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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:

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Catherine Maley, MBA:

Everybody that's going to wrap it up for us today on Beauty and the Biz.

If you have any questions or feedback for me, you can go ahead and leave them at my website at www.CatherineMaley.com, or you can certainly DM me on Instagram @CatherineMaleyMBA.

If you've enjoyed this episode on Beauty and the Biz, please head over to Apple Podcasts and give me a review and subscribe to Beauty and the Biz so, you don't miss any episodes. And of course, please share this with your staff and colleagues.

And we will talk to you again soon. Take care.

"The fastest way to success is to model other successful surgeons who have what you want, but you can only see their results, not the path they took to get there.

So, you continue to jump from one thing to another, hoping to find something that will work for you too, but it rarely does. So, try this shortcut instead. It's guaranteed to move you forward. I compiled my intellectual property to grow cosmetic revenues, everything I've gleaned over the years into one playbook of the most successful practices and what they do to win.

Go to www.CosmeticPracticeVault.com and let's grow your cosmetic revenue."

Visit Dr. Franco's website

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Built a Multi-Location Practice Without Losing Control — Johnny Franco, MD (Ep. 349)