The Five Steps to Running
Successful Medical Aesthetic Practices Aesthetic Dentistry Magazine
The Five Steps to Running
Successful Medical Aesthetic Practices
By Yasmin Khan (Aesthetic Dentistry Magazine 2007) author Simple Steps to Building Million Dollar Cosmetic Practices
New research from MINTEL (Mintel is a worldwide leader of
competitive media, product and consumer intelligence) in conjunction with the
BAAPS and the Harley Medical Group** finds that British consumers will undergo
an estimated 690,000 cosmetic surgery procedures this year alone. This is an
uplifting increase of 40% on the 493,000 carried out last year and up some 240%
on 2001 figures. What is more, this year
Britain
is set to shell out £539
million on various cosmetic enhancements, ballooning 50% on 2005 figures and
more than four times (338% increase) what was spent in 2001. The report states
that acceptance of cosmetic surgery and non-surgical procedures are growing
within the British psyche and are certainly reflected in the increasing number
of cosmetic procedures being carried out in this country.
With these statistics, it is not surprising that everyone,
including GPs, dentists, nurses, dermatologists, surgeons, venture capitalists,
foreign competitors and beauty salons are entering this arena to capture their share
of the growth. Since there is little barrier of entry in the non surgical
arena, most new suppliers of medical aesthetic services are entering this area
resulting in a dilutions of the market potential for everyone. Until there is
concrete regulations as to who is qualified to provide non-surgical treatments
to the UK public, the growth of supplier of non-surgical medical aesthetic
services is rising at a faster rate than
the growth of the non surgical cosmetic market creating fierce competition
among suppliers. Most new entrants into the industry quickly realize that
attracting customers is much more difficult than they expected and promotional
means such as advertising is expensive and produce very little result.
So how does someone enter the industry and make a go of it
without risking failure and disappointment? In my book “Simple Steps to
Building Million Dollar Cosmetic Practices” I highlighted that many companies
such as MAC Cosmetics, BMW, and Microsoft are operating in very competitive
industries and have achieved great success by outperforming their competitors. These
companies were able to achieve their incredible success by honing in on:
customer’s needs, customer relationship management, improving the quality and
expertise of their workforce, introducing innovative system and processes and guerrilla
promotion. In the book, I pointed out that very few clinics are operating
efficiently since staff members and clinic owners continue to operate as if
they are treating NHS patients. Therefore, I believe that a newcomer can enter
this industry and not only succeed but make a lot of money by developing a
strong brand identity of excellence commanding premium pricing when others are discounting
their treatments. This can be achieved by building an emotional connection with
your customers through a Relationship Marketing Strategy.
The discipline of Relationship Marketing is very complex
and therefore, I simplified the discussions by grouping the topics into five
core areas as follows: Procedure, Customer Relationship Management, Staff
Development, Systems and Processes and Promotions. There is interdependence among the different
areas and inefficiencies within each area will lead to poor financial
performance and ultimately business failure.
Procedure Offering- Most patients that you consult with
will come to you because they have a desire to improve their appearance. They may
ask for a particular procedure based on the most recent article they read, internet
research or something they heard. However, they are looking at you for advice
and they expect that you have the expertise to improve their appearance. Reacting
to a patient’s request without discussing their expectations and developing a
comprehensive treatment plan, will most likely lead to patient dissatisfaction,
jeopardising the long term profitability and strength of the business.
Unfortunately, most clinicians are not skilled in mapping
out a treatment plan since they are not trained to assess the face. Most
clinicians depend on the customer to tell them what to do. Also most medical professional are not
trained to sell solutions. They are very reactive to patient request. This is a
weakness in the market that you can capitalize on.
When I am working with a clinic, I emphasize that the
clinic sells solutions and not products and procedures. I breakdown the entire
facial aesthetic market into target groups as listed below. The objective is to
predefine the range of problems associated with each group. Identify the best
combination of treatments based on the patient’s price sensitivity and the results
wanted. The chart below is a simple example of the analysis we advocate when
selecting procedures.
