Anybody here own a Medi Spa? Are they still profitable in the right market or is it completely oversaturated? A friend's older sister did quite well with hers but she had the spa first and then expanded with her husband who was a doctor. I think she closed it when he died.

I see applications for these on the insurance side and there seems to be a fairly steady stream of start ups in TX. My 2c.

I am literally in the process of opening one. We have a very busy practice so natural feed into the spa

Does anyone know anyone looking to hire NPs in this area in College Station?

It's not as profitable as you think unless you are doing high-volume and associated with another aesthetic practice like dermatology or plastic surgery. Even in those cases, the med spa can be a loss leader that brings people in to the other high-earning aspects of the practice.

The dentists and PCP's running med spas are not making any serious money off of them. And yes, there is one on every corner.

What it does expose you to is risk and headaches.

Aestheticians, "laser techs", etc are often difficult to hire and retain, nurse injectors and NP's just want to build their clientele and run off elsewhere on their own, etc. Expensive machines sitting unused, and expensive injectable and skincare products that expire on the shelf.

Also, make sure you are aware of ownership laws related to physician and non-physician ownership and ownership structures. Google corporate practice of medicine.

Mateo84 said:

---

It's not as profitable as you think unless you are doing high-volume and associated with another aesthetic practice like dermatology or plastic surgery. Even in those cases, the med spa can be a loss leader that brings people in to the other high-earning aspects of the practice.

The dentists and PCP's running med spas are not making any serious money off of them. And yes, there is one on every corner.

What it does expose you to is risk and headaches.

Aestheticians, "laser techs", etc are often difficult to hire and retain, nurse injectors and NP's just want to build their clientele and run off elsewhere on their own, etc. Expensive machines sitting unused, and expensive injectable and skincare products that expire on the shelf.

Also, make sure you are aware of ownership laws related to physician and non-physician ownership and ownership structures. Google corporate practice of medicine.

---

Thanks.

My girlfriend is a doctor and my sister in law is an RN who has been a school nurse since having kids which is why I was inquiring.

always thought they should just be called Cosmetic Spas

nothing happening there is out of medical necessity

Mateo84 said:

---

It's not as profitable as you think unless you are doing high-volume and associated with another aesthetic practice like dermatology or plastic surgery. Even in those cases, the med spa can be a loss leader that brings people in to the other high-earning aspects of the practice.

The dentists and PCP's running med spas are not making any serious money off of them. And yes, there is one on every corner.

What it does expose you to is risk and headaches.

Aestheticians, "laser techs", etc are often difficult to hire and retain, nurse injectors and NP's just want to build their clientele and run off elsewhere on their own, etc. Expensive machines sitting unused, and expensive injectable and skincare products that expire on the shelf.

Also, make sure you are aware of ownership laws related to physician and non-physician ownership and ownership structures. Google corporate practice of medicine.

---

having consulted for many DSO and MSO practices and "Medical" office type roll-ups...

This is good advice. They're tough and need to be ran like a business and not a doctor's office. It's all about recurring revenue, growing smart, employee retention, utilization of equipment, and controlling margins.

Yes, an insurance payor component is nice but you're now negotiating with an industry that exists for 1 reason: to pay out less money in benefits than they collect in premiums.

I think the low t clinic, botox, etc. thing has apex'd and become saturated.

That being said, if it's attached to a REAL dermatology clinic, you'll just be playing around with the front of the office (products, botox, facials, etc.) while the real money making will be the CPT code billing for dermatology. There is a massive shortage of dermatologists and the chasm is widening with aging population and less dermatology residents coming into the field.

Med spas made easy money but now everyone is opening one. It's a business. Equipment can be expensive. Entry is low. Most imp aspect is to get estheticians who are good, dependable, and personable.

You can have a great place but if your good estheticians leave, you start back at square one.