Aesthetics Millionaires Show with Neal Karski

AestheticsMillionaires

Aesthetics Millionaires Show features interactive interviews with 7-figure practice owners and consultants in the medical spa, wellness and aesthetics industry. The mission of our podcast is to highlight exceptional entrepreneurship stories, discuss proven growth strategies and engage in raw, unfiltered conversations. AMS is hosted by Neal Karski, who is the CEO of Patient Engine; a leading digital marketing, lead conversion and coaching agency, as well as the Founder of ICONIC SPA; a boutique body and face med spa.

  1. 5d ago

    E58: From Army Vet to Mastering Aesthetics Ops - Michael Zanetti

    In this episode of the Aesthetics Millionaires Show, Neal Karski sits down with Michael Zanetti, owner, CEO, and founder of Erasable Med Spa in Tampa, Florida. Michael shares how his Army background shaped the way he leads, builds systems, and approaches business with discipline and adaptability. He also breaks down how Erasable Med Spa started with laser tattoo removal, evolved into a full aesthetics brand, and grew through strong operations, patient experience, financial discipline, and team culture. If you are a med spa owner looking to build a stronger, more scalable business, this episode is for you. ________ 🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest  📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here 🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing #MedSpaOperations #PatientExperience #PracticeGrowth #Entrepreneurship

  2. Sep 24

    E57: From Prison Yard Doctor to 9-Figure Empire - Dr. Alex Spinoso

    What does it take to go from being the only doctor on a prison yard to building a 9 figure business? In this episode of the Aesthetics Millionaires Show, Neal Karski sits down with Dr. Alex Spinoso, founder of Genesis Lifestyle Medicine, for a raw conversation about entrepreneurship, risk, leadership, and what it actually takes to scale in the medical aesthetics and wellness industry. Dr. Alex shares how a breaking point in the prison system and urgent care world led him to entrepreneurship, why investing $50,000 into a mastermind changed the trajectory of his life, and how Genesis grew into a national brand with multiple brick and mortar locations focused on weight loss, hormones, sexual health, aesthetics, and wellness. From business partnerships and core values to scaling mistakes, SOPs, culture, coaching, and reinvesting into growth, this episode is packed with lessons for medical entrepreneurs who want to build something bigger without losing control of the foundation. ________ 🎙️ Would you like to share your success story in the aesthetics industry? Fill out the form and be our next guest.    📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.   🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing #WellnessBusiness #PracticeGrowth #Entrepreneurship

  3. Sep 16

    E56: How Dentists are Winning with Aesthetics - Dr. Barry Applegate

    What happens when a dentist takes the trust, patient flow, and high touch experience of a dental practice and turns it into a thriving aesthetics opportunity? In the Season 2 premiere of the Aesthetics Millionaires Show, Neal Karski sits down with Dr. Barry Applegate, owner and founder of Applegate Dentistry & Med Spa, to talk about how he expanded from a long standing dental career into aesthetics, body sculpting, and functional wellness. Dr. Barry shares how his practice used its existing patient base, in office conversations, launch events, team buy in, and cross selling opportunities to successfully introduce med spa services into a dental environment. From building trust with patients to creating an “everyone sells” culture, this episode breaks down why dentists may be uniquely positioned to win in aesthetics today. If you are a dentist, practice owner, or aesthetics entrepreneur looking for a smarter way to grow, this conversation is full of practical lessons on expansion, patient relationships, and creating new revenue opportunities inside an existing business. ________ 🎙️ Would you like to share your success story in the aesthetics industry? Fill out the form and be our next guest.  📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here. 🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

  4. Jul 1

    E55: How to Pave a Way for a Bigger Life - Mary Elizabeth

    What does it look like to build something bigger than the life you thought you had to settle for? In this episode of the Aesthetics Millionaires Show, Mary Elizabeth, owner and founder of IV Lounge, shares her journey from trauma nursing and hospital burnout to building a wellness and aesthetics brand with intention, resilience, and purpose. Her story started as a side path, but became a bigger vision rooted in patient experience, smart growth, and creating a place where people feel genuinely cared for. From learning business the hard way to investing in SEO, building trust through follow ups, and creating an elevated experience from the moment patients walk in, this episode is a real conversation about growth, leadership, sales, and what it takes to pave your own way in the wellness industry. Follow Mary Elizabeth on Instagram: @the_maryelizabeth Learn more about IV Lounge: ivloungect.com ________ 🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest. 📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here. 🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

