Med Spa Success Strategies

Ricky Shockley
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Oct 17, 2025 • 38min

From Injector to CEO: How to Build & Scale a Thriving Med Spa - Interview w/ Dr. Alex Roher

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing. If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleDr. Alex Roher, founder of SD Botox (https://sdbotox.com/), joins Ricky Shockley on the Med Spa Success Strategies Podcast to share his journey from practicing anesthesiologist to CEO of a multi-location med spa and wellness brand.In this conversation, Dr. Roher breaks down how he scaled his business from a one-room operation to multiple thriving locations across two states, covering leadership, delegation, KPIs, acquisitions, and the mindset required to grow beyond the treatment chair.In this episode, we cover:✅ The transition from provider to CEO and how to unbrand yourself to scale✅ Why med spas plateau and how to break through with leadership and delegation✅ Building strong teams and culture across multiple locations✅ Key KPIs to track: revenue per hour, Botox waste, and 4-month retention✅ When to hire a COO and how to manage admin overhead✅ Turning Botox clients into wellness clients through HRT and weight-loss programs✅ Freestanding vs. hybrid models and why separation drives success✅ Managing growth and acquisitions✅ The “halo effect” strategy: being the face without being the bottleneck✅ Balancing business growth with family, travel, and mental clarity✅ Leadership mindset: risk tolerance, reframing failure, and learning through iteration✅ How vacations and downtime can spark creativity and new ideasAbout Dr. Alex Roher of SD Botox (https://sdbotox.com/)Dr. Roher is a board-certified anesthesiologist and aesthetics entrepreneur with multiple clinics across California and Texas. Beyond injectables, he focuses on patient optimization through hormone therapy, GLP-1 weight management, and full-spectrum wellness.He also leads Aesthetic Training Academy, a hands-on injector training program designed to help medical professionals enter the aesthetics field with confidence.Follow Dr. Roher on social media:https://www.instagram.com/dralexnosebest/https://www.tiktok.com/@dralexnosebesthttps://www.linkedin.com/in/dr-alex-roher-md-27624413b/Aesthetic Training Academy: https://aesthetictrainingacademy.com/Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Oct 13, 2025 • 26min

The Psychology Behind Why Clients Choose Your Med Spa

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing.In this episode, Lauren and I unpack some of the biggest takeaways from our recent team retreat. Specifically, what actually makes patients choose a med spa.We walked through the entire client discovery process from the ground up, asking: If we were brand-new to aesthetics and looking for a Botox provider, how would we decide where to go? That conversation turned into a powerful checklist for building a strong foundation that every marketing strategy depends on.We cover…✅ The real-world “order of operations” patients follow when searching for a med spa✅ Why your Google Business Profile (reviews, photos, and star rating) can make or break first impressions✅ How to handle negative reviews without hurting your reputation and even turn them into trust-builders✅ What separates a 4.9-star med spa from an average 4.6-star practice (and why it matters)✅ Why your photos, cover image, and office aesthetic directly impact conversions✅ How to use pricing and positioning strategically to attract the right patients✅ Why consistency in branding, team presentation, and target personas matters more than you think✅ The right way to approach before-and-after photos, social media, and personality-driven marketingIf you’ve ever wondered why some med spas consistently attract more new patients, even with similar ads or offers, this episode breaks down the psychology and marketing fundamentals that set top-performing practices apart.They Ask You Answer by Marcus Sheridan: https://www.amazon.com/They-Ask-You-Answer-Revolutionary/dp/1119312973If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleFollow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Oct 10, 2025 • 42min

