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In this video, Tony Jackson, GM of Lilly Dermatology and host of The DermBiz Show, explains that many dermatology practices don’t fail because of outside forces—but because of their own decisions.
He focuses on what he calls “self-inflicted wounds,” like overspending early, taking on too much debt, or investing in expensive equipment too soon. These choices often feel like growth moves, but they can quietly put a practice at financial risk.
He emphasizes the importance of staying conservative, especially in the early stages. That means keeping build-outs lean, borrowing only what’s necessary, and being cautious with large purchases that may not generate real return.
The key takeaway is simple. Success isn’t about having the flashiest practice. It’s about avoiding the decisions that can slowly put you out of business.
