Aesthetic services
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Florida Trend article featuring
Cheryl Whitman

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December 5, 2007

 
 Warmest Wishes for a Happy, Healthy
Holiday Season!
 
from
Cheryl Whitman and the team at Beautiful Forever Medical Spa Consulting

Facing Up to Reality
Debunking the biggest medical spa myths
By Cheryl Whitman
 
The health and wellness market is a $500 billion industry made up, in part, by a 500% boost in the number of aesthetic procedures performed in the last five years. Peak demand for medical spas, cosmetic medical centers, wellness centers and age management institutes is on the horizon and those who are prepared will be ahead of the curve - and have the potential to set the standard for excellence.
 
While your attention should be fully engaged with your patients, there is still the matter of the business you are running. Not only is it important that you have a business plan and a marketing blueprint, among other business-related specifics, but also adhere to each and every board, ruling, regulation, registration, licensing, and recommendation in order to be in compliance and protect your patients and your facility from reprisal.
 
MYTH: "Medical spa" means instant revenue
REALITY: Like anyone else who starts a new business, you have a 50/50 chance of succeeding. The number one reason most businesses fail is because they don't plan properly and under capitalize their investments. In addition to a significant financial investment, it will take a lot of hard work to put yourself on the positive side of that ratio. There is more to consider than just the highly sought-after services you will offer. Building a successful medical spa practice, cosmetic medical center, wellness center or age management institute is a process that requires patience and serious planning to improve your chances for achieving your goals. It takes time and attention to detail to build, maintain and grow a successful practice.
Whether you are seeking start-up or expansion capital, or working to keep your investment strong, a business plan will help take your business and organization to the next level. In fact, it is essential to the success of your medical spa or cosmetic medical practice. It is the ultimate guide for your structure, services, products, staffing, resources, budgeting, financial management and implementation. A solid plan helps you visualize your goals and stay on track while also keeping you from floundering in what is quickly becoming a sea of competitors.
If you are planning a build-out for your space to accommodate your services, secure the necessary permits and be aware of the actual time it can take to complete construction. Develop a Web presence so you are easy to find online. Make time for networking in your area, as well as offering free lectures and seminars for the public. Further, open your calendar to public relations opportunities and create a budget to cover essential marketing efforts. But before you can implement any of these options, you will need to plan very carefully.
 
MYTH: "If you build it, they will come."
REALITY: You won't have clients rushing in just because you have hung your shingle - even if you are an expert in your field, have the latest equipment and the most beautiful office - unless you are actively promoting your business. You have to tell your clients and prospects that your medical spa is the only place where they can receive your signature services.
"One hundred percent of your aesthetic business relies on your marketing plan," shares Anca Saladie, senior consultant with Beautiful Forever. "You must have a plan that focuses on your clients, products and services, promotion and pricing. Marketing includes how you design and decorate your space, the Private Label and other retail products you provide for at-home use, and the collateral material available, such as brochures and direct mailers."
 
MYTH: Once a client, always a client.
REALITY: Clients rarely stop shopping for the best services - and deals - on the market. Satisfied customers are the key to your profitability, so measuring your customers' satisfaction on a regular basis is vital. Common measurements include surveys, retention rates and customer service inquiries.
In-office consultation is an important avenue for increased success and should be a part of every client's experience. Every member of your staff should be trained to follow the same procedure for every consultation, whether the client is seeking your premium procedure package or a simple skin assessment.
Be sure that you are providing the highest level of satisfaction. Whether your clients and prospects find you by word-of-mouth, the Internet or in the yellow pages, it is up to you to make the most of each client contact and track them so you can identify what is working and what needs to be revised.
 
MYTH: If the equipment is expensive, it must be good.
REALITY: Be picky. Cost is not the defining feature of a good piece of equipment. You need to add something to your service line that can keep up with current and burgeoning demand. A clear understanding of your target market's demographics and a competitive analysis are important when making a purchase decision. You want the best bang for your buck, so look for a piece of equipment that can meet many needs and serve many different types of clients. Be sure to rate equipment choices based on proven results, "gold standard" status, broad appeal and/or application, combination therapy capability and the ability to generate high revenue. Find out who is endorsing the equipment, including major associations. 
Before purchasing new equipment, you also should examine the possible return on investment (ROI). Is the equipment you are considering going to need replacement within two to three years, or will it be effective for four to seven years, thus providing a better ROI? In addition, learn your financing options and negotiate the best rates.
 
