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Ep.61: Good to Great Cosmetic Practices

It’s not a mistake that some practices are hanging in there and
hoping for the best and others are confidently running a smooth-
running operation.

This episode of “Beauty and the Biz” talks very specifically
about how you can take your own practice from good to great.

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When I was in business school, a required reading was Good to Great by Jim Collins.

It’s a management book that explains why some companies make the leap from good to great…and others don’t.

The profession spent weeks dissecting that book with us students, but there’s one chapter that is so apropos to our industry that I wanted to share it with you and it’s called…

Flywheels vs. Doom Loops

I’ve condensed it a lot but here is the gist of it:

Good to great transformations often look like dramatic events to those observing from the outside, but are really organic, cumulative processes on the inside that work over the long haul.

Meaning, there was no single defining action, advertising campaign or luck that build a great company.

Instead, the good to great companies followed a predictable pattern of buildup and breakthrough that takes effort to get going, like a heavy flywheel; however, once it’s going, it builds momentum and hits a point of breakthrough that becomes unstoppable and produces dramatic results without added effort.

But most companies follow a different pattern….the doom loop.

Rather than accumulating momentum – they try to skip buildup and jump immediately to breakthrough with one-off tactics that were to give them immediate but short-term results.

But instead, they get disappointing results because they fail to maintain a consistent direction, so they try another short-term tactic to get immediate results and more disappointing results happen for further disappointment and now they are in the doom loop and heading for disaster.

The same thing happens in plastic surgery practices.

The naïve or average practices chase after the short-term gain by throwing time, money and resources at all types of shiny objects promising the world.

Maybe it’s a website company redesigning your website…again or google adwords that needs a budget of many thousands of dollars per month or directories or social media.

They try something for a month or two, don’t like the results so they jump from that to another strategy promising to be the holy grail.

But they never stay long enough to get any traction.

And, same is true for patient selection.

Many practices go after the one-hit wonder patient versus the cosmetic patient who would be worth 10x their initial investment if they would put a plan in place to nurture them, so they literally become the practices’ unpaid sales ambassadors.

So, going back to the Good to great concept,
Here is what The successful practice does to become great:

They map out a cosmetic patient attraction, conversion and retention plan.
They prioritize in terms of budgeting money and manpower towards the most effective long-term strategies, proven to work.
They monitor their results and fine-tune as they go.
They stay the course and do NOT change direction for short-term gains.
They see results that continue to build on themselves.

Said another way, successful practices:
Define who their preferred and most profitable cosmetic patients are;
Then, they determine the best ways to attract those cosmetic patients to them.
They bond, educate and build trust with that patient before meeting them
They perfect the patient’s experience with the practice from the initial call they make to schedule an appointment, to the visit and the consult and the followup
The give the patient a WOW experience before, during, after their procedure
They encourage that patient to return, review, refer and share on their own social platforms so other prospective patients discover you and go through your processes and they, too,
return, review, refer and share on social so more patients do the same and so on and so on.

So now you have a process and blueprint that builds momentum, so you have a steady stream of cosmetic patients on autopilot.

It has never been more important than right now to get your practice running like a well-oiled machine that can weather the storms of competition and COVID and whatever else comes our way.

Please reach out to me if you could use some help with this. I’ve been working with plastic surgeons for 20 years and can save you a bunch of time, money and hassle.

Ok, that’s it for this podcast

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Catherine Maley

Catherine Maley

Catherine is a business/marketing consultant to plastic surgeons. She speaks at medical conferences all over the world on practice building, marketing and the business side of plastic surgery. Get a Free Copy of her popular book, Your Aesthetic Practice: What Your Patients Are Saying View Author Profile.


Beauty and the Biz is for Plastic Surgeons who know they don’t know everything and are open to discovering the pearls to grow and scale a sellable asset when they’re ready to exit.

Listen in as Catherine interviews surgeons who talk about the business and marketing side of plastic surgery and listen to Catherine’s pearls from consulting with plastic surgeons since Year 2000.



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