100% Cosmetic in Only 3 Years — Nicholas Karter, MD (Ep. 383)
Release Date: 10/09/2026
Beauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Specifically, he focused on patient relationships, a strong team and growing on his own terms. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Learn how Dr. Nicholas Karter built his cosmetic practice without an existing patient pipeline. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Dr. Kaplan tracked what happened after he took over a San Francisco practice. 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. Jonathan...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Interestingly, one of his best leadership strategies has nothing to do with compensation. 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....
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Initially, he reduced the insurance volume first, and then he built the practice he actually wanted. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Stephenie Poris, MD, explains how she built 2 locations in 5 years and here's a detailed account on how she did it. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Peter Capizzi, MD, a double board-certified plastic surgeon, explains how specialization + reputation = new patients. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Jonathan Pontell, MD answers the question of would a second plastic surgeon grow your practice or complicate it. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Catherine Maley, MBA, talks about growth assets and how they are the leverage that your surgical practice is missing. 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...
info_outlineBeauty and the Biz
📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD 📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ ⬇️ ➡️ Anthony Admire, MD, explains his extremely lean start and then growing to multiple plastic surgery practice locations. 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...
info_outline📕 Get Catherine’s new book: Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD
📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ
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➡️ Learn how Dr. Nicholas Karter built his cosmetic practice without an existing patient pipeline.
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.
Nicholas Karter, MD, shares his roadmap on how we went from joining a group practice to going 100% cosmetic in private practice in only 3 Years.
Indeed, joining an established medical group often sounds like a shortcut to a full cosmetic schedule.
However, what happens when that group has no cosmetic patients to send you?
In fact, that exact scenario was the starting point for Dr. Nicholas Karter.
Specifically, this Connecticut facial plastic surgeon joined an ear, nose and throat group after completing his fellowship.
Although he enjoyed group financial security, he still had to build cosmetic demand himself.
Remarkably, he achieved his goal of becoming 100% Cosmetic in Only 3 Years.
First, he rebuilt an outdated website to attract digital traffic.
Next, he personally introduced himself to local med spa owners.
Gradually, he protected more of his weekly schedule for facial plastic surgery.
In turn, one dedicated day became two full days.
Then, two days expanded into three days.
Ultimately, he dropped general ENT work, followed by insurance and reconstructive care.
In addition, during our "Beauty and the Biz" podcast conversation, we discuss key takeaways:
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First, learn how he built a cosmetic practice inside an ENT group.
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Second, discover why a separate location and separate branding still did not solve the underlying fit.
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Third, explore what he learned from a business CEO before going solo.
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Finally, understand why his new practice grew faster than he anticipated.
Currently, he wonders whether he should have left the group sooner.
However, he recognizes that he may not have been ready to run the business back then.
Indeed, if your current setup feels comfortable but keeps pulling you away from the practice you want, his experience will give you plenty to think about.
P.S. Furthermore, is your practice growing in the direction you actually want?
Therefore, order your Practice Performance Audit today so we can identify gaps and prioritize what to improve first:
Resources for Plastic Surgeons:
📕 Get the Beauty and the Biz Practice Growth Playbook: https://bit.ly/4cZNSuD
📊 Schedule a Practice Performance Audit: https://bit.ly/4dC2znZ
🎧 Listen to more Beauty and the Biz episodes: https://bit.ly/4aqQ2Su
🌐 Visit Catherine Maley: https://bit.ly/4eFlLR6
Enjoy,
Catherine Maley, MBA
Author, Consultant and Host of "Beauty and the Biz"
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