like a DMV waiting room, it’s not the marketing flex you think it is. Your reputation won’t save you if your competition is delivering a better experience. This is your chance to get your business together before your patients, clients, and industry peers leave you behind.

Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

In the world of high-end medical aesthetics, where luxury meets science, there exists an unspoken rule: if you have to convince someone to care about their own face, you’ve already lost.

Leisa rejects the well-worn script of salesmanship. She doesn't "handle" objections. She eliminates them before they even arise. And in this episode of Scalpel of Truth, she dismantles the outdated dogma of persuasion, slicing through the noise with the precision of a scalpel.

A consultation is an invitation—one extended only to those who have already decided to prioritize their skin health. Those who hesitate, haggle, or demand references? They are not the right fit. They are red flags in human form.

Leisa takes us inside the psychology of premium clientele, revealing why the most profitable med spas don’t chase customers—they magnetize them. She deciphers the language of luxury, from “financial plans” (never “financing”) to “savings” (never “discounts”). She explains why your front desk staff’s cardigan choices might be costing you thousands. And she issues a stark warning: if your consultation conversion rate is below her magic number, you don’t have a pricing problem—you have a consult problem.

Leisa lays out a radical framework for attracting the patients who get it—the ones who value expertise, commit to memberships, and transform into walking advertisements for your brand. No chasing, no begging. Just sharp strategy, sharper execution, and the sharpest results. Because, as Leisa reminds us, success leaves a trail. You just have to be willing to follow it.

Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

The med spa industry: a world of gleaming lasers, precise injections, and the promise of transformation. But beneath the surface of beauty lies a battleground. Who truly owns the visual evidence of that transformation – the before and after photos?

This week on the show, Leisa wades into this surprisingly contentious debate. Is it the service provider, the artist wielding the syringe, whose skill is etched into every contour? Or is it the clinic owner, the architect of the business, who invested in the space, the marketing, and the infrastructure that made the transformation possible?

Both sides have clear arguments, revealing a clash of perspectives fueled by talent, entitlement, and the cold realities of business. She explores the legal landscape, the ethical considerations, and the potential compromises that could bridge this growing divide.

Buckle up, Bitchachos. This episode of "The Scalpel of Truth" isn't just about pics; it's about the deeper questions of who we are, what we deserve, and how we navigate the complex world of modern aesthetics.

Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!

Performance reviews: love them, dread them, or avoid them entirely? In this episode of Scalpel of Truth, Leisa Krauss—your no-nonsense profit queen—cuts through the fluff to reveal why skipping these critical check-ins is like skipping your skincare routine: you’ll look fine for a minute, but eventually, everything falls apart.

Leisa shares her sharp insights on why annual reviews are dead, how monthly check-ins and quarterly deep dives can transform your med spa, and why tracking KPIs is non-negotiable. It’s tough love, served with a side of salty language and Leisa’s trademark spice.

But here’s the catch: this is just the appetizer. The juicy, actionable scripts and strategies to make your performance reviews bulletproof? Those are reserved for members of Club Bitchacho.

So tune in, take notes, and if you’re ready to level up, you know where to find the good stuff.

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

What if the difference between a forgettable med spa and a thriving, high-end destination wasn’t just about the services you offer—but the story you tell? In this tantalizing teaser for this week's Scalpel, Leisa offers a glimpse into her current episode on branding—tearing into the industry’s cookie-cutter aesthetics and challenging listeners to think bigger, bolder, and better. “If your branding doesn’t make you stand out,” she warns, “you’re already f*cking irrelevant.”

Get the full episode right now by becoming a supporting member of The Scalpel of Truth and join a community of like-minded med spa entrepreneurs who refuse to settle for mediocrity. It’s about getting the tools, insights, and inspiration to transform your business from “meh” to “hell yes.” And it’s about learning from Leisa, whose decades of experience and unapologetic honesty have made her one of the most sought-after consultants in the industry.

Get started today at ScalpelOfTruth.com

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

Guys, listen up.

This isn’t our average episode. This is a game-changer.

You know that I've been in the medical aesthetics game for 30 years, treating over 30,000 patients and building empires with my clients. You also know that I'm not here for fluff, for sugarcoating other people’s content. I'm here with the raw, unfiltered truth – the Scalpel of Truth.

In this episode, I'm announcing something big: going forward, this will be an exclusive member show. It’s for those who are serious about leveling up. This is about getting real, getting strategic, and dominating this industry.

So this week, I’m talking about the change, the whys and hows and the what’s-it-mean-for-yous. If you’re not a member yet, head to ScalpelOfTruth.com to sign up now, before the price increases on February 15, 2025!

Let’s GO!

Medical aesthetics: beauty and self-care, or a darker reality? This week, Leisa tackles patient theft, a systemic issue eroding your bottom line.

Theft is more common than believed, from pocketed products to unpaid services. She shares stories of patients rummaging through treatment rooms, a reminder that trust isn't a given. Sometimes, it’s taken. Entitlement fuels this behavior, with patients rationalizing theft as a fair trade. Leisa clarifies: these aren't harmless "whoopsies," but calculated acts impacting your business.

Leisa shifts to prevention, urging you to spot red flags: overly curious non-buyers, constant sample requests, fidgety lurkers. Trust your gut when something feels off. She stresses clear boundaries: signage, staff presence, inventory audits. Leisa also addresses handling theft: stay calm, address it directly, have a policy. "Fire" blatant thieves; they aren't worth the loss.

Leisa's message: theft is real, but not a constant threat. Spot red flags, set boundaries, handle it like a boss. This episode challenges you to confront the industry's uncomfortable truths and control your destiny.

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

We focus on lasers and injectors, but what if med spa success hinges on the overlooked? This week, Leisa argues the front desk is your most valuable player.

Leisa challenges the view of receptionists as mere order takers. She shares clinic visits marked by phone-scrolling indifference and awkward personal chats, highlighting the front desk's impact on the patient experience. So, what makes a top-tier team? A team that’s polished, professional, service-savvy, not just friendly. She slams street clothes and unprofessional details, emphasizing strong communication, service knowledge, and the ability to handle difficult clients.

It's about who they are, not just what they do. Leisa warns against hiring shy or unenthusiastic people, advocating a "Goldilocks" approach: not too bubbly, not too cold. She offers interview tips to spot red flags and find those passionate about patient care.

Training is crucial, as vital as expensive equipment. Leisa's analogy: a Ferrari driven by a novice. Technology is useless without a skilled team. The front desk isn't just a chair; it's your business's foundation. They're gatekeepers of good vibes, key to patient retention, and revenue growth drivers.

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today!