Latest / The Dr. Randi Show / The Power Moves Coming to Med Spas — Alex Thiersch

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The Power Moves Coming to Med Spas — Alex Thiersch · The Dr. Randi Show

• 0:03
  The views expressed in this podcast are for informational
• 0:06
  purposes only and do not constitute medical advice.
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  This episode of the Doctor Randy Show is proudly sponsored by New
• 0:13
  Beauty, the ultimate authority in beauty and aesthetics.
• 0:16
  Whether you're looking for the latest innovations, expert
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  insights or trusted recommendations, New Beauty is
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  your go to source. Visit newbeauty.com to stay
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  ahead of the trends and discover what's next in beauty.
• 0:28
  Now let's get into the episode. Hello everyone and welcome to
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  the Doctor Randy show. Our guest today is the CEO of
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  Amspa and we're so excited to have him here today.
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  Alex Tears. Welcome to the show.
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  We can't wait to hear everything that AMSPA is up to.
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  We are seeing posts all over social media of what is
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  happening for the rest of 2025. Welcome to the show, Alex.
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  Well, thank you, Doctor Randy, for having me.
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  Really appreciate it. I'm grateful to be here and
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  congratulations on the new podcast and everything you've
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  been working on. It looks awesome.
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  I'm super excited. Thank you.
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  Thank you. Well, first of all,
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  congratulations on what you were able to do with the legislation
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  in Texas. We all banded together to go
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  against what was going on there. It was wonderful what you did.
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  I was saying that I saw what you did in court.
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  It was so impressive. And you know how you're
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  representing the industry, fighting for the industry.
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  I really heard what you said. It wasn't about loosening up and
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  not caring and not protecting the industry.
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  It was just making sure that the protections and the governors
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  that are put on there are put on in the right way, right?
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  And so congratulations on that. I'd love for you to speak on it
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  for a minute. Thank you.
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  I appreciate that. It certainly wasn't only us.
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  There are tons of folks who were involved.
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  The legislation that was proposed in Texas was a result
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  of a lady who died in a Med spa after receiving an IV treatment.
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  And that's just, I mean, it can't be denied that that is a
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  terrible thing that should never have happened.
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  And that was, you know, we obviously we never want to see
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  anything like that happen and we don't want to see legislation
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  get introduced that had the negative impact that the
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  legislation would have had in its original form.
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  But at the same time, it was kind of a wake up call for the
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  industry. And I was in some ways grateful
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  that we were able to ring the bell and let people know that
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  this this is something that needs to change.
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  The legislators who were involved in the process were
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  very gracious and they listened to us.
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  And I think that the testimony that you saw and from others,
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  they changed the bill a little bit.
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  So it was much more reflective of what needed to be done.
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  There was a tense couple moments there where it looked like they
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  were going to try to pass something in Texas that really
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  would have crippled the medical spa industry in that state.
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  And as the state of Texas goes, a lot of other states go.
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  So it was, you know, we, like many others, just felt like
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  we've got to get down there and do what we can.
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  A lot of support from folks. So it really was a team effort.
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  The whole industry came together.
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  We're very happy with the result though.
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  That's great. Congratulations and thanks for
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  all you did and continue to do our industry.
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  On that note, I know that AMSPA is constantly working to make
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  sure that all things with Med spas are above board compliant
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  and helping make sure that the Med spas across the country,
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  which has become a lot of the mainstream providers of the
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  aesthetic treatments, right? And I know that across the
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  country, you're making sure that in each state, each Med spa
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  understands what they need to do to stay compliant.
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  You even have injector training now.
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  I think that what you're doing is changing the industry, and
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  that's why I'm so excited to be a part of it, because I think
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  that what you're doing is making the industry better.
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  It's keeping things in line and making sure that we're all on
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  track, right? So talk to me a little bit about
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  your dedication to that. Well, it's interesting because
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  first of all, I never in a million years thought that this
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  is what I would be doing with my life as a recovering lawyer, as
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  I call myself. I didn't think I would be
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  involved in advocacy for medical aesthetics, but here I am now.
