More medspa owners are embracing ultrasound as a way to elevate patient care and strengthen their clinical skills. For Dr. Gretchen, it has become a core part of scaling her multi-location aesthetic practice while keeping results consistent and patients safe.

In this episode of Aesthetic Visionaries, Dr. Gretchen joins Brittany Bureski to share how she built GFaceMD from a single rented room to three thriving locations, and why ultrasound is central to her training, procedures, and business systems. From anatomy mapping to complication management, she explains how this technology supports precision and trust.

With real examples and lessons learned from expansion, you’ll hear what it takes to grow a medspa without sacrificing culture or quality.

In this episode, you’ll learn:

• How ultrasound improves injector accuracy and confidence: Visualize anatomy, confirm placement, and manage complications with clarity.
• When to make the leap from one location to many: Use systems, trust, and mentorship to guide the process.
• Ways to bring ultrasound into your practice: Start with select procedures, then build patient awareness and adoption.

Episode chapters:

(00:00) Introduction

(02:27) From a pathology to an aesthetics career shift

(05:11) Starting GFaceMD in a nail salon

(10:11) Hiring lessons that shaped practice growth

(15:18) Why ultrasound is essential for injectors

(18:17) Building systems to scale without burnout

(22:13) Key procedures best suited for ultrasound

(24:47) Advice for medspa owners ready to expand

Experienced providers know PRP. But a growing number of providers are also adding Pure PDGF to their toolkit to help deliver results their patients can count on.

In this episode of Aesthetic Visionaries, regenerative medicine pioneer Dr. Sam Lynch and aesthetic nurse practitioner David Weir explain the science behind Platelet-Derived Growth Factor and its use in aesthetics. Backed by FDA approvals and more than 5 million treatments, PDGF offers a pharmaceutical-grade solution to stimulate collagen, reduce inflammation, and speed recovery post-procedure.

Through case studies and clinical insight, you’ll hear how practitioners are using PDGF to improve outcomes across microneedling, lasers, scalp treatments, and more.

In this episode, you’ll learn:

• Why PRP and PRF may fall short: Variability in blood quality can limit results, especially for older patients.
• How PDGF can improve healing and consistency: Get faster recovery times and more predictable outcomes without needing a blood draw.
• Ways to integrate PDGF into your practice: Pair with lasers, RF microneedling, or micro-coring to maximize results.

Episode chapters:

(00:00) Introduction

(02:37) What PDGF is and how it works

(09:03) Why PRP and PRF are inconsistent

(11:26) How ariessence delivers predictable treatment results

(16:14) Stem cell attraction and healing response

(24:58) Real-time inflammation reduction after microneedling

(28:00) Increasing hair density with PDGF microneedling

(34:35) Faster recovery from aggressive combination treatments

(40:43) PRP vs. PDGF for hair restoration

A surprise board investigation can feel like the worst-case scenario, but it doesn’t have to derail your business. With the right systems and support in place, you can protect your license, your team, and your peace of mind.

In this episode of Aesthetic Visionaries, healthcare attorney Sara Shikhman, Managing Partner at Lengea Law, breaks down what really happens during a board investigation and how medspa owners can navigate it with confidence. With over 18 years of experience and more than 1,500 cases under her belt, Sara shares the legal and operational steps that keep your practice protected.

From recognizing red flags to training your front desk team, this episode gives you a clear path forward without the fear or confusion.

In this episode, you’ll learn:

What triggers an investigation

• From anonymous complaints to compliance gaps, know what boards are looking for.

What to do when the board shows up

• Why your response matters, and how to involve your attorney the right way.

How to stay protected

• The documentation, protocols, and policies every aesthetic practice should have in place.

Episode chapters:

(00:00) Introduction

(02:04) What to do during surprise inspections

(02:51) Common triggers for board investigations

(04:05) Why lawyers come before insurance

(07:22) The risks of cutting corners with documentation

(10:11) Why experience doesn't replace compliance

(11:49) How to de-escalate patient issues early

(19:47) What not to write in patient charts

Whether you’re responding to a complaint or tightening up your operations, this episode gives you the insight and tools to stay protected, proactive, and in control.