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The Difference Between Employed… and Free — Suma Maddox, MD (Ep. 362)

Beauty and the Biz

Release Date: 05/15/2026

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Suma Maddox, MD, shares her journey into private practice and the difference between being employed and free.

Hello, and welcome to "Beauty and the Biz," where we'll discuss the business and marketing side of plastic surgery.

As always, I'm your host, Catherine Maley, author of "Your Aesthetic Practice – What Your Patients Are Saying." and consultant to plastic surgeons, helping them get more patients and more profits.

The Difference Between Employed… and Free

Frankly, most surgeons will not do this, but that is the point.

Indeed, most surgeons talk about going out on their own. However, few actually do it. Furthermore, even fewer emulate Dr. Suma Maddox. Specifically, she is a board-certified plastic surgeon in New Orleans. Previously, she spent years as a hospital-employed general surgeon. Consequently, she was locked into a noncompete agreement. Then, she made a definitive decision. Next, she went back into training. Afterward, she started over. Ultimately, she drove 200 miles each way every week. Moreover, she did this for months to secure the surgery cases needed for board certification.

Undeniably, that immense effort paid off. Today, she owns her own practice. Additionally, she built a surgery center with two operating rooms. Plus, she rents this space to other surgeons. Furthermore, she will have that loan paid off by November.

Truthfully, this success was not luck. Rather, it was the result of thinking like a founder. Surprisingly, she did not ask how to do more surgery. Instead, she asked how to build something she could control.

Remarkably, this is the exact pattern I observed across 175 surgeons. Concurrently, I noticed this while writing my book. Unquestionably, the ones who break away and grow share specific traits:

  • First, they protect their autonomy.

  • Second, they build systems around themselves.

  • Third, they create new revenue streams.

  • Finally, they think long-term rather than just focusing on survival.

Ultimately, success starts with thinking differently about "The Difference Between Employed… and Free".

P.S. Importantly, the shift from surgeon to owner changes everything. Therefore, everything is detailed in my new book, "Plastic Surgery Practice Playbook." Currently, it is available at BeautyAndTheBizBook.com.

 

Enjoy!

Catherine Maley, MBA

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Catherine Maley, MBA:

Everybody that’s going to wrap it up for us today on Beauty and the Biz.

If you have any questions or feedback for me, you can go ahead and leave them at my website at www.CatherineMaley.com, or you can certainly DM me on Instagram @CatherineMaleyMBA.

If you’ve enjoyed this episode on Beauty and the Biz, please head over to Apple Podcasts and give me a review and subscribe to Beauty and the Biz so, you don’t miss any episodes. And of course, please share this with your staff and colleagues.

And we will talk to you again soon. Take care.

Visit Dr. Maddox's website

"The fastest way to success is to model other successful surgeons who have what you want, but you can only see their results, not the path they took to get there.

So, you continue to jump from one thing to another, hoping to find something that will work for you too, but it rarely does. So, try this shortcut instead. It’s guaranteed to move you forward. I compiled my intellectual property to grow cosmetic revenues, everything I’ve gleaned over the years into one playbook of the most successful practices and what they do to win.

Go to www.CosmeticPracticeVault.com and let’s grow your cosmetic revenue." 

 

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