Is it worth buying a Dermacare franchise? JK wants to know.

Medical spa franchises are still for sell

 
questions_graphic.jpgThe following was posted by JK on another Dermacare thread. Since it deals with a very specific question, I've reposted it here so that the Dermacare franchisees can answer it.

"Firstly I would like to say, no I am not a part of Dermacare. And my inquiries are serious, I do appreciate your feedback and am asking the question because I really want to research a few things before agreeing to go to DC versus an independant clinic. Those that responded I thank you.

To MD: Your comment: I got a 800K investment which still costs me 15-20K per month to operate (10 months in) and I work anywhere from 40-60 hours a week for zero dollars.

-I know the investment is high I did my research and the investment is around 800k, so yes I do know that. So how are you working so hard and not getting income, are people only requesting low yield services? I did the numbers and something is not adding up. If you are busy where is the rev going to? I have spoken to other DC clinics and they are reporting a consistent rev stream, why is that? I have seen their numbers.

So it seems the customer service is bad at DC, thank you for letting me know I will research that further.

Also I am learning that there are 2 clinics in trouble in AZ, can anyone give me a hint as to who they are? I would love to research this further.

Again thank you for your feedback, and I am sorry you had a bad experience" - JK

But DermaDoc wants to sell me his franchise. Now I'm really in a quandry.

OK Dermacare franchiees. JK wants to know if it's just sour grapes he's reading.

Oral Sex & Throat Cancer: New England Journal of Medicine

Completely off topic but interesting.

Oral sex raises your risk of throat cancer scientists have warned.


150_0000023000_0000088975.jpgA new study found the oral sex act can pass on the human papillomavirus (HPV), which can trigger a specific type of throat cancer in both men and women.

And they claim oral sex is an even bigger killer than smoking or drinking.

The researchers found those who had more than six oral sex partners in their lifetime and an HPV infection were 8.6 times more likely to develop the cancer than those who had never engaged in oral sex. Whereas smoking raised the risk of throat cancer three times, and drinking by 2.5.

blockquote.gif  There are around 7,600 cases of oesophageal cancer diagnosed in the UK each year and 7,400 deaths related to the disease.

Men can cut the risk to their partners by wearing a condom during oral sex.

Researcher Dr Gypsyamber D'Souza, from the Johns Hopkins hospital in Baltimore, US, said: "It is important to know that people without the traditional risk factors of tobacco and alcohol use can nevertheless be at risk of oropharyngeal cancer.

There are around 7,600 cases of oesophageal cancer diagnosed in the UK each year and 7,400 deaths related to the disease.

But co-author Dr Maura Gillison said: "People should be reassured that oropharyngeal cancer is relatively uncommon, and the overwhelming majority of people with an oral HPV infection probably will not get throat cancer."

The findings are published today in the New England Journal of Medicine.

Thermage, Inc. Reports Record Revenue: It feels like I'm paying most of it.

Thermage, Inc. Reports Record Revenue and First Quarter Results Q1 Revenue Increases by 22% and Gross Profit Increases by 27% Over Prior Year Period

 

thermageTip.jpgHAYWARD, Calif., May 1 -- Thermage, Inc. (Nasdaq: THRM), a leader in non-invasive tissue tightening in the aesthetic industry, today reported financial results for the first quarter ended March 31, 2007.

Revenue for the quarter ended March 31, 2007 was $15.2 million, up 22% from $12.4 million for the quarter ended March 31, 2006. Gross profit increased to $11.0 million or 72.6% of revenue, for the quarter ended March 31, 2007, up from $8.7 million or 69.6% of revenue for the quarter ended March 31, 2006.

The Company reported GAAP net income of $0.1 million, or breakeven earnings per share, for the quarter ended March 31, 2007, versus a net loss of $2.8 million, or $0.68 per share, for the quarter ended March 31, 2006. Non- GAAP (1) net income for the first quarter of 2007 was $1.3 million, or $0.05 per diluted share, compared to a net loss of $0.7 million, or $0.04 per share, for the prior year period.

