Making a (Multi) Million Dollar MedSpa

MINT Aesthetics

Welcome to the Making a Multi Million Dollar MedSpa Podcast where we have real conversations about what it takes to run a successful medspa. Join us as we showcase our insights and best practices, share our day-to-day successes and failures, and host some of our peers, colleagues, and other experts in the field! 

  1. 4D AGO

    Episode # 77- Shifting from Per-Pulse to Total Energy Strategy with Sofwave CIO, James Bartholomeusz

    Most providers are focusing on the wrong variables when it comes to energy-based treatments. James Bartholomeusz, Chief Innovation Officer at Sofwave, joins Kathy to break down how providers should evaluate and apply energy-based devices and why results vary so widely across practices. The conversation focuses on how energy is actually delivered, showing why total energy and distribution matter more than per-pulse intensity or full-face coverage. He explains how fractional injury drives more predictable outcomes, why targeted treatment zones outperform blanket approaches, and how device simplicity often reflects a stronger underlying biological mechanism. The discussion also covers patient comfort without numbing, the role of perception in pain, and how GLP-1 use and hormone-related changes are shifting treatment planning toward earlier, more proactive intervention. The result is a practical framework for delivering more consistent outcomes, improving team adoption, and building scalable, system-based treatment strategies. Talking Points: Device outcomes depend on how energy is delivered and distributed, not just the technology itselfSimplicity in explaining a device reflects true understanding of the underlying biologyFractional injury creates more consistent results than bulk heating approachesIf outcomes vary significantly by operator, the device design or protocol lacks consistencyTotal treatment energy matters more than individual pulse intensityTargeting high-impact zones is more effective than full-face coverageTreatment effectiveness is driven by energy distribution, not surface area aloneCombining technologies improves outcomes when each targets a different tissue layerCold air distraction can improve patient comfort without relying on topical numbingPatient comfort is influenced by perception and distraction, not just physical sensationGLP-1 and hormone-related changes impact skin and muscle, requiring more proactive treatment planningLong-term regeneration requires system-based treatment planning, not isolated treatmentsSimpler protocols accelerate team adoption and improve consistency across providersDownload the free resource here.  Get the key takeaways and treatment strategies from this episode, including total energy application, patient comfort, and device optimization. Episode Sponsors: Omni Bioceuticals Ad Links Omni Bioceuticals MINT Aesthetics MINT Online E-courses Links from this episode Sofwave

    1h 13m
  2. MAR 18

    Episode #76 - Case Study: How One Provider Accelerated Her Growth Through Hands-On Training with Payton Amato

    Breaking into aesthetic medicine can feel overwhelming for new injectors. In this episode, Kathy sits down with Payton Amato, a nurse from EVOLV Medical Aesthetics, accelerated her development in aesthetics through continued training at MINT Aesthetics. Payton, completed two six-month mentorship programs concurrently—one focused on injectables and one on laser—to rapidly build her skills and clinical confidence. She shares how hands-on training, repetition, and education transformed her consultations from treatment-based conversations into comprehensive facial planning. The conversation also explores how social media helped her grow her patient base, why quick online injector courses fall short, and how confidence changes patient trust.  Hear the real experience of a MINT trainee and how the experience shaped the trajectory of her career. This is the perfect tell-all for anyone considering training for themselves or their team.  Talking Points: Transitioning into aesthetics after ICU and ER nursingEarly lack of confidence in aesthetic treatmentsMINT training changing clinical thinking and confidenceDiscovering aesthetics is more complex than online coursesShifting consults from single treatments to full plansExplaining facial aging during patient consultationsConfidence replacing nervous overexplaining in consultsUsing personal treatments as social media educationPosting real results and patient questions onlineRepetition after training making skills finally clickLearning to address unrealistic patient expectationsBuilding strong relationships with clinic teammatesCollaborating with estheticians on skincare planningDownload the free resource here.  Learn about the 6-month mentoring program that changed Payton's career and made her a next level provider.  Episode Sponsors: Omni Bioceuticals Ad Links Omni Bioceuticals MINT Aesthetics MINT Online E-courses