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  As things happen, you know, you kind of go with the flow a
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  little bit. But I think what's interesting
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  about this industry is that the all of the rules and the
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  regulations are kind of there already.
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  They're in place. But for whatever reason, this
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  industry has grown up a little bit in the shadows, and there's
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  been a segment of it, I call it the underbelly of the industry
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  that operates without any oversight or any regulation at
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  all. And there's very little, if any
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  enforcement. There's very little, if any
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  mechanism to get them to do things right.
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  There's no real standard that folks can turn to to say, OK,
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  they're doing the right thing or they're doing the wrong thing
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  because the regulations in the laws are very confusing and hard
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  to look at. So it's really a difficult
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  industry to navigate when you're looking at it from the outside.
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  But the problem is that because you have all of that confusion
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  with the regulations in the different state laws combined
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  with a needed and desired product with insane demand,
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  right? The technology and the
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  techniques have developed that allow people to feel better
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  about themselves, to fix things that they've been self-conscious
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  about for their entire lives, to make them feel, you know,
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  courageous and emboldened. It like that's not going to go
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  away. And that demand is only
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  increasing and people are making money off of it, right?
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  So you've got money and success, and you have providers who are
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  fulfilled in their careers. They're doing things that they
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  love. This influx of people and money
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  and patients and providers into the industry and it all kind of
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  happened at the same time in a way where it got away from us a
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  little bit. I think if we were all being
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  honest, we kind of got over our skis a little bit.
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  And right now I didn't think we would be this involved in
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  advocacy side for a couple years.
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  But what happened in Texas, which is a very big state, maybe
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  the most important state when it comes to where the industry is
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  going to go in terms of regulation, because there is
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  this law that was introduced that would have been very
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  detrimental to the industry. That's kind of like, OK, the
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  time is now, We don't have time to wait.
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  We have to get together as an industry this year immediately.
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  And we are uniquely positioned, whether we want to or not as
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  Amspot, to be kind of in the middle of it to be able to
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  hopefully get folks to coalesce around us from the industry
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  side, the bigger Med spas, the smaller Med spas.
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  And that's what we're really seeking to do, to bring
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  everybody together so we can have a unified voice.
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  Well, you've done an amazing job and you're changing the game,
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  you're changing the industry, and I think it's exactly what
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  the industry needs. So keep it going.
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  We love it. We're trying and you're going to
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  help us, so we're excited for that too.
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  Absolutely. So what would you say are the
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  top 3 initiatives for AMSPA for the rest of 2025?
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  Well, really. So the first one is probably
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  what I just mentioned, which is, yeah.
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  And we've been doing this kind of our entire existence, which
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  is really trying to consolidate and bring the industry together
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  so that they realize that we need to act as one and we need
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  to act as one immediately. And that's not kind of not
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  necessarily a specific initiative, but the other things
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  that we're doing, which I'll describe in a second, all lend
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  themselves towards that. Because as I say this almost
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  every day when I'm speaking to folks, if the medical aesthetics
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  and meds by industry, if we don't get our own house in order
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  and provide the public and the regulators and the state medical
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  boards and nursing boards with the confidence that we can
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  operate without having some of these things happening that are
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  happening DC on the news, then others are going to do it for
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  us. And we're probably not going to
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  like the results that we get when they do it.
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  So we have to be steadfast in our commitment to patient safety
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  and we have to do it together and patient safety has to always
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  come first and be first and foremost above that.
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  The good news is that the reception when we've been
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  talking about this at the Medical Spa show last month as
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  well as recently, the response from all of the bigger brands,
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  the bigger Med spa chains, as well as industry from big pharma
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  to energy devices has overwhelmingly been positive.
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  Everyone's very excited and agrees that we need to do this.
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  So along those lines, there's a few things that we're working
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  on. One is an injector credential
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  which we're doing through AIA, which is the Academy for
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  Injection Anatomy, which is run by a friend and partner of mine,
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  Doctor Chris Zurich, who's a board certified plastic surgeon.
