Episode 111: Scaling Without Shortcuts: The Discipline of Good Business with Scott Melamed, MS, MBA
Description
From firefighter to Fortune 500 consultant to aesthetics CEO, Scott Melamed’s career path is anything but traditional. Today, he leads ProMD Health, a 20-location powerhouse built not on investor capital, but on disciplined strategy, relentless training, and an unwavering belief that business health is inseparable from patient outcomes.
In this episode, Scott sits down with Dr. Tiphany Hall for a candid look at what it really takes to grow — and sustain — a multi-location aesthetics empire. He shares why he believes aesthetics isn’t about syringes or devices, but about something far more subjective: how patients feel about themselves, filtered through the lens of their friends and community. From hiring and training to AI adoption and community giving, Scott breaks down the playbook that has made ProMD one of the most respected names in the industry.
What You’ll Learn in This Episode
- The psychology of aesthetics: Why every staff member — not just injectors — shapes the patient’s perceived outcome.
- Scaling without shortcuts: How Scott built ProMD into 20 locations without outside funding, relying on profit discipline and smart deployment of capital.
- Training for excellence: The rigorous onboarding process where every new injector faces the ultimate test — injecting Scott or his co-founder, George, with the entire team watching.
- AI with purpose: How ProMD uses AI to detect staff issues, evaluate new products, and streamline scheduling — all while freeing humans to focus on connection.
- Leadership at scale: The C-Suite structure that keeps operations, outcomes, and growth aligned across a growing enterprise.
- Community as strategy: Why giving back locally and nationally isn’t just philanthropy, but a business advantage that builds long-term loyalty.
Memorable Moments
“We sell a subjective opinion of the patient’s subjective opinion based on the subjective opinion of their friends.”
Every single person in the practice is part of the treatment modality — from front desk to checkout.
“Good business allows us to deploy capital to training, community, and patient experience instead of making hard choices about cutting corners.”
“You don’t rise to the level of the crisis. You fall to the level of your training.”
Who Should Listen
Whether you’re a solo injector thinking about your next step, a practice manager trying to create consistency, or a multi-location owner balancing culture with scale, this episode delivers a roadmap for sustainable growth. Scott’s insights will challenge you to rethink how you view outcomes, patient experience, and leadership — and how they all intersect to drive business success.
Connect with Scott Melamed
Instagram: @melmedofficial | @promdhealth
LinkedIn: https://www.linkedin.com/in/scott-melamed-31484524/
Website: https://promdhealth.com/
Email: scott@promdhealth.com
👉 Don’t miss Scott live at Aesthetic Next 7.0, where he’ll share more strategies on building scalable, sustainable aesthetics businesses.