What does it take to go from being the only doctor on a prison yard to building a 9 figure business?

In this episode of the Aesthetics Millionaires Show, Neal Karski sits down with Dr. Alex Spinoso, founder of Genesis Lifestyle Medicine, for a raw conversation about entrepreneurship, risk, leadership, and what it actually takes to scale in the medical aesthetics and wellness industry.

Dr. Alex shares how a breaking point in the prison system and urgent care world led him to entrepreneurship, why investing $50,000 into a mastermind changed the trajectory of his life, and how Genesis grew into a national brand with multiple brick and mortar locations focused on weight loss, hormones, sexual health, aesthetics, and wellness.

From business partnerships and core values to scaling mistakes, SOPs, culture, coaching, and reinvesting into growth, this episode is packed with lessons for medical entrepreneurs who want to build something bigger without losing control of the foundation.

________

🎙️ Would you like to share your success story in the aesthetics industry? Fill out the form and be our next guest.   

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

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📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing #WellnessBusiness #PracticeGrowth #Entrepreneurship 

What happens when a dentist takes the trust, patient flow, and high touch experience of a dental practice and turns it into a thriving aesthetics opportunity?

In the Season 2 premiere of the Aesthetics Millionaires Show, Neal Karski sits down with Dr. Barry Applegate, owner and founder of Applegate Dentistry & Med Spa, to talk about how he expanded from a long standing dental career into aesthetics, body sculpting, and functional wellness.

Dr. Barry shares how his practice used its existing patient base, in office conversations, launch events, team buy in, and cross selling opportunities to successfully introduce med spa services into a dental environment. From building trust with patients to creating an “everyone sells” culture, this episode breaks down why dentists may be uniquely positioned to win in aesthetics today.

If you are a dentist, practice owner, or aesthetics entrepreneur looking for a smarter way to grow, this conversation is full of practical lessons on expansion, patient relationships, and creating new revenue opportunities inside an existing business.

________

🎙️ Would you like to share your success story in the aesthetics industry? Fill out the form and be our next guest. 

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

What does it look like to build something bigger than the life you thought you had to settle for?

In this episode of the Aesthetics Millionaires Show, Mary Elizabeth, owner and founder of IV Lounge, shares her journey from trauma nursing and hospital burnout to building a wellness and aesthetics brand with intention, resilience, and purpose. Her story started as a side path, but became a bigger vision rooted in patient experience, smart growth, and creating a place where people feel genuinely cared for.

From learning business the hard way to investing in SEO, building trust through follow ups, and creating an elevated experience from the moment patients walk in, this episode is a real conversation about growth, leadership, sales, and what it takes to pave your own way in the wellness industry.

Follow Mary Elizabeth on Instagram: @the_maryelizabeth

Learn more about IV Lounge: ivloungect.com

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

What happens when the person helping over 1,000 practices grow decides to build his own?

In this special episode of the Aesthetics Millionaires Show, host Neal Karski takes the guest seat to share the lessons he's learned from helping aesthetics businesses scale and opening four ICONIC SPA locations in just two years.

From patient acquisition and sales systems to scaling multiple locations, Neal breaks down what is actually working in aesthetics today. He shares why marketing has changed, where most practices struggle, how to think about growth in 2026, and the strategies helping both Patient Engine clients and ICONIC SPA continue to expand.

Whether you're opening your first location or planning your next one, this episode is packed with practical insights from someone actively building in the industry every day.

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.  

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

What does it take to stay relevant and continue growing after 17 years in aesthetics?

In this episode of the Aesthetics Millionaires Show, Jessica Rhee shares the journey behind building Red Rabbit Aesthetics into an 8-figure brand while navigating industry changes, growing a team, and creating a reputation patients trust.

From leadership and retention to branding, hiring, and social media, this conversation is packed with honest insights for injectors and med spa owners looking to build a long-term business that lasts.

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.  