"We continued to produce over 70% of sales from our high margin consumables products," said Stephen J. Fanning, President and Chief Executive Officer. "In addition, in mid-February we began shipping our new generator platform, ThermaCool NXT(TM), and received strong worldwide demand from both new and existing customers. As a result, we sold more generators in the first quarter than in any previous quarter for over the past two years."

"In January, we introduced a new procedure, Hands by Thermage(TM), with a corresponding new treatment tip," continued Mr. Fanning. "This is the first of several new procedures and treatment tips we plan to launch in 2007 that are designed to expand the range of applications for Thermage procedures, improve patient outcomes, and increase the value proposition for our customers."

"We continue to build the Thermage brand. In April, we launched Stars of Thermage(TM), an on-line DTC media campaign that features the real-life experiences of women who have had the Thermage procedure. We continue to be pleased with the high profile media coverage of Thermage generated recently in media such as US Magazine, USA Today, MSN Health and Fitness, and The Learning Channel. We have good momentum and will continue our strong marketing efforts to drive patient demand for Thermage applications," concluded Mr. Fanning.

Guidance: Management expects revenue for full year 2007 to be in a range of $65 million to $68 million, an increase of 20% to 25% over full year 2006. For the full year 2007, we expect GAAP diluted earnings per share to be in a range of a net loss of $0.04 per share to net income of $0.03 per share. Non-GAAP (1) diluted earnings per share are expected to be in a range of net income of $0.16 to $0.23 per share. The per share earnings amounts are based on fully diluted weighted average shares of 26 million.

Surface Clinics in the South East: Gettin our groove on.

Midwest sent me an email calling out these other Surface clinics in Nashville who are opening clinics in the South East. Turns out that they are us and we are them. If you're a physician and think that you'd like to work in/on/with Surface in the new SE clinics, drop me an email. But be warned, if you're a doc just looking for a job don't bother. The docs we're looking for are smart and motivated. This is not a franchise.

Getting the Wrinkle Out...Of the Business Plan

 

M10.jpgaren Scoggins is the vice president of strategic development at Surface Skin and Facial Rejuvenation, a new medical clinic in Nashville specializing in non-surgical cosmetic procedures.

Founded in November 2006, the facility functions as Surface's beta site where the business plan can be modified to accommodate an aggressive expansion plan that calls for five to 10 new sites to be developed throughout the Southeast within the next five years. Plans are already underway to acquire real estate in Naples, Fla., with further expansion planned in Orlando, Fla., Atlanta and Charlotte, N.C.

While this may seem like an ambitious business plan, the market for Surface's products and procedures is expanding rapidly, especially as a result of an entire generation of aging Baby Boomers that wants to continue to feel - and look - young.

Improvements in technology are also helping to draw customers who might otherwise be intimidated by invasive surgical procedures that usually involve a lengthy recovery period.

"People are going for things that are minimally invasive and more natural," says Scoggins. "The products in aesthetic medicine are growing very fast. Aesthetic procedures have grown by about 500 percent in the last five years."

Scoggins estimates the initial investment necessary to start a clinic at around $1 million, adding Surface hopes to balance its budget in its first fiscal year. The beta site in Nashville has 10 employees, but future facilities will be staffed with about half a dozen - including physicians, aestheticians and administrative personnel.

"Most medical spas don't have physicians on site," explains Scoggins, "We differentiate ourselves by offering services that other spas don't have."

The services include Botox, Thermage, facials, chemical peels, Intense Pulsed Light (IPL) photo facials and hair removal and the Natural Lift, a nonsurgical face lift that is reversible, involves only local anesthetics and leaves no visible scarring.

Pricing for the procedures varies from a few hundred to a few thousand dollars - no single procedure offered by Surface is listed at more than $5,000 - with financing options available. Costs are kept to a minimum by avoiding expensive hospital stays and anesthesia.

