Is your med spa sinking under the weight of shiny equipment leases? In this episode, Leisa tackles the hidden killer of new practices—overloaded debt—and why too many owners fall into the “three-laser trap” before they’ve booked their first patient. She breaks down the real startup budgets, ROI calculations, and strategies for growing lean so you can scale sustainably without desperation. If you’ve ever been told you have to buy the latest device to compete, this is your wake-up call.

Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today

Losing a top performer doesn’t just hurt your bottom line—it can tank your clinic’s culture. In this episode, Leisa Krauss exposes the surprising ways high achievers can slide into paycheck-collector mode and shares her insider strategies to keep them performing at their best.

Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!

Links & Notes

• ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!
• Check out our MedSpa Workshops and Trainings and schedule a discovery call today

This week on Scalpel of Truth, host Leisa Krauss (the bitchin’ beautician herself) slices into one of the most career-defining topics in the medical aesthetics game: patient confidentiality. If you think privacy is just a suggestion, think again—Lise makes it crystal clear why it’s non-negotiable, non-optional, and absolutely critical for everyone in the clinic, from the front desk to the top injector.

She shares real-world stories—from Stampede parties to accidental overshares at Starbucks—revealing how easily patient privacy can be breached, and exactly how devastating the fallout can be. You’ll get Leisa's signature blend of sharp legal sense, hard-earned street smarts, and salty humor as she breaks down:

• What really counts as confidential info in a med spa
• The difference between “being friendly” and “being friends” with clients
• The exact language you should have in every contract and staff policy
• Why your job (or your license) could disappear with just one slip
• How to train, enforce, and culture-proof privacy in your team—no exceptions

It’s tough love, but it’s what your business needs to thrive. Listen up, bichachos—protecting privacy is the key to building a truly high-end, trustworthy luxury brand.