What We’re About

Aesthetx is a specialized plastic surgery and dermatology practice serving Bay Area clientele from Silicon Valley to Marin—and we’re not your typical clinic. We’ve built something different: a team of highly trained experts who are obsessed with outcomes, grounded in science, and deeply committed to the patient experience. Every treatment, every touchpoint, every hire is held to that standard. With three established locations, a fourth and fifth in active development, and a clear growth plan mapped out, Aesthetx is entering its next phase of growth—and needs a hands-on operational leader to execute it. Our vision: To set the standard for aesthetic medicine where scientific innovation, collaborative care, and outcomes defi ne exceptional, personalized patient care.

We hire people who take their craft seriously—clinicians, operators, and leaders who want to be part of building something exceptional. If you’re motivated by working alongside top-tier providers, solving real operational problems, and being part of a practice where the bar is always rising, you’ll find your people here.

What Drives Us:

• High-Touch Collaboration: We succeed together. Across sites, departments, and disciplines—no siloes, no egos.

• Scientifically Backed: Every treatment and decision is grounded in evidence. We don’t cut corners on outcomes.

• Patient Obsessed: The patient experience is never an afterthought. It’s the filter every operational decision runs through.
  

Role Summary

We are seeking a seasoned operator to join the team as Chief Operating Officer. This person will serve as the operational backbone of the practice, overseeing all three existing locations, leading the buildout of our fourth site in Walnut Creek and our fifth location in San Francisco, and acting as the connective tissue between our clinical teams, practice managers, and executive leadership.

The COO will be the internally-facing leader responsible for the day-to-day performance and long-term scalability of Aesthetx. You will own the P&L across all locations, drive financial growth, and ensure that every patient touchpoint reflects the quality and culture that Aesthetx is known for. You will be the direct leader of each location’s practice manager and the general culture carrier of the organization—someone who leads with high standards, clear communication, and genuine care for the people doing the work.

This role is ideal for someone who thrives in high-growth, multi-site environments, can toggle between big-picture thinking and hands-on execution, and brings the grit and emotional intelligence to take a well-defined growth plan and make it real.

Core Responsibilities

Operations & Execution

• Oversee daily operations across all Aesthetx locations, ensuring consistent quality, efficiency, and patient experience.

• Directly manage and develop practice managers at each location, setting clear goals and ensuring accountability.

• Lead the buildout and launch of the Walnut Creek and San Francisco locations—managing project plans, timelines, vendor relationships, and staffing for each.

• Establish and maintain standardized operating procedures across all sites to enable scalable, repeatable excellence.

• Anticipate bottlenecks, staffing gaps, and operational risks before they impact patient care or financial performance.

• Ensure compliance with all clinical, regulatory, and patient safety protocols.

Financial Performance & KPIS

• Own the practice-wide P&L and drive improvement in revenue growth, EBITDA margin, and gross margin.

• Collaborate with finance to develop and manage budgets, forecasts, and financial models for existing and new locations.

• Monitor and manage to key performance indicators including patient retention, provider utilization, new patient growth, and employee satisfaction.

• Identify opportunities for margin improvement through operational efficiency, scheduling optimization, and resource allocation.

• Evaluate and recommend financing strategies for equipment, buildouts, and headcount investments.

People, Culture & Leadership

• Be the primary culture carrier of Aesthetx—modeling the values, work ethic, and patient-first mindset that defi ne the practice.

• Recruit, retain, and develop high-performing team members across all locations.

• Create an environment of transparency, feedback, and continuous improvement at every level of the organization.

• Invest in the personal and professional development of direct reports and ensure all team members have clear goals and active mentorship.

• Protect team morale and foster genuine camaraderie, particularly during periods of growth and change.

• Manage and support the physician and provider staff to excel and feel valued as our key revenue generators.

• Understand and work with the Managing Partner Physician to execute and prioritize goals and brand marketing of the practice.

Growth & Strategic Initiatives

• Execute the multi-site expansion strategy in partnership with executive leadership, driving new locations from plan to open doors.

• Lead site selection, market analysis, and lease negotiation efforts for future locations.

• Evaluate potential recruiting and partnership opportunities as they arise.

• Collaborate with clinical leadership to ensure training, continuing education, and adoption of the latest technologies remain best-in-class.

• Rigorously assess the value of new initiatives and use lean or prototyping methodologies to test them at minimal cost.

• Work alongside our centralized Lineage team to implement systems and execute on the strategic initiatives set by the platform.

Key Performance Indicators

The COO will be held accountable to clear targets in the following areas:

• Overall revenue growth percentage

• Target EBITDA and gross margins

• New patient acquisition and patient retention rates

• Provider utilization and retention

• Employee satisfaction (NPS or equivalent)

• New location buildout cost and timeline

• Operational efficiency and scheduling optimization

• Staff turnover across clinical and administrative teams

Candidate Profile

You are the ideal candidate if…

• Builder Mentality: You’ve always wanted to build something. You’re energized by taking a growing practice and turning it into a scaled, multi-site operation.

• Team Builder: You love developing and managing people. You know what it feels like when communication is fl owing, goals are being hit, and the whole team is humming.

• Clarity Creator: With a thousand moving parts and differing stakeholder views, you create order from chaos and communicate with precision.

• Grit and Tenacity: When challenges mount, you get sharper and more creative. You fi nd solutions to problems that appear to have none.

• Metric-Obsessed: You track everything, dive deeper into the numbers, and connect data to the actions that drive change. Confi dential • Lineage MSO

• Grace Under Pressure: You can prioritize decisions for maximum impact even in the midst of stress and distraction.

• Passionate About Aesthetics: You have a genuine interest in the medical aesthetics and plastic surgery industry and stay current on the latest treatments and technologies.

Requirements & Preferences

• 5+ years of management experience, including 2+ years in a senior leadership role with direct P&L responsibility.

• Proven track record leading multi-site operations, ideally in healthcare, medical aesthetics, or a service-oriented business.

• Experience managing managers—balancing high standards and accountability with autonomy and delegation.

• Background building and scaling teams in a high-growth environment.

• Strong financial acumen: budgeting, forecasting, fi nancial modeling, and margin management.

• Experience with new site buildouts, lease negotiations, or facility launches.

• Familiarity managing both clinical/technical staff and administrative teams.

• Exceptional organizational skills and a rigorous approach to prioritization.

• Experience overlapping new and legacy processes, ensuring smooth transitions for existing employees.

• Advanced degree in business, healthcare administration, operations, or related field preferred.

Compensation & Benefits

• Competitive base salary with performance-based bonuses and potential equity participation

• Medical, Dental & Vision — 100% employer-paid for your individual coverage, so you can prioritize your health without thinking twice

• 401(k) with Employer Match — we invest in your future the same way you invest in ours

• FSA & HSA options to maximize your healthcare dollars and reduce your tax burden

• Life Insurance provided at no cost to you — protection for the people who matter most

• Short & Long-Term Disability coverage — income protection if life takes an unexpected turn

• Legal Plan — access to legal guidance when you need it, without the out-of-pocket cost

Employee Perks

• The treatments you help deliver, available to you — complimentary aesthetic services including Botox, facials, and more, plus discounts on our full product and treatment menu*

• A calendar full of fun — themed employee events and celebrations throughout the year that make this a place people actually want to be