The Scalpel of Truth with Leisa Krauss

Congratulations, you're officially in the club — the members-only, high-voltage, absolutely-no-bullshit zone where Leisa Krauss, a.k.a. the Bitchin' Beautician, rips off the sugarcoated bandages and sticks her manicured fingers straight into the gaping wound that is workplace toxicity. And trust me, it's infected.In this episode, Leisa scalpel-slashes her way through the charming carnival of chaos that is the modern med spa: from the Energy Vampire (“I'm just soooo tired”—yes, Becky, we all are), to the Drama Magnet (who thinks every client session is a personal therapy appointment), to the Toxic Talent (who, yes, makes money but also makes everyone else want to light the building on fire).Want the full diagnosis — and the cure? Supporting members get exclusive access to Leisa's battle-tested strategies for cutting out toxicity, leveling up leadership, and protecting your profits. Join the VIP Inner Circle and transform your clinic into a powerhouse of 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 & NotesScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

This week on Scalpel of Truth, Leisa Krauss—yes, that Leisa, the high priestess of profit, the bitchin' beautician, the patron saint of aesthetic clinics who refuse to die on the altar of Groupon—unsheathes her rhetorical scalpel and goes full Grey's Anatomy on the most insidious disease in the med spa industry: discount culture. That's right. If you've ever scribbled “$50 OFF LIP FILLER!!” in your Instagram caption like you're hocking off-brand sunscreen in a strip mall parking lot, this episode is going to hit you harder than a TCA peel at max potency.So if you're a med spa owner, aesthetic provider, or just someone who suspects that marketing like a used car lot may not be the secret to luxury branding, this episode is for you. Pour yourself a glass of high-pH spa water, take a seat in the operating room, and let Leisa cut through the crap.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 & NotesScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

Ever feel like your business is running you instead of the other way around? In this episode of Scalpel of Truth, Leisa Krauss slices through the noise to drop a brutal—but brilliant—truth bomb about what it really means to lead with CEO energy. If you're still clinging to burnout as a badge of honor, this episode might be the wake-up call you didn't know you needed.Listen in for a taste of the empire-building blueprint Leisa shares with her inner circle—then get ready to rethink how you show up for your business, your team, and most importantly, yourself.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 & NotesScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

This week, Leisa isn't just throwing shade—she's 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.Let's 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 don't reply within 15 minutes. That's right. Fif. Teen. Minutes. If you're not responding, you're not running a business—you're running a very expensive ghost tour of what could've been.So what's the cure for this communication coma? Leisa prescribes three doses of strategic brilliance:Designated Phone Killers – 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 – Not ideal, but better than your cousin Chad. Leisa walks you through how to make them actually work.Automation & Accountability – Because “someone should get to that eventually” is not a business plan, it's 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 you're 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 business's sharpest tool. And if you're not using that tool wisely, you're just poking holes in your own wallet.Manage Your MembershipManage your accountAccess Your Personal FeedsCheck out our MedSpa Workshops and Trainings and schedule a discovery call today!

Okay, med spa owners, aestheticians, Botox bandits, and anyone with a laser and a dream—this one's for you. In this no-holds-barred episode of The Scalpel of Truth, your host Leisa Krauss (a.k.a. The Bitchin' Beautician, a.k.a. The Profit Queen, a.k.a. the woman screaming “Data is sexy!” 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 you—it's spicier than a jalapeño facial.Leisa—who, by the way, has coached more clinics than you've had overpriced green juices—unleashes an unapologetic monologue about what it actually takes to stay afloat in 2025's aesthetics landscape. Spoiler: It's not “positive vibes” and “good Botox.” It's ruthless strategy, relentless data tracking, and firing that employee who's been “working on their sales skills” since the Obama administration.In this episode that's 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 don't feel like gym contracts from hellAnd the difference between “upgrades” (good) and “upsells” (ew)This is a chapter from the business Bible your med spa never knew it needed. So buckle up, Bitchachos. You're 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 it's 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 & NotesScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

Ah, the world of medical aesthetics—where 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 that's 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 let's be clear: this isn't 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 & NotesScalpelOfTruth.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 certain—approach is everything. Yet too many professionals are getting it disastrously wrong.This week on the show, Leisa dissects the most egregious consultation blunders—from 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 plans—without a whiff of desperation or sleaze.If you're in the aesthetics game and serious about profitability, reputation, and patient retention, this episode is non-negotiable listening. So buckle up, Bitchachos—Leisa is here to slice through the industry's 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 & NotesScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

