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200th Episode — 10 Top Practice Pearls (Ep.200)

Hello, and welcome to Beauty and the Biz where we talk about the business and marketing side of plastic surgery and MY 10 top practice pearls.

I’m your host, Catherine Maley, author of Your Aesthetic Practice – What your patients are saying, as well as consultant to plastic surgeons, to get them more patients, more profits and stellar reputations. Now, today’s episode is called “200th Episode — 10 Top Practice Pearls”.

Time really does fly. I am so excited to record this 200th episode of the Beauty and the Biz Podcast. 

Four years ago, the Beauty and the Biz Podcast was created to talk about the business and marketing side of plastic surgery, and it’s been a great ride. 

It’s fascinating to hear how every practice is unique and runs differently because each surgeon is different in their beliefs, perceptions, understandings, and past experiences.

⬇️ Click below to hear “200th Episode — 10 Top Practice Pearls”

This week’s Beauty and the Biz podcast is a compilation of the 10 Top Practice Pearls I gleaned from my guest interviews that you will find thought-provoking and even mind-bending. 

Thank you so much for following my work and enjoy!

A special thanks to all of my guest speakers over the past 100 episodes!

EpisodeGuestGuest's Website
103Kristi Hustak, MD
104Philip J. Miller, MD, FACS
105Interview with William P. Adams, MD
108Michael T. Somenek MD
108Troy A. Pittman MD FACS
109Randy Waldman, MD
112Dr. Andres Gantous
118Dr. Marco Pelosi III
120Dr. Angela Sturm
122Dr. Stanley Okoro, MD
126Frank L. Stile, MD, FACS
135Harvey Cole, III, MD
137P. Daniel Ward, MD
139Edwin Williams, MD
141Lauren Umstattd, MD
143David Mandell, JD, MBA
146Robert Singer, MD
147Joe Niamtu, DMD
149Lionel Meadows, MD
151Brock Ridenour, MD
155Mark Beaty, MD
157Michael Persky, MD
159Carlos Mata, MD
161Bradford Bader, MD
163Sheila Barbarino, MD
164Diana Ponsky, MD
166Charles Boyd, MD
167Paul M. Parker, MD
168Jeffrey Spiegel, MD
170Sam P. Most, MD
171Jennifer Levine, MD
172Alexander Rivkin, MD
173Steven Camp, MD
175Kristina Zakhary, MD
176Lamar Rutherford, MBA
177Jason S. Hamilton, MD
178Thomas P. Sterry, MD
179Giancarlo Zuliani, MD
182Jeremy Warner, MD
186Burke Robinson, MD
187Lawrence B. Keller, CFP
188Jason Pozner, MD
189Ryan Neinstein, MD
190Gregory Mueller, MD
192Nicholas K. Howland, MD
193Sam Lam, MD
194Lisa Marie Wark, MBA
195Jason Bloom, MD
196Emily Hartmann, MD
198Jeffrey J. Segal, MD, JD
199David Kaufman, MD


200th Episode – 10 Top Practice Pearls

Time really does fly. I am so excited to record this 200th episode – 10 top practice pearls of Beauty and the Biz. Four years ago, the Beauty and the Biz Podcast was created to talk about the business and marketing side of plastic surgery, and it’s been a great ride.

It’s fascinating to hear how every practice is unique and runs differently because each surgeon is different in their beliefs, perceptions, understandings, and past experiences.

The majority of surgeons I interview are in solo practice, so they have the freedom to build and control their practice as they see fit.

However, there’s a flip-side. It can be a lonely existence. You live in your own myopic world with no one to bounce ideas off, so you can easily lose perspective and waste time and money guessing what to do next to grow your practice.

There’s also a lot of fear around financial failure. Even though you’ve had years of training to be a surgeon, you have not had equal amounts of training on running a business, leading a team, managing staff, working with fickle cosmetic patients, and marketing yourself in an uber competitive marketplace.

That’s why the Beauty and the Biz Podcast came about. It’s a resource for you to learn from others who have been there and done that. Their challenges, opportunities, insights, mistakes, and wins.

I did the Top 10 Take-a-Ways from the FIRST 100 podcasts on episode #100, that you may want to go back and listen to since it’s full of good stuff, so I went through the last 100 podcasts and pulled out 10 more Top Practice Pearls and here they are:

Top Practice Pearl #1:

Build a Brand You Are Proud Of

Branding is how you present your practice to the world. It’s how you build connection with prospective cosmetic patients. It’s the way you’re seen through their eyes, which is a key point in my 10 top practice pearls.

It’s your persona. It tells prospective patients what to expect from you in terms of quality, service, results, and price.

Branding is more than just your logo and website.

It’s your story. Who you are, where you came from, why you became a surgeon, what you stand for, as well as your core beliefs and values.

It’s your vision and your mission statement on your website that you and your team actually live by consistently.

It’s your reviews, social media, before/after photos and your streamlined processes.

It’s all facets of your practice representing you including your location, office, furniture and details count: It’s Your hair, clothes, shoes, as well as your staff’s hair, clothes, shoes and so on.

