In this episode of Making a (Multi) Million Dollar Medspa, Kathy sits down with AesthetiCare General Manager Tracie Duke to unpack the real-world playbook for opening and scaling new medspa locations. They walk through how to think about staffing models for 3- and 5-person clinics, when to hire (and train) your team before opening, and how to protect payroll while still delivering a five-star client experience. The conversation also dives into site selection strategy, buildout budgeting, equipment must-haves, and room design details that directly impact efficiency, culture, and long-term profitability across multiple locations.

Talking Points

• Translating retail cosmetics experience into medspa operations, sales, and customer service.
• Staffing models for 3‑ and 5‑person clinics, including the role of a working manager.
• The “for every two 80%-booked providers, you need one support staff” staffing rule.
• Why you should hire and train at least 90 days before opening a new location.
• Using your main clinic to transfer culture and ensure a consistent client experience across all locations.
• How to choose a location: growth areas, cost per square foot, privacy, and B2B neighbors.
• Where to spend vs. save in the build‑out (lobby and front desk, treatment beds, simpler treatment rooms).
• Non‑negotiable equipment to open with: core laser platform, HydraFacial, medical microderm + LED, and VISIA imaging.
• Budget tips: spreadsheets, tracking invoices, saving on furniture and finishes so you can invest in equipment.
• Designing lobby, consult, numbing, and treatment rooms for flow, storage, comfort, and long‑term efficiency.

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