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  I like to call him a world famous anatomist because he
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  lives and breathe anatomy of the face and has written textbooks
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  on it. And he's developed a curriculum
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  that essentially teaches and tests someone's ability to be a
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  safe, competent injector that knows how to inject someone's
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  face in a safe manner and handle complications and adverse
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  effects that might arise, which is really what we're trying to
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  do. That's the most important thing
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  is, you know, experience will make you a really good expert
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  injector. But at the minimum, we want
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  everyone to be safe. We don't want patients to be
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  injured. We don't want to have these
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  massive injuries where people are having whether it's
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  occlusions or blindness, God forbid or something like that
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  happens. We need to have a consistent
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  minimum standard. And so we're rolling that out
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  later this year. And our goal is to work with the
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  rest of the industry and the rest of the Med spas around the
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  country that to be kind of the accepted standard.
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  Obviously, we all have to agree on it.
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  So it's something that's going to be a very difficult long
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  process. And then along with that same
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  kind of version, but a different take is we're starting different
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  councils, which are membership levels that will help us along
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  these lines, determine what these different standards and
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  what these different approaches will be so that our national
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  advocacy program can be supported and can be unified.
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  So for instance, we'll have a medical spa council, which will
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  bring on some of the largest Med spa brands as well as some
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  smaller brands that will meet with us, meet with each other,
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  meet with industry. We can talk about, OK, what are
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  the legislative issues that are coming up?
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  What should our position be? What should the standards be?
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  What should we be talking about with our members?
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  We have state chapters that will send representatives that can
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  tell us what their states are talking about.
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  We'll have an industry council where the industry plays a big
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  role in this too as far as training and all sorts of
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  things. What are they talking about?
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  What are their needs? What are their their desires?
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  Everyone together. So that one thing I do know, if
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  we are all together, this industry together, when you
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  think of pharma, energy, device manufacturers, big Med spa
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  chains, all the smaller Med spas which make up 90% of the
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  industry, we together are unstoppable.
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  And that's the key. We've got to come at this
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  together. So that's really what those
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  initiatives make up the bigger goal for the year.
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  Sure sounds like a busy year so. Just a few things.
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  Yeah. It's, well, it's going to be an
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  ongoing project, there's no question.
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  Yeah. Well, you're making the industry
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  a better place. So while I have you talking
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  about exciting initiatives and you have something on the
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  agenda, an event that is upcoming.
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  Your events are epic. Everybody in the industry knows
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  about them. Medical Spa Show has the most
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  amazing reputation in the industry.
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  But you have another event coming, the Women in Aesthetics
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  Leadership Conference in October.
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  I'd love for you to talk about it.
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  So excited that you have your keynote speakers, the founder of
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  IT Cosmetics. This is not only just energizing
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  and informative educational event, but it's a luxurious
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  event, right? Like every stop has been pulled
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  out and you are really making this conference about the next
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  level for women in leadership. So I'd love to hear.
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  Yeah, it appreciates you saying. I mean, you said it better than
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  I could and I have to give tremendous kudos to my entire
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  team, Kathy Christensen, who kind of thought this up and my
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  whole team from Karen Marketing, Mary who runs our events and
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  Natalie who does a lot of our vendor support.
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  Like they are the ones who really came up with the idea.
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  This was Kathy's brainchild. We did it two years ago and it
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  was a great success and we've tweaked it a little bit.
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  But the idea of this conference is, I mean, aesthetics and
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  medical spas is a very unique industry for a lot of reasons.
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  But the one thing that I think should be celebrated more is I
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  don't know of any other industry that is so thoroughly dominated
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  by women. As far as the entrepreneurs, the
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  founders, when you look at across the board, when we were
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  doing our study, we arrived at 70 to 75% of businesses in
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  aesthetics are owned by women. And then when you look at even
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  CE OS of some of the companies that are working with Med spa,
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  so some of the energy device companies, most of those are
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  also run by women. And so it, it really is a unique
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  business when you also then add in that 90% of the patients who
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  frequent Med spas are women. So you have an entire industry
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  that has grown up and been dominated and run by women and
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  is creating these incredibly successful multi $1,000,000 soon
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  to be billion dollar brands that have been 100% created,
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  supported, built, invested in and developed by women.
