Couture Conversations

An Accountant Walks Into A Med Spa


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A thriving medspa doesn’t run on serums alone—it runs on systems, people, and smart financial choices. We sit down with Nicole, our head of accounting, to trace her path from a childhood spent around ledgers and purple pens to a CPA-earned career that now shapes every location, department, and decision we make. From the grind of studying four exam parts while working full time to the leap from a fitness franchise into aesthetics, her story shows how finance becomes a strategic engine for client experience and sustainable growth.

Nicole opens the hood on what medspa accounting really looks like: daily transaction checks, cost tracking, vendor management, payroll Fridays, and monthly close rhythms that keep the team on track. She also shares how being in-house expands the role—collaborating with leadership on pricing, promotions, service mix, and equipment investments—so dollars and data translate into better bookings and consistent care. If you’ve ever wondered how a new service goes from idea to launch, you’ll hear the decision-making behind the scenes and why clear numbers make it possible to scale without sacrificing results.

This conversation doubles as a career roadmap. Nicole explains why internships matter, how to choose between public and corporate paths, and how to build routines that carry you through big milestones like the CPA. She’s candid about the challenges of wearing many hats at a growing company and generous with tactics for staying organized—checklists, spreadsheet trackers, and crisp communication that prevent surprises. Along the way, we talk culture: an inclusive, energetic team that invites finance into creative conversations and keeps the whole operation focused on client outcomes.

If you’re a medspa owner, a clinician curious about the business side, or a numbers-nerd who loves skincare, you’ll leave with practical takeaways on systems, pricing, and cross-functional teamwork. Enjoy the story, learn the playbook, and see why the best client glow starts with strong financial health. Subscribe, share this episode with a colleague, and leave a review to tell us which part of Nicole’s journey helped you most.

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Couture ConversationsBy Couture Med Spa

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