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This week, Leisa isnât just throwing shadeâsheâs launching a full solar eclipse on one of the most silent yet savage killers of med spa revenue: your phone. Yes. That glowing brick of missed opportunities, voicemail graveyards, and DMs abandoned like a dog in a Disney movie.
Letâs paint a horrifying picture, shall we? You drop ten grand on Instagram ads, six grand on serums, and another six figures on a laser. And then⌠your only front desk person is using the last surviving brain cell to triage six ringing lines. Meanwhile, leads are ghosted harder than your cousin Chad after that MLM pitch.
Leisa drops stats so sharp they need their own sharps container: 78% of leads vanish if you donât reply within 15 minutes. Thatâs right. Fif. Teen. Minutes. If youâre not responding, youâre not running a businessâyouâre running a very expensive ghost tour of what couldâve been.
So whatâs the cure for this communication coma? Leisa prescribes three doses of strategic brilliance:
Designated Phone Killers â No, not literal murderers. Chill. These are trained humans with working thumbs and basic people skills who can book an appointment without getting overwhelmed by blinking lights.Answering Services â Not ideal, but better than your cousin Chad. Leisa walks you through how to make them actually work.Automation & Accountability â Because âsomeone should get to that eventuallyâ is not a business plan, itâs a hostage negotiation with time.Plus: lead buckets, five-minute rules, call reviews, protocol loops, and a polite but urgent reminder that texting is the new talking. Because if youâre calling people without warning, what are you? A monster?
This episode is the high-voltage defibrillator your front desk operations desperately need. So grab your headphones, press play, and let Leisa be the beautifully blunt voice in your ear, reminding you: you are your businessâs sharpest tool. And if youâre not using that tool wisely, youâre just poking holes in your own wallet.
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Okay, med spa owners, aestheticians, Botox bandits, and anyone with a laser and a dreamâthis oneâs for you. In this no-holds-barred episode of The Scalpel of Truth, your host Leisa Krauss (a.k.a. The Bitchinâ Beautician, a.k.a. The Profit Queen, a.k.a. the woman screaming âData is sexy!â 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 youâitâs spicier than a jalapeĂąo facial.
Leisaâwho, by the way, has coached more clinics than youâve had overpriced green juicesâunleashes an unapologetic monologue about what it actually takes to stay afloat in 2025âs aesthetics landscape. Spoiler: Itâs not âpositive vibesâ and âgood Botox.â Itâs ruthless strategy, relentless data tracking, and firing that employee whoâs been âworking on their sales skillsâ since the Obama administration.
In this episode thatâs 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 boardsEmotional hiring and why your cousin Becky needs to either produce or peace outMembership models that donât feel like gym contracts from hellAnd the difference between âupgradesâ (good) and âupsellsâ (ew)This is a chapter from the business Bible your med spa never knew it needed. So buckle up, Bitchachos. Youâre 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 itâs still 2019.
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! -
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Ah, the world of medical aestheticsâwhere the promise of eternal youth meets the harsh reality of fluorescent lighting, stained chairs, and front desk energy so apathetic it could be mistaken for a DMV on a Monday morning. Welcome to The Scalpel of Truth, where host Leisa Krauss is wielding her verbal scalpel to slice through the nonsense thatâs draining your profits, scaring off high-end clients, and making your clinic look like a budget nail salon that moonlights as a haunted house.
And letâs be clear: this isnât some delicate, whispery, spa-music-in-the-background kind of discussion. No, this is brutal, unfiltered, possibly expletive-laden truth about why your med spa might be repelling luxury patients faster than a Groupon Botox deal.
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 high-stakes, ever-expanding world of medical aesthetics, one thing is certainâapproach is everything. Yet too many professionals are getting it disastrously wrong.
This week on the show, Leisa dissects the most egregious consultation blundersâfrom injecting unsolicited critiques into patient conversations to the cringeworthy art of backhanded salesmanship. With her signature blend of razor-sharp candor and hard-earned expertise, she exposes the pitfalls that are not only costing providers revenue but actively driving patients straight into the arms of their competitors.