Med Spa Retention Masterclass w/ Chris Balbi

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing. If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleReturn guest Chris Balbi, Director of Marketing & Operations at Meesha Aesthetics (https://www.botoxbymeesha.com/), is back for a deep dive on med spa retention—from loyalty programs and memberships to front-desk rebooking, pre- and post-visit texting, community activations, and a smart balance between AI and personal touch. We get super tactical: real scripts, simple workflows, and low-lift ideas you can deploy this month to increase repeat visits and lifetime value.In this episode, we cover:✅ Why med spa retention beats acquisition on cost and effort✅ The “first car vs. second car” mindset: marketing sells visit one, service sells visit two✅ Pre- and post-appointment text journeys that reduce no-shows and drive rebooking✅ Front desk as revenue engine: open-ended questions, product-of-the-month, rebooking prompts✅ Post-care cards, sample kits, and a 7-day “new client” drip that spotlights other services✅ Loyalty and memberships (“beauty bank” math) that lift member spend and stickiness✅ Promotions that add value instead of discounting core services✅ Building community that retains: book clubs, gym class takeovers, trunk-or-treat, QR “treatment quiz”✅ Provider fit as a retention lever: make it easy to try another injector or aesthetician in-house✅ Extracting real feedback from “B+ experiences” with better questions (not yes/no)✅ Holiday booking strategy: proactive outreach to keep books full at peak times✅ AI with a human touch: where automation helps, where manual wins, and “vibe-coding” simple tools✅ Social cadence that engages: info drops, weekly giveaways, conversation posts that build loyaltyAbout Chris Balbi of Meesha Aesthetics (https://www.botoxbymeesha.com/)Chris is Facebook Blueprint–certified and blends creativity with behavioral psychology to build marketing that drives measurable growth. He studied with Jonah Berger on virality and has spent 14+ years helping scale Meesha Aesthetics. Chris also shares practical insights on loyalty platforms, communications, and operations that med spas can apply immediately.Marketing Magic by Chris Balbi: https://www.amazon.com/Marketing-Magic-Spells-MedSpa-beauty/dp/B0DDQ3R5ZQFollow Chris on Instagram: https://www.instagram.com/balb_a_gram/https://www.instagram.com/botoxbymeesha/Training Resources from Chris: https://www.chrisbalbi.com/Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Oct 6, 2025 • 28min

Marketing Math Med Spa Owners Must Understand to Unlock Maximum Growth & ROI

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing.In this episode, Lauren and I dive deep into the math behind med spa marketing — the five concepts you must understand if you want predictable growth and true ROI.Most practice owners look at marketing as an expense, get caught up in the wrong metrics, or miss the trade-offs that actually drive long-term revenue. This episode breaks it all down and gives you a clear framework to confidently evaluate your marketing investment.We cover…✅ The 5 most common mistakes med spa owners make when measuring ROI✅ How to properly connect ad spend, CAC, and revenue growth✅ The inverse relationship between offer attractiveness and acquisition cost✅ Why focusing only on initial visit revenue (or lifetime value) leads to bad decisions✅ How to factor in retention, client quality, and cash flow for the full picture✅ Why marketing should be viewed as an investment, not an expense✅ Real-world numbers and case studies showing how small CAC improvements can unlock hundreds of thousands in revenueIf you’ve ever asked, “Are my ads really working?” or struggled with the confidence to scale your marketing budget, this episode will show you the math that matters — and how to turn marketing into a predictable growth engine for your med spa.Download our FREE ROI calculator here: https://grow.medspamagicmarketing.com/roi-calculatorEpisodes mentioned: Insider Secrets: https://www.youtube.com/watch?v=1pHvLbz5PG4&t=906sSara Shikhman Interview: https://youtu.be/TbuVceAgX4w?si=XWwiCWahBobfbL5VIf you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleFollow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Oct 1, 2025 • 10min

Wednesday Thoughts: Moving Beyond Last Touch Attribution - Branding Strategies for Med Spas

If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleBuilding a strong brand is one of the most powerful things you can do for your med spa, but it is also one of the most misunderstood. Too often, practices focus only on direct response advertising and last touch attribution, missing the bigger picture of how brand equity multiplies results over time.In this episode, I break down why building brand matters just as much as your Facebook, Instagram, or Google ads and how it creates a “flywheel effect” that makes every marketing dollar work harder.You’ll learn:✅ The difference between direct response advertising and long term brand building✅ Why last touch attribution does not tell the whole story of what drives patient growth✅ How brand recognition amplifies the performance of your paid ads✅ Practical ways to start building brand equity through authentic, educational content✅ How to balance measurable short term ROI with long term brand growth strategiesWhen patients seek you out because of who you are, not just because of an ad, you move from chasing leads to creating demand. Done right, this shift can transform your med spa’s growth curve into something exponential.Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Sep 29, 2025 • 16min

Profit Management for Med Spas Made Simple

If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleIs your med spa bringing in strong revenue but you still feel broke at the end of the month? You are not alone. Many owners face this same challenge. In this episode of Med Spa Success Strategies, we are breaking down a simple profit management system that helps you lock in profitability, create predictable cash flow, and finally take home the income you deserve as an owner.Running a med spa is more than chasing revenue numbers. Without the right framework, expenses grow to match your sales, leaving little or nothing left over. This video will show you how to flip the script and put profit first so your business stays stable, scalable, and rewarding.You will learn:✅ Why revenue ≠ profit (and the mindset shift every owner needs)✅ How to set a profit percentage before expenses and stick to it✅ The role of multiple bank accounts in managing cash flow effectively✅ Why weekly or biweekly cash allocations give you clarity and control✅ How to safeguard against payroll creep, device costs, and unnecessary spending✅ Benchmarks for profit, owner’s pay, and cash reserves to aim for✅ How to separate owner’s compensation from business reinvestment so you get paid fairlyWhether you are just getting started or already running a multi-million-dollar med spa, this episode will help you establish a system that makes profitability a habit, not an afterthought.Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Sep 24, 2025 • 11min