The point is to be who you want to attract. If you don’t want price-shoppers who haggle with you, invest in your own high-end brand to attract high-end patients. It’s that simple.

Top Practice Pearl #2:

Don’t Hope for New Patients – Market for New Patients!

A successful cosmetic practice is not happening by accident or by luck. They are doing something to make that happen. In today’s competitive world, top practices execute many strategies to attract new patients, which is a key point in my 10 top practice pearls. For example….

They enhance their online presence by updating their website look, making it mobile friendly, adding social media buttons and B/A photos and videos. They consistently add fresh, updated content that is informative, entertaining, and compelling because that’s how you increase your digital footprint on the Internet.

They open their mind and embrace new marketing strategies such as Instagram Reels, YouTube Shorts and Facebook Lives since video is hot!

They have a marketing team of 1 or an agency with a good video editor they meet with regularly to plan and create content, so they are active on social media.

They may even start a podcast and/or patient webinar to educate consumer patients on their services.

And reviews, B/A photos and referrals are a priority. They focus on their patient relationships and the journey the patient has with them because they realize that’s where reviews and referrals come from.

BTW, the surgeons who have thousands of before/after photos on their website got them because they asked the patients themselves. Typically, 1/3 said yes, 1/3 said yes with restrictions such as don’t show their face or only show them in the office and 1/3 declined.

The top practices typically have an ad budget and plan since organic SEO has become more challenging, so they need to advertise. However, they watch those numbers carefully to be sure they are at least breaking even, since they can make it back with valuable patients returning, referring, and reviewing.

Top Practice Pearl #3:

Automatic Marketing System

The top practices use marketing automation to map out automatic marketing plans with funnels, email automation, SEO, landing pages, opt-in forms and follow-up sequences to handle incoming leads more efficiently, which is a key point in my 10 top practice pearls.

They realize this is a numbers game and not all leads are equal, so they get help setting up technology to triage and respond accordingly.

And they also train their staff and hold them accountable on their lead gen process, so staff is clear where they fit into the system. This also frees up their staff to focus on priority leads and great customer service.

Before I go on, I want to comment on these first 3 pearls. Branding, advertising and marketing cost money. Hiring enough staff and the right staff costs money. But surgeons hate to lose money.  So, they skimp in these areas and wonder why their competitors are doing better. The answer is because the top practices invest in their growth and hire the best they can afford. It’s a mindset shift worth considering.

Top Practice Pearl #4:

Get Good at the Fundamentals

The biggest problem holding you back might be your narrow focus on “getting more leads”. You might be throwing a ton of money at SEO, google AdWords, social advertising and directories OR you’re spending a ton of time creating content for your Instagram and Facebook followers.

Yes, it’s exciting to get lots of leads and comments but here’s the kicker…Leads are only one part of it.

These leads need to be converted because if you can’t monetize these leads, then you’re throwing money down the drain, , which is a key point in my 10 top practice pearls.

The top practices know this and focus on all 5 key areas to attract and convert patients. That includes:

  • Lead Generation
  • Converting callers into appointments­­­­
  • Converting appointments into procedures
  • Ensuring the patient is comfortable throughout the process and gets a good result
  • So they become a raving fan who refers, reviews, returns and shares you on social media

That’s how you build a practice flywheel that keeps your practice humming along, so instead of buying a new $150K laser and hoping new patients flock to it, you fix your phones and train your coordinator to convert consultation to give yourself a $500K+ raise because you are not losing high value patients trying to give you money.

Top Practice Pearl #5:

Surround Yourself with A-Players

Staffing issues will be one of your biggest challenges when running a cosmetic practice. Miss hires cost you a fortune in time, money, sleepless nights, and bad mojo in the office, , which is a key point in my 10 top practice pearls.

On the other hand, (1) A-Player will produce more than (3) of the miss hires so the top practices spend more time finding, training, and retaining top producers than fiddling with those who are not up for the challenge.

They get the right people on the bus and in the right seats, they give the right tools to do their job quickly and efficiently and they hold them accountable with metrics and evaluations.

They make it a priority to develop a positive culture that employees enjoy and are loyal to, because a negative culture creates angry or frustrated employees, poor communication, lack of passion, and staff feeling underpaid, overworked, and unappreciated.  

They treat staff as a revenue-generating asset, rather than an overhead cost because they know their staff is their differentiator. They also acknowledge and recognize their staff with perks, bonuses, and fun.

Top Practice Pearl #6:

Predictable Revenue Streams

The top practices realize the value of cosmetic patients who want to look good today, next month, next year and for years to come, , which is a key point in my 10 top practice pearls.

So, While surgery is their main focus, there is much money left on the table when that patient is treated as a “one and done” rather than as a “patient for life”.

It’s getting too confusing, expensive and time intensive to constantly refresh with brand new stranger patients, so the top practices offer a loyalty/rewards program to nurture their patients to return, refer, review, approve their B/A photos and share you on social media with their friends and followers.