Today we're going after a silent killer: shitty consultations.That's right. Your consultations. Are they airtight revenue-generating machines, or are they flimsier than an influencer's NDA?Because, folks, here's the hard truth: If your consultations aren't converting at 80 to 85% or higher, you're not just leaving money on the table—you're setting the table on fire, then crying about why dinner never showed up. And if you think, “But Leisa, we already do consultations!”—ask yourself: Do you do them well? Do you do them consistently? Do you do them in a way that doesn't 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 they're improv night at a failing comedy club, guess what? You're hemorrhaging revenue and your competitors are eating your lunch.So today, we're 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 & NotesScalpelOfTruth.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 Truth—the only podcast where business reality gets sliced thinner than prosciutto at a bougie brunch spot.Today's topic? The utterly baffling phenomenon of aesthetic business owners clutching their wallets like a Victorian maiden clutching her pearls. That's right—if you're waiting for a mythical financial fairy godmother to sprinkle prosperity dust over your broke-ass clinic, spoiler: she's not coming.If your luxury med spa looks like a DMV waiting room, it's not the marketing flex you think it is. Your reputation won't 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 & NotesScalpelOfTruth.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, you've 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 invitation—one 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 don't chase customers—they magnetize them. She deciphers the language of luxury, from “financial plans” (never “financing”) to “savings” (never “discounts”). She explains why your front desk staff's cardigan choices might be costing you thousands. And she issues a stark warning: if your consultation conversion rate is below her magic number, you don't have a pricing problem—you have a consult problem.Leisa lays out a radical framework for attracting the patients who get it—the 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 & NotesScalpelOfTruth.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 – 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!

Performance reviews: love them, dread them, or avoid them entirely? In this episode of Scalpel of Truth, Leisa Krauss—your no-nonsense profit queen—cuts through the fluff to reveal why skipping these critical check-ins is like skipping your skincare routine: you'll 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. It's tough love, served with a side of salty language and Leisa's trademark spice.But here's 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 you're ready to level up, you know where to find the good stuff.Links & NotesScalpelOfTruth.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 wasn't just about the services you offer—but the story you tell? In this tantalizing teaser for this week's Scalpel, Leisa offers a glimpse into her current episode on branding—tearing into the industry's cookie-cutter aesthetics and challenging listeners to think bigger, bolder, and better. “If your branding doesn't make you stand out,” she warns, “you're already f*cking irrelevant.”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. It's about getting the tools, insights, and inspiration to transform your business from “meh” to “hell yes.” And it's 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.comLinks & NotesScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

Guys, listen up. This isn't 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 people's content. I'm here with the raw, unfiltered truth – the Scalpel of Truth. In this episode, I'm announcing something big: going forward, this will be an exclusive member show. It's for those who are serious about leveling up. This is about getting real, getting strategic, and dominating this industry. So this week, I'm talking about the change, the whys and hows and the what's-it-mean-for-yous. If you're not a member yet, head to ScalpelOfTruth.com to sign up now, before the price increases on February 15, 2025!Let's GO!

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, it's 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 & NotesScalpelOfTruth.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 that's 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 & NotesScalpelOfTruth.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; it's 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 & NotesScalpelOfTruth.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 & NotesScalpelOfTruth.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. It's 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 – initially appealing, ultimately disastrous.But Leisa isn't just here to diagnose the disease; she's 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 – these are the non-negotiables, the sutures that can hold a business together when the inevitable storms hit. This isn't just advice; it's a survival guide.So, if you're 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 & NotesScalpelOfTruth.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 isn't 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 & NotesScalpelOfTruth.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 “favorite” employee down the hallway? In this episode of Scalpel of Truth, Leisa uncovers a hidden plague infecting med spas across the land: favoritism.It's 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 isn't just ethical, it's 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.

This week on the show, Leisa tackles a key demographic: men. Men, she argues, aren't just untapped potential; they're ideal patients – 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 – 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.

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 – 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 & NotesScalpelOfTruth.com • Join Club Bitchacho!Check out our MedSpa Workshops and Trainings and schedule a discovery call today!

