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Beyond Botox: Why Functional Medicine, Hormones & Longevity Are the Future of Medical Aesthetics — with Marcelle Pick, NP
In this powerful episode of MedSpa Unlocked, host Ashley James sits down with Marcelle Pick, NP, a pioneer in functional medicine and women's health whose career spans four decades. Marcelle began exploring what would eventually become functional medicine as early as the 1980s, long before gut health, adrenal health, personalized medicine, hormone optimization, and longevity became mainstream conversations. Today, she also teaches practitioners through the Institute for Functional Medicine and has authored three books focused on hormones, adrenal health, and weight-loss resistance.
In this episode of MedSpa Unlocked, Ashley James sits down with Marcelle Pick, NP, a pioneer in functional medicine and women's health with four decades of experience. Marcelle brings a powerful perspective on the rapidly growing intersection of medical aesthetics, functional medicine, hormone optimization, medical weight loss, peptides, and longevity.
For medspa, wellness, and functional health owners, this episode explores what practices need to understand before simply adding the latest wellness treatment to their menu—and how looking deeper at the patient can create better care and a powerful point of differentiation.
You'll learn about:
If you're considering expanding your medical spa into hormone therapy, peptide therapy, medical weight loss, functional medicine, or longevity, this episode will challenge you to think beyond adding services—and start thinking about the type of practice today's evolving patient is looking for.
The future of aesthetics isn't only about how patients look. It's about how they feel, function, and age.
To learn more about Marcelle Pick visit her website at https://marcellepick.com/ or follow her on LinkedIn
DermAesthetic Consulting GroupSupport the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
In this episode of MedSpa Unlocked, Ashley James breaks down one of the most common—and costly—mistakes aesthetic practice owners make when revenue begins to stall: assuming the answer is more marketing, more promotions, and more leads.
The reality? If your practice is already generating inquiries, booking consultations, and bringing patients through the door—but those patients aren't converting into comprehensive treatment plans, rebooking, or returning consistently—adding more leads may simply mean adding more opportunities for revenue to walk back out the door.
Your patient journey is your revenue journey.
Ashley walks through the entire patient experience—from the moment someone discovers your practice to the initial phone call, consultation, treatment plan, close, treatment, rebooking, follow-up, retention, and ultimately referral—and explains why every stage should be treated as a measurable revenue opportunity.
In This Episode, You’ll Learn:
Ashley also challenges practice owners to stop automatically increasing their marketing budgets when revenue isn't growing and instead look closely at what happens after an opportunity enters the business.
Because sometimes the fastest way to grow isn't getting more people through the door.
It's becoming dramatically better at converting, serving, and retaining the people already walking through it.
Ready to Scale Your Practice?
If your practice is generating revenue but you know it should be producing more—or you're struggling with consultation conversion, team performance, patient retention, sales systems, pricing, or operational bottlenecks—Ashley James and the team at DermAesthetic Consulting Group can help identify where revenue is being lost and build the systems needed for more consistent, scalable growth.
Interested in working with Ashley James or DermAesthetic Consulting Group?
Click here to schedule a strategy call and learn more about working with our team.
DermAesthetic Consulting GroupSupport the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
In this final episode of Season 2 of Medspa Unlocked, Ashley James digs deep into AI, Marketing & the Future of Your Aesthetic Practice.
AI and emerging technology are rapidly changing the way aesthetic practices market, sell, communicate with patients, and operate—and the practices that learn how to leverage these tools now will have a serious competitive advantage.
In this episode of MedSpa Unlocked, Ashley James, Founder and CEO of DermAesthetic Consulting Group ( DAC GROUP) sits down with Cameron Hemphill, founder and former CEO of Growth99, to unpack what is really happening behind the scenes in medical aesthetics.
They go beyond the AI hype and talk about what medspa owners and aesthetic practice leaders actually need to know right now—from AI-powered patient communication and emerging consultation technology to marketing attribution, lead conversion, social media, and the KPIs that determine whether your marketing is truly producing revenue.
You'll discover how to know where to put your marketing dollars, measure what you're actually getting in return, identify the KPIs that matter most, and use AI without sacrificing the human connection that drives aesthetic sales and patient loyalty.
AJ and Cameron also dive into why generating more leads isn't always the answer, where practices are losing money after the lead comes in, how technology can improve operations, and why data-driven decision-making is becoming essential to scaling a profitable aesthetic practice.
If you're a medical spa owner, aesthetic practice owner, physician, injector, practice manager, or aesthetic industry leader, this is a conversation you don't want to miss.
The future of aesthetic practice growth is already here. The question is: are you prepared for it?
Listen now to MedSpa Unlocked and discover what you need to be doing today to stay competitive, profitable, and ahead of the curve.