For those ready to level up, Leisa shares her 10K Consultation Framework, a game-changing approach designed to elevate patient trust, amplify conversion rates, and transform consultations into high-ticket treatment plansâwithout a whiff of desperation or sleaze.
If youâre in the aesthetics game and serious about profitability, reputation, and patient retention, this episode is non-negotiable listening. So buckle up, BitchachosâLeisa is here to slice through the industryâs bad habits and hand you the blueprint for success.
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! -
Today weâre going after a silent killer: shitty consultations.
Thatâs right. Your consultations. Are they airtight revenue-generating machines, or are they flimsier than an influencerâs NDA?
Because, folks, hereâs the hard truth: If your consultations arenât converting at 80 to 85% or higher, youâre not just leaving money on the tableâyouâre setting the table on fire, then crying about why dinner never showed up. And if you think, âBut Leisa, we already do consultations!ââask yourself: Do you do them well? Do you do them consistently? Do you do them in a way that doesnât make your patients feel like they just got upsold at a used car lot run by a guy named Greg with strong divorce energy?
Because if your staff is out here winging consults like theyâre improv night at a failing comedy club, guess what? Youâre hemorrhaging revenue and your competitors are eating your lunch.
So today, weâre breaking it all down.
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! -
Welcome, Bitchachos, to another episode of The Scalpel of Truthâthe only podcast where business reality gets sliced thinner than prosciutto at a bougie brunch spot.
Todayâs topic? The utterly baffling phenomenon of aesthetic business owners clutching their wallets like a Victorian maiden clutching her pearls. Thatâs rightâif you're waiting for a mythical financial fairy godmother to sprinkle prosperity dust over your broke-ass clinic, spoiler: sheâs not coming.
If your luxury med spa looks like a DMV waiting room, itâs not the marketing flex you think it is. Your reputation wonât 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, youâve 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 invitationâone 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 donât chase customersâthey magnetize them. She deciphers the language of luxury, from âfinancial plansâ (never âfinancingâ) to âsavingsâ (never âdiscountsâ). She explains why your front desk staffâs cardigan choices might be costing you thousands. And she issues a stark warning: if your consultation conversion rate is below her magic number, you donât have a pricing problemâyou have a consult problem.
Leisa lays out a radical framework for attracting the patients who get itâthe 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 â 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!
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Performance reviews: love them, dread them, or avoid them entirely? In this episode of Scalpel of Truth, Leisa Kraussâyour no-nonsense profit queenâcuts through the fluff to reveal why skipping these critical check-ins is like skipping your skincare routine: youâll 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. Itâs tough love, served with a side of salty language and Leisaâs trademark spice.
But hereâs 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 youâre 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 wasnât just about the services you offerâbut the story you tell? In this tantalizing teaser for this week's Scalpel, Leisa offers a glimpse into her current episode on brandingâtearing into the industryâs cookie-cutter aesthetics and challenging listeners to think bigger, bolder, and better. âIf your branding doesnât make you stand out,â she warns, âyouâre already f*cking irrelevant.â
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. Itâs about getting the tools, insights, and inspiration to transform your business from âmehâ to âhell yes.â And itâs 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 isnât 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 peopleâs content. I'm here with the raw, unfiltered truth â the Scalpel of Truth.
In this episode, I'm announcing something big: going forward, this will be an exclusive member show. Itâs for those who are serious about leveling up. This is about getting real, getting strategic, and dominating this industry.
So this week, Iâm talking about the change, the whys and hows and the whatâs-it-mean-for-yous. If youâre not a member yet, head to ScalpelOfTruth.com to sign up now, before the price increases on February 15, 2025!
Letâs GO!