"Youth is hard to hang on to, but beauty you can have at any age," says Dr. Deborah Kondis, a Surface physician. "What we're after here are natural looking results."

Surface's office at 2020 21st Ave. S. appears and even smells more like a day spa than a state-of-the-art medical facility. A scented candle burns while soothing music plays from a flat-screen TV with ambient lighting. The walls are painted in gentle pastels meant to create a calm and inviting atmosphere.

The staff and the environment are not the only features meant to distinguish Surface from the competition. To educate and attract customers, the facility maintains a detailed Web site with frequently asked questions and comprehensive information about each procedure.

The site's goal - along with e-mail updates, educational seminars and free consultations - is to keep clients informed. Surface also offers gift certificates, which are helping to develop new business trends.

"In fact, a lot of people do this together," Scoggins says. "They want to stay young together. That's becoming more popular."

Scoggins, who developed the operational plan for Surface, was formerly senior operations analyst at BH1 - Private Equity Healthcare, Surface's parent company. Aside from Surface, BH1 owns and operates Baptist Women's Treatment Centers and Middle Tennessee Medical Center, located in Nashville and Murfreesboro respectively.

Aside from being a graduate of the Owen Graduate School of Management at Vanderbilt University, Scoggins studied in the pharmacology research graduate program at the University of Virginia, has an undergraduate degree in engineering from Vanderbilt and was previously a professional golfer.

In addition to marketing, advertising and staffing Surface, Scoggins is responsible for the real estate acquisitions for the planned out-of-state locations and for fine tuning the business plan as problems arise at the beta site.

"She impresses me every day," says Theresa Fletcher, a Surface aesthetician. "She's on top of it. I think she hardly sleeps."

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Thermage & Medspa MD: What's getting tightened now?

 Thermage actually likes Medical Spa MD enough to buy me a coffee.

Clint Carnell, The VP of Domestic Sales for Thermage and I met for coffee to talk about a number of things, some of which relate to this site. I'd had lunch with Clint previously. Evidently my Thermage rep Chris likes me more than my Botox rep. At least Chris sent me a big hunk of plastic.

thermage_reel.gifHere's a list of parts of the discussion I feel I can divulge.

  • Thermage had some internal discussions about whether it was a good idea to approach or contribute to what amounts to a public forum (this blog) but they've decided to give it a trial run at least. I got the feeling that Clint and others at Thermage were willing to try something that's new in the marketplace on their feeling that I would be fair to them. (With the hammering that Dermacare and the other medical spa franchises
    have taken on this site I give Thermage a great deal of credit for that.) I think that out there. If you're a company and don't have a blog you're doing yourself a disservice. There's no better form of constant contact with your target market as long as you're not just publishing the same old lame press releases. There's a paradigm shift in marketing that changes the traditional way that's taught in schools and I think more highly of Thermage that they're willing to engage in it. It speaks highly of the brains running the company.
Chris Anderson has some feeling on business blogs; "the natural voice of the boss is fundamentally incompatible with the voice of the blogger, at least as regards their own company affairs.". But wait, there's still hope. Chris goes on to say "The best business blogs come from the employees, not the bosses. They have more time, and are less prone to marketing gobbledygook and gnomic platitudes. And those kind of blogs are on the rise, not the decline."


  • Clint told me that a large number of Thermage's reps now read Medspa MD. I thought there was something going on when the Does Thermage Work Poll received 200 positive votes without any negative votes after it had been neck and neck for weeks. Surprise. Good work guys, but now the Cutera reps (they're here too) will probably start dropping that positive percentage. I'm going to have to block ISP's from tallying more than one vote. Perhaps I'll post a Thermage vs. Titan poll and let them battle it out.

  • Thermage has been trying to track down the producers of the refurbished Thermage tips for a while. I gathered that the refurbished tip guys know this since they're changing PO boxes every couple of weeks. Thermage is going to post to this site their position that the study on reactivating or refurbishing Thermage tips is bogus and that the physician who is credited with authoring the paper doesn't exist. I'll be posting Thermages position on this as soon as they send it to me.

