Are you overwhelmed, spread too thin, or feeling stuck in your aesthetic business? If so, you’re not alone—and you’re likely overdue for one critical hire: a practice manager.
In our recent live coaching call on YouTube, we unpacked when and why it’s essential to bring on a practice manager, even when you think you can’t afford it. Spoiler: you can’t afford not to.
"Even when you think you can’t afford it, investing in leadership is a non-negotiable." - Abby
Why You Need a Practice Manager—Now
Running a successful med spa or aesthetic clinic is like steering a ship. Without a captain at the helm, your business is at the mercy of every wave—reactive instead of proactive, disorganized instead of streamlined.
Too many practice owners believe the answer lies in more marketing, another front desk hire, or burning the candle at both ends. But those are just band-aids. The real solution?
An experienced, accountable practice manager who can build structure, develop systems, and hold your team accountable.

The Hidden Costs of Doing It All
You may be the best injector, laser tech, or wellness provider around—but that doesn’t mean you should also be the receptionist, HR manager, operations lead, and accountability coach.
Clients in our Systems to Scale™ program often come to us exhausted, running on fumes, and unable to grow despite their talent and vision. Why? Because no one is guiding the team, holding people accountable, or driving day-to-day operations forward.
When we helped these clients onboard a capable practice manager, the results were immediate:
- Revenue increased
- Teams became more efficient
- Owners regained time to rest, travel, and be with family
Burnout dropped—and momentum soared
"We were giving the team goals—but no one was guiding them or holding them accountable to achieve them." - Abby
What the Right Practice Manager Can Do
Here’s what separates a “seat-filler” from a true strategic leader in your practice:
- Implements systems and processes to streamline daily operations
- Holds the team (and themselves) accountable for results
- Spots opportunities and risks before they become problems
- Frees up providers to focus on patient care and revenue-generating tasks
Drives growth by aligning the team with your long-term vision
"A seasoned practice manager isn’t just someone occupying space—they’re the lynchpin that holds everything together."
Real-Life Examples from Systems to Scale™
We’ve seen firsthand how this one hire can completely transform a business:
- A provider-owner who hadn’t taken a real vacation in years hired a practice manager, restructured their team, and now travels freely—while the business continues to grow.
- Another client implemented accountability systems through their manager and finally saw the revenue gains they’d been chasing for months.
- One clinic shifted from chaotic daily operations to calm, structured execution—simply by having the right leadership in place.
"The number one thing I see change in our clients? Calmness. Clarity. Confidence." - Abby

"There is no magic wand—you have to go out there and create the business and the lifestyle you desire." - Abby
The Bottom Line: Don’t Wait
The biggest myth we hear? “I can’t afford to hire a practice manager.”
The truth? You can’t afford the cost of not hiring one.
Whether you’re dreaming of scaling, stepping away, or simply reclaiming your time—this is your next move. A great practice manager will help you reach your business goals and build the lifestyle you envisioned when you started your med spa.