r/MedSpa

Probably a longshot, but here we go:

I went to a medspa seeking to reduce the appearance of lines around my mouth (like smokers' lines, even though I don't smoke). I wanted a filler but the owner, an anesthesiologist at a local hospital, steered me away from fillers, suggesting an invasive procedure that I didn't feel comfortable with due to possible migration. We settled upon a package of three microneedling sessions to build up the collagen in that area.

She had a nurse or esthetician do two of the sessions, and when I returned for the third session, I commented that I saw no improvement and that her esthetician had told me that microneedling is not indicated for a perioral lines. So, essentially, I paid $3,500 for nothing.

Stupidly, I returned to this fraudster, again requesting fillers for the perioral lines and again she steered me away from fillers, instead into a $3,500 laser package of three sessions.

Again, I was seeing no results and this time two nurses in her spa said that laser treatments are not indicated for perioral lines.

At this point, I decided to not continue with the package but instead to get the filler which I'm very satisfied with.

My issue is that I paid almost $7,000 for treatments that were not indicated, while my concern was resolved with only a $600 procedure after she TWICE steered me to the more expensive, ineffective treatments.

She is refusing refunds for the ineffective treatments.

What is my recourse, and where can I report her for twice misguiding me in my treatment options to the tune of over $5000?

Thank you.

Hi everyone,
I’m looking to partner with **1–2 med spas or aesthetic clinics in the U.S.** this month.
If you know a clinic owner (or can introduce me to the decision-maker) and they become a client, **I’ll send you $200 USD** as a referral thank-you.
I don’t just manage social media—I help med spas use it as a business growth channel by focusing on:
• Brand positioning
• Social media strategy
• Content that builds patient trust
• Marketing funnels
• Conversion-focused content
• Consultation growth strategy
My approach isn’t about chasing views or followers. It’s about building a brand that earns trust, attracts the right audience, and supports more consultation opportunities over time.
If someone comes to mind, send me a DM. I’m happy to share more about how I work.
**Referral reward is paid after the client signs and completes their first payment.**
Thank you!

I've been trying to learn more about how med spas actually operate, and I've realized there's probably a lot that people on the outside don't see.

What's one thing you wish more people understood about running a med spa?

Looking for advice please

Struggling with my clinic i opened last nov

I do other jobs too , so posting on socials is hard but try to post as much as when possible

I paid a marketing agency but they send me a social media template every month and want me to run a skin membership subscription of sorts which does not work very well for me as i am a doctor

My followers on insta are only 250

Tried fb ads , ad account got hacked and now is disabled

Strugglin with business / marketing

What can i do to help

Any ad agencies which are reasonable ? Which can help with this

Thanks everyone !!!

I'm a PharmD decades deep in the industry. Here are the three mistakes I watch med spa owners make in their first year that are entirely avoidable:

1. Underinsuring because they don't know what they're actually doing.
Most new med spa owners get a general liability policy and think they're covered. They're not. The moment you start offering injectables, laser treatments, or any procedure with a medical component, you're in medical malpractice territory. General liability won't touch it. I've seen practices get wiped out by a single claim they thought they were covered for.

2. Not having a properly structured medical director agreement.
If you're an NP, RN, or non-physician opening a med spa, you need a medical director in most states. What most people don't realize is that a bad agreement creates liability for both parties. The medical director needs to be genuinely involved, not just a signature on a document. Boards are paying attention to this right now.

3. Choosing the wrong business entity for their specific situation.
LLC vs. PC vs. S-Corp matters more in healthcare than almost any other industry because of how liability flows. Most people choose based on Google searches rather than advice specific to their state and their scope of practice. Get this wrong and you lose personal asset protection at exactly the moment you need it most.

Do you guys have a system in place to keep track and follow up with these people?

For med spa owners, how do you handle no-shows and last minute cancellations? Do you have a system for following up with them or do most of them just rebook on their own eventually?

Asking because I've seen wildly different approaches and curious what actually works in practice.

I run a Korean-style medspa, and we're currently replacing all of our equipment. Everything is in good working condition, so I'd like to sell it at a fair price - where would be the best place to sell it? We're located in Orange County, and we have quite a bit of equipment to sell, including LHR, RF Microneedling, Face Contouring devices, and more.

I'd really appreciate hearing from anyone who has personal experience selling used medspa equipment before.

Paid for laser removal and was refused this service.

I have been a customer since 2018 and unfortunately this will be my last time using this clinic.

I booked and paid for a full laser hair removal treatment as usual, but when I attended my appointment I was refused treatment due to the ’tan’ on my legs. I was extremely disappointed, as my legs were visibly not tanned in the way suggested and I did not feel the decision reflected the actual condition of my skin. The photo attached is my legs on the way out of the appointment - no fan, no fake tan.

What concerned me most was the way this decision was made. Nobody else assessed me or was asked for a second opinion — one member of staff made the decision that I would not receive my treatment, and that was the end of it. I did not feel that the decision was properly explained or that my concerns were listened to.

I was told that the service won’t be carried out with no option to reschedule - I’ve simply lost my money.

After being a customer for many years, it is disappointing to say that this experience, along with a decline in customer service, means I will not be returning.

My advice to others is to be very careful when choosing your laser removal provider, as you may arrive for your appointment only to be refused treatment and end up wasting your money.

I’m looking to start some anti-aging maintenance in LA but want natural results and facial balancing. I’ve heard good things about LA Ageless for their conservative style, but would love to hear your honest thoughts or other recommendations!

Hi guys, does anyone know what lip filler lasts longer, I got juverderm now 3 times and it only lasts a month. I just made an appointment for restylane kysse so hopefully thats better

Hi I am looking to start a laser tattoo removal business. I'm trying to explore companies and so far I've come across Guardian MD and Medical Director Co. MDC starts at $799 and includes training standards, risk management, auditing, etc. It's just me and the equipment. Local tattoo shop purchased the machine but now can't use it because of the law changes. I would be renting the laser machine from the shop owner. I'm looking for the whole package as far as medical oversight because of how strict NY is and I don't want to do anything wrong. Any recommendations?

Hi! First timer with thin lips always wanted lip filler but never thought it was within my budget. I’m looking to get 1/4 or 1/2 a syringe, obviously want someone very good and who is a perfectionist, and also looking to find something under $300 (ideally around 150-200) since I want a smaller amount. I live in West Hollywood but flexible. Any recs would be so appreciated!!

I really don’t want to take any chances with my face and don’t know where to start

Hello everyone!

Today I got hired for a front desk position at my local med spa & I am looking for any advice anyone may have. I have never worked in this environment but I do have experience as a nail tech & I also have front desk/administrative experience in different fields. If anyone has any newbie advice it would be helpful! Looking to do the best I possibly can in this position. 🤍

Opened a new med spa about 2 months ago and we’re stuck at 5k sales a month in a medium sized city. Anyone have any luck with marketing agencies bringing in solid leads and increasing revenue?

Hi! I'm curious what results you guys have had with SEO? I met with a company called LocalBlueprint and seems like we're leaving a decent amount on the table. We don't really rank at all, and they mentioned they could also get us in AI overviews. Has anyone worked with them/other SEO companies? Thanks

Honestly, trying to get a clear picture of true profit week-to-week feels impossible with just standard POS/mangomint reports. I feel like I'm spending half my life pulling data into Excel just to see visual trends and figure out what our actual margins are after provider commissions.

How are you guys tracking your actual weekly profitability? Do you just trust your software reports or do you have a massive custom sheet you run everything through?