  • Thermage is sitting on a number of new thermage tips until they're sure that all their efficacy problems are behind them. I can see that they don't want a repeat of Thermage's previous problems that caused a backlash among physicians. If they can crack the cellulite conundrum they'll be set.

  • I queried Clint about Thermage and the competition from Cutera's Titan and/or Palomar's fractional IR treatment heads. He was reticent to say anything bad about competitors but it was obvious to me that Thermage really thinks that they've got this modality nailed down. I didn't detect any sweating which is good. The companies that focus on what the competition's doing inevitably wind up fighting the wrong battles. I expect to get hard and fast specifics from Thermage and compare the technology providers side by side. Perhaps a Palomar or Cutera rep will pass this up the food chain and we can get some info from them as well. Different strokes for different folks.

  • Clint's smart and I liked him tremendously. Now that Thermage is a public company they face challenges that they didn't when they were private. If Clint is representative of Thermage's leadership I'm impressed.

Radiance Medspas & the 23 franchise class action lawsuit.

Is he blood letting at Radiance Medspas just starting?

Blood%20Splat-t.jpg

I'd heard from some Radiance Medspa franchise owners that the 90 day response window that their lawyers had set for Radiance Franchise Group to respond to their petition was up this last Friday... And no word.

For those unfamiliar with what's going on...  As I understand it, 23 Radiance franchisees filed a class action lawsuit against Radiance corporate for failing to live up to the franchise agreement and substantial misrepresentations in the UFOC. Radiance was given 90 days to respond or the franchisees would consider Radiance's franchise agreement to be void.

If Radiance really looses those franchisees I can't see how they can continue to operate since they'll have to disclose that to all potential buyers. Something similar may be in the works at Dermacare if they don't get their act together and make the Dermacare franchisees happier.

I'm wondering what happened? Anyone in the know?

I think Radiance might be down to just one guy huddled behind a folding table. The map showing Radiance's expansion efforts hasn't been current for many months and still shows clinics as open that have left or gone out of business.

usa_map2.gif 

I don't know if the Radiance Medspa in Cedar City is open but I know that the Salt Lake City location split with Radiance months ago. I wonder if they're just really overloaded with buyers and can't get to the little things? 

IPL Reviews & Comparisons: Download the Dog & Lemon Guide PDF.

There's always mucho demand for reviews and comparisons between IPL and laser technologies and companies.

12-01-3.gifDownload the IPL Dog & Lemon Guide PDF


Ican't vouch myself for any of the info or reviews. Midwest sent me the link to his report so she's responsible for cudos or blame.

The link at the end points to a spam farm of text ad links which is somewhat unpromising but I'll leave that for you to judge. Certainly the report is well written and at 41 pages is much longer than the usual reviews.

I'd welcome comments on the report, or the voracity of the author if anyone knows. 

Thermage, Mesotherapy, Medical Marketing & whatever.

Medical Spa MD is going to have some new content on Thermage, Mesotherapy, and building out clinics.

mailing_list_graphic.jpgI met Clint Canell, VP of Sales for Thermage, for lunch before but we're getting together again Friday to talk about Thermage posting content directly to Medical Spa MD. Clint informed me today that a number of his reps read this site, so I'll throw out a big hello to the Thermage sales guys in the trenches. I hope you guys follow my Thermage rep Chris Oordt's example.

I know that Thermage is less than happy with the company Clint refers to as the 'Brazilian Bandits' who are distributing some kind of little chip that allows you to reuse Thermage tips.

Clint told me that Themage has been resolute in tracking these guys around the world and I know that they pose something of a threat to the Thermage business model. I regularly get emails asking about refurbished Thermage tips so I know that there are at least some doctors using them.