This week on the show, Leisa delivers an unflinching critique of common operational pitfalls - from untrained staff to chaotic front desks. She challenges the industry's status quo, particularly addressing the delicate matter of experienced healthcare professionals transitioning into aesthetic medicine.The episode weaves between tactical advice and strategic insights, offering listeners a masterclass in operational excellence. Leisa's colorful commentary particularly shines when addressing the distinction between what she calls "paycheck collectors" and "revenue-generating business builders" - a paradigm that challenges traditional employee categorization.For VIP Club Bitchacho members, the episode extends into a detailed framework for conducting operational audits. This extended content provides a sophisticated approach to practice management that balances accountability with team empowerment.Links & NotesJoin Club Bitchacho Today!

This week, Leisa rips the bandaid off the festering wound of flaky AF med spa staff. She's had it with the BS excuses, the last-minute cancellations, and the "can't make it" culture that's costing med spa owners time, money, and their GD sanity. She's calling out these lazy-ass employees and contractors who disrespect their team and the business, offering no-nonsense advice for managers ready to ditch the doormat persona and embrace their inner villain.Leisa breaks down the financial fallout of no-shows, from wasted training investments to lost patient revenue. Forget sob stories and empty promises—Leisa preaches tough love: write 'em up, put 'em on a PIP, and if they still don't get it, fire their asses. She stresses the importance of setting clear expectations and enforcing consequences, because letting this stuff slide breeds a toxic culture of disrespect, drama, and even theft.But it's not all fire and brimstone. Leisa also offers proactive tips for building a team that's actually excited to learn and grow. Think fun trainings, incentives, and even letting the team weigh in on what they want to learn. For her VIP Club Bitchacho members, Lisa dives deeper, sharing scripts for confronting chronic no-shows, advice on creating ironclad attendance policies, and more. So, if you're ready to ditch the daycare vibes and build a team of badass business builders, tune in to Scalpel of Truth. Lisa's got the scalpel, and she's ready to slice and dice the bullshit.

Hey bichachos! Lisa here, the Bitch'n Beautician, and on this episode of the Scalpel of Truth, we're slicing and dicing the impact of appearances in the medical aesthetics industry. We're talking FASHION FACELIFTS, baby!We're getting raw and unfiltered about why looking the part directly affects your bottom line. We're covering everything from scrubs vs. dress clothes (and why you NEED a lab coat if you choose the latter), the importance of hair, nails, and hygiene (no janky nail shacks allowed!), and how your makeup and skincare routine can make or break your credibility.If you're in the beauty biz and not looking the part, you're shooting yourself in the foot! So tune in, get your act together, and let's elevate this industry one polished professional at a time. Plus, VIP Badass Bichachos get exclusive after-party content!Links & NotesListen to "The Janky Nail Shack"Join Club Bitchacho!

Hey there, gorgeous trailblazing bichachos! Leisa, the Bitch'n Beautician, is back and slicing through the BS of the medspa industry. This week, she's diving deep into the nitty-gritty of data-driven decisions – because numbers aren't just sexy; they're the key to a profitable, kick-ass med spa. Leisa breaks down the must-know metrics, from P&Ls and KPIs to industry benchmarks and production numbers. She's giving you the no-holds-barred truth about why understanding your data is crucial for everything from hiring and firing to launching successful marketing campaigns and investing in new equipment. So ditch the gut feelings and embrace the power of data! Leisa's got the scalpel, and she's ready to help you cut through the crap and build the medspa of your dreams. Plus, she's got some big news about the brand new VIP Badass Club Bichacho — an exclusive after-party for subscribers with all the juicy insider secrets you need to level up your game — Available Right Now!

This week we muck around in the ever-present sludge of manipulative patients in the medical aesthetics industry. We explore common manipulative tactics employed by patients, from serial complaining to freebie seeking and excessive neediness and offer practical strategies for setting boundaries and protecting our practices. We emphasize the importance of clear policies, strong consent forms, and the empowering act of firing a patient when necessary.Plus, we've got scripts! Scripts for calmly and firmly asserting our policies, for highlighting the importance of rebooking appointments to maintain patient engagement, for safeguarding our time, for dealing with negative reviews… the works. Plus, get ready! We're about to launch Club Bitchacho, your pass to early access, Q&As, ad-free episodes, and bonus goodies! Stay Tuned!

