r/MedSpa

I'm in the early stages of opening my first med spa in California and trying to wrap my head around the compliance side of things. A few questions for those of you already running a practice:

• Does HIPAA apply to med spas, and how seriously do you take it?
• How do you stay on top of state-specific rules and regulations? Ownership structure, scope of practice, medical director requirements, that kind of thing.
• How do you stay on top of compliance overall? Do you have a system, or is it more ad hoc?
• Are there specific things you track on a monthly or quarterly basis?
• Do you work with a consultant or attorney for this stuff? If so, how often do you meet with them and is it worth the cost?

Would love to hear how others are handling this, especially solo operators or small practices. Thanks in advance.

I run a MedSpa and we are hiring more injectors. The professional license verification process is critical because the regulations are so strict in our state. I need to be absolutely certain that every RN and NP we bring on has a clear license and no history of malpractice. Doing this manually for every applicant is taking forever. Is there a faster way to get primary source verification done during the hiring process?

Hey all planning to open a med spa in California and tying to get my ownership structure set up correctly.

Anyone have recommendations for a healthcare attorney who has worked with NP or PA-owned practices in California?

Thanks!

Does anyone know what the process is for getting approved to advertise keywords like Botox, Dysport, etc. on google ads?

I just removed all Botox from the ads and left "neurotoxin" etc. but its still not working. Possibly thinking it could be from the landing page the ads are being directed towards but assuming there's a way to get approval to run them because I know plenty of injectors/med spa's around me that show up when you type in "Botox near me"

thanks!

Do you prefer

Full time with base pay

Part with with base pay and commission

Hi I’m (24) F from California and I just recently have been applying to esthetician jobs and a lot of them want experience and low paying. I am getting an interview at the European wax center soon hoping to start off there. I was wondering is there a way to make a lot of money as an esthetician?

Was thinking of finding a way to becoming a “medical” esthetician but even then I am not sure if they make the amount I would want.

I was wondering is you guys can give me advice on how to make $70k-$100k+ as an esthetician through time. Obviously I won’t make alot the first year or two.

They dilute their product so you keep buying packages.

They inflate their prices and don’t tell you at the start of your appointment and then hit you with a higher price when you’re cashing out expecting the price to be the same from the last time you were there a month ago.

Sloppy administration. If you buy something on file, you better make sure you have proof of it before they argue that you didn’t purchase it when you want to use it!!!

Their weight loss program is a money grab. A 10 mg pen would cost you $400 at the pharmacy. And that would have 4x 10mg doses or 8x 5mg doses. They’re not nutritionists and know nothing about it. People should not be dropping 30 pounds in two months.

They don’t order the right equipment to use on you either.

Staff coming in and out of the treatment room when topless or in the middle of a treatment.

Too lazy to clean you up properly after treatment.

Like a couple of girls playing house

There’s so many other options in the city with better prices and better service and more effective results.

Question for MedSpa owners/managers.

I've been digging into retention data lately and something keeps coming up that I'm curious about. When a regular Botox client who usually comes every 3 months hits the 4-month mark without rebooking how does your team catch that?

I've talked to maybe a dozen clinic owners about this in the last few weeks and the most common answer is "our front desk is supposed to track it but they're too busy."

Boulevard has the appointment reminder feature which is great for people who ARE booked. But for the people who should have booked and didn't it seems like there's a gap.

A few things I keep hearing:

• We notice when they come back in 6 months and we say 'wow it's been a while' but by then we already lost 1-2 visits worth of revenue
• Our front desk tries to check the overdue list but they only get to it when it's slow which is basically never
• Boulevard sends a reminder at 90 days but by 90 days the client has already gotten used to NOT coming

Anyone actually cracked this? Do you have a system that works or is everyone just kind of winging it. I'm not selling anything. Im just trying to understand how the industry handles this because I think it's more lost revenue than most people realize.

Been curious to hear more about this new Ageless AI but want to hear about others experiences before trying it. Just want to know if its actually worth it before I bother signing up

I'm on the look out for a new service provider for my Lumenis Lightsheer Desire. Anyone using a reputable company that doesn't charge an arm & a leg for annual maintenance service?

Thank you!

Would appreciate any honest numbers if you're willing to share.

I made an appointment for lip injections for the first time and my injector had the most fake looking lips. I was so horrified I left. How do you usually choose an injector or medspa?

So I just had my first morpheus8 treatment and want to know if I should be concerned with the depth and joules settings used. 2mm was used on my forehead, 4mm was used on my temples, face and neck and joules were set at a range of 4-9. The pinpoint markings and redness have diminished by day 3, but what I am concerned about is unintentional fat loss. This was to be done for skin tightening with no fat loss. What are your thoughts. Answers based on experience with the machine are greatly appreciated!

I’ve been working at a corporate wax studio for a year and a half now, and problems with the overall environment have made me decide to leave soon. Estheticians and Laser hair techs of reddit, what should I look out for when applying to a new job??

I’m not looking to strike out on my own yet, I live in a big city so suite prices and machines are very high, and I’d like to gain some experience in a larger setting first. What are some red/green flags to look out for on job listings? I got my laser license in Georgia about a year ago so I would love to put that to good use, but I feel so ignorant on what I should even be looking for? Same thing with a medspa, if I’m not able to do laser, what kind of standards should I hold employers to?

Things I’m specifically curious about:

* Commision vs. Hourly, should I expect to get both?

* Average salary? (I figure this changes based on state + experience)

* General experience with management and coworkers? Did you all try to get along, or did it feel competitive?

*Was this a sales position? (Selling product, upselling, etc.)

* Do you generally have a set schedule, or is it on call?

* Should I be looking for/expect pto? How much time off do you get in general?

* Upward mobility in positions?

* Things about your job that you love?

* Things about your job you hate?

* Are you/were you treated differently because of your age/gender/ethnicity in the business?

* Things about your job you wish were different?

I’m sure most of these answers vary based on previous experience and a bunch of other factors, but any general knowledge would be greatly appreciated!! I can add some background info on me if needed. Thank you :)

im planning to fully transition careers in the future. Right now I’m in a full time role rn in business/supply chain, but I have a direct path into the aesthetics industry through my sister - she’s a DNP, trainer, and is opening her own med spa. She’s very well respected in our city, so I’m planning to start by helping with social media, marketing, and backend operations.

At the same time, I really want to build my knowledge in skin anatomy, treatments, and overall skin health. I already do a lot of independent research because I’m genuinely interested —especially in areas like the gut-skin connection, Korean skincare, and regenerative treatments like PDRN.

I’m not in a position to start esthetician school just yet, but it’s something I’d consider doing part-time in the next couple of years if I decide to fully pivot into this space. For now, I want to focus on gaining foundational knowledge and experience while supporting her business.

With that in mind, I’m looking for a course or certification I can start now—something flexible and not as time-intensive as esthetician school, but still credible and useful long-term! Im very creative and want something I can use for her marketing and social media posts. Eventually maybe focus on a more skin treatment area in her business while doing her social media

i got my moles removed (one mole on each hand) twice and it’s still there :,) google said moles can either grow back or it wasn’t fully removed/the root of the mole is just deep. should i keep trying to get them removed and making more appointments or should i just take the L lol i’m already not a fan of needles and such but i really sucked it up just to remove them, only for them to not be gone :,)

Hello,

Is there anyone in Florida who owns a Viora V20 or V30 machine?