Target Group |
Problems |
Patient Profile |
Procedure |
Benefit |
18-25 age group |
Poor Skin Quality
Acne/Blemishes
Possibly Thin Lips |
Quick Results
Price Sensitive |
TCA Peels
IPL
Skin Care |
Improved skin texture
Preventative |
25-35 age group |
Fine Lines
Around the eyes
Poor Skin Texture
Hyperpigmentation
Sun Damage Skin |
Price Sensitive with a budget
Quick Results
Convenience |
Botox
TCA Peels
IPL maybe
Skin Care
Sun Block
Skin Lightener to use on the
pigmented spot. |
Younger appearance
Improved Skin Quality
Repair and Preventative
Protection and Anti-Ageing
Evenness of skin tone and
suppress melanin activity. |
35-45 age group |
Skin laxity creating nasolabial grooves and deep oral
commissures
Lip is loosing its vermilion border and
volume in the meat of the lip
Vertical lip lines
Lines around the eyes
Poor Skin quality
Hyper pigmentation
Dryness |
Higher income but still on a
budget |
Sculptra
Dermal Filler
Botox
TCA Peels
Mesotherapy and Skin Care |
Sculpra to add volume in the
cheeks and lower jaw line which will lift the face and minimize the
nasolabial folds and deep oral commissures
Adds sensuality to the mouth
area and a younger appearance
Opens up the eyes and can crate
a brow-lift effect which give a younger appearance
Refined skin texture and a
younger looking skin
Nourishes the Skin |
45-55 age group |
Skin laxity around the cheek and chin area resulting in deep nasolabial
folds and deep Oral Commissures
Lip borer definition and Lip Volume loss
Redistribution of fat in the lower face
Poor Skin Texture
Dryness
Lentigines
Hyperpigmentation
Hormonal Changes |
Results
Convenience
One stop facility
Value for money |
Sculptra
Dermal Filler
Mesotherapy
TCA Peels &IPL
Mesotherapy and Skin Care with Sun Protection |
Sculptra lifts the cheeks and jaw line minimizing
nasolabial folds and deep oral commissures creating a younger looking
appearance.
Adds
sensuality to the mouth area.
Meson can be used to breakdown fat deposits on the
face
TCA in combination with mesotherapy and skin care
will improve the evenness and texture of the skin. |
55+ |
Same as above with excessive skin laxity resulting
in sagging skin |
Results
Price Sensitive |
Same as above but plastic
surgery may be necessary to improve facial appearance |
Same as above |
The chart demonstrates the following:
1) One treatment cannot provide
total improvement.
2) As one ages, you will need to
combine treatments to provide overall improvement of the face
3) The treatments for the target
group are not mutually exclusive. As one
ages, one will need more f treatments to
achieve overall improvement
4) A clinic does not have to
provide a wide range of treatments to offer complete solutions. The clinicians
needs to know how to assess the face and he/she needs to be skilled in a group
of core procedures which can be combined to improve the patient appearance at
whatever stage they are in the ageing process.
Had the clinics who provided the Isolagen treatment
conducted an target group assessment, they would have concluded that the
benefits of the Isolagen treatment was not unique and that by combining a group
of existing treatment, they would have achieved superior improvement at a
fraction of the price they charged for Isolagen. These clinics would also have
satisfied patients instead of patients who feel cheated and disappointed. Introducing
new treatments without identifying its benefits and value to the end consumer
is a sure fire way for practice failure.
Customer Relationship Management
.
Businesses will
not engage in a customer relationship strategy just to be kind to their
customers. Business that relies on
repeat business and customer life-time value know that customer relationship
management is vital to their long term revenue growth and financial success.
I hope that the
example proves my point of the importance of CRM for the medical aesthetic
clinic.
First year
financial projection for six business units may look like this.
This is a projection for a part time dentistry clinic where
the contracted nurse works two days a week treating at least 7 patients in an 8
hour session. The clinic processes at least 17 patients a week and most
patients are treated by the nurse and the remainder are treated by the dentist.
The forecasted revenue is approximately £167, 000. We spent approximately £36,
000 in promotion which included monthly seminars, targeted advertising,
referral program, promotional mail-out and loyalty programs over the year
period to generate £167, 000.