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

What does it really take to inject confidently… while still keeping patients looking natural?

In this episode of the Aesthetics Millionaires Show, Dawn Beauchamp: RN, injector, educator, and co-founder of Adora Academy, shares her journey from ICU nurse burnout during the pandemic to becoming one of the most respected educators in aesthetics.

From natural-looking results and bio-stimulation to consultations, client retention, and confidence behind the needle, this episode is packed with insights for injectors and med spa owners looking to grow the right way.

Follow 👉 @adoraacademymd & @injectordawnmarie

Join Dawn’s Patreon: Injector Dawn Marie

🚨 Beginner Bootcamp at Adora Academy — May 11th

Register now at 👉 www.adoraaestheticsmd.com

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

What happens when you keep getting told “no”… but don’t give up?

In this episode of the Aesthetics Millionaires Show, Hetal Patel, founder of Balance Aesthetic & Wellness, shares how she went from being repeatedly rejected in aesthetics to building her own thriving practice.

From burnout and long hours in healthcare to mastering consultations, patient trust, and retention systems, this episode breaks down the real journey behind her growth—and what it actually takes to succeed.

Want to connect with Hetal directly? 📞 (813) 444-7735 | ✉️ [email protected]

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.  

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

In this episode of the Aesthetics Millionaires Show, Elior & Sasha Zion, founders of Elite Spa, share how one experience with a trending treatment sparked a business that quickly grew into a thriving aesthetics practice.

From having zero experience to learning sales, building confidence, and scaling through word-of-mouth, social media, and paid ads, this episode breaks down the real journey behind their growth—and what it actually takes to build a med spa from the ground up.

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

Are med spas becoming too focused on technology… and not focused enough on people?

In this episode of the Aesthetics Millionaires Show, industry leader Dr. Tiphany Hall shares how she went from pharma and consulting into becoming a driving force behind one of the most widely used platforms in aesthetics, Aesthetic Record, now supporting 9,000+ practices.

She breaks down how to leverage AI, data, and systems to improve retention, rebooking, and patient experience—without losing the human connection that actually drives growth.

If you’re building or scaling a med spa, this is a must-listen.

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow

📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/

📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow

🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

💻Follow and Learn More about Aesthetic Record:🌐 Websites: https://www.aestheticrecord.com/ | https://xcceleratemybiz.com/📷 Instagram: https://www.instagram.com/aestheticrecord/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing

How does a cosmetic dentist go from veneers… to wrinkles… to launching a tech platform?

In this episode of the Aesthetics Millionaires Show, Dr. Parth Kansagra shares how one patient interaction pushed him from dentistry into aesthetics—and eventually into building multiple businesses.

From dropping insurance on day one to scaling through cross-selling, memberships, and patient experience, this episode breaks down the real strategies behind his growth—and how it all led to launching his own healthcare platform.

________

🎙️ Would you like to share your success story in the aesthetics industry. Fill out the form and be our next guest.

📈Medical Spa & Aesthetics Providers Only: Sell more high-ticket treatment plans and memberships guaranteed! Book a Discovery Call with Neal’ team at Patient Engine, here.

🎙️ FOLLOW Aesthetics Millionaires Show:

👍 Facebook: https://www.facebook.com/AestheticsMillionairesShow 📷 Instagram: https://www.instagram.com/aestheticsmillionairesshow/ 📺 YouTube: https://www.youtube.com/@AestheticsMillionairesShow🎵 Spotify: https://open.spotify.com/show/1AjCaWFeQq3OYa0VFP1QMx?si=WDWNrSWjTQyAopCRlIDKrg  

FOLLOW Patient Engine:

🌐 Website: https://patientengine.co

👍 Facebook: https://www.facebook.com/yourforeveragency

📸 Instagram: https://www.instagram.com/patientengine.co/

#AestheticsMillionairesShow #AestheticSuccess #BusinessGrowth #MedSpaMarketing  #AestheticMarketing