  5. Jun 3

    E54: From Helping 1,000+ Practices to Opening 4 Locations in 2 Years - Neal Karski

    What happens when the person helping over 1,000 practices grow decides to build his own? In this special episode of the Aesthetics Millionaires Show, host Neal Karski takes the guest seat to share the lessons he's learned from helping aesthetics businesses scale and opening four ICONIC SPA locations in just two years. From patient acquisition and sales systems to scaling multiple locations, Neal breaks down what is actually working in aesthetics today. He shares why marketing has changed, where most practices struggle, how to think about growth in 2026, and the strategies helping both Patient Engine clients and ICONIC SPA continue to expand. Whether you're opening your first location or planning your next one, this episode is packed with practical insights from someone actively building in the industry every day. ________ 🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.   📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.   🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

  6. May 27

    E53: Lessons from 17 Years in Aesthetics & Building an 8-Figure Brand - Jessica Rhee

    What does it take to stay relevant and continue growing after 17 years in aesthetics? In this episode of the Aesthetics Millionaires Show, Jessica Rhee shares the journey behind building Red Rabbit Aesthetics into an 8-figure brand while navigating industry changes, growing a team, and creating a reputation patients trust. From leadership and retention to branding, hiring, and social media, this conversation is packed with honest insights for injectors and med spa owners looking to build a long-term business that lasts. ________ 🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.   📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here. 🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

  7. May 8

    E52: How to Inject Confidently & Look Naturally in Aesthetics - Dawn Beauchamp

    What does it really take to inject confidently… while still keeping patients looking natural? In this episode of the Aesthetics Millionaires Show, Dawn Beauchamp: RN, injector, educator, and co-founder of Adora Academy, shares her journey from ICU nurse burnout during the pandemic to becoming one of the most respected educators in aesthetics. From natural-looking results and bio-stimulation to consultations, client retention, and confidence behind the needle, this episode is packed with insights for injectors and med spa owners looking to grow the right way. Follow 👉 @adoraacademymd & @injectordawnmarie Join Dawn’s Patreon: Injector Dawn Marie 🚨 Beginner Bootcamp at Adora Academy — May 11th Register now at 👉 www.adoraaestheticsmd.com ________ 🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest. 📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here. 🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

  8. Apr 29

    E51: From Getting Rejected in Aesthetics to Building Her Own Practice – Hetal Patel

    What happens when you keep getting told “no”… but don’t give up? In this episode of the Aesthetics Millionaires Show, Hetal Patel, founder of Balance Aesthetic & Wellness, shares how she went from being repeatedly rejected in aesthetics to building her own thriving practice. From burnout and long hours in healthcare to mastering consultations, patient trust, and retention systems, this episode breaks down the real journey behind her growth—and what it actually takes to succeed. Want to connect with Hetal directly? 📞 (813) 444-7735 | ✉️ hpatel@balanceaw.net ________ 🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.   📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here. 🎙️ FOLLOW Aesthetics Millionaires Show: 👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow 🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg   FOLLOW Patient Engine: 🌐 Website: https://patientengine.co 👍 Facebook: https://www.facebook.com/yourforeveragency 📸 Instagram: https://www.instagram.com/patientengine.co/ #AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

About

Aesthetics Millionaires Show features interactive interviews with 7-figure practice owners and consultants in the medical spa, wellness and aesthetics industry. The mission of our podcast is to highlight exceptional entrepreneurship stories, discuss proven growth strategies and engage in raw, unfiltered conversations. AMS is hosted by Neal Karski, who is the CEO of Patient Engine; a leading digital marketing, lead conversion and coaching agency, as well as the Founder of ICONIC SPA; a boutique body and face med spa.

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