Fractional COO & Operations Consulting
Customized, long-term operations support for med spas, dermatology practices, and aesthetics clinics. From strategy to execution, we implement the systems your practice needs to run efficiently and scale.
What We Do
Fractional Chief Operating Officers are experienced executives who partner with practices at every stage of growth—part-time, with Fortune 500 expertise tailored to your goals.
Some practices need a strategic financial mind. Others need a steady operational hand for hiring, KPI tracking, or technology rollout. Many need both. Visional adapts to what your practice needs most.
We become an integrated part of your team while you maintain full ownership and creative control.
Start the ConversationWhat We Offer
Four specialized service areas designed to address the most pressing operational challenges facing aesthetics and dermatology practices today.
Ongoing executive operations leadership for med spas and aesthetics practices. Monthly retainer engagement with full strategic and operational integration.
Structured recurring support plans tailored to your practice's size, complexity, and growth stage. From basic operational oversight to full COO-level management.
Launch your aesthetics or wellness clinic with the right operational foundation. Systems, staffing, compliance, and go-to-market strategy from day one.
Insurance prior authorization management for dermatology practices. Stop losing patients to administrative bottlenecks—let us handle the process so your team can focus on care.
New ServicePreauthorization Services
Dermatology practices routinely lose patients—and revenue—because prior authorization processes are time-consuming, complex, and take clinical staff away from patient care.
Visional manages the entire preauthorization workflow on your behalf. We navigate payer requirements, submit documentation, follow up on pending auths, and handle appeals—so your front desk and clinical team can stay focused on what they do best.
Whether you need support for a high-volume service line or comprehensive coverage across your practice, our preauth team integrates seamlessly with your existing workflows.
Learn More About Preauth ServicesOur Team
Jackie brings Fortune 500 operational leadership to aesthetics and wellness practices nationwide, helping owners scale without losing what makes their practice special.
Emily is a certified Physician Assistant with deep experience navigating payer systems and insurance workflows for dermatology practices. She leads Visional's preauthorization division, ensuring practices recover lost revenue and reduce patient abandonment due to auth delays.
Client Testimonials
"Visional became a true extension of our team. Jackie understands the med spa world in a way most consultants simply don't—she's been an invaluable partner in our growth."
"We were drowning in administrative work. Within two months of working with Visional, our systems were streamlined and my team actually had time to focus on clients."
"Having fractional COO support gave us the strategic clarity to expand to a second location. I couldn't have done it without this level of operational guidance."
Insights & Resources
Operational insights, growth strategies, and industry perspectives for med spa and aesthetics practice owners.
We’re headed to the Global Aesthetics Conference in Miami Beach! We’re excited to add to our knowledge of the latest med spa operational and financial strategies, while networking with great aesthetic providers!
Read Article →## You’re Ready to Grow—But Drowning in the Day-to-Day? Owning a med spa is rewarding, but without the right systems, growth can quickly turn into chaos. From staff management to marketing to client experience—it’s easy ...
Read Article →When you’re running a growing med spa or small business, your time is too valuable to be buried in spreadsheets, reconciling transactions, or guessing at your cash flow. A skilled bookkeeper isn’t just a nice-to-have—the...
Read Article →Let us help you improve growth and profitability, whether you’re a dermatology practice, med spa, or plastic surgery practice, we have the best practice playbook.
Read Article →Leading plastic surgery practices utilize Patient Care Coordinators (PPCs) to maximize patient experience. A patient care coordinator (PCC) is a key liaison between patients, surgeons, and staff. They are responsible f...
Read Article →## The Path to Scaling Your Medical Aesthetics Practice The medical aesthetics industry is growing rapidly—but scaling a practice takes more than just increasing appointments or adding new treatments. It requires strateg...
Read Article →Struggling with med spa operations? If your schedule is packed but profits are flat—or your team feels burned out and disorganized—you’re not alone. In this blog, we break down the most common operational challenges med ...
Read Article →## Integrating Wellness into Aesthetics: Why It’s Worth It—But Not Without Challenges In 2025, the demand for holistic beauty and wellness continues to rise. Patients are no longer just looking for smoother skin or fewer...
Read Article →In the fast-growing world of aesthetics and wellness, standing out in a competitive market means more than running ads or posting on social media. The real game-changer? Building strong relationships with potential clien...
Read Article →## Laying the Groundwork for a Successful Med Spa Launch Your first year in business is make-or-break. As exciting as it is to open your med spa doors, the real challenge begins after the ribbon-cutting: building momentu...
Read Article →When revenue starts to dip or appointment books aren’t as full, most med spa and wellness owners go into survival mode — cutting costs, scaling back marketing, and trying to do more themselves. But here’s the truth: slow...
Read Article →The aesthetic and wellness industry is booming—but with rapid growth comes operational complexity. In 2025, many med spa owners are facing challenges they never anticipated: inconsistent revenue, overwhelmed staff, clunk...
Read Article →At Visional, we don’t just consult—we partner. And one of the biggest advantages our clients enjoy is that they’re not growing in a vacuum. We work with medical aesthetics practices all across the U.S., and that means ev...
Read Article →Get Started
Schedule a free consultation. We'll discuss your practice's specific needs and whether Visional is the right partner for where you want to go.
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