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September 1, 2023

The PatientNow Team
How does a single Cleveland-based med spa become a fast-growing national franchise? In this episode of True to Form, host Audrey Neff sits down with Joe Stanoszek, Founder, and Ryan Rao, Chief Development Officer of VIO Med Spa, to trace the journey from one location to a franchise of 28 locations, with many more projected to open. Their story is a window into the franchising model and what it takes to scale a med spa brand.
VIO Med Spa began as a single practice and evolved into a franchise system, a path that requires a fundamentally different mindset than running an independent location. Stanoszek and Rao describe the decision to franchise as a way to scale the brand far beyond what a single owner could achieve, bringing the concept to new markets through franchise partners.
Franchising a med spa is not simply opening more locations; it requires building a repeatable, teachable system that partners can execute consistently. The founders highlight the elements that make this possible.
For aspiring owners, a franchise offers a proven concept and a support system rather than the uncertainty of building from scratch. For the brand, franchising provides a capital-efficient way to grow rapidly by leveraging the investment and effort of franchise partners. VIO's rapid expansion demonstrates the power of this model when executed well.
Stanoszek and Rao are candid that rapid growth brings challenges, from maintaining quality and consistency across locations to supporting a growing network of franchisees. The key is building the infrastructure, systems, and team to support expansion without diluting the brand or the patient experience.
Even owners with no interest in franchising can learn from VIO's approach. The discipline of documenting operations, building a consistent brand, and proving repeatable unit economics strengthens any practice. The franchise mindset, designing a business that could be replicated, often produces a stronger single location as well.
The VIO Med Spa story is a compelling example of how a strong concept, disciplined systems, and a franchise model can transform a single practice into a fast-growing national brand.

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