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Gregory D. Lewen, MD, played the long game most surgeons don't play to organically transition from reconstruction to cosmetic surgery.

Indeed, 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.

The Long Game Most Surgeons Don't Play

Overall, the quiet decisions that lead to real leverage over time.

Typically, most surgeons don't wake up and suddenly decide to go solo. Instead, the shift usually happens gradually. Often, it follows years of watching how different systems actually work.

In this week's "Beauty and the Biz" episode, I spoke with Dr. Gregory Lewen. Specifically, he is a board-certified oculoplastic surgeon in Aventura, Florida. Notably, he followed a deliberate path into private practice.

Before opening his own office, Dr. Lewen trained in two distinct environments:

First, a university setting focused on functional care
Second, a private practice centered on cash medicine

Consequently, that dual exposure shaped his strategy.

Rather than chase volume or quick wins, he built a boutique, concierge-style practice. Instead, the foundation includes:

Specifically, careful business planning
Additionally, strategic location selection in a high-end market
Gradually, a move away from insurance
Consistently, a focus on service and trust

Notably, one insight stood out:

"Something changes when you put your ideas on paper. It becomes real — and there's no turning back."

Additionally, we discuss:

Importantly, why independence often matters more than speed
Likewise, how early decisions protect long-term leverage
Finally, the risks of growing too quickly

Overall, this is a practical conversation. Ultimately, it focuses on building a sustainable surgical practice.

P.S. Overall, growth rarely comes from doing more. Instead, it often comes from refining what already works. Additionally, if you'd like help identifying that leverage in your practice, you can request a Practice Growth Review here.

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. Lewen's website

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