From Injector to CEO: How to Build & Scale a Thriving Med Spa - Interview w/ Dr. Alex Roher

Med Spa Success Strategies

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing. If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleDr. Alex Roher, founder of SD Botox (https://sdbotox.com/), joins Ricky Shockley on the Med Spa Success Strategies Podcast to share his journey from practicing anesthesiologist to CEO of a multi-location med spa and wellness brand.In this conversation, Dr. Roher breaks down how he scaled his business from a one-room operation to multiple thriving locations across two states, covering leadership, delegation, KPIs, acquisitions, and the mindset required to grow beyond the treatment chair.In this episode, we cover:✅ The transition from provider to CEO and how to unbrand yourself to scale✅ Why med spas plateau and how to break through with leadership and delegation✅ Building strong teams and culture across multiple locations✅ Key KPIs to track: revenue per hour, Botox waste, and 4-month retention✅ When to hire a COO and how to manage admin overhead✅ Turning Botox clients into wellness clients through HRT and weight-loss programs✅ Freestanding vs. hybrid models and why separation drives success✅ Managing growth and acquisitions✅ The “halo effect” strategy: being the face without being the bottleneck✅ Balancing business growth with family, travel, and mental clarity✅ Leadership mindset: risk tolerance, reframing failure, and learning through iteration✅ How vacations and downtime can spark creativity and new ideasAbout Dr. Alex Roher of SD Botox (https://sdbotox.com/)Dr. Roher is a board-certified anesthesiologist and aesthetics entrepreneur with multiple clinics across California and Texas. Beyond injectables, he focuses on patient optimization through hormone therapy, GLP-1 weight management, and full-spectrum wellness.He also leads Aesthetic Training Academy, a hands-on injector training program designed to help medical professionals enter the aesthetics field with confidence.Follow Dr. Roher on social media:https://www.instagram.com/dralexnosebest/https://www.tiktok.com/@dralexnosebesthttps://www.linkedin.com/in/dr-alex-roher-md-27624413b/Aesthetic Training Academy: https://aesthetictrainingacademy.com/Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing