You've got the business plan. You've budgeted the lease, the lasers, the furniture, the injector. You've picked out the wallpaper and reserved the Instagram handle. And somewhere in that plan is an assumption that once the doors open, the patients come pouring through them.
They won't, and the practices you're about to compete with know it. Some of them have been building for fifteen or twenty years. They have hundreds of five-star reviews, websites that convert, follow-up systems that work, and marketing budgets that make your eyes water. The gold rush that let a new MedSpa win by being the only one in town is over, and Leisa's read is that a meaningful shakeout is coming over the next one to three years for the practices that entered believing this was easy money. If you can't say in three sentences why anyone should choose yours over the clinic they already trust, you aren't ready to sign an equipment lease.
This episode is the pre-opening reality check: what the industry actually pays, how much capital each kind of practice really takes, what people forget to budget, and the questions to ask a sales rep before a six-figure machine becomes a very expensive piece of furniture. If you're planning to open, or you opened in the last five years and the math isn't matching the ambition, listen before your next meeting with anyone who wants your money. Inner Circle members get the full planning workbook, including the positioning questions, the capital ranges, the equipment checklist, and the device profitability math.
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