Featuring Audrey Neff, CMO of Aviva Aesthetics, Global Speaker & Aesthetic Industry KOL Marketing a medical spa in 2026 is no longer about simply running ads, posting on Instagram, or generating more leads. The practices winning today are building connected growth engines—where marketing, trust, conversion, retention, systems, and leadership all work together. In Season 2, Episode 8 of Medspa Unlocked, host Ashley “AJ” James sits down with Audrey Neff, Chief Marketing Officer of Aviva Aesthetics, trusted global speaker, and one of the aesthetic industry’s most recognized Key Opinion Leaders, for a powerful conversation about what is changing in aesthetics—and what practice owners need to do now if they want to stay competitive. With more than a decade of experience helping aesthetic practices grow, Audrey brings a unique perspective on the evolution of medspa marketing and why the strategies that worked five years ago simply aren’t enough in today’s increasingly crowded marketplace. AJ and Audrey break down: Why medspa marketing feels harder in 2026—and why practices need a true omnichannel strategy instead of relying on one source of patient acquisition.SEO vs. AI search: Why Google, organic SEO, your website, Google Business Profile, educational content, and Answer Engine Optimization (AEO) are becoming even more important as consumers change how they search.The new patient trust journey: How prospective patients move between Google, reviews, your website, before-and-after photos, Instagram, educational content, and multiple other touchpoints before ever picking up the phone.Why social media isn't “free marketing.” Consistent, authentic content requires strategy, time, people, and investment—and real faces and real results matter more than perfectly manufactured content.Google Ads vs. Meta Ads: Where practices should invest, why tracking matters, and why spending thousands on advertising without the right CRM and conversion systems can become an expensive mistake.Why MORE LEADS aren't always the answer. Audrey and AJ dig into one of the biggest revenue leaks in aesthetics: generating leads without having the people, processes, follow-up, consultations, treatment planning, and retention strategies necessary to convert them. As Audrey puts it, practices can become obsessed with lead generation when they're already getting enough leads—they simply aren't converting them.AI without losing the human connection: How practices can leverage AI for efficiency, content development, workflows, brainstorming, and analysis—without forgetting that aesthetics is ultimately a people-driven business.Retention as one of the most important KPIs: Why sustainable growth isn't about constantly replacing patients, but building relationships that keep great patients coming back.The biggest marketing mistake medspa owners make: Knowing exactly what they should be doing—but failing to execute consistently.What separates a $1M medspa from a $5M+ practice: Systems, scalable processes, diversified revenue, the right people, strong leadership, and the owner's ability to transition from provider to CEO.The future of aesthetics: AI, functional medicine, increasing consolidation, private equity, and how the industry is continuing to evolve.A different approach to consolidation: Audrey shares what Aviva Aesthetics is building and how its entrepreneur-owned partnership model is designed to help medspa founders maintain ownership and autonomy while accessing the resources, infrastructure, purchasing power, and support needed to continue scaling.And, of course, AJ puts Audrey in the hot seat for a rapid-fire round: Meta or Google? Organic or paid? Most underrated marketing strategy? Most important KPI? Biggest waste of marketing dollars? Her answers might surprise you. The biggest takeaway from this episode? Growth isn't about doing more marketing. It's about building a better business behind the marketing. Because you can generate all the leads in the world—but if your phone isn't answered correctly, your follow-up is weak, your consultations don't convert, your patients don't have a treatment plan, and you don't have a retention strategy, you're simply spending more money to expose broken systems. If you're a medspa owner who wants to understand what's actually working in 2026, how AI is changing patient acquisition, where to invest your marketing dollars, and what it really takes to scale from a practice into a sustainable business, this is an episode you don't want to miss. To connect with Audrey you can reach her at aneff@avivaaesthetics.com or on LinkedIn @https://www.linkedin.com/in/audreyneff/ DermAesthetic Consulting GroupDermAesthetic Consulting Group: Your partner from seed to success in building and scaling medspasDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/ @dermaesthetic_consulting @ashleyjames_dacgroup To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here