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  And so the, the vision for this was why not create some sort of
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  a retreat, some sort of a conference where women can talk
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  to one another and can share with one another successful
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  women who are all in the same boats, who are running very
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  difficult successful businesses, who are juggling all the things
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  in life that only women can relate to.
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  Children, right? Dealing with stupid guys like
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  myself and all the men in business, husbands, whatever it
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  might be, all of those things, how do you do it and how do you
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  become fulfilled? And what is it that makes
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  somebody happy and successful, not just in terms of dollars and
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  cents, but in terms of success? What does that mean?
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  And so it's really meant to be much more of a retreat where you
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  get to connect and learn about how to be successful, not just
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  in aesthetics, Of course, there's some business training
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  and things like that. But mainly we wanted to be much
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  more about development, growth and connection with others.
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  Where you really get to connect with really, really powerful,
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  cool people who happen to be women in an incredible resort,
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  Terra Neya in California, which for those of you who have been
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  there or seen it in one of the most spectacular places in the
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  world. And we've taken care of
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  everything. All you got to do is get there
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  and from the moment you land, we pick you up, drop you off, and
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  everything is taking care of soup to nuts and you get to meet
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  some incredible people, some incredible speakers.
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  I'm really excited for this. I can't wait to see it.
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  It's one of these things you almost have to be there,
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  experience it in order to see it.
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  And I'm just kind of watching from the background.
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  I'm not even really allowed on the grounds.
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  But I'm. Really looking forward to it.
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  It's women only. It's not, you know, but it is
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  certainly made for women. Jamie Carlina Lima, who is the
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  speaker, is amazing. She builds up cosmetics. 2 years
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  ago we had the founder of Spanx lately.
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  Sat down and talked for an hour, then mingled and answered
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  questions. I found myself just listening to
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  her and a few other CE OS and owners of some of these Med
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  spas, the levels and the things they were talking about.
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  You learn so much just by sitting there and listening.
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  Jamie Carlina. Carlina has built an incredible
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  business and we also have other incredible speakers coming, so I
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  really encourage folks to check it out.
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  The website isexperiencewalk.com and we've got a bunch of stuff
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  on there. Well, you just gave the info.
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  I was just going to ask you, how can people find out more other
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  than looking at all of our social media posts?
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  The first time I saw the video of what went on there, I was
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  like, wow, this is like something you see in a Netflix
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  series. It's.
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  Not a bad idea. We should call Netflix because
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  the last time we did it in South Beach in Miami at the one hotel
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  that was great because everybody had a really good time.
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  It was like a car accident with Ferraris and Lamborghinis, Rolls
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  Royces. Everyone was so excited and
• 17:13
  happy to be around this time. The destination is just as nice,
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  if not nicer, but it's much more contained that you can't go out
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  to under the club. There's a reason for that.
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  We have all sorts of activities, all sorts of things to do.
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  It's going to be a really cool weekend.
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  I encourage folks to check it out.
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  OK. Well, we are excited and can't
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  wait to see more about it. So on that note, we will wrap up
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  about walk. But anything else that you want
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  to share about what's coming for AMSPA this year or exciting some
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  kind of secret initiatives that are going on?
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  God, you're making me think I've forgotten something.
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  That's OK, a lot. You've got litigation, you've
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  got train, you've got compliance and we're creating this council
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  and doing walk. I think that's a lot.
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  It is, and something tells me that behind the scenes, you're
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  also already prepping for next year's Med Spot show.
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  Oh, wait, Randy, we're waiting for your speaker submission.
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  You've never actually been to medical Spot Show.
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  You were supposed to come this year.
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  Your injury, you could not. We just opened speaker
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  submission. So if any of you want to, first
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  of all, medical spashow.com, it's all about medical spas all
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  day. It's our big event in Vegas, but
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  if anyone wants to present, we're accepting presentations.
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  We're really excited for next year.
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  Big thing this year is this is a really important time for
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  medical aesthetics. I can't stress enough how
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  crucial it is to be involved, whether it's with us or with
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  other organizations, but you really need to stay engaged and
• 18:52
  focus because there are things that are happening.