This gives them a competitive edge because it costs a fortune to attract a new patient and almost nothing to keep that patient loyal to you without spending a dime on advertising.

BTW, I can help you with that so let me know.

Top Practice Pearl #7:

Embrace Change

The top practices are not only good with change – they embrace it. They see challenges as opportunities to learn and grow. To improve their practice and better their best. To learn new skills, , which is a key point in my 10 top practice pearls.

To take calculated risk, but plan for the unknown.

They face many challenges, but they keep their optimism that the future will be good and that gives them strength to tackle problems.

They are adaptable and able to abandon their old ways in favor of where the world is moving, i.e., they go digital and embrace social media and video.

They believe they have control and the power to shape their destiny. They depend more on themselves than on the whims of the world.

Top Practice Pearl #8:

Lead the Team

There’s a popular business quote from Peter Drucker that says,

“Only three things happen naturally in organizations:
friction, confusion, and underperformance. Everything else requires leadership.”

The top practices know that success starts at the top. They take responsibility for their wins and their losses and look at failure as feedback and keep on going.

They have passion and love for what they do and are driven to build a successful practice.
They push themselves and their staff to excellence.

They study leadership principles and lead by example.

They are decisive and communicate clearly and meet regularly with their team to talk about their vision, values and goals.

They celebrate their wins, while acknowledging and appreciating their team.

They collaborate with their team and see this as a group effort since they can’t do it alone.

Note: Every top practice I have interviewed on Beauty and the Biz is giving back. It makes them feel good, it gives their staff a bigger “Why” and it’s also good for their brand, which is a key point in my 10 top practice pearls. Just saying.

Top Practice Pearl #9:

Resilience is a Skill

Resilience is defined as the capacity to withstand or to recover quickly from difficulties and challenges through mental, emotional, and behavioral flexibility and adjustment to external and internal demands, which is a key point in my 10 top practice pearls.

The surgeons running the top practices have resilience. They have bounced back from all sorts of setbacks including partnerships breaking up after working together for years, having long-term office managers abruptly quit, rogue associate causing drama in the office, embezzlement, frivolous lawsuits, illness, hurricanes, build-out permit delays, and it goes on and on.

But no matter what, they get back up, dust themselves off and get back at it. They know this is just a part of doing business and they keep their focus on the end result and solutions. They also turn to their trust advisors, colleagues, and friends for guidance.


Top Practice Pearl #10:

Streamline, Scale and/or Sell

The top practices use their business and marketing skills to set up an efficient money-making machine that runs smoothly. They streamline their processes and have others manage the practice while they lead the way and oversee the numbers, which is a key point in my 10 top practice pearls.

Then they scale to have predictable revenue streams that are transferable. They set up profit centers and bring on other revenue producers to build value and revenues that are not dependent on them.  Because the surgeons in the top practices are thinking ahead.

They ask early, “How do I get off this treadmill and get my equity out when it’s time?”

They plan to have enough money to retire WELL and not have to step down in their lifestyle.

But oftentimes, their income is their lifestyle. Their assets become their wealth.

But they discover you make it on equity – not on income so they find investments that build their equity that is NOT dependent on them.

The current trend is private equity coming into plastic surgery practices and consolidating administrative areas such as payroll, HR, benefits, hiring, negotiating purchasing contracts for economies of scale and so on.

The practices that join the group build up their value by decreasing their overhead costs and streamlining their processes for increased efficiency, so they build equity to secure their future.

Stay tuned since I’ll have more guests on Beauty and the Biz talking about this, so you know your options.

And there you have it!

the Top 10 practice pearls I gleaned from the surgeons I interviewed in the last 100 episodes.

Thank you so much for listening. I appreciate your interest and I’m working on the next 100 episodes so be sure to subscribe.

And, of course, please contact me if you could use some guidance OR, if you are looking for unbiased strategies to grow your practice, check out the guaranteed to get you more patients and profits,

Everybody that’s going to wrap it up for us today, a Beauty and the Biz and this episode on my 10 top practice pearls.

And if you have any questions or feedback for me on my 10 top practice pearls, you can go ahead and leave them at my website at, or you can certainly DM me on Instagram @CatherineMaleyMBA.

If you’ve enjoyed this episode on Beauty and the Biz, please head over to Apple Podcasts and give me a review and subscribe to Beauty and the Biz so you don’t miss any episodes. And of course, please share this with your staff and colleagues.

And we will talk to you again soon. Take care.

The fastest way to success is to model other successful surgeons who have what you want, but you can only see their results, not the path they took to get there.

So, you continue to jump from one thing to another, hoping to find something that will work for you too, but it rarely does. So, try this shortcut instead. It’s guaranteed to move you forward. I compiled my intellectual property to grow cosmetic revenues, everything I’ve gleaned over the years into one playbook of the most successful practices and what they do to win.

Go to and let’s grow your cosmetic revenue.

-End transcript for “200th Episode — 10 Top Practice Pearls”.

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#10toppracticepearls #topplasticsurgeonbusinesstips #aestheticpracticebiztips

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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