Who This Episode Is For This episode is a must-listen for:
Medical Spa Owners | Medspa Owners | Aesthetic Practice Owners | Injectors | Nurse Practitioners | Physicians | Plastic Surgeons | Dermatologists | Aesthetic Entrepreneurs | Practice Managers | Practice CEOs | Cosmetic Practice Owners | Elective Wellness Entrepreneurs
If you're trying to grow your medspa, increase profitability, improve your team's sales performance, generate more consultations, increase patient retention, improve your marketing ROI, implement better systems, or prepare your aesthetic practice for future growth or an eventual sale, this conversation is for you.
For more information about Cameron Hemphill, click here .
DermAesthetic Consulting GroupSupport the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
Featuring Audrey Neff, CMO of Aviva Aesthetics, Global Speaker & Aesthetic Industry KOL
Marketing a medical spa in 2026 is no longer about simply running ads, posting on Instagram, or generating more leads. The practices winning today are building connected growth engines—where marketing, trust, conversion, retention, systems, and leadership all work together.
In Season 2, Episode 8 of Medspa Unlocked, host Ashley “AJ” James sits down with Audrey Neff, Chief Marketing Officer of Aviva Aesthetics, trusted global speaker, and one of the aesthetic industry’s most recognized Key Opinion Leaders, for a powerful conversation about what is changing in aesthetics—and what practice owners need to do now if they want to stay competitive.
With more than a decade of experience helping aesthetic practices grow, Audrey brings a unique perspective on the evolution of medspa marketing and why the strategies that worked five years ago simply aren’t enough in today’s increasingly crowded marketplace.
AJ and Audrey break down:
And, of course, AJ puts Audrey in the hot seat for a rapid-fire round:
Meta or Google? Organic or paid? Most underrated marketing strategy? Most important KPI? Biggest waste of marketing dollars?
Her answers might surprise you.
The biggest takeaway from this episode?
Growth isn't about doing more marketing. It's about building a better business behind the marketing.
Because you can generate all the leads in the world—but if your phone isn't answered correctly, your follow-up is weak, your consultations don't convert, your patients don't have a treatment plan, and you don't have a retention strategy, you're simply spending more money to expose broken systems.
If you're a medspa owner who wants to understand what's actually working in 2026, how AI is changing patient acquisition, where to invest your marketing dollars, and what it really takes to scale from a practice into a sustainable business, this is an episode you don't want to miss.
To connect with Audrey you can reach her at [email protected] or on LinkedIn @https://www.linkedin.com/in/audreyneff/
Support the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
About Your Host: Ashley James
Ashley James is the Founder & CEO of DermAesthetic Consulting Group, creator of the Convert More Consults™ sales system, host of MedSpa Unlocked, bestselling author of The MedSpa Growth Formula, and one of the most sought-after medspa growth consultants in the industry. With more than 25 years of experience owning, operating, scaling, and consulting for aesthetic practices, Ashley has helped launch and scale aesthetic businesses nationwide through proven systems focused on sales performance, operational excellence, financial accountability, leadership development, KPI management, and strategic growth.
In this episode of MedSpa Unlocked, host Ashley James, CEO and Founder of DermAesthetic Consulting Group, bestselling author of The MedSpa Growth Formula, creator of the Convert More Consults™ system, and one of the nation's leading medspa consultants, sits down with Whitney Morrison, CEO of Holistic Money, to break down the financial KPIs, profitability benchmarks, compensation strategies, marketing investments, and growth metrics that every aesthetic practice owner must understand.
Together, they uncover why so many medspas struggle with cash flow, poor profit margins, ineffective compensation plans, underperforming membership programs, weak consultation systems, and marketing strategies that fail to generate ROI. Ashley shares the same growth strategies she has used to help scale aesthetic practices nationwide, including clinics that have increased revenue by more than 100% in as little as 90 days through strategic KPI management, sales training, consultation optimization, and operational excellence.
If you've ever wondered:
This episode is your roadmap.
Whether you're launching a startup medical spa, struggling to improve profitability, or preparing to scale multiple locations, this conversation delivers practical financial and operational strategies you can implement immediately.
Ready to scale your medspa?
Visit DermAesthetic Consulting Group to learn more about consulting, startup development, medspa sales training, KPI coaching, recruiting, marketing strategy, and the Scale Program.
To Learn more about Holistic Money or to schedule an intro call with Whitney Morrison, click here.
Support the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
Your payroll can either power your growth or quietly bankrupt your med spa, and the difference often comes down to how you hire and how you pay. We get blunt about why staffing in medical aesthetics is nothing like staffing a hospital: your providers are expected to deliver great outcomes and also convert consultations, retain clients, build treatment plans, and drive revenue in a competitive market.