With an effective CRM strategy, the revenue should double
in year two since the strategy is focused on keeping existing customers
returning to the practice and purchasing more service. In essence, this
business should more than double its income since the first year clients will
return at least twice and purchase more procedure. The £36,000 promotional
budget will remain intact and is used to attract new patients into the practice
through seminars and targeted advertising. Year 3 revenue forecast should
increase by at least 50% with no further promotional expense.
Most practices fail to plan and never reach year one’s objectives.
Lack of planning and no strategy outline will result in failure or performance
stagnation.
Staff Management.
If you are going to run a successful and profitable
business, you need competent people to manage the business while you are
working. Staff selection is crucial. Before you hire someone for a particular
position make sure you know what skill is needed for the position. Do not hire
someone because they have prior experience working in a medical aesthetic
practice. They could have worked in a totally inefficient office, bringing no
value to your practice. Clinics loose thousands in a day due to inefficient
enquiry management and inefficient patient processing. Your staff needs
professional training in this area.
You may want to refer to my book “Simple Step to Building
Million Dollar Cosmetic Practices” for guidance on how to define roles and
interview new employees.
System and Processes
Since most medical practice fail to plan, it comes as no
surprise that they have no established system and processes for daily
management of the business. Well defined systems and processes will improve
employee efficiencies and supports the CRM strategy for customer retention.
Some of the systems that I have implemented in practices
are as follows:
Telephone Answering and Response to Common Questions
Protocol, Pre-Consultation Protocol, Consultation Protocol, Internet Response
Protocol: Follow-up Protocol, Handling Complaint Protocol etc….. Organization
and efficiency is the epitome of professionalism. Professionalism within the
entire organization will make customers choose you as their clinician. How
often do you select a disorganized company over a professional one to do
business with?
Promotion
Most clinicians who enter aesthetic medicine take a
particular course and go straight to promoting themselves through advertising
ignoring all the other aspect of business. Very rarely does this approach work
and if one continues in this fashion, promotion cost will continually rise and
(ROI) return on investment will continually decline. What types of promotion
works best. It is hard to say since one type of promotion may work for some and
not for others. The best approach is to develop your marketing plan which may
consist of the activities listed in the chart below. Evaluate the promotional
activity as shown. Do not look at response only. Track the activity to booked
procedures. Evaluate the results quarterly and shift expenditure to more
profitable activities. I am not an expert in this area but relying solely on
advertising to attract new customers into the clinic can totally wipe out your
annual budget with very little to show for it and no customers.
Promotional Analysis |
Total Cost of Activity |
Response |
Response/
Consult
Rate |
Consult/
Booked
procedures |
Average Cost /Procedure |
Advertising
Yellow
Pages
Brochures
Newspaper
Ads
Magazines
Web
Optimization
Doc
Shop
Pay
per click |
£5,000
£3000
£2000
£1800
£1,000
£600
£1000
£1500 |
100
150
200
400
100
200
400
270 |
25=25%
30=20%
50=25%
100=25%
80=80%
30=15%
10=02%
150=55% |
10=40%
15=50%
30=60%
5=5%
3=3%
10=66%
10=100%
75=50% |
£500
£200
£66.66
£360.00
£333.0
£60.0
£100
£20.00 |
Newsletters |
£2000 |
200 |
150 |
75 |
£27.00 |
Seminars |
£3000 |
200 |
100 |
50 |
£60.00 |
Referral
Program |
£4000 |
|
|
|
|
Frequent
User Program |
£1,000 |
|
|
|
|
In summary, I feel that as new medical
aesthetic suppliers enter the industry in hordes, the need for planning and
well defined strategies is a necessity to protect ones investment and ensure
ones long term survival in a very difficult and complex industry.
If you require help in defining your
strategies, our two day marketing course is designed to give you the tools to
develop a complete business plan for success. To find out more about K-T
Training and the range of technical and business courses we provide to cosmetic
clinics and doctors, call 01793 324941 or visit our websites at www.kttraining.co.uk and www.k-tsolutions.com . |