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May 18, 2023

The PatientNow Team
In this episode of True to Form, host Audrey Neff sits down with Josh Iffla, Managing Partner and Owner of L-Aesthetics and Longevity, to unpack his journey from corporate America into aesthetic medicine and the data-driven discipline he brought with him. Iffla reveals the key performance indicators every practice should track daily, strategies to increase revenue per appointment, and the role skincare plays in a healthy practice.
Iffla's background outside of medicine shapes his rigorous, metrics-focused approach to running a practice. Bringing the discipline of the corporate world into aesthetics, he treats the business with the same attention to numbers and accountability that drives performance in any high-functioning company. That perspective is the foundation of the entire conversation.
At the heart of the episode is Iffla's conviction that you cannot improve what you do not measure. He outlines the critical key performance indicators practices should be tracking on a daily basis to understand the health of the business and spot problems early.
One of Iffla's most practical themes is maximizing the value of every appointment. Rather than simply increasing patient volume, he focuses on serving each patient more completely, ensuring they understand the full range of treatments that could help them reach their goals. Done well, this raises revenue while genuinely improving outcomes, because patients receive a more comprehensive plan rather than a single isolated treatment.
Iffla reframes sales not as pressure but as education. When providers and staff are equipped to explain options clearly and build value around long-term treatment plans, patients make better-informed decisions and the practice grows. The skill is in consultative selling: understanding the patient's goals and recommending the right path to achieve them.
Skincare features prominently in Iffla's strategy. A strong skincare offering supports treatment results, gives patients a reason to return regularly, and creates a recurring revenue stream that complements higher-ticket procedures. Iffla points out just how meaningful retail can be: a practice doing several hundred thousand dollars in skincare can generate substantial profit, especially given vendor incentive programs that improve margins as purchase volume grows. His reasoning is pragmatic: patients are going to buy skincare and supplements somewhere, so a practice should offer what it genuinely believes is best and capture its share of that spend.
Iffla cautions against carrying an entire product line just for the sake of breadth. His advice is to pare down to the best of the best from each category, offering a curated selection that providers can confidently recommend. A focused, high-quality retail offering is easier to sell, easier to manage, and more profitable than an overwhelming shelf of options.
Beyond the revenue, skincare deepens loyalty by reinforcing the practice's role as a trusted partner in the patient's long-term skin health. When skincare recommendations flow naturally from the treatments a patient receives, retail becomes an extension of care rather than a separate sales pitch, strengthening both outcomes and the relationship.
Iffla's corporate-honed, data-driven mindset offers a clear blueprint: measure relentlessly, maximize the value of every appointment through consultative education, and use skincare to deepen patient relationships and stabilize revenue.

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