Ashley James, Founder and CEO of DermAesthetic Consulting Group, talks through the real-world compensation gap that surprises new owners, why underpaying leads to constant poaching, and why overpaying without accountability wrecks your margins. You’ll hear practical ways to protect your investment in training, plus how culture actually reduces turnover when competitors try to buy your team. We also cover the mistake that takes down promising practices fast: overhiring before patient volume is there, instead of scaling staffing based on booking demand and capacity.
Then we get into the risky stuff owners don’t talk about enough, including compensation structures that can violate corporate practice of medicine rules depending on role and setup. We lay out a cleaner approach using KPI bonuses and key performance indicators like consultation conversion, retention rate, retail-to-service sales, and revenue per hour, along with strategies to cap incentives while still offering a strong earning path.
If you’re building a med spa team or trying to stabilize one, hit play, take notes, and share this with an owner who needs it. Subscribe for more, leave a review, and tell us: what’s the hardest position for you to hire right now?
Key Takeaways:
Support the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
What Every MedSpa Owner Needs to Know About Growth Marketing with Guest Rick Diaz
Bad marketing advice can cost a med spa months of momentum and tens of thousands in wasted spend, especially when you are new and trying to “just get patients in the door.” AJ sits down with Rick Diaz of Tier 3 Media to get brutally practical about what works in med spa marketing, what fails quietly, and what’s just a shiny hook designed to separate you from your budget.
In this episode of MedSpa Unlocked, Ashley James sits down with marketing strategist and Tier 3 Media Founder & CEO, Rick Diaz, to break down the realities of medical spa marketing, patient acquisition, and what it truly takes to build a profitable, sustainable aesthetic practice.
Whether you're launching a new medical spa, struggling to generate consistent leads, or trying to scale beyond your current revenue plateau, this episode delivers practical insights and proven strategies that every medspa owner should understand.
Ashley and Rick discuss:
• The biggest marketing mistakes medical spa owners make
• Why marketing should be viewed as an investment, not an expense
• How to identify marketing gimmicks and avoid costly agency mistakes
• The truth behind "30 Patients in 30 Days" offers and lead generation programs
• Startup marketing strategies versus growth and scale-stage marketing strategies
• Why before-and-after photos, reviews, and social proof are critical to success
• How Google reviews impact local SEO and patient trust
• The role of websites, SEO, Meta advertising, and paid media in medspa growth
• How to calculate patient acquisition costs and marketing ROI
• Membership programs that increase retention and recurring revenue
• Strategic partnerships that drive referrals and long-term growth
• How successful practices use marketing to dominate their local market
If you've ever wondered how top-performing aesthetic practices consistently attract new patients, convert more consultations, and create sustainable growth, this episode is packed with actionable insights you can implement immediately.
About Rick Diaz
Rick Diaz is the Founder and CEO of Tier 3 Media, one of the nation's leading marketing agencies serving medical spas, aesthetic practices, and healthcare businesses. Since 2016, he has helped hundreds of practices increase patient acquisition, strengthen brand positioning, improve conversion rates, and scale revenue through strategic marketing systems and data-driven growth initiatives. For more info about Rick or Tier 3 media, visit www.tier3media.com
About Ashley James
Ashley James is the Founder and CEO of DermAesthetic Consulting Group (DAC Group), a nationally recognized medspa consulting firm specializing in medical spa startups, business development, sales training, operational systems, and practice growth. With more than 25 years of industry experience and hundreds of successful practice launches and transformations, Ashley helps aesthetic business owners build profitable, scalable practices through proven strategies and hands-on guidance.
Learn more about DermAesthetic Consulting Group at www.dermaestheticconsulting.com.
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If you want clearer metrics, smarter budget decisions, and a marketing plan built for long term growth, hit subscribe, share this with a med spa owner who needs it, and leave a review so more practices can find the playbook.
Support the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
Construction is where many med spa visions either come to life—or quietly fall apart. In this episode, Ashley James breaks down what really happens behind the scenes of a med spa build-out, and why entering a lease or construction phase without a strategic plan can cost you hundreds of thousands before you ever open your doors.
In Season 2, Episode 3- Ashley walks through the real numbers behind build-out costs, explaining how tenant improvement (TI) dollars are often misunderstood—and how “free” TI is typically built back into your lease terms. She shares how to negotiate smarter, secure true concessions like free rent, and avoid getting locked into agreements that limit your flexibility or drain your capital.
You’ll also gain insight into the most overlooked lease clauses that can shift significant financial risk onto you—from non-compete protections to excessive security deposits and hidden maintenance responsibilities like HVAC systems that can result in unexpected five-figure expenses. Ashley outlines the full development timeline as well, including design, architecture, MEP engineering, and permitting—highlighting how delays can impact your funding strategy, especially if you’re using SBA or private financing.