I've also been exchanging emails with Robert P. Pitera, M.D.. Dr. Pitera is the President of the American Board of Mesotherapy and is on the Board of Directors to both the American Society of Mesotherapy and the American Journal of Mesotherapy. Dr. Pitera is interested in contributing to this site and whatever he says, it should be interesting. I know that many here are not proponents of Mesotherapy. (I'll add a disclaimer here that Surface does the fat dissolving form of Mesotherapy, Liposolve TM, but not the 'vitalift' or other such.) Perhaps mesotherapy has reached the tipping point. I know that at least competitors of Surface in Utah are practicing some form of meso.

There is also some big movement on the marketing front. Towards the end of May, members of Medical Spa MD will be able to utilize what I think is just-about-the-coolest-marketing-program-I've-ever-heard-of with the launch of the printing portal aimed directly at cosmetic medical practices. And the pricing is about 30-40% off of the online deep discount printers. Damn that will be cool. I've seen some screenshots and PDF's of the the site and materials and there's just not anything available like it.

I've also received the first of my skin typing spectrophotometers. I can't say it's the most elegant thing I've ever seen, especially compared to the Minolta model we've been using in the past. But then again, it's about $3000 less and works perfectly well, so I'll just live with the ugly looks. 

On a final note, If you haven't already signed up as a Medical Spa MD member, just do it. I'm only collecting emails and a small amount of demo info so you need not be worried about to much spamming.

Portrait Plasma Skin Regeneration: The power of high powered wrinkle gas.

Rhytec's Portrait plasma skin regeneration: A cool little jet engine for wrinkles.
 

Is anyone using Rhytec's Portrait Plasma? I've heard a few docs comment on it but haven't seen it in action yet. Watch an animation of plasma in action or some patient and physician testimonials.

From somewhere on a Rhytec press release:

DownloadServletPlasma may be the next weapon of choice in the anti-aging arsenal. Rather than relying on chemicals, lasers, light, or injections, the Portrait Plasma Skin Regeneration system employs plasma, a highly energized gas. The gas penetrates below the skin's surface, extending into the dermis without any direct contact, charring, or vaporization.

Unlike other treatments that ablate the skin, the controlled heating of tissue below the skin's surface from Portrait, which is FDA-cleared for treatment of wrinkles, superficial skin lesions, and actinic keratosis, leaves the skin surface intact during the healing process.

"By allowing the preserved outer layers of skin to act as a protective dressing until new skin regenerates, it produces much faster healing and minimizes the risk of complications," says Richard E. Fitzpatrick, M.D., an associate clinical professor of dermatology at the University of California–San Diego School of Medicine and one of the clinical investigators of Portrait.

In taking a look at the Portrait site I find myself somewhat unimpressed. The site itself is cumbersome to use and poorly architected. I'd have chosen a different beauty shot to build my imaging around as well. The model seems to have skin stretched so tight that her ears are almost meeting behind her head and such an odd expression that I couldn't exactly call it aspirational. 

However, I'm open to hearing if anyone's had experience, good or bad, with plasma. If the comments are resoundingly positive, maybe I'll buy one to toast marshmellows.

Some of the abstracts from the Rhytec site:

Evaluation of Plasma Skin Regeneration Technology in Low-Energy Full-Face Rejuvenation Bogle M, Arnt K, Dover J, Archives of Dermatology; February 2007

Portait PSR3 Technology Provides True Skin Regeneration Kronemyer B. European Aesthetic Buyers Guide; Spring 2006

Plasma Energy Harnessed for Damaged, Aging Skin Skin & Allergy News Supplement; Spring 2006

Plasma Skin Resurfacing for Rejuvenation of the Neck, Chest and Hands: Investigation of a Novel Device Alster T, Tanzi E. Presented at ASLMS Meeting, Boston, April 2006

Effectiveness of Multiple Treatment, Low Fluence Technique with Plasma Skin Resurfacing for Facial Rejuvenation Bogle M, Arndt K, Dover J. Presented at ASLMS Meeting, Boston, April 2006

Peer Review: The dirty little secret of medicine.

Via Rangle MD: The problem with peer review.