This week Leisa takes you into the very beating heart of the the SWOT analysis. Forget sugarcoating; Leisa delivers an unfiltered breakdown of this essential business strategy, emphasizing its importance beyond an amateur annual review. She advocates for monthly, even weekly, SWOT analysis sessions to keep your med spa ahead of the game in a rapidly evolving industry.Leisa stresses the importance of involving the entire team in the SWOT analysis process, encouraging individual self-assessment alongside a collective examination of the clinic's strengths, weaknesses, opportunities, and threats. This approach, she argues, fosters accountability, transparency, and a unified vision for growth. From identifying outdated equipment to maximizing employee strengths, Leisa provides practical examples and actionable advice for implementing the SWOT analysis effectively.Get ready for concrete tips for turning weaknesses into opportunities and threats into strengths. Leisa emphasizes the importance of open communication, proactive problem-solving, and consistent evaluation to stay ahead of the curve in a competitive market. She underscores that success in the med spa industry requires more than just skill; it demands a strategic mindset, constant adaptation, and a commitment to continuous improvement.

This week on the Scalpel of Truth, Leisa tackles the epidemic of copycatting plaguing the medical aesthetics industry. From crashing competitors' events to shamelessly stealing marketing materials, Leisa exposes the unoriginal offenders who are more interested in quick fixes than building a brand with integrity.This is an episode about the importance of authenticity. It's about learning to embrace our unique strengths and invest in our own creativity. Forget the cheap knock-offs. Originality is the only facelift your brand needs.But it's not all tough love and sharp wit. Leisa provides practical advice on cultivating genuine innovation, encouraging listeners to tap into their teams, engage with their patients, and even look outside the industry for inspiration. She reminds us that success in this business requires more than knowing the right injection techniques—it demands courage, creativity, and a commitment to ethical practices.

This week on The Scalpel of Truth, Leisa tackles a problem that plagues many medical spas: toxic management. She dissects the various forms toxic management can take, from the egomaniac who rules by fear to the lazy service provider who coasts on seniority. She argues that these individuals, often placed in positions of power without earning their keep, can cripple a med spa's potential, leading to decreased productivity, high turnover, and, ultimately, a decline in patient satisfaction.The episode isn't all doom and gloom, however. Leisa offers practical solutions for med spa owners, urging them to "inspect what they expect" from their managers, closely monitoring performance metrics, conducting regular performance reviews, and creating a safe space for employees to voice concerns without fear of retribution. She stresses the importance of data-driven decision-making, encouraging owners to address issues head-on and make tough choices when necessary, even if it means letting go of long-time employees.

On this week's episode of The Scalpel of Truth, Leisa Krauss is serving up a generous portion of tough love for medical aesthetics professionals. Lisa dives deep into the concept of a unique value proposition, or as she puts it, "Why the hell prospective patients should choose to do business with you in a saturated market."For Leisa, success in this industry boils down to standing out from the crowd. She emphasizes the importance of building a brand around expertise, personalized treatment plans, and a commitment to staying ahead of the curve with cutting-edge technology. However, she cautions that true luxury lies not just in shiny new devices but also in the finer details that elevate the patient experience.Think sparkling clean treatment rooms, a welcoming ambiance, and, most importantly, a team that exudes professionalism and genuine care.Leisa stresses the power of a comprehensive consultation that leaves patients feeling informed, empowered, and eager to book their next appointment.Don't forget to subscribe to The Scalpel of Truth and check out Lisa's website for more business tips and industry insights. Until next time, stay sharp, stay focused, and stay fabulous!Linksvanityempireconsulting.com@scalpeloftruthpodcast

Get ready for a wild ride as Leisa dives into the wild world of medical aesthetic marketing with her guests, Ontonio Karam and Danial Aziz, the masterminds behind Skinfluence Marketing. They're spilling all the tea on the BS you need to watch out for, like those agencies promising you the moon and stars (spoiler alert: it's probably a scam).They're calling out cringey marketing tactics (ahem, having your receptionist run your Instagram) and revealing why cookie-cutter websites are about as effective as a dull scalpel. Plus, they're dropping truth bombs about the importance of killer before and after photos that actually showcase your skills (and no, your iPhone pic most likely isn't going to cut it).This episode is your ultimate guide to upping your marketing game, attracting the right clients, and avoiding those shady marketing traps. So grab your scalpel. It's time to cut through the BS!Links & NotesSkinfluence MarketingFind Leisa at Vanity Empire Consulting