• 18:54
  If you heard me talking about Texas, if you don't know what
• 18:57
  I'm talking about or what Randy's talking about, we have
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  some information on our website. You can find out about it.
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  That whole series of events that occurred over the course of a
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  couple months and it's still actually not over yet, we're
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  still dealing with it is a microcosm of kind of what this
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  industry is up against. Some real challenges, some
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  existential threats is what I like to say.
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  If some of these bills are to get passed in any state, it
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  really cripples what we can do and they're not done for the
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  right reasons. So more than anything, just be
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  engaged. This is a very important time
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  and that's really what we're focused on, getting everyone
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  together. Sorry, we've got you on our
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  team. Thank you.
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  Great to be a part of it and amazing getting to know the
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  whole team. I feel very passionate about
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  everything we're doing for the industry.
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  Excited for the next step. Thank you so much Alex for
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  joining us today. We'd love to have you back on a
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  regular basis to keep us in touch with what's happening in
• 19:54
  the industry. So what we're going to do now is
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  take you to our speed round where we're going to wrap up
• 19:59
  this episode. But thank you so much for
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  joining us. We can't wait to have you back
• 20:03
  and maybe after walk and see how things went and love to talk
• 20:06
  about it. Nervous about the speed round I
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  was practicing last night. I was having my wife fire random
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  questions at me. Trying to figure out what you're
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  going to ask. Well, we're ready.
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  All right. Thank you so much, Alex, and
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  thank. You for having me, I appreciate
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  it. All right everybody, we are back
• 20:27
  with the Doctor Randy show and today we have our special guest
• 20:30
  Alex Tears. We are going to take Alex
• 20:32
  through the CEO speed round. What does that mean?
• 20:35
  We're going to get to know Alex in under 5 minutes and all of
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  his quirks that have to do with being ACEO.
• 20:42
  So Alex, Are you ready for me to fire away some rapid fire
• 20:45
  questions about being ACEO? But.
• 20:48
  I promise getting to know my quirks will take longer than 5
• 20:51
  minutes. You could do a whole 4 hour
• 20:54
  episode on that. Oh, we're excited to get
• 20:57
  started. OK, ready.
• 20:59
  Yes, I am. Books or podcasts?
• 21:03
  Can I say both? Sure.
• 21:05
  I do both. ChatGPT in or out?
• 21:08
  In ish. OK.
• 21:11
  And I'm scared of it though. Doesn't take over the world, but
• 21:13
  I'm in. Morning person or night owl?
• 21:17
  Morning. Remote work in or out.
• 21:20
  I support. It I like being at home.
• 21:24
  LinkedIn or Instagram? Oh gosh, it depends.
• 21:28
  It's professional or personal. I'm more on Instagram more than
• 21:32
  LinkedIn. But I do like LinkedIn,
• 21:33
  Instagram. I'll go with Instagram.
• 21:36
  All right, Inbox 0 or inbox chaos?
• 21:40
  Oh God, yeah. Inbox.
• 21:42
  I'll tell you right now, it's probably 100,000.
• 21:45
  I mean, it's something insane. I'm right there.
• 21:47
  With it's 6000, so yeah. Coffee or tea?
• 21:51
  Coffee. Strategy session, early morning
• 21:54
  or late night. Early morning for sure.
• 21:56
  Risk taking calculated or bold? Bold.
• 22:01
  All right. OK, I'm going to assume your
• 22:03
  answer to the next one. Office Pets yes or no?
• 22:07
  Oh, required. I love it.
• 22:10
  Required. Yeah, I'm not allowed if you
• 22:12
  don't have an office. Like do you mind telling the
• 22:15
  listeners how many you have? We have 5 dogs and three cats
• 22:21
  right now, which is actually the lowest number we've had.
• 22:23
  And you're rescuing animals, right?
• 22:25
  Yeah, unfortunately or fortunately, we are.
• 22:28
  My wife is going to pick up a blind foster dog tomorrow.
• 22:34
  I love it. I love what you do for the.