6254589_4e8158d054.jpgChris Rangle is an Internist practicing in Texas. His blog at Rangle MD is one of the older physician blogs on the web. The block quote below is from a post of his on how peer review works in Americas hospitals.

The majority of the time physician concerns about quality and patient safety are properly addressed without the administration going after the whistleblower but increasingly the system put in place by the 1986 law is being used to silence the messenger. According to the Pittsburgh Post-Gazette a 2001 report by the University of Baltimore found a serious potential for abuse by the hospital peer review system.

The report found that whistleblower physicians who alienate hospital officials are vulnerable to having their admitting privileges taken away, with devastating effects on their practices. Because the federal Health Care Quality Improvement Act protects peer review panels if they are sued, it also can have the effect of protecting a malicious peer-review group motivated by spite, prejudice or a desire to cripple a competitor's practice, the authors said.
What's more is that these peer review committees tend to operate in their own little worlds being only loosely governed by the hospital's bylaws. They are not courts of law, the committee members usually have no experience with legal procedure, and a such there is the potential for them to become the closest thing to a legalized "Kangaroo Court" in this country as you can get. A physician reader let me know about his own devastating experiences with these committees.
"In these proceedings, it is a trial. But it is unlike any 'trial', you have ever imagined. It is a chapter out of 'Alice in Wonderland'. The emphasis is all on 'procedure'. There is NO due process. There are NO rules of evidence. Hearsay, opinion, rumors, innuendo, and outright lies are completely acceptable as testimony. Truth, facts, and evidence are irrelevant. All that matters is procedure. The board can decide that a physician improperly performed a hysterectomy on a MAN, and it cannot be challenged in court as long as 'proper procedure' was followed in making the determination. I am not kidding. If this were not so serious, it would be hilarious."

Sona Medspas, Ron Berglund, & Medical Spa MD.

The Sona saga makes a reappearance and I get more letters from lawyers.

National%20Ethics%20Bureau%20graphic.jpgRon Berglund, former Sona Medspa Franchisee and author of the Inside a Sona Medspa posts, has had his lawyers send me a letter that says in part:

"We represent Ronald Berglund, a former Sona Laser Center franchisee who has, in the past, contributed certain blogs to your website...

... We are once again requesting that you remove Mr. Berglund's blogs with respect to Sona Laser Centers. Those blogs no longer represents his views and he no longer authorizes them to be published on your website. I am copying Mr. Kiran Mehta, counsel to Sona. We are asking that you remove these entries immediately in order to avoid further action."

There's a little more but that's the gist of it. (I'll scan the fax so everyone can read it in its entirety.)

Now I called Ron's lawyer and talked to him for a while. I thought he was a complete ass who was doing a damn poor job of trying to get me to remove anything from this site. I told him that I thought highly of Ron and didn't want to hurt him and that I didn't even have a real axe to grind against Sona. But 'old W. Michael Garner Esq. just threatened 'action's in the future'. I also told the lawyer that I didn't really object to helping Ron out, but what I did object to was using this site as some sort of bargaining chip. Certainly I feel no real obligation to post and retract comments or articles based on daily feelings and there's nothing he or Sona can do to prevent anyone from commenting or writing whatever they want.

Ron wanted to publish his story to prevent others by being taken advantage of by Sona.

It's obvious to me, and you can judge for yourself, that Sona and Ron have made some sort of arrangement. I don't know if Sona's paying Ron or not but it's interesting that, with the number of emails that Ron sent me talking about 'ethics' and referring to Sona as 'frauds', that now they're in bed together again. I guess it goes to show that personal interests will trump ethics every time.

So while I think Ron's lawyer is a complete ass and I certainly have no obligation to remove something that Ron posted directly to the public domain, I don't want to cause harm to Ron so I'm going to sort through and remove them over the next week or so.

So if you haven't read Ron's series on Inside A Sona Franchise, I'd suggest you do it now. They won't be around forever. 

Smoothmed New York: Botox on the go.

