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The Contraindication

Author: Elly Makinson

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In medical aesthetics, it’s easy to feel like you’re guessing - what actually works, what’s changing, and what no one’s saying out loud.

The Contraindication brings you the conversations most people keep behind closed doors. Real insight into the business, marketing, and culture of the UK aesthetics industry - without the fluff, and without the filter.

Whether you’re trying to grow, stand out, or simply keep up, this is where you get clarity.
23 Episodes
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Are you leaving your final quarter of the year up to chance, or are you actually steering the ship?In this episode, I break down why "being busy" isn't the same as having a plan for quarter four. With just weeks left in the year, I share my five practical, low-cost strategies to help you take control of your diary, leverage your existing database, and finish the year with a record-breaking quarter - without the usual December panic.What You’ll Discover- Data Over Drama: Why you need to run a retro on last year's performance to separate what actually drove revenue from what just felt like busywork.- The Three-Number Scoreboard: How to track demand, conversion, and revenue in a simple 10-minute weekly check-in so you can adjust your strategy before it's too late.- Honest Urgency: Why real deadlines beat fake scarcity every time, and how to use your genuine holiday capacity to get clients to take action now.Building a successful end to your year doesn't require a massive marketing budget or complicated campaigns. By looking at your real capacity and reaching out to the people who already trust you, you can turn a chaotic final quarter into a calm, profitable finish.If you want support with your clinic's specific needs, you can book a Power Hour with Elly at theaestheticsmarketer.co.uk.The Contraindication is produced by Urban Podcasts.
The aesthetics industry is having two arguments about skincare retail. Both are a waste of breath.In this episode of The Contraindication, I take on the two most circular debates in aesthetics right now: whether "medical-grade" is a real thing, and whether clinics are right to be furious that the brands they retail have gone direct-to-consumer.My argument is that neither conversation touches the actual problem. Clinic retail was built on a moat: access to actives you couldn't get anywhere else. That moat has gone. Until clinics admit it, they'll keep debating labels and blaming brands instead of fixing a retail model that no longer works.What You'll Hear:- Why the medical-grade debate never ends: it rewards both sides. Defending the phrase makes you sound authoritative, and attacking it makes you sound clinically rigorous. Neither answers the commercial question.- Why the D2C anger is aimed at the wrong target: brands going direct are reacting to the same market shift clinics are living through, and staying furious is a distraction from building something defensible.- What clinics were really selling: not the product, and not even the ingredients, but access. Consumers now buy the same actives from Boots and overseas sites.- What to build instead: sell the pathway, not the product. That means bundling skincare into treatment, charging for your diagnostic expertise, building continuity instead of transactions, and deciding which products are actually worth defending. It includes a real-world example from Wish Skin Health's system and Nuwave Clinic.If you're ready to stop defending a retail model built on a moat that no longer exists, and start building one around your clinical expertise, this one's for you.If you want support with your clinic's specific needs, you can book a Power Hour with Elly at theaestheticsmarketer.co.uk.The Contraindication is produced by Urban Podcasts.
What happens when your patients arrive at their consultation with a treatment plan already diagnosed by artificial intelligence?In this episode of The Contraindication, I explore the rising trend of patients using AI tools like ChatGPT or Claude to self-diagnose and formulate their own aesthetic treatment plans before they even book a consultation. I breaks down why this shift from "Dr. Google" to "Dr. AI" is fundamentally changing the practitioner-patient dynamic, the hidden influence of Generative Engine Optimisation (GEO), and the serious clinical governance risks involved.What You’ll Discover- The Shift from Search to Authority: Why AI-generated plans give patients a false sense of certainty compared to traditional internet research, turning consultations into negotiations rather than assessments.- The Hidden Influence of GEO: How Generative Engine Optimisation is quietly shaping the recommendations AI gives to patients, favouring brands that invest in visibility over clinical superiority.- Protecting Your Practice and Patients: Three practical steps to adapt your consultation process, including how to effectively dislodge an AI-anchored plan and document your clinical reasoning to satisfy the Montgomery standard.When a patient walks in with a plan they already trust, your role as a clinician is challenged. By adjusting the first five minutes of your consultation to ask before you correct, visibly demonstrate your physical assessment, and document the deviations from their expected plan, you can reclaim your clinical authority and ensure true informed consent.If you need more support or want to dive deeper into your clinic's specific needs, you can book a Power Hour with Elly at theaestheticsmarketer.co.uk.The Contraindication is produced by Urban Podcasts.
Are you letting valuable leads and rebookings silently leak out of your aesthetic clinic?In this final episode of our AI mini-series, I tie everything together by exploring the hidden system gaps that cost clinics money. From missed social media enquiries to forgotten follow-ups, I share how AI can act as the connective tissue between your disconnected tools - allowing you to automate operations without losing the essential human touch in your clinical care.What You’ll Discover- Plugging the Social Media Gap: How AI agents can instantly respond to out-of-hours Instagram and WhatsApp enquiries, keeping leads warm until a human can take over.- Maximising Patient Retention: Why automated, treatment-specific follow-up sequences are the most effective way to boost your bottom line and keep clients within a cycle of care.- The Golden Rule of AI in Aesthetics: Why you should stop using AI for creative, patient-facing content and start using it to streamline your behind-the-scenes operations and compliance.Building a successful aesthetic clinic requires clinical authority, personality, and trust - things AI simply cannot replicate. By shifting your focus from using AI as a content creator to using it as an operational backbone, you can free up your time to focus on what truly matters: your patients.If you need more support or want to dive deeper into your clinic's specific needs, you can book a Power Hour with Elly at theaestheticsmarketer.co.uk.The Contraindication is produced by Urban Podcasts.
Are you making crucial financial decisions for your aesthetic clinic using data that is already out of date?In this episode of The Contraindication, I share why relying on a monthly or quarterly P&L statement is like driving by looking in the rearview mirror. We dive into how clinic owners can shift from conducting a financial "post-mortem" to using real-time data and AI to spot operational bottlenecks, forecast revenue gaps, and track practitioner productivity before it impacts the bottom line.What You’ll Discover- Real-Time Financial Visibility: Why waiting four to six weeks for your accountant to process the numbers leaves you reacting to embedded problems rather than seizing current opportunities.- AI-Driven Variance Analysis and Forecasting: How automated weekly reports can flag underperforming treatments, thinning booking diaries, and refund clusters before they become reputation issues.- Provider Productivity Tracking: Using live data to monitor rebooking rates and average transaction values across multi-practitioner or multi-location clinics without it feeling like a surveillance tool.Your P&L will always be a history lesson, but the inputs that drive it are happening right now. By building a financial infrastructure around live signals, you can make faster, sharper decisions that keep your clinic ahead of the competition.If you need more support or want to dive deeper into your clinic's specific needs, you can book a Power Hour with Elly at theaestheticsmarketer.co.uk.The Contraindication is produced by Urban Podcasts.
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