This week under the Scalpel, Leisa dives deep into building the ultimate dream team with top-tier talent for your med spa. Leisa breaks down the episode into seven crucial segments, starting with defining your ideal candidate and their non-negotiable skills and qualities. She then moves on to crafting compelling job descriptions, interviewing like a pro, onboarding effectively, building a positive clinic culture, providing continuous training and development, and implementing retention strategies to keep your top talent happy and loyal.Throughout the episode, Leisa emphasizes the importance of being clear, direct, and honest in your expectations and communication when seeking out and managing top-tier talent. She stresses the significance of creating a supportive and engaging work environment, offering competitive compensation and growth opportunities, and investing in your team's future through ongoing training and personal development plans. Leisa also highlights the value of building a strong clinic culture and reputation within the industry to attract and retain the best talent in the field.Links & NotesGet the Bitch'n Templates package: A collection of templates, including educational agreement templates, to help streamline your practice's operations and save time.Discovery call with Leisa Krauss: An opportunity to discuss your onboarding process and receive guidance on how to improve it to attract and retain top-tier talent.

In this episode of The Scalpel of Truth, Leisa Krauss and her guest Christine Mytrunec from Gold Raven Studio delve into the importance of responding to negative online reviews for med spas. It's time to gear up and learn how to handle these reviews with professionalism and empathy because a well-crafted response can turn a negative situation into an opportunity to showcase your commitment to customer satisfaction.Leisa and Christine discuss the significant impact online reviews have on a med spa's reputation and bottom line. They cite statistics showing that 95% of consumers read reviews before making a purchase decision and that 91% of 18-34 year-olds trust online reviews as much as personal recommendations. The duo stresses the importance of striving for a 5-star rating on Google, as anything below 4.5 can drastically reduce a med spa's visibility in search results.Throughout the episode, Leisa and Christine share examples of poorly handled negative reviews and offer advice on how to address them effectively. They emphasize the need for owners and staff to take responsibility for their shortcomings, investigate the root causes of the issues, and take action to prevent future occurrences. The pair also addresses the problem of fake reviews left by competitors, advising med spas to respond professionally and request that the reviewer contact them directly to resolve the matter.In the end, they strategies for encouraging satisfied customers to leave positive reviews. They suggest asking for reviews directly, making the process easy by providing links or QR codes, and following up with patients after their treatments. Links & NotesVanityEmpireConsulting.comInstagram: @thebitchnbeautician and @scalpeloftruthpodcastHug Your Haters by Jay Baer

In the latest episode of "The Scalpel of Truth," Leisa Krauss—affectionately known as the Bitch‘n Beautician—dives into the art of hosting purchasing events at your med spa. Leisa lays out a roadmap for turning these events into revenue-boosting, loyalty-building extravaganzas. From creating urgency and exclusivity to leveraging personal consultations and educational opportunities, she offers a masterclass in event planning that's anything but dull.As always, Leisa doesn't hold back. She dishes out no-nonsense tips on avoiding the dreaded “discount” label, rallying a motivated team, and ensuring your guests are happy (and buying) throughout the event. Whether she's advocating for mid-month scheduling or stressing the necessity of a well-organized RSVP list, Leisa's advice is as practical as it is entertaining. So, grab your favorite bev, buckle up, and get ready for an episode packed with laughter, insight, and a healthy dose of salty language.We encourage you to invest in templates and tools to work smarter, not harder. We offer a 30-minute discovery call for those who purchase our templates package, demonstrating our commitment to helping you take your practice to the next level.Get the templates now!

In this episode of The Scalpel of Truth, host Leisa Krauss, aka the Bitchin' Beautician, takes aim at a pervasive problem in the med spa industry: information hoarding. Leisa argues that whether you're a practitioner, manager, or owner, keeping knowledge to yourself is not only selfish but also detrimental to your team and your business.Practitioners who attend trainings but don't share their learnings create a knowledge gap that affects service quality and patient experience. Leisa emphasizes the importance of owners compensating practitioners for their time spent training the team.Managers who hoard sales data, marketing strategies, and patient feedback leave their team working blind. Leisa illustrates this with a worst-case scenario of a manager on vacation when a refrigerator malfunction puts a week's worth of Botox treatments in jeopardy.Owners who sit on business strategies, supplier contacts, and industry trends stifle growth and wonder why their business isn't thriving. Leisa points out that a successful med spa is a well-oiled machine, not a one-person show.Through juicy examples, Leisa demonstrates how information hoarding leads to inconsistency, stunted growth, and missed opportunities. She argues that it stems from fear of losing control and insecurity, but in the world of medical aesthetics, collaboration is key.The big takeaway: stop hoarding information. Share knowledge, empower your team, and watch your med spa thrive.