Botox will now be available as a walk-in, no appointment necessary treatment in midtown Manhattan.

 

Smoothmed, a retail medicine concept started by two plastic surgeons, will be opening it's doors on East 59th Street. My guess? It'll do fairly well and may be the largest Botox account in the U.S.. Of course it could go the way of SkinKlinic.

19skin600.1.jpg 

 From the New York Times: The Little Botox Shop Around The Corner.

Smoothmed, scheduled to open next month, will offer only one procedure: Botox injections to smooth wrinkles around the forehead, eyes, lips or neck. Its owners said the idea is convenience, competitive pricing and standardized care.

“Botox-on-the-go is the way we like to think of it,” said Dr. Andrew I. Elkwood, an owner of Smoothmed. He and his business partner, Dr. Michael I. Rose, are plastic and reconstructive surgeons who practice in Manhattan and in Shrewsbury, N.J.

Botox Cosmetic, a diluted form of botulinum toxin, is used to temporarily paralyze the muscles underlying wrinkles. Dr. Rose said that making injections easily available would expand the market.

“It will appeal to people who took a few hours to shop at Bloomingdale’s, to secretaries on their lunch hours, to people who live and work in the neighborhood, and we will be getting visitors who think on a whim, ‘I wouldn’t normally do this at home, but we’re in New York, so let’s try it,’ ” Dr. Rose said.

Dermacare Management: Carl Mudd & the lawyer.

Dermacare has a page on their web site showing Dermacare's management. Guess who's there. Carl Mudd and Dermacares lawyer. That's it.

Dermacare Laser & Skin Care Clinics Management Team: Carl Mudd & the lawyer.

logo.gifDermacare and Carl Mudd have taken some heavy hits from current and former Dermacare franchisees and Dermacare corporate mployees. Even I've received a cease and desist letter. I felt special until DermaDoc let us all know that evidently Dermacare sends them bulk mail.

Now I can see why. There's no one in Dermacare management other than Carl Mudd and the Dermacare Lawyer.

When your only tool is a hammer, every problem looks like a nail. 

Medical Spa MD: Spam & solicitation policies.

I've been doing a lot of editing and deleting of posts lately so I thought I'd post again about what the policies of medspa MD are regarding solicitations and spam.

 

spam_skull.gifAny time you get a large like-minded group together you're going to be an attractive target for vendors who post back links to their site or pose as 'testimonials'  It's not hard to identify. There's a new comment that says something like, "Hey, I know of a great resource over at ___________.." So here's the deal.

If you're a vendor or have some type of service, please feel free to comment or post. If you'd like to submit an article you can do it from the link on the top right and I'll be happy to post any real, original article or post.

What you can't do is 'link bait' to your own site. Posts that are link-bait, spam, or solicitations will be removed. If the problem continues that ISP will be banned from accessing this site. 

This is really an attempt to minimize the editing role I have to play. I created an open forum for  free discussions. I didn't create a site where 'medical spa consultants and sales people' get to post spam.

What's the best medspa advertising?

What do medical spas and cosmetic medical practices name as their primary concern? About 85% name increasing patient flow through advertising.


quotes_advertising.gifI've been around advertising and advertisers for a long time (Since 1989 or so.) and have seen my share of what works, and what doesn't.

There are any number of comments on this site by medspa owners along these lines: "I tried direct mail / radio / print / whatever... and it didn't work." To this I say... hmmm.

'Trying' could mean about anything. Most of the ads that I see produced by clincs are so bad that they're almost laughable and detract from exactly what the positioning of any cosmetic practice should be. (The 'Got Milk' rip offs for 'Got Hair?'are a prime example.)

Any form of advertising can work if it's done right. Sure, there are some that are better than others. I don't use yellow page ads for example, not because they don't work, but because they don't work well enough for the cost. But I'd still consider them if the price was right and the quaility improved.

