From Success to Scaling: Why successful practices still need help

How One Practice Grew EBITDA by 300% with Expert Consulting

Guest: Lisa Lickstein — Award-Winning Practice Owner & Visionary Leader
Host: Terri Ross, Founder & CEO of Terri Ross Consulting

Guest Spotlight:

Lisa Lickstein, MSW, MBA
Co-owner, Lickstein Plastic Surgery & Medical Spa
Founder, Women in Business Mentorship Academy
Certified Coach + Speaker in Unreasonable Hospitality

Lisa Lickstein is the co-owner of Lickstein Plastic Surgery and Medical Spa, with two locations in South Florida and a thriving team of 40. With dual degrees in social work and finance, Lisa brings a rare mix of emotional intelligence and business acumen to her leadership. Their practice was recently named 2024 Business of the Year by the Palm Beach North Chamber of Commerce — but even with that level of success, Lisa knew something had to shift behind the scenes and she was not above seeking out expert help from TRC.

Episode Overview:

In this transparent and insightful episode, Lisa opens up about the real challenges aesthetic practices face as they grow — especially when rapid success exposes operational blind spots.

She shares:

• How a failed acquisition deal became a turning point.

• Why the non-surgical side of their practice needed TRC’s expertise. 

• The tension between managing day-to-day operations and planning for scale.

• And ultimately, why she chose to work with Terri Ross Consulting to course-correct and accelerate growth.

Lisa and Terri dive into the mindset shift that must happen when a practice is struggling or outgrows its existing systems — and how expert consulting gave her the tools, clarity, and partnership she needed to align both sides of the business for future success.

Key Takeaways:

• Success Without Strategy Creates Stagnation
  Even top-tier practices with strong culture and revenue can stall if they’re not built for scale. Lisa shares how, despite earning just over 8 figures annually, her practice had room to grow — and needed expert guidance to help her achieve this

• Leadership Doesn’t Mean Doing It Alone
  Lisa reveals the decision to seek outside help wasn’t a weakness, but a strategic strength. Working with TRC signaled to her team, partners, and potential buyers that she was serious about intentional growth.

• Realized 300% ROI from TRC on EBITDA Growth, Realigned Teams, and a Profitable Exit
  Through TRC’s Business Evaluation and ongoing consulting, The Medical Spa team at Lickstein Plastic Surgery saw EBITDA increase by $300,000 – a massive 300% return on their investment with TRC — while realigning internal teams, improving treatment planning, and setting the foundation for a major acquisition.

• Collaboration, Not Replacement
  Lisa applauds TRC’s collaborative approach — working seamlessly with existing consultants and ensuring every partner brought their best to the table.

• The Emotional Side of Business
  Describing the consulting experience as “business therapy,” Lisa shares how TRC helped restore balance between the surgical and non-surgical sides of the practice — keeping both teams valued and aligned.

The Results:

• 💰 300% ROI on TRC fees seen in $300,000 EBITDA growth in one year

• 🤝 Successful acquisition secured

• 🧠 Continued partnership with TRC for long-term scalability

• 💬 Elevated communication, treatment planning, and leadership

Lisa’s Message to Other Practice Owners:

“If your practice isn’t doing well — you need to hire Terri and her team
If your practice is doing well — you still need to hire Terri and her team 

You can’t lead the growth and scaling of every part of your business alone or without expert help, so why would you want to?

Ready to invest in growth — not guess at it?

TRC and her team have proven results, and a combined 120 years of experience scaling aesthetic practices.  If you are ready for real change and next level growth but you’re stuck in the weeds or unsure what’s holding you back, the TRC Business Evaluation is your starting point.  Ask yourself can you afford not to?

📩 DM “EVALUATE” or visit Terri's Website to learn more about how we’ve helped hundreds of practices grow with real results.