On the construction side, Ashley shares how her team at DAC vets general contractors, what to look for when comparing bids, and how to identify costly gaps in scope that most owners miss. She also explains how contractor staffing, project management, and contract structure directly impact your timeline—and how to protect yourself with the right terms in place.
If you’re planning to launch a medical spa, this episode will give you the clarity and strategy you need to build the right way—without sacrificing the capital required for marketing, staffing, and growth.
DermAesthetic Consulting GroupSupport the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
Many aesthetic entrepreneurs underestimate what it takes to launch—and run out of money before they ever become profitable.
AJ pulls back the curtain on what it really takes to build a scalable, sustainable medical spa business, emphasizing that success in aesthetics isn’t about guesswork—it’s about strategy, structure, and financial precision.If you’re planning to open a medical spa, aesthetic practice, or wellness clinic, this episode could save you hundreds of thousands of dollars—and potentially your entire business.
In this high-impact episode of MedSpa Unlocked, Ashley James (AJ), Founder & CEO of DermAesthetic Consulting Group, breaks down the real financial blueprint behind launching a successful, profitable medical spa—and the costly mistakes most new owners make before they even open their doors.
Drawing from experience launching 80+ medical spas nationwide, AJ reveals the true startup costs, hidden expenses, and budgeting strategies that separate thriving multi-million dollar practices from those that fail within the first year.
Key Takeaways:
If you’re serious about building your medical spa the right way—from day one—this episode is your financial foundation.
DermAesthetic Consulting GroupSupport the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
MedSpa Unlocked – Season 2, Episode 1 (Part 2)
MedSpa Funding, SBA Loans & How to Scale a Medical Spa the Right Way
In Part 2 of the Season 2 premiere of MedSpa Unlocked, Ashley James—CEO of DermAesthetic Consulting Group (DAC GROUP) and one of the most sought-after aesthetic practice consultants, sales trainers, and growth strategists in the industry—dives deep into MedSpa Funding, SBA Loans Medical Spa strategies, and how to build a profitable, scalable business from day one.
Joining her is special guest Marc Cornella of US Medical Funding, bringing over 30 years of experience in MedSpa Financing, Aesthetic Clinic Funding, and healthcare lending. Together, they break down exactly how to open a medspa, how to qualify for SBA loans, what banks are looking for, and why the right funding structure is critical for both Medical Spa Startup success and MedSpa Expansion.
If you’re searching for How to Open a MedSpa, MedSpa Business Strategy, Aesthetic Practice Growth, or how to Scale a MedSpa into a multi-million dollar business, this episode of the Millionaire MedSpa Podcast delivers real, actionable insight you can use immediately.
What You’ll Learn in This Episode:
Key Takeaways:
This episode is essential listening for anyone looking to:
If your goal is to build a million-dollar or multi-million dollar aesthetic practice, this episode of MedSpa Unlocked will show you exactly how to fund it, structure it, and scale it the right way.
This episode is essential listening for anyone who wants to:
If you are serious about building a millionaire medspa, this episode will completely change how you think about funding, growth, and long-term success.
For more information about US Medical Funding or to connect with Marc Cornella about SBA funding for your practice, please visit their website at www.usmedicalfunding.com or www.usprofessionalfunding.com
Support the show
To connect with DAC GROUP or to schedule a FREE introductory call, with AJ, visit our website http://dermaestheticconsulting.com/
@dermaesthetic_consulting @ashleyjames_dacgroup @medspaunlockedpodcast
To subscribe to get exclusive subscription-only episodes and FREE Medspa Business Tools as mentioned by AJ, access to sales webinars provided by DAC or support Medspa Unlocked, Click Here
From the publisher's feed
Unlock the blueprint to building, scaling, and operating a highly profitable medical spa with Ashley James (AJ), one of the most highly sought aesthetic practice consultants in the…
MedSpa Unlocked is the go-to podcast for medspa owners, aesthetic providers, and entrepreneurs who want to increase revenue, improve patient conversion, and build a scalable, multi-million dollar aesthetic practice. This show dives deep into medical spa growth strategies, aesthetic business development, patient acquisition, consultation conversion, and advanced sales training—giving you the exact frameworks used inside top-performing clinics.
Each episode is packed with actionable insights on:
Backed by decades of hands-on experience, AJ and her team share proven systems, real case studies, and performance-driven strategies that consistently help practices increase revenue by 30%–150%+ while dramatically improving EBITDA.
If you’re searching for how to grow your medspa, increase revenue per patient, improve consultation conversion rates, and build a sustainable, scalable aesthetic business, this podcast is your roadmap.
Visit us at http://dermaestheticconsulting.com!