Episode 111: Scaling Without Shortcuts
The Discipline of Good Business

Featuring

Scott Melamed, MS, MBA

For The Record Podcast with Scott Melamed. MS, MBA

From firefighter to Fortune 500 consultant to aesthetics CEO, Scott Melamed’s career path is anything but traditional. Today, he leads ProMD Health, a 20-location powerhouse built not on investor capital, but on disciplined strategy, relentless training, and an unwavering belief that business health is inseparable from patient outcomes.

In this episode, Scott sits down with Dr. Tiphany Hall for a candid look at what it really takes to grow—and sustain—a multi-location aesthetics empire. His perspective? Aesthetics isn’t about syringes or devices, but about something far more subjective: how patients feel about themselves, filtered through the lens of their friends and community. From hiring and training to AI adoption and community giving, Scott breaks down the playbook that has made ProMD one of the most respected names in the industry.

Why You’ll Want to Tune In:

  • Hear how ProMD scaled to 20 locations without outside funding.
  • Learn why every staff member—not just injectors—shapes the patient’s perceived outcome.
  • Get an inside look at ProMD’s rigorous training process and leadership model.
  • Discover how AI is being used with purpose in hiring, product evaluation, and scheduling.
  • Understand why philanthropy and community engagement are core growth strategies.

Key Highlights from Scott:

  • The Psychology of Aesthetics: Patient outcomes are defined by perception, not just procedure.
  • Scaling Without Shortcuts: Profit discipline and capital deployment built ProMD’s growth.
  • Training for Excellence: Every new injector must pass the ultimate test—injecting Scott or his co-founder in front of the team.
  • AI with Purpose: Tools that enhance efficiency while keeping the human connection central.
  • Leadership at Scale: A C-Suite structure designed to align outcomes, operations, and growth.
  • Community as Strategy: Local and national giving as a driver of loyalty and brand strength.

What You’ll Learn:

  • Why staff-wide training is as critical as clinical expertise.
  • How to create culture and consistency across multiple locations.
  • What sustainable scaling looks like without external funding.
  • The role of AI in balancing efficiency with human care.
  • Why giving back is good business strategy, not just philanthropy.

Scott’s Industry Wake-Up Call:
“We sell a subjective opinion of the patient’s subjective opinion based on the subjective opinion of their friends.” Scott reminds us that aesthetics is about perception—and perception is shaped by every touchpoint of the patient experience. His message: businesses that train relentlessly, lead with integrity, and invest in their communities don’t just grow, they endure.

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