Wednesday Thoughts: Are You Undercharging? How to Price Your Med Spa Services for Maximum Profit

If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/schedule-Pricing can make or break your practice. In this episode, I dive into how to price your services for maximum profitability without driving patients away or leaving appointment slots empty.Many consultants will tell you to “just charge more” or position yourself as a luxury provider, but the truth is more nuanced. There are real trade-offs, risks, and downsides to every pricing decision, and understanding them is critical if you want long-term success.In this video, you’ll learn:✅ Why competitive pricing can be just as effective as luxury pricing for many med spas✅ The advantages of premium price points, from staff retention to reinvestment and financial cushion✅ How to use entry-point offers to turn new patients into loyal, long-term clients✅ The two “buckets” of patients and how each one should influence your pricing strategy✅ Why raising prices gradually while testing demand is the safest path forward✅ How value perception and service quality impact your ability to charge moreUltimately, your pricing should balance profitability with patient retention. If the value you deliver is seen as greater than the price, patients will stay loyal, even if they pay more. But without the goods to back it up, raising prices too aggressively can cost you business.Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Sep 22, 2025 • 29min

How Med Spas Can Improve Lead Quality

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing.In this episode, Lauren and I tackle one of the most common frustrations we hear from med spa owners: lead quality.If you’ve ever felt like your ad leads “aren’t great,” this conversation will shift your perspective. We break down why lead quality isn’t always the real problem, how to think about cost of acquisition and retention, and the trade-offs between patient volume and patient quality. Most importantly, you’ll learn how to sift through the dirt to find the gold and how to decide when it’s worth paying more for a better-quality patient.We cover…✅ Why lead quality complaints often miss the bigger picture✅ How to evaluate cost of acquisition vs. initial visit revenue vs. lifetime value✅ When it makes sense to optimize for volume (and why it often wins long term)✅ The trade-offs of chasing “higher quality” patients✅ Why discount-based strategies usually outperform prescreening✅ How in-office experience, upselling, and retention shape patient value✅ Real-world examples of promos that balance cost, quality, and retention✅ How reputation, reviews, and lead management directly impact outcomesIf you’ve ever questioned whether your ads are “working” or worried that your leads aren’t the right fit, this episode will help you zoom out, focus on the numbers that matter, and build a framework for profitable growth in your med spa.If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleFollow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Sep 15, 2025 • 17min

How to Choose a Med Spa Marketing Agency

If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleLooking for the best med spa marketing agency? In this video, you’ll learn exactly how to choose the right partner for your practice and how to audit your current provider to make sure you’re getting real results and ROI.Hiring a marketing agency is one of the biggest decisions you’ll make for your med spa. The wrong partner can drain your budget, while the right one can help you scale with confidence and predictable ROI.In this episode of Med Spa Success Strategies, we’re breaking down how to evaluate potential agencies or audit your current provider to ensure you’re getting the results you deserve.You’ll learn:✅ How to tell if case studies show real, attributable results (not just piggybacking on an already successful med spa)✅ The key metrics every agency should provide: lead cost, CAC, retention, and lifetime value✅ What to ask about best, worst, and average client results to cut through the hype✅ Why experience in the med spa niche matters (and how to spot when you’re the “test subject”)✅ How to dig into reviews and find red flags beyond surface-level testimonials✅ Questions to ask about delivery systems, account management, and communication style✅ Why price alone should never determine your choice (ROI is the real measure)✅ How core values, philosophies, and strategic depth reveal whether an agency has your best interest at heartWhether you’re considering switching providers or simply want confidence that your current agency is the right fit, this video gives you a clear framework for making smart, data-driven decisions.Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing
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Sep 10, 2025 • 3min

Wednesday Thoughts: How to Run Google Ads for Botox (Approval Explained!)

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing.If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleThink you can’t run Google Ads for Botox? That’s a common misconception, but it’s not true. In this episode, I explain exactly how med spas can legally and successfully advertise Botox on Google.You’ll learn:✅ Why Botox ads get flagged for trademark and pharmaceutical restrictions✅ How to work with Allergan to get the proper approvals for your account✅ What to expect once your ads are approved (and why they may still look limited in your dashboard)✅ Whether Facebook/Instagram or Google Ads should be your top priority for Botox marketing✅ Step-by-step guidance on getting your campaigns up and runningIf Botox is one of your core services, this episode gives you the clarity you need to diversify your ad strategy and avoid wasted effort trying to trick Google’s system.Download the Botox Google Ads Approval Checklist Here: https://go.medspamagicmarketing.com/botox-google-ads-approval-lpFollow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing

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