Get ready for a speed-run, bitchachos, because this week, we dive into the importance of using templates and tools in your med spa with the top 10 reasons why these resources are essential for practice growth and long-term profitability.Want more? To save you time and energy, we've created the "Bitchin' Templates Package," a collection of over 65 editable templates designed specifically for clinic owners and managers like you. These templates cover a wide range of areas, from manuals and hiring templates to financial metrics and operational tools.We encourage you to invest in templates and tools to work smarter, not harder. We offer a 30-minute discovery call for those who purchase our templates package, demonstrating our commitment to helping you take your practice to the next level.Get the templates now!

This week on the show, Leisa tackles the delicate subject of employee turnover in medical spas. And, as a VERY special occasion, she's joined by guest, voice of this show, and host of the fake alternate universe podcast, “The Spatula of Honesty,” her partner Chris Krueger. Chris brings extensive experience as a manager and director, working to develop high-performing staffs—which sometimes means letting people go.Together, they explore why top talent leaves and how owners can better handle departures. The conversation delves into the importance of clear communication, strong leadership, and proper documentation in retaining and managing staff. Krause and Krueger debate the fine line between being friendly and being friends with employees, arguing that maintaining professional boundaries is crucial for effective management.The episode doesn't shy away from controversial topics, addressing the need for performance improvement plans and the challenges of firing underperforming staff. It emphasizes the importance of acting swiftly when issues arise rather than allowing problems to fester.The discussion takes a thoughtful turn as it considers the human element of terminations, advocating for compassion while maintaining firm business practices. It touches on the mental health aspects of job loss and the importance of handling unemployment claims responsibly.With its blend of practical advice and spicy commentary, this episode offers med spa owners and managers a frank discussion on navigating the less glamorous side of the beauty business, from documentation and legal considerations to the nuances of termination meetings.

In this episode of "The Scalpel of Truth," we delve into the often-overlooked world of metrics and data in the medical aesthetics industry. The discussion explores:Why passion alone isn't enough to sustain a successful med spaTen key metrics every practice should be tracking, from profit and loss statements to patient retention ratesThe potential benefits of financial transparency with staffThe episode challenges industry professionals to move beyond gut instinct and embrace data-driven decision-making. But in a field focused on external beauty, is there a risk in reducing patient care to cold, hard numbers?From appointment no-show rates to marketing ROI, the podcast argues that understanding these metrics isn't just about boosting profits—it's about creating a thriving practice that can better serve its clients.This ep makes the case for why crunching numbers might be the key to unlocking a med spa's true potential, transforming how you approach business management.

In this episode of "The Scalpel of Truth," host Leisa Krauss serves up a spicy critique of a seemingly innocuous practice: eating at the front desk of medical spas. With her trademark candor, Krauss dissects why this common habit might be more than just a faux pas:How a quick bite could bite into your business's bottom lineThe unexpected ways food can compromise patient confidentialityWhy that Starbucks cup might be sabotaging your brand imageKrauss challenges industry professionals to reconsider their workplace dining habits, arguing that the path to a truly luxurious patient experience might start with where staff choose to eat their lunch. But is this focus on front desk etiquette a recipe for a better business, or just food for thought?Join Leisa as she explores the intersection of professionalism, patient care, and the power of first impressions in the competitive world of medical aesthetics.

This week on the show, Leisa takes aim at the lifeblood of any successful med spa: recurring revenue. She argues that a well-crafted membership program is the key to financial stability and patient loyalty.But we're not talking about your average loyalty program. You're a bougie, high-end med spa and you need a membership experience that will have patients clamoring to sign up. The secret sauce? Enticing perks, exclusive access, and a team that's financially incentivized to sell memberships like their lives depend on it.Lisa's got the receipts to back it up. Clinics with memberships can see patient spending increase by a jaw-dropping 40-44% annually. And when it comes time to sell, a membership program can send your valuation skyrocketing.But don't just take our word for it. Lisa's got a whole guide on how to do all the things she's talking about and you can get your hands on it RIGHT NOW, RIGHT HERE! Want more good news? You can save 15% on your entire purchase with code BITCHN15 at checkout.And if you're still feeling lost, she's got the consulting chops to whip your membership program into shape. Get started today!