Breaking the Regenerative Plateau: How Clinics Can Differentiate, Diversify, and Scale Beyond Bio-Stimulators in 2026
Business of Aesthetics Podcast Show
Release Date: 10/14/2025
The Business of Neuro-Aesthetics: Systematizing Gut Health Protocols, Integrating 'Internal' Diagnostics, and Structuring Clinical Performance Guarantees
Business of Aesthetics Podcast Show
In this episode, host Don Adeesha sits down with Sonja Landtrachtinger, CEO of Beauty Zentrum Group, to address the frustration of the "non-responder" - the patient who undergoes treatments but fails to see results. Sonja argues that clinics typically blame the device when they should be blaming the biology, specifically the gut-skin connection. She details her business model based on neuroaesthetics, where she treats the nervous system, gut microbiome, and microcirculation to resolve internal bottlenecks before attempting to fix external beauty. Sonja breaks down her "Skin Proof Method," a...
info_outline
The Business of Health Optimization: Scaling with White-Label IP, Packaging ‘Outcome-Based’ Longevity, and Building an Aspirational Brand
Business of Aesthetics Podcast Show
In this episode, host Don Adeesha joins Carmen Stansbury, founder of Advanced Practice, to tackle the operational nightmare of adding a wellness division to an aesthetic clinic. Carmen explains that while the demand for longevity and metabolic health is exploding, building these clinical protocols from scratch often traps owners in a cycle of writing SOPs and hiring staff rather than generating revenue. She advocates for white-labeling clinical IP, a strategy that allows practices to bypass months of R&D and launch turnkey programs for weight loss, HRT, and gut health in as little as two...
info_outline
The Second Largest Expense: How to Turn Your Lease into a Profit Center and Avoid the 'Renewal Blind Spot' That Devalues Your Practice
Business of Aesthetics Podcast Show
In this episode, host Don Adeesha joins Colin Carr, founder and CEO of CARR, to audit the second-largest expense on a practice's P&L: real estate. Colin challenges the assumption that rent is a fixed cost, arguing that a lease is actually a flexible financial instrument capable of funding renovations and boosting valuation. He exposes the hidden costs of the standard dual-agency model, explaining why unrepresented tenants frequently lose $200,000 to $400,000 by failing to understand landlord psychology and the "fear of loss" negotiation tactic. Colin breaks down the hidden opportunities in...
info_outline
Why Most Annual Goals Drift by March and How to Build an Execution Roadmap That Sticks
Business of Aesthetics Podcast Show
In this episode, host Don Adeesha joins Kara McClanahan, VP of Operations for Genesis Lifestyle Medicine, to discuss why most aesthetic practice goals crumble by March. Kara introduces her "warts and all" operational audit, identifying the single most common blind spot owners ignore: staffing and performance management. She explains that this issue persists simply because it is uncomfortable to address, advocating for a "management by walkabout" approach where owners step out of the treatment room to truly understand the patient experience. Kara breaks down her methodology for "stress testing"...
info_outline
The Safety Culture: Moving Beyond "Buttonology" to Prevent Complications and Protect Profitability
Business of Aesthetics Podcast Show
In this episode, host Don Adeesha joins Tracey Mancuso, a certified medical laser safety officer and founder of Dermaroom, to define what a true "safety culture" looks like in a modern aesthetic practice. Tracey argues that safety is not merely about avoiding adverse events but is a comprehensive mindset that must begin from the very first patient phone call, warning against the rising danger of "buttonology" - where providers memorize device settings without understanding the underlying physics or tissue interaction. Tracey breaks down the critical flaws in "patchwork learning" derived from...
info_outline
Optimizing Entity Structure, Compensation, and Year-End Tax Strategy for 2026
Business of Aesthetics Podcast Show
In this episode, host Don Adeesha joins Sean Duncan, founder of Chief Proactive Advisors, to distinguish between tax preparation and tax planning. Sean argues that relying solely on historical filing is a costly error, sharing how reactive financial structuring can waste tens of thousands in unnecessary taxes. Sean breaks down the math of entity selection, identifying the $50,000 net income threshold where switching to an S-Corp becomes viable. He highlights the hidden benefits of this structure, including ultra-low audit risk, and details a reasonable compensation methodology that satisfies...
