Own A Niche. Any Niche. (Medical Spa Blueprint)

"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, The 22 Immutable Laws of Marketing

There's something innately attractive about uniqueness.

To be unique you need to dominate a niche. I don't care what niche it is, but you need to dominate it.  If you can't dominate the niche where you are, you need to create a new one.

How can you tell if you're considered to be unique? Pretty simply. There's a single two word phrase that people use to describe someone who's dominating a niche. You'll hear it used all of the time as a recommendation: "The best".

It doesn't matter what you're the best at, only that you're the best at it.

Now all uniqueness is not created equal. If you're 'the best orthopedic surgeon in the country', you're going to be sitting pretty. If you're 'the best orthopedic surgeon in Evanston, Wyoming', it's less of a talking point.

Perhaps you're in cosmetic medicine like a lot of the docs that I know. It's probable that there are  dozens of plastic surgeons, dermatologists, and medical spas that are in your target area and trying to get to your target clients.  How are you going to set yourself above the noise as the single choice? How are you going to get those patient referrals?

How are you going to position yourself as 'unique' in order to compete?

You're going to find something that you can be the best at.

You may be in family practice or internal medicine. Fine. You're clinical practice is general in nature, but that doesn't mean that there's no uniqueness to be had. You always start where you are.

Sure you have patients that already love you. So what. So does everyone else.

Like everyone in cosmetic medicine, already know that you’re ‘target’ is generally going to be women. You’re right of course, more than 95% of your clients will be female, but what else do you KNOW about the women that want YOU to be their cosmetic medical provider. If you’re like the average medspa, even those that have been doing this for years, not that much. You’ll also be able to deduce pretty easily that women looking for Botox. or fillers, or cosmetic surgery are generally over 30 and less than 55 or so. Right again. That’s a ‘second qualifier’. In fact, those two items put you on par with 99% of what cosmetic clinics know about their Botox and filler patients… but that’s not the end.

If this sounds like you, then you’ve joined the 99% of other providers who think they should target EVERYONE instead of a small, focused niche. In the best case, these clinics limit their success, in the worst, they set themselves up to fail miserably.

You need to learn how to target your perfect client with laser-like focus. With the right niche targeting, you’ll be able to tailor and optimize not only your services, but also your medspas pricing. And when you learn to target your services SPECIFICALLY to this person – making it truly personalized – they will pay virtually anything, and they’ll thank you for it.

Of course targeting this way isn’t easy. It takes a little work so it’s generally ignored by the lazy.

Let’s go through a quick example to set the stage. Imagine that you’re hired by a medical spa or laser clinic and you’re told, “Help us get more patients.”

The first question you ask should probably be, “Who are you trying to reach?”

If the response is, “Well, everybody. We just want a lot of them.” Turn in your notice. You’re doomed.

What’s wrong with this approach?

Think about it this; when was the last time you went out of your way to purchase a product that was just right for you, but it was also “just right” for your retired father and your 18-year-old neighbors kid? If you found such a product would you buy it? Would you pay a premium price for it? Of course not.

You’re looking for something that speaks directly to you. That serves YOUR needs – not your needs and everyone else. That’s why a woman will spend $600 on a Kate Spade handbag instead of the Target knock-off, men buy ‘men’s razors’ when cheaper women’s razors work just fine, and why your perfect target patient will pay you a premium and beg you to treat them.

Take note of this point because it’s important: If you’re targeting to EVERYBODY then you’re selling to NOBODY.

It may sound counter-intuitive but it’s true: The more you niche yourself, the more money you can make.

An excellent example of this is Johnson & Johnson Baby Shampoo. It’s been around forever and you probably already know the ‘No more tears’ slogan. Know who their market is? It’s not babies. Babies don’t by shampoo. In fact, it’s used by adults far more than it’s use on babies. Why, because it’s ‘niched’. It says right on the label who it’s for… even though they know that more adults use it.

You’re not offering exercise videos… you’re P90x who’s blowing the doors of of sales by targeting the hardest workout for the hardest bodies.

You’re not selling cooking lessons…  you’re selling cooking lessons for new brides.

And you’re not just selling Botox and fillers.

See the difference?


Dr. Greg Bledsoe wanted to teach wilderness medicine. He's edited a book on Wilderness Medicine, had tremendous domain expertise and vast experience. The problem was, there was already someone there. The Wilderness Medical Society had a hold on that niche as the biggest player in the market and liked it that way. There was no room to join that organization and then work up. The committees running medical organizations rarely change. So Greg created his own niche. He called on all of the A-list physicians he knew in wilderness medicine and put together his own conference. He focused on physicians who were entrepreneurial and wanted adventure. He ignored compaines and organizations and targeted the 'small fry'.

Now, ExpedMed hosts wilderness medicine conferences that include exotic travel locations, CME accreditation, and incredible teachers. Not only did Greg created his own niche and made a profitable business, he's put himself at the center of a network that have generated three new businesses.

This is an iterative process after all. You're not going to decide that you're the best


When I first started writing Medical Spa MD I was running a number of cosmetic medical clinics. It was 2002 and the 'medical spa' craze made is seem that there was a physician squirting Botox on every corner and a 'medspa franchise' in every strip mall. I needed a way to recruit physicians easily and quickly as we opened up new locations around the US.

