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Fractional COO — Plastic Surgery Exclusive

Your Plastic Surgery Practice Needs a COO.
Not a Coach. Not a Consultant.

A full-time Chief Operating Officer costs $200,000+ per year. Our Fractional COO model gives your plastic surgery practice the same executive-level operations leadership — weekly oversight, team accountability, revenue optimization, and scalable systems — for a fraction of the investment.

You focus on patients. We run the practice.

Serving Plastic Surgery Practices Nationwide — Headquartered in Chicago, IL

$30M+Revenue generated across client practices
3–6 MoAverage time to measurable results
MHAMasters in Healthcare Administration
NationwideServing practices across the United States
Sound Familiar?

You Built an Elite Surgical Practice.
Now the Business Is Running You.

Most plastic surgeons are world-class clinicians who never signed up to be a full-time business operator. Here is what that looks like in practice.

You are performing surgery all day and still handling operational fires after hours

Your patient coordinator and front desk team lack clear systems, leading to dropped leads and inconsistent conversion rates

High-ticket procedure revenue is growing but profit margins are shrinking — and you cannot identify where the money is going

You have no real KPI visibility — no weekly reporting on consultations booked, conversion rates, or revenue per procedure

Staff turnover is disrupting patient experience and costing you in retraining and lost productivity

You want to expand — a second location, a med spa add-on, or a concierge model — but have no operational infrastructure to support it

This is exactly what a Fractional COO solves. That is our job.

Your Executive Partner

What Your Fractional COO Actually Does

This is not consulting from a distance. Your Fractional COO is embedded in your practice — owning operations, driving accountability, and executing your growth plan every week.

Systems & SOPs

We build every operational system your practice needs — from patient intake and consultation workflows to post-op follow-up protocols — so your business runs without you managing every detail.

Patient Coordinator Optimization

We train and manage your patient coordinators, build conversion scripts, and implement follow-up systems that turn consultations into booked procedures.

Revenue Optimization

We analyze your procedure mix, pricing strategy, financing options, and membership programs to maximize revenue per patient and increase lifetime patient value.

KPI Tracking & Reporting

We define the metrics that matter — consultation conversion rate, revenue per OR day, cancellation rate, patient retention — and deliver weekly executive reports so you always know where your practice stands.

Team Management & Accountability

We manage your administrative and clinical support team performance, set clear expectations, run accountability check-ins, and handle the difficult conversations so you do not have to.

Compliance & Risk Oversight

We keep your practice aligned with OSHA, HIPAA, state medical board regulations, and surgical facility standards — proactively managing compliance so you never face a surprise audit or liability.

Financial Oversight

We review your P&L, identify cost leaks, optimize your expense structure, and work alongside your accountant to protect your margins as your practice grows.

Growth & Expansion Execution

When you are ready to scale — a second location, a med spa add-on, a concierge surgery model, or a DSO-style group practice — we build and execute the operational roadmap to get you there.

This Is For You If...

The Right Fit for a Fractional COO

  • Board-certified plastic surgeons doing $1M–$10M+ in annual revenue who are operationally overwhelmed
  • Practices with strong clinical outcomes but no one running the business side with executive-level discipline
  • Surgeons who want to add a med spa, expand to a second location, or build a concierge model
  • Practices losing high-ticket procedure revenue to poor consultation conversion or weak patient follow-up
  • Owners who are tired of being the surgeon, the HR manager, the operations director, and the marketer
  • Practices preparing for a DSO acquisition, private equity partnership, or exit strategy
This Is NOT For You If...

We Are Selective About Who We Work With

We only take on clients we know we can deliver results for. Our Fractional COO program is not the right fit for everyone — and we would rather be honest upfront.

  • Practices looking for a one-time business plan with no ongoing support
  • Surgeons who want advice but are not ready to implement operational changes
  • Practices under $500K in annual revenue (we have a startup package for that)
  • Anyone looking for a marketing-only or social media management service
The Smart Alternative

Fractional COO vs. Full-Time COO

Same executive-level results. A fraction of the cost. No long-term employment commitment.

FactorFull-Time COOFractional COO
Annual Cost$180,000–$250,000+Starting at $4,995
Benefits & Taxes+30–40% on top of salaryNone
Hiring Timeline3–6 months to hireStart within 2 weeks
Healthcare Industry ExpertiseVaries — hard to findMHA-credentialed, surgical practice specialist
CommitmentFull-time employment contractFlexible engagement terms
ScalabilityFixed capacityScales with your growth stage
Results Timeline6–12 months to ramp upMeasurable results in 90 days
Fractional COO Packages

Choose Your Engagement

Every package includes a dedicated Fractional COO, weekly executive oversight, and direct access to our healthcare operations team.

Most Popular

3 Month Growth

$4,995

Full Fractional COO engagement — systems, team accountability, KPI tracking, and revenue optimization over 90 days.

  • Dedicated Fractional COO
  • Full operational audit & roadmap
  • Weekly executive oversight calls
  • Team accountability systems
  • KPI tracking & monthly reports
  • Vendor & contract review
  • Revenue optimization strategy
Book a Strategy Call
Best Value

6 Month Partnership

$8,995

Deep-dive COO partnership for practices ready to scale — multi-location planning, brand development, and investor readiness.

  • Everything in 3 Month Growth
  • Multi-location expansion planning
  • Med spa add-on strategy
  • DSO/exit positioning strategy
  • Investor-ready financial modeling
  • Concierge surgery model buildout
  • Priority executive access
Book a Strategy Call
Ongoing

Fractional COO Subscription

$1,500/mo

Ongoing monthly COO support available after completing the Growth or Partnership program. Keep the momentum going.

  • Monthly executive strategy session
  • Ongoing KPI monitoring
  • Team accountability check-ins
  • On-call COO advisory access
  • Quarterly growth reviews
  • Continued compliance oversight
Book a Strategy Call

All packages begin with a free 30-minute strategy call. View full pricing details

Your Executive Team

Meet the COOs Behind the Results

You are not getting a junior consultant. You are getting healthcare executives with MHA credentials and real operator experience across surgical and aesthetic practices.

Amin Mashouf

Amin Mashouf

Fractional COO & Founder

MHA — Masters in Healthcare Administration

Amin has led operations for healthcare practices across plastic surgery, med spas, dental offices, and surgery centers. He specializes in building the operational infrastructure that allows practice owners to scale without sacrificing quality or burning out.

Nico Amiran

Nico Amiran

Fractional COO & Partner

MHA — Masters in Healthcare Administration

Nico brings deep expertise in compliance, team management, and revenue optimization for surgical and aesthetic practices. His systematic approach to operations has helped practice owners reclaim their time while growing their bottom line.

Limited Availability — We Only Take On a Select Number of Clients

Stop Running Your Practice
Like a Surgeon. Run It Like a CEO.

Book a free 30-minute strategy call. We will review your current operations, identify your biggest bottlenecks, and show you exactly what a Fractional COO would do for your practice — no pressure, no obligation.

Free call. Real strategy. No sales pitch.

Serving plastic surgery practices nationwide — headquartered in Chicago, IL.