Many advertisers will produce your ad for free. Seems like a deal but a guy making $9 an hour isn't really in the business of providing quality or really 'building your business'. So while you may have tried something in the past that didn't work, cowboy up and admit that you probably weren't doing it right.

Here's what some smart people have to say about building brands and advertising. 

Quotes on Branding:

"If you can, be first. If you can't be first, create a new category in which you can be first." - Al Ries & Jack Trout

"A brand should strive to own a word in the mind of the consumer." - Al Reis and Laura Reis

"A product is something made in a factory; a brand is something that is bought by the customer. A product can be copied by a competitor; a brand is unique. A product can be quickly outdated; a successful brand is timeless." - Stephen King, WPP Group, London

"Ordinary people can spread good and bad information about brands faster than marketers." - Ray Johnson

"The idea that business is just a numbers affair has always struck me as preposterous. For one thing, I've never been particularly good at numbers, but I think I've done a reasonable job with feelings. And I'm convinced that it is feelings - and feelings alone - that account for the success of the Virgin brand in all of its myriad forms." - Richard Branson

"We don't have a good language to talk about this kind of thing. In most people's vocabularies, design means veneer... But to me, nothing could be further from the meaning of design. Design is the fundamental soul of a man-made creation." - Steve Jobs

"I have a BMW. But only because BMW stands for Bob Marley and The Wailers, and not because I need an expensive car." - Bob Marley

"A brand for a company is like a reputation for a person. You earn reputation by trying to do hard things well." - Jeff Bezos

"It is not slickness, polish, uniqueness, or cleverness that makes a brand a brand. It is truth." - Harry Beckwith

"Your premium brand had better be delivering something special, or it's not going to get the business. - Warren Buffett

"A brand that captures your mind gains behavior. A brand that captures your heart gains commitment." - Scott Talgo

"Ordinary people can spread good and bad information about brands faster than marketers." - Ray Johnson

"It is a pretty recognizable brand name. Originally it was "Jerry's Guide to the World Wide Web" but we settled on "Yahoo"." - Jerry Yang

“Customers must recognize that you stand for something.” – Howard Schultz

"A brand is a set of differentiating promises that link a product to its customers."- Stuart Agres

"Any damn fool can put on a deal, but it takes genius, faith and perseverance to create a brand." - David Ogilvy

"I've always thought that a name says a lot about a person. So naturally, being named Howard, I always wanted to crawl into a hole." - Howard Stern

And this from Brandchannel.com which is dead on in dealing with the perceived return on investment (ROI) that is one of the most common questions I'm asked. It remindes me of my daughters former love of all things having to do with sharks. She'd often ask me, "Dad, what's the most dangerous shark?"

I'd always reply with the same answer, "The one biting you." 

 Brand Advertising

"Half the money I spend on advertising is wasted. Now, if I only knew which half."

John Wannamaker spoke these words in the late 19th Century, little did he know that many an advertiser in the 21st could say the exact same thing and not be far off the mark.

We get questions all the time about brand advertising and return on investment, as marketing officers around the globe are continually called to task in justifying or accounting for their budgets. We've seen clients actually lose brand equity when they decided not to advertise because of the lack of tangible ROI. But brand advertising is not designed by nature to generate sales—it is a means by which to create awareness, differentiation and consideration.

Marketing in the 21st Century is not about ROI anymore. It's about the return on customer, maximizing the lifetime relationship with an individual. It's about getting that one person who purchases your product once to purchase it again. Purchase it more often. Purchase new things. Over and over and over again until they become something more than a customer. They become an advocate for your brand.

But how do you do that through traditional advertising? Well, you can't. Does this mean that traditional means of advertising—television, print, radio—are worthless? No we're not saying that. Again, the value in traditional media (and many new forms of media) is in creating brand awareness. Let's face it. We're all consumers. Advertising in an inherently intrusive marketing tool. But it's 100 percent necessary because how would we know which brand of spaghetti sauce to buy at the store? We consider the ones that you have heard of most often, or those that have brand attributes that we prefer. And that is a function of brand advertising...