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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, itâs 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 thatâs 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! -
The medical aesthetics industry: a gold rush, or a carefully constructed illusion? Leisa Krauss, the "Bitchin' Beautician," argues the latter in this Scalpel of Truth episode. She dissects the industry, revealing a landscape far more complex than its glossy facade.
Is the market saturated? Leisa says it's the wrong question. It's about the quality of your space, not just if there's room. Are you a player or a pawn, manipulated by those profiting from your entry? With 30 years in the game, Leisa sees a market flooded, where only the exceptional survive.
She challenges those claiming "plenty of room," the device reps and consultants with dollar signs for eyes. Leisa, a consultant herself, discourages many from entering this costly, unforgiving arena. She delivers a bracing dose of reality: high entry costs, staffing nightmares, and marketing madness.
Yet, thriving is possible. Drawing on her father's wisdom, "success leaves a trail," Leisa argues it demands more than a pretty Instagram. It requires a killer patient experience, quality services, a motivated team, and strategic pricing. She warns against the race to the bottom.
Leisa also critiques the "consultant" industry, exposing the parrots who haven't walked the walk. She urges listeners to be discerning, to seek out true expertise. It's a call for critical thinking in the med spa echo chamber.
This episode isn't just a podcast; itâs a call to action. It's a challenge to move from surviving to thriving. The industry isn't for the faint of heart, but for those willing to work, the rewards are there. But only for those who see beyond the mirage.
Links & Notes
ScalpelOfTruth.com ⢠Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today! -
The episode explores contractors versus employees. Are contractors adding value, or are they "mules" who just inject and leave? Leisa describes contractors who don't recommend products, use clinic photos with their own branding, and give out personal cell numbers. This raises questions about management and a misunderstanding of the business.
Leisa critiques the dabblers, the prick technicians, and the leeches who drain clinics. She challenges listeners to consider the true costs, not just financial, but to the industry's integrity. Is the field attracting those more interested in personal gain than patient care?
This episode is a call to action. Leisa advocates for a holistic approach, valuing patient connections and comprehensive solutions. She champions invested business builders, not paycheck collectors. What defines success: procedures or lasting impact?
Links & Notes
ScalpelOfTruth.com ⢠Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today! -
In this episode of The Scalpel of Truth, Leisa plunges into the treacherous terrain of business partnerships. Itâs a topic rife with peril, a landscape littered with the wreckage of broken dreams and shattered friendships. Why? Because, as Leisa so eloquently puts it, humans are "messy AF." We arrive at the entrepreneurial altar with our egos, our insecurities, and our wildly divergent visions of success. We envision a harmonious duet, but often end up in a cacophonous free-for-all.
Leisa explores the seductive allure of partnerships: the promise of shared burdens, complementary skills, and that ever-elusive "moral support." But she quickly exposes the fault lines, the cracks that inevitably widen under the pressure of conflicting priorities, uneven workloads, and the corrosive power of money. Think of it as the business equivalent of buying a timeshare with your in-laws â initially appealing, ultimately disastrous.
But Leisa isnât just here to diagnose the disease; sheâs offering a cure. She provides a no-nonsense playbook for those brave (or foolish) enough to embark on the partnership journey. Clear roles, transparent finances, ironclad contracts, and, crucially, an exit strategy â these are the non-negotiables, the sutures that can hold a business together when the inevitable storms hit. This isnât just advice; itâs a survival guide.
So, if youâre considering joining forces with another human in the pursuit of aesthetic domination, prepare to have your assumptions challenged, your illusions shattered, and your business acumen sharpened.
Links & Notes
ScalpelOfTruth.com ⢠Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today! -
This week, Leisa tackles the dreaded "mass walkout," that stomach-churning moment when your team decides to jump ship en masse. It's a scenario that can cripple a business, leaving owners reeling and scrambling for answers. But Leisa breaks down the underlying causes of these dramatic departures. She explores the subtle signs of brewing discontent, from whispering cliques and phantom dental appointments to a sudden dip in the quality of work. These aren't just anecdotal observations; Leisa connects the dots, revealing the systemic issues that often precede such drastic measures.
