From spotting the first signs of Owner Fatigue, to setting boundaries with your team, to the emotional load of caring for patients, staff and family all at once, Andy gets brutally honest about the pressures behind the polished practice. Honest, relatable, and full of lightbulb moments, this episode shows the reality of running a practice and the mindset needed to stay the course.

She tackles the biggest misconception in aesthetics head-on: why a weekend course won't make you rich, why doctors and nurses fail to plan their aesthetic businesses properly, and why multiple income streams saved her career. From the business reality of being the face of your clinic to why patients are NOT always right - Dr Nisha's story is raw, honest, and packed with hard-won wisdom.

From setting boundaries with clients who want "too much" filler, to managing a business while pregnant with baby number two, to the reality of being available 24/7 even on holiday – Natalie's story is honest, raw, and packed with lessons for anyone building a business in aesthetics.

Plus, he reveals the brutal truth about practice ownership, why he'd make more money as an associate, the marketing decisions that actually move the needle, and the physical transformation that changed his mindset as a leader. If you're a practice owner or thinking about launching your own clinic, this episode is packed with honest, hard-won lessons from someone who's done it against all odds.

He shares wild NHS stories (including a patient who poured urine on a computer), explains why one-day courses are dangerous, and breaks down the technical skills that make aesthetics a true medical specialty. Plus, his controversial take on why the patient isn't always right, the trap of buying expensive devices, and how being a "micromanager" helped him build a thriving Soho clinic while mentoring the next generation of practitioners.

Hannah shares her "one ticket ask per day" philosophy that got her a one-day-a-week position when everyone said it was impossible, why she spends most consultations discussing life rather than treatments, and the shocking story of an event crasher who downed a bottle of champagne and heckled her presentation before getting into a physical altercation with bar staff. From the ethics of private healthcare to raising body-positive daughters in the beauty industry, this episode pulls no punches on what it really takes to build an authentic wellness business.

Jackie breaks down the difference between joy and happiness, explains why work-life balance is a myth (alignment is what matters), and shares her controversial take on why being professional doesn't mean being miserable. Plus, the shocking story of someone who wanted to become a coach after watching YouTube, why boundaries create better brands, and her simple daily joy audit that transforms how you show up in business and life.

She reveals why success is lonelier than saving lives in A&E, why she requires social media presence in staff contracts, and the device costs that patients never know. From GP side hustle to aesthetic empire, she shares the backstabbing, financial losses, and hard-won lessons that shaped her into one of Yorkshire's most recognised practitioners. This is essential listening for anyone in aesthetics.

From launching AviClear for acne treatment to the American energy that transformed their British approach, they share why some clinics are doubling down during economic uncertainty, how to avoid being "everything to everybody," and why 2.5 devices per clinic proves their post-purchase support works. Plus, the surprising truth about why being "less apologetic" as Brits could change everything, how to price premium treatments confidently, and why innovation alone isn't enough to build a successful aesthetic practice.

Plus, why they think regulations can't come fast enough, how one clinic needed three machines because of patient demand, and the surprising truth about why the UK is behind on body treatments. This episode dives into the future of non-invasive wellness tech and why traditional painful treatments are becoming obsolete.

Vina shares the reality of taking over from established practitioners as a young Asian dentist, while Priyesh reveals going from a decent pharmacy salary to earning almost nothing before building one of the Midlands' most successful aesthetic practices. Their story includes near-bankruptcy during COVID, renovating their entire practice during lockdown, and buying expensive devices despite having no space. From working together as a couple to scaling to a team of 16, they share honest insights on building trust and managing expectations. Plus, Priyesh shares a jaw-dropping confessional story involving patient photos that definitely escalated beyond the consultation.

She calls out "too many individuals with egos that are greedy" in aesthetics, explaining her controversial decision to lower prices for accessibility. Whether discussing her transparent social media approach, the importance of firing fast and hiring slow, or balancing five children with business ownership, Kara delivers practical wisdom with refreshing honesty. From declining filler trends to authentic brand building, this episode offers straight-talking advice on trusting your gut and maintaining integrity in a competitive industry.

With over 20 years of experience shaping the aesthetic industry, Richard shares why most clinic owners struggle with charging what they're worth, how to push through the "barrier of apathy" in marketing, and why the aesthetic market is evolving beyond just injectables toward wellness and longevity. His outsider perspective reveals why UK clinics need to tell better stories about transformation instead of just transactions, and how proper implementation of AI could revolutionise the consultation process. With straightforward insights on everything from surviving business failures to understanding that "the patient is always right...except when they're not," this episode delivers valuable wisdom for clinic owners ready to elevate their businesses.

Her passionate breakdown of BBL as "the only scientifically proven anti-ageing treatment in the industry" challenges conventional wisdom, while her hilarious confessional about a naked patient flying off a treatment bed reveals the unvarnished reality of clinic life. From why you should master one device before buying five, to how your front desk staff can make or break patient conversions, this episode delivers practical wisdom every clinic owner needs to hear about consultation processes, setting boundaries with difficult patients, and why sometimes you just have to "let the patient be mad."

From his 13-year stint as a musician to his current dual identity as a dentist and a copywriter, Sugz shares how spinning multiple plates has become his superpower. He explains why AI will transform copywriting (but never fully replace it), why associates should build personal brands, and how marketing principles can revolutionise patient consultations. Plus, in our confessional segment, Sugz delivers hilariously uncomfortable patient stories that reveal the unfiltered reality of dental practice. This episode delivers practical wisdom for any clinic owner caught between clinical excellence and effective promotion.

In this candid conversation, she reveals why she wouldn't open a clinic again if she had to start over, explains the north-south divide in UK aesthetics, and shares what truly separates thriving clinics from those that struggle. With insights from her international career and experience working with Erchonia across Europe, the Middle East, and Africa, Vanessa breaks down what patients really want (hint: it's not just treatments) and why your clinic's music, lighting, and scent matter more than you think. From handling no-shows to managing patient expectations, this episode offers a masterclass in aesthetic business reality that both practitioners and clinic owners need to hear.

From overcoming his own financial mindset challenges to handling a cocaine-using patient in his chair, Barry shares the unfiltered reality of dental practice ownership. His provocative take on why patients don't actually care about your clinical skills (as long as they're "good enough") challenges conventional wisdom, while his practical approach to saying no to difficult patients provides a masterclass in communication. With hilarious confessions about the "crotch-watching" patient and serious insights on why practice ownership might not be the path to freedom everyone thinks, this episode delivers the brutal truths about dentistry you won't hear anywhere else.