Lisa Goodman is a former physician’s assistant to celebrity-dermatologist Ava Shamban, and now millennial-founder of GoodSkin  medical spa (med spa), with locations in Los Angeles and New York.  Wanting to offer a more holistic and subtle approach to medical  aesthetics than what she was seeing, Goodman became the first on this  side of the Atlantic to open a European-style med spa, offering patients  her signature ‘Untouched Look’ (the ‘no-makeup-makeup’ look of the  aesthetics world), inspired by the work of top medical professionals in  France.  
Bootstrapping her business with savings originally meant for a house  downpayment, Goodman grew GoodSkin from renting a small space on the  upper east side to building out a design-forward flagship in the tony LA  enclave of Brentwood, complete with secret VIP entrance. Here is how  Goodman built LA and New York’s cool-girl medspa for the  non-medspa-crowd.
How did you get your start in the world of medical aesthetics? Where did the concept for GoodSkin start?
I started my career at age 23 in Los Angeles working under celebrity  dermatologist Dr. Ava Shamban. At 31,  I had the chance to shadow  Paris-based plastic surgeon Dr. Pierre-Alain Mayeux and Dr. Claude  Ahaharoni, where my perspective on injectables completely changed. I was  really inspired by the unique approach and technique that Europeans  took to the cosmetic industry and wanted to deliver these types of  results to clients in America. 
What haven’t LA’s existing medspas gotten right? Where did you see room in the market for a new kind of skin clinic?
I think for a lot of existing medspas, the treatments tend to be  consumer-driven and not based on a diagnostic or consultative approach,  and often medspas also follow beauty trends. One takeaway from my time  in Europe is that our trademarked Untouched Look results must first be  based on expert diagnosis and then a bespoke plan is made for the  client. By combining treatment planning with advanced techniques, which  includes advanced photo-taking capabilities, we are able to have no two  clients look alike over time but rather look like a more rested,  youthful and healthy version of themself. To elaborate on our advanced  photo taking process, in addition to Vectra which I go into detail about  below, patients are photographed in our in-house photo room that is  designed to mimic natural light versus a standard medical office.  Therefore patients are able to get the most realistic perspective during  their consultation. On a separate note…our Brentwood office is… an  intimate setting that feels warm, inviting, and elegant so you don’t  feel like you’re in a typical clinical setting. 
From a technical and product point-of-view, when I studied in Europe I  noticed that in comparison to the cosmetic enhancement industry in the  US, Europe was following their own path that was quite different. With  that in my mind, I went through a process of almost re-learning what I  knew and researching ways I could bring these results stateside. Now, I  have developed the trademarked Untouched Look, which is a completely  personalized approach to anti-aging. When it comes to cosmetic  procedures, especially, I believe that clients who are invested in  anti-aging were ready to make a shift from the “quick fix” approach in  the US to one that was tailored to them. Additionally, pre-COVID myself  and my staff would take frequent trips to Paris and Monaco to attend  cosmetic conferences to ensure we were staying up to date on the latest  techniques and maintained that international influence at GoodSkin. 
How did you determine which market to open in, and what were the biggest challenges as a first-time business owner?
I grew up in Los Angeles and started my career here, so it was never a  consideration to open elsewhere. New York came about because I was  engaged for five years to a wonderful French man and made the monthly  trip with my dear dog Henry. To break up the trip for Henry, we stopped  in New York and offered to see some of our East Coast clients during the  trip. We were renting space from someone else on the Upper East Side  but clients started to refer other clients and soon we ran out of space.  We had 10 suitcases full of products and tools on our last trip to New  York before we made the decision to open the NYC office. My sister  basically said if I ever made her pack like that again she would kill  me, so the short answer is we let the market drive our location and  buildout. Staffing clinics has always been a process that we take very  seriously. We hire people that firmly believe and support the GoodSkin  culture and aesthetic. 
What can patients expect, results-wise that might be different than a traditional MedSpa or dermatology clinic?
A diagnostic and scientific approach is really at the heart of  everything we do at GoodSkin. We start by consulting with the client on  what their aging/skin concerns are and utilize Vectra, a state of art 3D  imaging system, to map a client’s bone, muscle, fat, skin and fascia  (what we have coined the five signs of aging) to develop an extensive  Healthy Aging Plan with treatments targeted to the client’s needs. This  technology shows the exact results clients can expect to receive before  any procedure takes place, allowing them to explore possible outcomes  and understand any limitations. 
How did you transition from working for others to opening the first GoodSkin clinic? 
I made the leap because once I had seen the way other countries were  utilizing this field I couldn't “unsee” it, so it felt as if it was just  something that I had to take the risk to do. The process was scary  actually. I was not unhappy working for someone else and rather became  an entrepreneur out of sheer force and belief, but it was not my first  choice. I sometimes even miss the benefits of being an employee but like  I said, I can't unsee what I learned. I consulted with my parents who  gave me the confidence I needed in myself to make the leap. 
You made the decision not to raise money in order to start  the GoodSkin concept. How did you bootstrap the business and how did you  come to the decision to bootstrap? 
I had been saving for many years to put towards a house. Instead of  buying a house, I started a business and have always insisted on  self-funding as we retain control over our brand and even the client  experience. It took eight months from concept to open doors. 
What advice would you have for others looking to do something big and different either in a clinical or beauty setting? 
Find that something “big and different” that you wholeheartedly  believe in. Even in the few first months when it was a small business  with fewer clients, I still had no regrets even though I was still  unsure of the upcoming success. I had no regrets because like I said, I  could not physically go back to practicing the “standard American” way  and so, for better or worse, it was the truth I had to follow. I was  prepared to take on a second job if this one failed and although none of  us ever want to fail, I was mentally ready because it was worth it to  me to take this big risk and start my own clinic. 
There are some that may read this with a more business background and  feel entirely different about the whole process. This is simply my  viewpoint from someone who never took a single business class but rather  had my head in all medical studies. 
What does the future of GoodSkin look like?
We recently launched the GoodSkin App  so we can connect with patients all over the world who can apply our  techniques to their own face and learn their own individual Healthy  Aging Plan.