Episode Details

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Johnny Franco, MD, talks about how he built a multi-location cosmetic surgery practice without losing control.

Hello and welcome to "Beauty and the Biz," where we'll discuss the business and marketing side of plastic surgery.

As always, I'm your host, Catherine Maley, author of "Your Aesthetic Practice – What Your Patients Are Saying." and consultant to plastic surgeons, helping them get more patients and more profits.

Built a Multi-Location Practice Without Losing Control

Specifically, "Built a Multi-Location Practice Without Losing Control" podcast explains how practices grow without losing stability or profitability.

Importantly, in this "Beauty and the Biz" episode, Dr. Johnny Franco shares how early infrastructure helped him scale safely. Additionally, he is a board-certified plastic surgeon in Austin, Texas. Moreover, he founded Austin Plastic Surgeon. Furthermore, he serves as clinical faculty at UT Dell Medical School.

Indeed, this conversation focuses on real-world growth strategy rather than theory. Specifically, Dr. Franco discusses what happens inside expanding practices. Likewise, he explains how leadership decisions affect long-term control.

Additionally, key discussion points include:

• Why adding locations is often harder than adding providers
• How missing SOPs create financial confusion and accountability gaps
• Why many practices delay building leadership and operations support
• How compensation structures influence ownership and culture
• The operational risk when everything funnels through one surgeon

Importantly, one insight is simple. Namely, infrastructure works best when built early. Consequently, waiting often increases cost. Similarly, waiting usually increases complexity and stress.

Overall, this episode reflects real operational experience. Specifically, it comes from a multi-location practice. Likewise, the practice includes multiple surgeons and diverse service lines.

P.S. If your marketing relies heavily on discounts or ad spend, a Practice Growth Review can help identify stronger positioning options.

Enjoy!

Catherine Maley, MBA

Practice Growth Resources:

• Convert Consults with The Converting Academy
• Retain Patients with KiSS Loyalty Club
• Cosmetic Practice Vault Library
• Schedule Your Practice Growth Strategy Review

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📕 Get my 5-Star Rated Book, "Your Aesthetic Practice — What Your Patients Are Saying," FREE! Just pay S/H

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