The Scalpel of Truth with Leisa Krauss

You Don’t Need More Leads — You Need to Stop Losing the Patients You Already Have

Your ad budget went up again this quarter and the schedule still has holes in it. Somebody in the Monday meeting says you need more leads. Meanwhile there are people in y

From Chaos to Accountability: Next Level Performance for Highly Profitable MedSpas

Ask three people in your clinic who owns a new injectable lead and see whether you get the same answer twice. Leisa Krauss has walked into enough practices to know how th

Secret Shoppers: What You Don’t Know Is Costing You

Leisa Krauss makes the case for secret shopping your own practice, and she's not interested in trapping anybody. She wants to know whether the patient experience you beli

Success Starts Between Your Ears

Two practices, one city. Same economy, same interest rates, same competition, same lasers, sometimes the same prices. One is scaling. One is struggling to keep the lights

30 Years. 30,000 Patients. Here’s The Truth.

For its hundredth episode, The Scalpel of Truth turns reflective. Leisa Krauss steps back from the week-to-week tactics to distill what three decades in medical aesthetic

Sell Smart: What Private Equity Really Wants From Your MedSpa

Two MedSpas pull the same revenue and sell for wildly different prices. The busiest, most owner-driven clinic often gets the lowest offer. This episode of The Scalpel of

Q3 Prep:The Balmy Weather Blueprint

Summer turns medical aesthetic schedules into Swiss cheese, and most clinics answer with panic: flash sales, desperation energy, and discounting that quietly cheapens eve

Discounted Into Irrelevance: The Death of Luxury in Medical Aesthetics

Somewhere along the way, medical aesthetics confused luxury with liquidation — and the constant flash sales, Filler Fridays, and 20%-off banners that feel like survival a

Inspect What You Expect

In this episode, I'm calling out something I see in practice after practice: owners convinced they have a marketing problem when what they actually have is a leadership v

Spoil Them or Someone Else Will: Why Your Top Patients Deserve VIP Treatment

This episode takes on one of the most expensive blind spots in aesthetic medicine: the industry's obsession with acquiring new patients while treating its most loyal ones

Data, Demographic & Execution: Why You’re Blaming the Wrong Things

If you've ever bought a laser, a skincare line, or a rewards app that another clinic is crushing it with — and watched it sit there doing nothing for you — Leisa has news

Membership Monetization: Stop Chasing the Dollars and Start Owning Recurring Revenue

Most MedSpa memberships underperform for the same handful of reasons: they're priced wrong, positioned like discount clubs, and built without reference to the actual numb

Second-hand Strategy: They’ve Never Run a MedSpa So Why Are You Listening?

A lot of the business advice clinic owners are being handed in 2026 comes from people who have never actually run a medical aesthetic practice. They're laser company reps

Untrained & Unprofitable: Why Your Team Is Costing You Millions

Here is a question worth sitting with: if you walked up to any member of your team right now and asked them to explain your membership program, what would they say? If th

Patient Acquisition is Broken: Here’s What’s Actually Working in 2026

Patient acquisition in 2026 isn't broken because patients have disappeared — it's broken because most clinics are still running a 2018 playbook in a market that has moved

Your Vendor Strategy Is a Mess… And It’s Costing You Thousands

Your vendors are one of the most powerful — and most underused — growth levers in your practice. The problem isn't who you're working with. It's how you're showing up to

Broke By Design: The Habits Keeping MedSpa Owners Poor

Leisa Krauss is back with a truth bomb that a lot of MedSpa owners won't want to hear — and probably need to. This episode is about why broke clinics stay broke, and the

The Modern Practice: The Patient Has Changed But Have You?

The patient has changed — and in this episode, Leisa Krauss makes the case that most clinics haven't caught up yet. The patient of 2026 is researched, selective, and choo

The Waiting Room Audit: What Your Space Is Secretly Saying About Your Brand

This week is a solo deep-dive from Leisa Krauss on one of the most overlooked conversion tools in a medical aesthetic practice: the environment patients experience before

The 150K Paperweight: When Your Laser Is Collecting Dust

Leisa Krauss takes on one of the most expensive and least discussed problems in MedSpa ownership: the six-figure device that isn't producing. In this solo episode, she br