MYTH: We can tell we are doing well because our revenue is higher than last month/year.
REALITY: Monitoring incoming dollars is always important, but don't stop there. You must stay on top of all the factors that may be affecting your practice so you can correct what isn't working - and capitalize on the best. Operational efficiencies are a key in sustaining profitability and ensuring not only stable and solid business, but also success for your medical spa. Metrics measurements provide numbers that tell a story about where your business is headed.
Businesses in the cosmetic medical sector should use quantitative benchmarks and techniques to monitor the elements that impact the profitability, efficiency and effectiveness of their business. When you rely on solid numbers and key metrics, rather than subjective measures such as hearsay and intuition, you have the edge on success. You will need to measure financial, client, consultation, demographic and lead metrics regularly to track your efforts on an ongoing and cumulative basis and review the results monthly or quarterly. Be sure to share your goals and findings with your staff so they can continue to build their skills.
 
MYTH: A medical spa is not much different from my successful practice. If I keep following the same model, I'll do fine.
REALITY: You are moving into a very retail-driven market that may be completely new to you. Of course you should keep your ill or recovering patients separate from your well patients, but you should be aware of some major differences. Market research shows the annual average revenue of a medspa tops $1.5 million, up to 15% of which is accounted for in retail sales. You will be working with patients who are making elective decisions regarding aesthetic choices that are paid for in cash (or credit, including patient financing that you may offer). That said, you might need to address the issue that aesthetic services are not covered by medical insurance, so patients will not be able to make claims.
You will need to focus more on the overall experience and the ambiance and atmosphere, as well as retail products for home maintenance. Most clients are happiest when purchasing their skin care products where they get the rest of their cosmetic services. In fact, your patients will greatly appreciate shopping for products that really are designed for their special needs in an environment where they know they will receive your expert advice. Product lines and a well-trained, well-informed, professional staff proficient in selling can add 30 to 40% to your total revenues.
 
MYTH: I can count on my staff to know what to do.
REALITY: Standard operating procedures (SOPs) are the backbone of every successful business and practice, so plan your strategies and train, train, train. After you have taken the time to hire the right people for your practice, keep them up to speed - or even ahead of the game - by providing ongoing education. Don't leave anything to chance and don't make your staff guess what you want. Put clear protocols in place for everything, including phone inquiries, consultations and every treatment you offer.
Even though potential clients have already made the decision to 'buy' treatment, they may still be shopping around for the best place to get it. Your goal is to show why your practice is perfect for their needs. Do spot checks to make sure consultations are done correctly, and follow up regularly with role-playing, training and even secret shoppers

MYTH: Issues tend to work themselves out.
REALITY: "On a regular basis, you will need to take a close look at your practice," says Mac Fadra, executive consultant with Beautiful Forever. "Or better yet, ask a professional, such as an accountant, manager or consultant, to evaluate it for you. Many practices face at least one issue that prevents them from reaching the level of success they seek, and it may cause significant damage before it is clearly recognized and handled. By doing some detective work, you can discover the root problems that may be holding you back. The key then is to take action and implement steps to correct your issues."

/Portals/231/articles/December-5-2007/Does Sugar Cause Wrinkles?
Face Facts About Sugar
The surprising reason eating too much can cause wrinkles -- and 5 steps to ensure that it won't

Courtesy of Prevention

If the promise of a slimmer waistline hasn't curbed your sweet tooth, maybe the desire for smooth skin will. It's a bitter pill to swallow, but experts now believe that a lifetime of overeating sugar can make skin dull and wrinkled.

At blame is a natural process that's known as glycation, in which the sugar in your bloodstream attaches to proteins to form harmful new molecules called advanced glycation end products (or, appropriately, AGEs for short). The more sugar you eat, the more AGEs you develop. "As AGEs accumulate, they damage adjacent proteins in a domino-like fashion," explains Fredric Brandt, MD, a dermatologist in private practice in Miami and New York City and author of 10 Minutes 10 Years. Most vulnerable to damage: collagen and elastin, the protein fibers that keep skin firm and elastic. In fact, collagen is the most prevalent protein in the body. Once damaged, springy and resilient collagen and elastin become dry and brittle, leading to wrinkles and sagging. These aging effects start at about age 35 and increase rapidly after that, according to a study published in the British Journal of Dermatology.

Besides damaging collagen, a high-sugar diet also affects what type of collagen you have--another factor in how resistant skin is to wrinkling, says Brandt. The most abundant collagens in the skin are types I, II, and III, with type III being the most stable and longest lasting. Glycation transforms type III collagen into type I, which is more fragile. "When that happens, the skin looks and feels less supple," says Brandt. The final blow: AGEs deactivate your body's natural antioxidant , leaving you more vulnerable to sun damage--still the main cause of skin aging.

