
Clients come back for your hands and your judgment. Build the medspa around that.
Aesthetic medicine on your terms, in a practice you own.
We're looking for experienced Bay Area physicians, nurse practitioners, physician assistants, and registered nurses in aesthetic medicine who want to go independent. We help the clinicians we back get launched, find clients, and handle the business side of a medspa, within the rules that govern medical practices.
No fee to apply. About 5 to 8 minutes.
Built for the Bay Area
We back businesses across all nine Bay Area counties. This is where we know the market, the licensing, and the neighborhoods, and where we can show up in person.
- Alameda
- Contra Costa
- Marin
- Napa
- San Francisco
- San Mateo
- Santa Clara
- Solano
- Sonoma
Live outside these counties? Apply anyway and tell us where. We expand based on where strong candidates are.
Why ownership
Why owning this business is worth it.
Clients follow the injector
People return to the clinician whose results they trust. In your own practice, that loyalty builds your business, not someone else's.
Set your own standard of care
You choose the treatments, the products, the pace of each appointment, and when to say no.
A practice can outgrow you
Adding another injector, an esthetician, and a front desk turns a solo practice into a medspa with lasting value.
The honest part
What usually makes it hard
Most people who are excellent at this work never start a company. It is rarely the work that stops them. It is everything around it.
- Setting up an ownership structure that meets California's medical practice rules
- Arranging physician supervision, standing orders, and good faith exams
- Leasing a clinical space and financing lasers and other devices
- Choosing booking, charting, and payment software
- Marketing results within medical advertising rules
- Hiring and training a front desk, estheticians, and injectors
What Framework does for a medspa business
You bring the skill and reputation. We help build everything around it.
If selected, we build a launch plan with you. It includes:
- Medical corporation formation, coordinated with healthcare counsel
- Supervision and compliance coordination
- Malpractice insurance coordination
- Brand and website
- Client acquisition
- Booking, consultations, and memberships
- Charting and payment software
- Space and device planning
- Bookkeeping and operations
- Hiring and training
The specifics depend on the business and on you. We work them out together, in writing, before anyone commits.
No fee to apply. About 5 to 8 minutes.
Apply nowWho we look for
Who is a strong candidate
We care more about your ability and ambition than whether you've started a business before.
- Active California license as a physician, NP, PA, or RN in good standing
- Several years of aesthetic injection or treatment experience
- A loyal client base and a strong safety record
- A clear point of view on the medspa you want to run
- Genuine desire to own a practice
Licensing and eligibility
In California, a medspa that offers medical treatments such as neurotoxins, fillers, and lasers must follow the Medical Board of California's rules. These include rules on corporate practice of medicine, physician ownership, supervision, good faith exams, and advertising. Nurses and physician assistants must practice under a supervising physician. Framework's standard 7% ownership stake cannot apply to a medical corporation; for medspas we use a compliant structure with similar economics, reviewed with you and your healthcare counsel before anyone commits. Nothing on this site is legal or medical advice.
Applicants must satisfy all applicable licensing, professional, and regulatory requirements for their field. Framework can help coordinate the process but does not grant, waive, or substitute for any license or credential.
- We put up to $25,000 into customer acquisition for each business we back.
- Framework also covers year-one setup and software costs where applicable, and works alongside you on systems, hiring, and growth.
- You own and control the company.
- Our standard stake is 7%. There is no franchise fee.
- If your business becomes more valuable, our 7% becomes more valuable too.
Some regulated professions, including law practices, require a different legal structure with similar economics. We review the exact terms with you, in writing, before anyone commits.
- How does the 7% work for a medspa?
- It can't apply literally. California does not let non-licensees own a medical practice or share its professional fees. For medspas we use a compliant structure with similar economics, and we review it with you and your own healthcare counsel before anyone commits.

Your next chapter
Ever seriously thought about owning your own medspa business?
Tell us about your experience. If it looks like a fit, we'll set up a conversation. No fee, no commitment.
Let's build what's next, together.
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