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Growth Strategy — June 2026 · Confidential

Your path to medical wellness authority.

A 12-month strategy for Jenna Lizzi Med Spa — moving from commodity aesthetics to the undisputed medical wellness leader in Erie County.

Prepared by Crabtree Marketing  ·  crabtreemarketing.com

The Honest Picture

You have something your competitors can't buy.

"Physician-led medical wellness" is the positioning no one in Erie County is owning right now.

Medical authority

Physician on staff = access to treatments competitors legally cannot offer

Trust premium

Medical-grade credentials command higher prices and higher retention

Referral potential

PCPs and OB/GYNs can send patients — no esthetician can receive those referrals

Sunday hours

No competitor in the market is open Sundays — an immediate and visible differentiator

4Med spa competitors in Erie County
0Others with BHRT / hormone wellness physician positioning
$1.1BBHRT market growing 9% annually
0Local competitors open Sundays
Market Opportunity

Three categories nobody in this market owns.

Erie County women are driving to Cleveland for BHRT, GLP-1 protocols, and sexual wellness. That revenue leaves the county every week — and comes back to whoever claims the category first.

Category 1
Hormonal & Metabolic Wellness

BHRT, menopause management, GLP-1 weight loss. Growing 9%+ annually. Zero local providers positioning here credibly.

Category 2
Sexual Wellness

O-Shot, P-Shot, libido protocols. High-ticket, high-loyalty, high-referral. Only a physician can credibly offer and administer this.

Category 3
Medical Aesthetics at Scale

Lake Erie Aesthetics wins on volume. The counter-move: own precision and medical authority. Different buyer, different margin.

Competitive Landscape — Live Research

Where you win. Where to stop fighting.

Competitor
Locations / Size
Hours
Strengths
Gap / Your Opening
Lake Erie Aesthetics
2 locations (Sandusky + Avon Lake), 11 staff, financing offered
M–F only. No Saturdays. No Sundays.
Dominant local SEO, membership program, laser suite, classes, full product retail
EM physician co-owner — but no BHRT, no GLP-1, no sexual wellness, no OB/GYN referral pipeline. No weekend hours.
Dr. Surfield
1 location, surgical authority
Standard M–F
Google Ads presence, surgical credentials
Surgical not wellness — different buyer. Not competing in your lane.
The ApotheCarrie
1 location, boutique
Unknown
Boutique niche, loyal base
No web presence. Not a growth threat. Not a referral competitor.
Jenna Lizzi (You)
1 location, physician-owned
Sunday hours — ONLY provider in market
Physician authority, BHRT access, GLP-1 access, sexual wellness access, PCP referral eligibility
Own the category no one else can enter: Medical Wellness Authority
The Strategic Move

Stop competing on Botox. Own medical wellness.

The market doesn't need another Botox provider. It needs a physician-led wellness practice that happens to also do aesthetics. That's you — the market just doesn't know it yet.

1
Lead with medical authority

Every touchpoint — website, ads, socials — positions Dr. Lizzi as the physician-wellness authority. Not a spa. A medical wellness practice.

2
Add the high-ticket services

BHRT, GLP-1, sexual wellness. One patient on a $299/mo hormone protocol is worth 6× a Botox appointment in lifetime value.

3
Build the referral flywheel

No esthetician-owned spa can receive referrals from PCPs and OB/GYNs. You can. That's a distribution channel your competitors are locked out of permanently.

$299Hormone protocol / month
LTV vs. standard Botox patient
$13.9KProjected recurring MRR at 70 members
$166K+Annual recurring baseline
Brand Position

From: "Another med spa." To: "Erie County's medical wellness authority."

Current Perception
Aesthetics provider

Botox, filler, skin treatments. Competes on price and convenience. Interchangeable with Lake Erie Aesthetics in the buyer's mind.

Target Perception
Medical wellness authority

Physician-led. Hormonal health. GLP-1. Sexual wellness. The only practice in Erie County where your care is supervised by an actual doctor.

