Holding Time Back
WITH JOHN WHEELER
Lessons in Building a Thriving Aesthetic Wellness Practice
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In this episode of Holding Time Back, Dr. Amanda Holden sits down with Dr. Sam Patel, MD, MBA, a medical business consultant who has helped over 1,000 clinics worldwide transition to cash-based models and achieve seven-figure success. With a background in both medicine and business, Dr. Patel shares his journey from launching his first medical weight loss clinic in 2017 to scaling 10 locations in just four years.
After experiencing firsthand the limitations of insurance-based medicine, he pivoted to cash-based aesthetics and wellness, founding LIV Wellness Lounge, an ultra-luxury medical spa that generated $1.2 million in its first year—despite being in a town of just 9,000 residents. Now, as a consultant, he helps clinics optimize operations, implement high-profit service lines, and train staff to ensure long-term sustainability.
Dr. Patel breaks down the key lessons he has learned, the biggest mistakes clinics make, and how to create a scalable, patient-centered practice in today’s evolving aesthetic wellness industry.
Dr. Sam Patel is a physician, entrepreneur, and medical business consultant with an MD and MBA from Purdue University. He has built and scaled multiple aesthetic wellness clinics, pioneering cash-based medicine and patient-centered care. As the co-founder of Onyx Medical Partners and Live Wellness Lounge, Dr. Patel specializes in integrating wellness, aesthetics, and business strategy to create thriving practices. He also leads Astra Culture, a consulting firm that helps medical professionals optimize and expand their businesses. Passionate about innovation, AI in healthcare, and practice scalability, Dr. Patel is a sought-after speaker and industry mentor.
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