    41 min
  3. MAR 4

    Episode #75 - AI's Role in the Modern Medspa with Dr. Johnny Franco

    Dr. Johnny Franco joins Kat Taranto to share what it truly takes to scale a modern aesthetic practice, from subleasing a 600-square-foot office to leading three locations and 90 employees. They discuss the systems and financial discipline required for sustainable growth, why structured operations outperform chaos, and how hiring a CFO clarified profitability. The conversation also explores the role of artificial intelligence in today’s clinics, including how AI can support marketing, patient communication, and operational efficiency when built on strong underlying systems. This episode offers a clear look at scaling with structure, margin awareness, and long-term strategy. Talking Points Start lean, preserve capital, and use AI strategically to stay flexible for growthSet real budgets early and use AI tools to control marketing and operational spendHire a full-time marketing lead and leverage AI to scale visibility and executionBuild SOPs for every patient touchpoint before scaling or automating with AIHire slow but fire fast to protect culture and performanceAvoid one-off schedule exceptions that fracture team equityUse working interviews to test cultural and operational fitTeach-me interviews reveal true leadership and executive capabilitySocial media consistency outweighs perfection in content strategyCRM systems prevent wasted leads and maximize marketing ROIStructured team meetings create clarity and reduce internal frictionRevenue means nothing without margin awareness and financial oversightA CFO mindset shifts focus from growth volume to profitabilityMed spa, surgery, and wellness are converging into one continuumDownload episode resource here Our Sponsors Episode Sponsors:  MINT Aesthetics Link from this Episode:  Austin Plastic Surgeon

    52 min
  4. FEB 18

    Episode #74 - Hiring, Budget, and Build-Out Strategies for New Medspas with Tracie Duke

    In this episode of Making a (Multi) Million Dollar Medspa, Kathy sits down with AesthetiCare General Manager Tracie Duke to unpack the real-world playbook for opening and scaling new medspa locations. They walk through how to think about staffing models for 3- and 5-person clinics, when to hire (and train) your team before opening, and how to protect payroll while still delivering a five-star client experience. The conversation also dives into site selection strategy, buildout budgeting, equipment must-haves, and room design details that directly impact efficiency, culture, and long-term profitability across multiple locations. Talking Points Translating retail cosmetics experience into medspa operations, sales, and customer service.Staffing models for 3‑ and 5‑person clinics, including the role of a working manager.The “for every two 80%-booked providers, you need one support staff” staffing rule.Why you should hire and train at least 90 days before opening a new location.Using your main clinic to transfer culture and ensure a consistent client experience across all locations.How to choose a location: growth areas, cost per square foot, privacy, and B2B neighbors.Where to spend vs. save in the build‑out (lobby and front desk, treatment beds, simpler treatment rooms).Non‑negotiable equipment to open with: core laser platform, HydraFacial, medical microderm + LED, and VISIA imaging.Budget tips: spreadsheets, tracking invoices, saving on furniture and finishes so you can invest in equipment.Designing lobby, consult, numbing, and treatment rooms for flow, storage, comfort, and long‑term efficiency.Download episode resource here Our Sponsors Episode Sponsors:  Omni Bioceuticals

    53 min
  5. 12/02/2025

    Episode #71 - Inside Hormone Optimization: Myths, Mindset & Medical Truth with Dr. Melinda Silva

    IT'S THE SEASON FINALE! In this season finale, Kathy Taranto sits down with Dr. Melinda Silva, a board-certified physician and owner of Silva MD in San Diego, to explore the philosophies, mindset shifts, and patient-care strategies that have made her a leader in the world of hormone replacement therapy. Dr. Silva shares her personal journey from family medicine to aesthetics and how she built a practice rooted in empowerment, hormone health, and whole-patient transformation. From redefining confidence to building a team that aligns with your core values, Dr. Silva offers expert insights and heartfelt encouragement for providers working in the aesthetic and wellness space. Talking PointsHow Dr. Silva’s personal health transformation reshaped her practiceThe ongoing gaps in women’s hormone health and careHer transition from family medicine into aesthetics and wellnessUsing bodybuilding as a tool for strength, wellness, and mindsetCommon myths about hormone replacement therapyWhy providers should evaluate all hormones—not just a select fewHow to begin offering hormone services as a new providerThe emotional side of aesthetics and supporting patients through agingHow comprehensive medical training enhances patient outcomesEncouraging collaboration across the wellness and aesthetics industriesThe role of self-care and confidence in patient successThe top peptides to consider introducing in your practiceHow kindness and compassion impact overall health and wellbeing Wellness training is coming to MINT! Follow us on Instagram or email us at info@mintaesthetics.com to get updates as our training programs and new content are released.  Resources in this Episode: Silva MD Dr. Silva's Book: Aging Gracefully and Strong: ABCs of YOUthful Living Episode #41 - Wellness, Weight Loss, & Hormone Therapy with Dr. Amy Carter Ad Links:  MINT Aesthetics  Online E-courses Renee John Uniforms Tuesday Trainings at MINT

    1h 15m

Ratings & Reviews

5
out of 5
15 Ratings

About

Welcome to the Making a Multi Million Dollar MedSpa Podcast where we have real conversations about what it takes to run a successful medspa. Join us as we showcase our insights and best practices, share our day-to-day successes and failures, and host some of our peers, colleagues, and other experts in the field! 

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