Proof Points
What makes it credible

Physician on staff. Sunday hours. Services competitors can't legally offer. PCP referrals. BHRT protocols. Weight loss programs.

The tagline test: "The only physician-owned medical spa in Erie County open Sundays." That one sentence eliminates every competitor before the buyer even asks a follow-up question.

90-Day Sprint

Five wins that change the trajectory by Q4.

These aren't long-term initiatives. These are 90-day moves that build the foundation everything else grows from.

Week 1–4
Website restructure — physician authority front and center, Sunday hours visible in hero, services hierarchy corrected
Week 1–4
Google Business Profile overhaul — 40+ reviews target, Sunday hours confirmed, new photo set with Dr. Lizzi
Week 4–8
Launch Glow Membership — 3 tiers, automated billing, intake protocol, front desk training
Week 4–8
First 5 PCP + 3 OB/GYN referral outreach — Dr. Lizzi introduces herself, one-pager in hand
Week 8–12
Educational content launch — "Is BHRT right for me?" and GLP-1 explainers targeted at Erie County women ages 35–60
Recurring Revenue Engine

The Glow Membership — predictable income, loyal patients.

Membership converts one-time buyers into recurring revenue. Lake Erie Aesthetics has one. Yours differentiates by medical-grade access they can't match.

Glow Essential
$99/mo
  • 1 injectables treatment/quarter
  • 10% off all add-ons
  • Priority booking
  • Annual skin assessment
Most Popular
Glow Wellness
$199/mo
  • All Essential perks
  • Monthly laser or skin treatment
  • Hormone/lab panel — 2×/year
  • 15% off retail products
  • Dedicated care coordinator
Medical Premier
$349/mo
  • All Wellness perks
  • BHRT management included
  • Unlimited physician consults
  • GLP-1 protocol access
  • Annual full-panel bloodwork
70Members at blended avg $199
$13.9KRecurring monthly from members
$166K+Annual recurring baseline

How These Prices Were Set

Benchmarked against Ohio and national med spa membership data (AmSpa 2024, Pabau industry report, Lake Erie Aesthetics). Entry tier ($99) is the universal market standard. Mid-tier ($199) is at the top of the $179–$199 industry norm — justified by the hormone/lab panel inclusion. Medical Premier ($349) reflects physician-level service (BHRT management, unlimited consults, GLP-1 access) that no esthetician-owned spa can legally offer — placing it in a category above standard VIP tiers, not competing with them.

Distribution Advantage

The channel your competitors are permanently locked out of.

No esthetician-owned spa can legally receive referrals from a physician's office. You can. That's a structural advantage, not a tactic.

Channel 1
PCP Network

Primary care physicians see menopausal, hormonally imbalanced, and weight-struggling patients every day. A lunch-and-learn + one-pager opens this channel in 90 days.

Channel 2
OB/GYN Referrals

Sexual wellness, pelvic floor, post-partum hormone support. OB/GYNs have patients asking for exactly what you offer. Most have no trusted local referral partner.

Channel 3
Patient Referral Program

Existing patients who trust a physician-led practice refer differently than spa clients. A structured gift-credit referral reward (not a discount) drives this.

Target: 5 PCP + 3 OB/GYN partnerships in the first 90 days. At 2 referrals per partner/month — that's 16 warm, high-intent new patients monthly from this channel alone, before a single ad dollar is spent.

Competitive Intelligence — Confirmed Live

Lake Erie Aesthetics: what they have, what they don't.

What They Have

2 locations

Sandusky (4404 Timber Commons Dr) + Avon Lake — regional footprint advantage

11 staff members

Scale, volume capacity, redundancy — they can absorb demand you can't at single-location

Full laser suite

XERF tightening, laser hair removal, IPL, Erbium Yag, Pix:E RF microneedling, spider vein, tattoo removal

Membership + classes + retail

Multiple revenue streams, loyalty infrastructure, product sales

Financing offered

Removes price objections for high-ticket services

What They Don't Have (Your Openings)

EM physician — not a wellness/hormone specialist

Dr. Rice is board-certified in emergency medicine. BHRT, GLP-1, sexual wellness (O-Shot/P-Shot), and hormone management fall outside EM scope. No OB/GYN or functional medicine referral pipeline.