I attracted physicians to Medical Spa MD by offering unique content that they couldn't get anywhere else.

If you're a physician running a cosmetic medical practice, almost all of your information comes from marketing and sales materials. Trade magazines, conferences, and the rest of the information pipeline are all sponsored by the manufactures and service companies. No advertising supported trade publication is going to come out and name the winners and losers or tell you which technology is best. They couldn't, but I could.

I created Medical Spa MD as site that was for physicians who wanted real information. Since I didn't need to make money from sponsors or advertising, I could offer the 'secret' information that physicians were looking for.

We give honest opinions and reviews. We connect physicians in cosmetic medicine in a way that no one else can. We turn down 99% of businesses that want to partner with us.

The result? Medical Spa MD has 5,000 physician members worldwide and is the primary community for physicians around non-surgical cosmetic medicine.

As a generalist, you have to make sure that you are one of the best in the industry, have unique service offerings, and you are considered accomplished in a few other fields. 

If you do it persistently enough, you will OWN that niche. People will not be able to imagine that niche without you.

The secret to commanding premium rates is in identifying a very specific niche that buyers demand, and focusing on that niche while excluding everything else.

There's no really good short cut around this. If you don't already have any unique skill set, you're going to have to develop one. You can't hoodwink everyone into buyers by just saying that you're better. Decide on a single special attribute or 'specialty' and make it your own. Actually BE better at it in some way.

Oh, by the way, you can only pick one niche.

Listen to this as a claim; I'm the worlds leading proctologist and neurosurgeon. Or how about this; I'm the city's leading Botox provider and the best at liposuction.

You can not be 'the best' at more than one specialty. I know that you want to be the best at more than one thing. I know that you think you are and you might actually be, but the marketplace won't believe you, and belief determines 'what someone will pay'.

Here's a perfect display of niching: Alexander Rivkin MD at Westside Medical Spa came up with a niche; the non-surgical nose job in which he uses Restylane or Juvederm. Nice. Look at the press he's getting.

Now Dr. Rivkin is offering all sorts of treatments and most of his revenue comes through other services but his 'brand' and positioning starts with the niche that he built. It set him apart and let's him dominate a niche.

Have the confidence to find your niche, define who you are, then declare it again and again and again and again.  If you target your martket smartly, over time you will own that niche.

Advanced Aesthetics Course: Understanding Injectables

Injectable products are an important contributing factor to your clinic's financial success. With new products entering the market like Dysport and Evolence, and other exiting like ArteFill, it is important that your staff be knowledgeable of the products used in injectable procedures.

Although this chapter from the Advanced Medical Aesthetics Training Manual wasn’t actually requested in the training manual I wrote for the academy students, I felt it was extremely important for , especially for medical estheticians, to know the difference amongst the various treatments used to alleviate the appearance of wrinkles and folds, and the difference between dynamic and static lines.

Medical estheticians have the most “face time” with clients, examining it with magnifying lenses, treating it with exfolliants, moisturizers, galvanic current, high frequency, various acids, etc. They understand the realm of fine lines and wrinkles and know what can be alleviated with topical treatments such as facials, peels, microdermabrasion and laser resurfacing, and what cannot.

I cannot tell you how many patients call or come into our office with no knowledge of the difference between paralyzing agents such as Botox and Dysport, and dermal fillers. We take it for granted that we know the difference, but injectable products can be very confusing to the lay person. Because the aesthetician works with the client’s skin, they should be well versed in the differences in the two categories of injectables and the products that lie within. Estheticians become your most powerful education source for your clients which ultimately leads to an upsell for them (with possible commission).

Many people think all fillers products are the same, nor do they care to understand the difference between hyaluronic acid or calcium hydroxylapetite. All they truly care about is “how long will it last” and will the “results look fake”. Only with proper education can the medical esthetician effectively and intelligently discuss the differences in the filler products, educate the patient about the effects and lasting results, and help lead the patient to the right product, or combination of products, for their expected outcome.

This information in this chapter is very important for your front desk/phone people as well!

Author: Paula D. Young RN runs internal operations and training at Young Medical Spa and is the author of the Medical Spa Aesthetics Course & Study Guide, and Advanced IPL & Laser Training course for medical estheticians and laser technicians.

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Medical Spa Training Manuals Launched!

We've successfully launched the Medical Spa Training Manuals... finally.

It was something of a struggle for the last few weeks trying to get everything edited and designed but the result is extrordinary. I'd like to congratulate Paula for excellent work and Melissa for the final editing and the very long days getting everything together. We couldn't be happier being given the opportunity to publish them.

If you haven't yet taken a look you can download the tables of content for both the Advanced IPL & Laser Training for Non-Physicians and the Advanced Medical Spa Aesthetics Training Manual & Study Guide.

If there are cudos, and there are certainly going to be, the're most correcty directed at Paula, who has done a fantastic job on the content, from differences in technology to a fantastic sense of what's the needed amount of information in each areas.

Of note: a number of our first orders have been made by medical spa consultants and trainers who know how important training your laser clinc or med spa staff actually is.