Keep What You Earn

shannon@keepwhatyouearn.com

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Busy, Booked, and Broke: Why Injectables Alone Won't Grow Your Med Spa

August 04, 2026

Being booked feels like proof that the business is working. But if most of that schedule is filled with injectables, the revenue can look much stronger than the profit underneath it. Product costs, provider compensation, commissions, memberships, and discounting can leave very little behind—even when the calendar is full.  In this solo episode, I break down why injectables need to be evaluated as part of your full service mix instead of carrying the entire growth strategy. I also explain ho...

Reclaiming Your Role as a Medical Provider in a Retail-Minded Med Spa World

July 28, 2026

Medical aesthetics is one of the few areas of healthcare where practice owners have real control over pricing. Because most services are cash pay, med spas are not waiting on insurance reimbursements or negotiating with carriers. Yet many practices give away that advantage by running constant promotions and training patients to shop for the lowest Botox price.  In this solo episode, I explain how deep discounts create margin erosion, weaken patient loyalty, and push the industry toward comm...

Creating Autonomy: How to Make Your Med Spa Operate Without You

July 21, 2026

A profitable med spa can still be hard to scale, and even harder to sell. When the owner is responsible for every major decision, key patient relationships, team oversight, and day-to-day problem solving, the business carries more risk than the financials may initially show.  In this episode, I sit down with Annie Robertson Hockey, president of Skytale Group, to talk about what makes a medical aesthetics or wellness practice more valuable over time. We cover owner dependence, scalable syste...