No weekend hours

Confirmed: M–F only (Sandusky: 9–6; Avon Lake: M/T/W/F 9–6, closed Thursday). Zero Saturday. Zero Sunday.

No medical wellness positioning

Their own copy says "luxury medical spa turning aesthetic dreams into realities" — aesthetics-first, not health-first.

No PCP/OB-GYN referral pipeline for wellness services

An EM physician cannot co-sign BHRT or GLP-1 referrals the way a functional medicine or OB/GYN-aligned physician can. The hormone wellness referral channel is structurally unavailable to them.

Website Audit — Current State

Seven things to fix before anything else converts.

Homepage MessagingOpens with service menu, not physician authority. Buyer's first question — "Can I trust this?" — goes unanswered above the fold.
Sunday Hours VisibilitySunday hours are the single most powerful differentiator in this market. They are not visible on homepage, hero, or header. Buried or absent entirely.
Dr. Lizzi ProminencePhysician credential is the moat. If Dr. Lizzi's face, name, and credentials aren't in the hero section, the site is competing as a spa, not a medical practice.
Missing ServicesBHRT, GLP-1, sexual wellness (O-Shot/P-Shot) either absent or buried. These are the highest-LTV services and the key differentiators — they need dedicated pages with SEO copy.
CTA Strategy"Book Now" is one CTA. Medical wellness buyers need a secondary conversion path: "Free Consultation" or "Take the Wellness Assessment" — lower friction for first-time visitors.
Mobile ExperienceMed spa buyers research on mobile. Navigation, booking CTA, and phone number need to be thumb-reachable and visible within 3 seconds of landing.
SEO / SchemaNo local medical practice schema markup confirmed. Title tags and meta descriptions likely generic. "Physician-owned med spa Sandusky" is an uncontested keyword — nobody is owning it.
Google Business ProfileReview count and recency unknown — needs audit. Sunday hours must be confirmed accurate in GBP; this is the top source for "open now" searches from Erie County residents discovering you for the first time.
What This Means for You

Everything you need to own this market is already in your hands.

The Move

Stop competing on Botox. Own medical wellness. Become the only physician-led wellness authority in Erie County — because you already are one.

Where We Focus First — 5 Priorities

  1. 1.Website restructure — physician authority front, Sunday hours visible from the first second
  2. 2.Google Business Profile overhaul — 40+ reviews, updated photos, hours confirmed
  3. 3.Launch Glow Membership — 3 tiers, automated billing, front desk ready
  4. 4.Physician referral outreach — 5 PCPs + 3 OB/GYNs, Dr. Lizzi leads the conversation
  5. 5.Educational content — "Is BHRT right for me?" ranks better and converts better than any ad

What This Builds

Glow Membership — 70 members$13.9K/mo
Referral channel — 16 new patients/mo+$6–12K/mo
Annual recurring baseline$166K+

Advantages No Competitor Can Match

✓  Physician-owned — the only one in Erie County

✓  Sunday hours — the only provider in the market

✓  PCP + OB/GYN referral eligible — competitors cannot be

✓  BHRT · GLP-1 · sexual wellness — legally unavailable to esthetician practices

Next Steps

You already have what takes years to build.
Now let's make sure Erie County knows it.

The physician credential, the Sunday hours, the referral eligibility — none of that can be faked or purchased by Lake Erie Aesthetics or anyone else. The work is making it visible.

Week 1: Website strategy session + brief

Week 2: Google Business Profile live + review campaign starts

Week 4: Glow Membership soft launch to existing patients

Week 6: First physician referral outreach

Let's build this together →
Crabtree Marketing · crabtreemarketing.com