One group that knows all too well sugar's ravaging effects: people with diabetes, who--because they can suffer from years of undetected high blood sugar--often show early signs of skin aging. "Depending on how well their disease is controlled, diabetics can have up to 50 times the number of AGEs in their skin as those who don't have diabetes," says Karyn Grossman, MD, a dermatologist in New York City and Santa Monica, CA, and chief of the division of dermatology at St. John's Hospital in Santa Monica.

The good news about sugar-damaged skin: It's never too late to turn back the clock. One way is to build new collagen with products that contain retinoids--look for retinol in OTC serums and lotions or prescription creams such as Renova, Avage, and Differin. To keep this new collagen supple, prevent AGEs from forming by taking steps to minimize the damage sugar causes to your skin.
 
for complete article please go to: 

/Portals/231/articles/December-5-2007/How to Get the Most from your Medi-Spa Experience
 
Medi-spas can offer everything from facials and hair removal to pharmaceutical injections and other medical procedures, and are proliferating across the country. You can find medi-spas in a variety of locations including a physician's office, or in non-traditional venues such as shopping malls, store fronts and beauty salons.

There are many excellent and convenient medi-spas that offer safe, physician supervised treatments. However, for those providing treatments outside of the physician's office, there are no national standards for medi-spas, no recognized definition of what constitutes a medi-spa, and no oversight organizations that provide the information you need to make a fully informed, safe choice for your medi-spa experience.
It is important that you do your research when you are considering having a medi-spa treatment since it concerns not only your appearance but your health and safety as well. Here is a checklist of key questions for your reference:
Is the Medi-spa located within a physician's office?
While problems are infrequent, physician's offices generally have medical personnel available if a problem develops.
Is the Medi-spa located outside of a doctor's office in, for example, a mall or salon?
If so, ask the name of the physician responsible for oversight and when they are available for consultation or questions before having any injectable, deep peel or laser treatment. Also ask about the training of any other medical personnel. This is vital to protect your health and insure an optimal outcome. These are generally safe procedures with minimal recovery, but do have real risks.
Medical supervision and personnel training: Does your medi-spa have a physician who can help in determining your goals, provide a treatment plan and direct your care...
What are the credentials of the physician supervising your treatment in the medi-spa?
Injectables (such as Botox and tissue fillers), skin treatments (such as laser, intense pulsed light, and radiofrequency) and deep peels should be under the supervision of board-certified plastic surgeons or dermatologists.  Ask to see these credentials. Doctors in other specialties, designating themselves as "cosmetic medicine physicians" may lack the comprehensive training that is needed for administering drugs and treatments to the deeper levels of the skin and lack the experience necessary to achieve optimal aesthetic results or to manage potential complications.  Just as you wouldn't see an allergist if you were having a baby, it's in your best interest to see a physician who specializes in plastic surgery and dermatologic care when seeking cosmetic medical procedures.
Who is performing the injection?
Depending on the State you're in, injections and deep peels may be performed by a nurse, physician's assistant or nurse practitioner. However, never allow a non-medical, unlicensed person to perform a medical procedure and be sure that the procedure is supervised by a physician board-certified in plastic surgery or dermatology. Your health and safety depend on it.
 

/Portals/231/articles/December-5-2007/Separate Your Business from the Competition!!
The Medical Spa Success System, the medical spa business made simple developed by Cheryl Whitman, President and CEO of beautiful forever Medical Spa Business Consulting firm.
This system is the first and only comprehensive, do-it-yourself guide to planning, staffing, marketing, and operating your medical spa business. For a reasonable investment on your part, you get all the tools and knowledge you need to be successful including:
400+ page manual that walks you through concept creation and branding, selecting a market niche, choosing your location, creating a menu, identifying marketing tactics, reviewing legal and insurance issues, and operating efficiently.
Customizable CD Rom that includes: employee handbook, operating manual, marketing and business plan templates, treatment protocols, project time line, and job descriptions.
Learn how to choose the right staff, answer phone calls effectively, provide concise consultations, and manage your business.
Includes consulting time with a beautiful forever medical spa expert.

beautiful forever has added "Virtual Consulting" to our list of services!! 
Talk with experts for as little as one hour or buy a package of hours! Get all your questions answered such as:
  • How do I choose the right location?
  • Do I have the right marketing strategy?
  • How can I increase my bottom line? 
  • Have I hired the right staff?
  • Am I getting the most out of my retail line?
For more information on this exciting new opportunity please go to www.medicalspaconsultant.com and click on "Virtual Consulting".