• 22:36
  Animals. We'll have to see how that.
• 22:38
  Goes I always get to hear them in the background when we're
• 22:40
  talking. They love you and that you make
• 22:43
  the world a better place. It's tough, but we need more
• 22:45
  foster, so anyone who wants to foster a dog let me know.
• 22:48
  OK, I love that. So definitely yes to office
• 22:51
  pets. Four day work week, Dream or
• 22:54
  disaster? I would say it's a dream if and
• 23:02
  only if the entire world dreams it together, because we got to
• 23:07
  be on the same page of that. Can't be the only one with the
• 23:09
  four day work week. That's right.
• 23:10
  That's right. OK, e-mail Free Fridays.
• 23:13
  Genius or chaos? I'm going to go genius on that
• 23:17
  one. I got to say, just for the
• 23:19
  record, I for years have been trying to block my Fridays out
• 23:22
  to have nothing or Mondays and Fridays where I have nothing so
• 23:26
  I can just work on the business. And I still have not figured out
• 23:29
  how to do that because I still end up so e-mail free Fridays.
• 23:32
  All right, that's good. I like it, yes.
• 23:34
  All right, team building exercises effective or awkward?
• 23:39
  Awkward, but effective. Decisions, gut instinct or
• 23:43
  data-driven? Data-driven phone.
• 23:46
  Calls or text messages. Text messages for sure.
• 23:50
  Delegation easy or difficult? Very difficult.
• 23:54
  Time blocking or what the flow? Gosh, I wish I could time block.
• 24:00
  I wish I could do that, but I'm much more of a go with the flow.
• 24:03
  Are you a time blocker? No, I wish I were.
• 24:06
  Oh man, my wife does that. She's efficient.
• 24:09
  All right, hiring culture fit or skill fit?
• 24:13
  Culture fit first for us. Agreed.
• 24:17
  Travel for business, Energizing or exhausting?
• 24:21
  Energizing when you're young. Every year I get older, it's
• 24:25
  more exhausting. Yes, inbox replies immediate or
• 24:30
  end of day. I'm just going to say maybe
• 24:33
  we'll reply. I've got 6000 in there.
• 24:36
  Mine are usually I shoot mine out at like 3:00 in the morning
• 24:39
  so people think I'm. Not I've noticed you are not
• 24:41
  immediate in your inbox replies. No, I'm late in the evening
• 24:45
  person. But you are immediate in your
• 24:46
  texting. That's where you make it up.
• 24:48
  So I'm like neither. I just go radio silent.
• 24:53
  But once you know a person and you get to know their habits,
• 24:55
  then you know it's not personal when they can.
• 24:58
  OK work trips, window seat or aisle seat?
• 25:02
  Depends on how long I go aisle because I got to get up and go
• 25:05
  to you know, but usually I prefer window.
• 25:08
  OK. And last but not least, legacy.
• 25:11
  Build a brand or build a culture now.
• 25:14
  That's a really good question, Randy, because I'm not sure
• 25:19
  they're mutually exclusive. In order to build a brand, you
• 25:24
  have to build a culture, right? So I think I would say build a
• 25:29
  culture that has to come first and then brand will fall out of
• 25:33
  that. OK, perfect.
• 25:35
  Well, thank you for joining us on our speed round and we got to
• 25:38
  know you a little bit more, so we appreciate it.
• 25:41
  I wait first. Randy, are you books or podcasts
• 25:43
  yourself? Podcast, I can tell.
• 25:46
  Yeah. Well, thank you so much for this
• 25:47
  was fun. Well, I would love to do this
• 25:49
  again. So look forward to talking
• 25:50
  further and we look forward to the future and we got a lot of
• 25:53
  good things to come. OK.
• 25:54
  Absolutely. Thanks, Alex.
• 25:56
  Thank you, Doodles. Doctor Randy Boyett holds a PhD
• 26:01
  and is a recognized leader in the aesthetics and medical
• 26:03
  industry. She is not a licensed medical
• 26:06
  doctor. All commentary and product
• 26:08
  recommendations are based on industry expertise and are
• 26:11
  provided for informational purposes only.