Beyond simply diagnosing the problem, Leisa offers actionable solutions. She provides a triage plan for those already in the throes of a walkout, emphasizing the importance of clear communication, swift action, and rewarding loyalty. She also offers preventative measures, highlighting the critical role of consistent policies, growth opportunities, and, yes, competitive compensation. This isnât a conversation for those uncomfortable talking about money. Leisa argues that paying your team what they're worth is not just ethical, but essential for long-term success. She even shares a compelling anecdote from her own career, illustrating the profound impact of a supportive and appreciative employer.
Links & Notes
ScalpelOfTruth.com ⢠Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today! -
Is your med spa a hotbed of simmering resentment? Do whispers and side-eyes follow your âfavoriteâ employee down the hallway? In this episode of Scalpel of Truth, Leisa uncovers a hidden plague infecting med spas across the land: favoritism.
Itâs not just about hurt feelings, folks. Leisa reveals how this seemingly innocuous practice can unravel your team, decimate productivity, and hemorrhage profits. Think of it as a slow-acting poison, subtly corroding the very foundation of your business.
From lopsided praise and preferential treatment to hushed hallway gossip and full-blown staff mutinies, Leisa exposes the insidious ways favoritism manifests, often without the boss even realizing it. She argues it's not enough to be a popular boss; you need to be a badass boss. One who understands that fairness isnât just ethical, itâs essential for a thriving practice.
Leisa doesn't just diagnose the problem; she offers the cure. She provides actionable strategies and verbal scripts to help course-correct, rebuild trust, and create a culture of equity where every employee feels valued. If you're ready to ditch the drama, boost your bottom line, and transform your med spa from a toxic swamp into a well-oiled machine, this episode is your prescription. It's time to stop playing favorites and start playing to win.
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This week on the show, Leisa tackles a key demographic: men. Men, she argues, aren't just untapped potential; they're ideal patients â loyal, compliant, and refreshingly drama-free. They use recommended products, arrive on time, and resist the siren song of Instagram influencers.
But why are men missing from med spas? Leisa explores societal perceptions that paint these spaces as female-centric. She critiques ineffective marketing and suggests a reframing. Think "Gentleman's Tune-Up," not "Floral Facial." It's about speaking their language.
Leisa also highlights the power of existing female clients as ambassadors to the male market. These women, with their networks of husbands, brothers, and friends, are a potent recruitment tool and creating targeted gift campaigns and couples' promotions only add to the allure.
She also envisions men-only events â spaces where men can comfortably explore med spa treatments. Imagine "Beers and Botox" or "The Sculpted Gentleman." It's about creating a comfortable, masculine environment.
Finally, she stresses social media's role. Showcase men undergoing treatments, share testimonials, and normalize male self-care. It's about visibility and shattering outdated stereotypes.
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Hey there, bichachos! Welcome back to the Scalpel of Truth, where your girl Leisa (aka the Bitch'n Beautician) slices and dices through the BS of the med spa world. This episode is ALL about creating a rave-worthy patient experience â the kind that turns clients into walking, talking billboards for your business.
I'm spilling the tea on everything from the MUST-HAVES (think personalized everything and anticipating needs like a psychic ninja) to the major NO-NOS (like rushing clients and pushing sales harder than a CrossFit instructor). We're talking VIP vibes only, people! So grab your favorite cocktail (or mocktail, whatever floats your boat), buckle up, and get ready to level up your med spa game. This episode is packed with actionable tips you can implement today to make your patients feel like the queens (and kings) they are.
And don't forget to join Club Bachacho for even MORE juicy goodness! Head over to scalpeloftruth.com to sign up and get access to early episodes, exclusive content like my secret scripts for handling tricky client situations, and all the behind-the-scenes secrets that will make you the star at your med spa. This is the after-party you don't want to miss!
Links & Notes
ScalpelOfTruth.com ⢠Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today! - Se mer