info_outline
Why Hypergrowth is Outpacing Regulation and How to Scale Infrastructure Without Risking Your License
Business of Aesthetics Podcast Show
In this episode of the Business of Aesthetics podcast, host Don Adeesha sits down with Paulina Riedler, CEO and co-founder of Spakinect, to talk about one of the biggest threats facing the fast-growing med spa industry: compliance gaps. The med spa industry is booming , adding over $1 billion each year , but many businesses are scaling faster than the rules can keep up. Paulina shares real stories from the field, including how skipping important steps like Good Faith Exams can cost a practice everything. You’ll learn why cutting corners might feel easier in the short term but...
info_outline
The Laser Ceiling: Why 'Permanent Reduction' is No Longer Enough and How to Capture the Untreatable Market
Business of Aesthetics Podcast Show
In this episode of the Business of Aesthetics Podcast, host Don Adeesha is joined by Alana Dzurek, Founder and CEO of Beverly Hills Hairfree, to challenge the limits of the industry's gold standard: laser hair removal. They discuss the "laser ceiling" the frustration practice owners face when turning away patients with gray, white, blonde, or red hair. Alana argues that as the patient demographic ages, this untreatable segment is growing and represents a massive leak in potential revenue for clinics relying solely on lasers. Alana introduces multi-probe galvanic electrolysis, a modernized...
info_outline
Surviving Market Saturation: Strategic Pivots, CapEx Defense, and Smart Scaling in a High-Density Market
Business of Aesthetics Podcast Show
In this episode of the Business of Aesthetics Podcast, host Don Adeesha is joined by Rebecca Landriault, CEO of Apex Aesthetic Consulting, to tackle the reality of operating in a hyper-competitive, high-density market. As the industry shifts away from a "growth at all costs" mindset, Rebecca argues that 2026 will be defined by operational discipline and capital efficiency. She challenges owners to pivot from an "acquisition obsession" to a mastery of retention, warning that in a saturated landscape, differentiation comes not from the newest device, but from comprehensive, lifetime treatment...
info_outline
Maximizing Practice Growth with Next-Gen Injectables, Devices & Team Training
Business of Aesthetics Podcast Show
In this episode of the Business of Aesthetics Podcast, host Don Adeesha convenes an expert panel featuring Plastic Surgeon Dr. Gregory Buford, Entrepreneur Tiffany DiGiuseppe, Marketing CEO Naren Arulrajah, and Aesthetic Nurse Sonya Ellis to decode the future of practice growth. The conversation tackles the critical challenge of distinguishing between profitable innovation and "shiny object syndrome." Dr. Buford warns against investing in fleeting "trends" (likening them to Beanie Babies) versus sustainable "trending" technologies. He introduces the powerful strategy of "pre-marketing",...
info_outlineIn this episode of the Business of Aesthetics Podcast, host Adeesha Pemananda is joined by Dr. Shino Bay Aguilera, a world-renowned dual board-certified cosmetic dermatologist and a pioneer in bioregenerative techniques and the number one provider of Sculptra aesthetics in the U.S. The discussion, titled "Breaking the Regenerative Plateau: How Clinics Can Differentiate, Diversify, and Scale Beyond Biostimulators in 2026," provides a visionary roadmap for clinics looking to move past traditional biostimulation and into the future of cellular longevity and orchestration.
Dr. Shino Bay emphasizes that the next wave of aesthetics isn't about adding more biostimulators; it's about activating the body's own cellular intelligence through orthomolecular signaling, like polyrevitalizing micronutrients, to improve tissue structure and function. He explains the difference between these micronutrients and PRP, detailing how combining them with traditional biostimulators like Sculptra or Radiesse can amplify results, leading to a total rejuvenation of the dermis's structure and function. He shares his practice's financial success, showing a massive return on investment from integrating these inexpensive micronutrients.
To stand out in a crowded regenerative space, Dr. Shino Bay advises clinics to educate and elevate their patients' understanding, positioning the body as an ecosystem, not a canvas. He urges practitioners to adopt a philosophy of achieving true bio-restoration—not just external rejuvenation, by integrating functional aesthetic medicine principles like orthomolecular diagnostics, mitochondrial optimization, and hormonal balance into a unified, evidence-based system.
Finally, he provides strategic advice on scaling, focusing on diversity through depth, not volume. He covers the financial, operational (investing in full-team training), and regulatory obstacles, stressing the need for compliance, transparency, and partnering with credible, ethical suppliers. Dr. Shino Bay’s key takeaway is that every cell is a conscious, living entity that needs nutrition, protection, and hydration; when practitioners deliver this locally, they amplify all other treatment results.