
Medical Spa Insider
AmSpa Founder and CEO, Alex Thiersch, takes an in-depth look at today's aesthetic entrepreneurs and what makes them successful.
Latest episodes

Jan 11, 2024 • 1h 17min
Member Spotlight: Sarah Balladares, PA-C
This week, AmSpa Membership Development Coordinator, Michela Bailey, speaks with Sarah Balladares, PA-C, aesthetic injector and founder of Smooth Aesthetics. This lively chat covers a wide range of topics, including:
Her “I did it” moment;
What it takes to become a trainer;
Aesthetic treatments and skincare;
Conquering your moments of doubt;
Travel tips and stress ball alternatives;
Her path to physician assistant school;
Asking for help when you need it;
And much more!
(SPOILER ALERT: Contains plot details for the 2019 film Midsommar.)

Jan 3, 2024 • 1h 1min
Greatest Hits: Aesthetic Injector Compensation and Recruiting
This week, we revisit this shutdown-era conversation with Mary Beth Hagen, founder and CEO of TITAN Aesthetic Recruiting. She joins AmSpa CEO, Alex R. Thiersch, JD, to discuss aesthetic injector salaries, what makes a quality injector, and all things surrounding aesthetic recruiting and placement.

Dec 21, 2023 • 34min
Member Spotlight: Silvia Tuthill, DNP, ANP-C
This week, AmSpa Membership Development Coordinator, Michela Bailey, speaks with Silvia Tuthill, DNP, ANP-C, co-owner of Tenth Avenue Aesthetics and Tenth Avenue Aesthetics Artistry and Institute. They chat about her career and involvement in medical aesthetics and
When she decided she needed to become a member of AmSpa;
Her growing business and involvement in the industry;
Advice to reach the next level in medical aesthetics;
Her favorite aesthetic treatments, skin care and hobbies;
Who she follows for positive, engaging content;
What she’s known for in her practice;
And more!
This episode of Medical Spa Insider is sponsored by RepeatMD. Visit https://www.repeatmd.com to learn more!

Dec 14, 2023 • 42min
Finding Peace at Tax Season with Effective Bookkeeping
This week AmSpa CEO, Alex R. Thiersch, JD, speaks with Nick Liguori, CPA, founder of Liguori Accounting. They discuss the bookkeeping challenges medical spas face and the steps you can take throughout the year to prepare for tax season. Their conversation includes:
The different roles of accountants, bookkeepers and advisors;
Common tax mistakes new business owners make;
The way you have to think about and plan for taxes;
Systems and assistance medical spa owners need to get their time back;
How to handle MSOs from a tax standpoint;
Key metrics your aesthetic practice should be tracking;
And much more!
This episode of Medical Spa Insider is sponsored by RepeatMD. Visit https://www.repeatmd.com to learn more!

Dec 6, 2023 • 1h 15min
Member Spotlight: Vrinkley Pruna, MSN, NP
This week, AmSpa Membership Development Coordinator, Michela Bailey, speaks with Vrinkley Pruna, MSN, NP, nurse injector and Co-Owner of Shape & Skin Medical Spa & Weight Loss. They delve further into Pruna’s experience in aesthetics, changes in weight loss medicine, and her life currently. Their conversation includes:
What brought her to AmSpa
Her favorite events and travel stories
The boom in popularity of weight loss solutions
Working with her family
Opinions on locations and lifestyles
Her skincare, treatments and hobbies
And much more!
This episode of Medical Spa Insider is sponsored by RepeatMD. Visit https://www.repeatmd.com to learn more!

Nov 30, 2023 • 43min
Lessons in Confidence from Self-made Billionaire Sara Blakely
This week’s podcast was recorded live from AmSpa’s first annual Women in Aesthetics Leadership Conference in Miami. Listen in as Carrie Strom, senior vice president of AbbVie and president of Global Allergan Aesthetics, chats with Sara Blakely, founder and executive chairwoman of SPANX. Following a brief introduction from Strom and AmSpa founder, Alex R. Thiersch, JD, this keynote conversation explores the founding of a household name, along with leadership insight on confidence, failure, purpose, mindset, and much more!
This episode of Medical Spa Insider is sponsored by RepeatMD. Visit https://www.repeatmd.com to learn more!

Nov 21, 2023 • 45min
Greatest Hits: Building a Better Aesthetic Industry Through Training
This week, we revisit our conversation with Taylor Siemens, NP-C, founder of Aesthetic Care NP and clinical director of Vitalyc Medspa. She joined us to speak about her commitment to training medical aesthetic practitioners, covering:
The lack of training standards in medical aesthetics;
The appetite for more training among injectors;
The power of sharing knowledge with other aesthetic injectors;
The benefits and limitations of training provided by injectable vendors;
The reputation of medical spas among core doctors;
The need to bring more NPs and PAs into the industry;
Her upcoming aesthetic practitioner training app;
And more!

Nov 15, 2023 • 56min
How to Transition Your Marketing Strategy as Your Medical Spa Grows
In this engaging discussion, Michael Olson, a practice growth consultant at MyAdvice Media, shares his expertise in digital marketing tailored for aesthetic practices. He dives into the evolving marketing needs for growing medical spas, emphasizing the importance of a strong online presence. Michael explores strategies for choosing the right digital marketing partner and adapting marketing approaches as practices expand. He highlights the significance of retaining top providers through effective marketing and discusses how mobile engagement can boost online sales.

Nov 9, 2023 • 45min
Shifting Dynamics, Demand and Data Analysis with The Aesthetic Society
This week, AmSpa founder and CEO, Alex R. Thiersch, JD, speaks with Kent “Kye” Higdon, MD, FACS, board-certified plastic surgeon and Communications Commissioner of The Aesthetic Society. They discuss and contextualize the findings of the Aesthetic Plastic Surgery National Databank Statistics for 2022. Their conversation includes:
What might be driving the demand for surgical and nonsurgical treatments;
The evolving dynamic between plastic surgery practices and medical spas;
How aesthetic patient demographics are shifting;
Understanding price fluctuations in 2022;
How 2023 is shaping up for aesthetic practices;
And much more!
Get the full picture when you view the Aesthetic Plastic Surgery Statistics for 2022 and the 2022 Medical Spa State of the Industry Report.
This episode of Medical Spa Insider is sponsored by RepeatMD. Visit https://www.repeatmd.com to learn more!

Nov 2, 2023 • 40min
The Texas Med Spa IV Therapy Death: ByrdAdatto Gives Context
This week, AmSpa founder and CEO, Alex R. Thiersch, JD, speaks with Michael Byrd, JD, and Jay Reyero, JD, of national healthcare law firm ByrdAdatto. They discuss an incident at a Texas medical spa, the state medical board’s reaction, and the larger implications of compliance for medical spas and IV therapy. Their conversation includes:
The tragic death of a Texas woman after visiting a medical spa;
The lay of the land for these types of treatments;
How state boards have commented on IV therapy;
Legal basics to set up IV therapy in a medical spa;
A dose of empathy for medical spa owners; and
Potential outcomes as states react to this case.
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