Clicks don't pay your bills, and vanity metrics don't build profit. In this episode, Leisa slices through the hype, the jargon, and the excuses to get honest about where marketing dollars actually go to die in medical aesthetics. She covers the red flags every clinic owner should watch for when vetting an agency, why the "just give it 90 days" line deserves a serious side-eye, and the 2026 marketing reality check that most practices aren't ready for.In the members-only portion, Leisa goes deep on the business-to-business referral framework that quietly outperforms flashy ad funnels, names the specific partnership categories winning in 2026, and delivers the hard truth about why no agency can save a practice that hasn't fixed its own systems first. If you're spending money on marketing of any kind, the Inner Circle deep dive could save you tens of thousands.Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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