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Operations findings snapshot
What I found, why it matters, and what I would fix first.
Greyhouse Operations · Led by Breana Yarnall
Med spa operations that give you room to lead.
I help established med spas, aesthetic practices, and wellness businesses clarify team responsibilities, fix daily workflows, and make the numbers useful, so every decision stops landing on the owner’s desk.
60 minutes · free · no obligation
15 years in dermatology, aesthetics, and wellness operations · Featured in Bold Journey Magazine and SD Voyager →
Sound familiar?
- Every decision still runs through you.
- Processes live in people's heads instead of SOPs.
- The team is busy, but roles and accountability are fuzzy.
- Revenue is growing, but profit isn't keeping up.
- No dashboard tells you how the business is actually doing.
- Things have only gotten more chaotic as you've grown.
Operations consulting for an established practice
You work directly with Breana. Start with a focused review, build a plan, or agree on ongoing support. Hourly consulting and monthly engagements are available; priorities, included time, deliverables, and fees are agreed before paid work begins.
Start here
Operations Audit
Start here when recurring handoff, staffing, or reporting problems are taking the owner’s time. A paid review identifies the causes and puts the first fixes in order.
- Review of your agreed operating priorities
- P&L review
- KPI review
- Staffing & workflow analysis
- Growth opportunities report
The roadmap
Scale Strategy Blueprint
Best when you know what is not working and need the fixes put in the right order.
- Full operations audit
- 30‑60‑90 day roadmap
- KPI dashboard
- SOP priorities & team structure recommendations
- Revenue optimization plan
Ongoing leadership
Fractional Director of Operations
For a team that needs help carrying out an agreed plan. The monthly scope determines which responsibilities Breana takes on and how much time is included.
- Leadership meetings at an agreed cadence
- KPI tracking & review
- Team accountability
- Workflow & SOP implementation
- Review of agreed operating and financial measures
Not sure where to start? Compare the three options, or talk it through with Breana.
A clearer picture of the work
What you receive
My job is to leave your team with something it can use. Depending on the engagement, that might be a findings report, a 90-day plan, a KPI dashboard, or a weekly meeting structure.
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30–60–90 day roadmap
A 90-day plan that shows what happens first, who owns it, and how you’ll know it is finished.
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KPI dashboard framework
A short weekly dashboard for decisions about follow-up, staffing, and capacity.
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Weekly leadership rhythm
A simple agenda that clears blockers and ends with owners and due dates.
Illustrative formats use fictional examples, never client data or patient information. Final deliverables are tailored to the engagement.
See sample deliverablesHow it works
- Talk it through. We start with a free 60‑minute conversation about where the business is stuck and whether I am the right fit.
- Find the cause. I review the numbers, workflows, and team structure to find the problems behind the day-to-day symptoms.
- Put the fixes in order. You get clear priorities, owners, and a practical sequence for what to address first.
- Help it stick. When implementation is part of the agreed scope, I work with the team to put the changes in place and keep them moving.
Who I work with
Med spas & aesthetic practices
Private healthcare & wellness practices
Founder‑led service businesses
Growing teams that outgrew their systems
The strongest fit is an established practice with paying clients, a team, and a recurring operations problem the owner is ready to address. Other service businesses may fit when the same team and workflow challenges are present.
Before we talk
Be ready to describe your team, the work that keeps coming back to you, what you want to change, and the budget you can commit. If you are still building your first client base, start with the free scorecard and Insights library.
Email a short introduction or use the booking link when you are ready to discuss paid support.
Meet Breana
I spent 15 years inside dermatology, aesthetics, and wellness businesses, starting in nursing and moving into operations leadership, including a Director of Operations role. Now I bring that operator's experience to founders as a consultant.
I've done all of this firsthand. I've run P&Ls, built SOPs, hired and restructured teams, and led the weekly meetings that keep a growing business on track. What I build is designed for handoff, so your team can run it without me.
I'm based in San Diego, California, and I work with clients remotely across the United States.
“Leaving people better than I found them. Facilitating a space where they can grow and reach their dreams.”Breana, in SD Voyager
Greyhouse Operations Insights
Useful answers for growing practices
Practical advice from 15 years inside dermatology, aesthetics, and wellness businesses—for owners who are tired of being the answer to every question.
Diagnosis
Seven signs you have an operations problem—not a marketing problem
How to recognize when more leads will add pressure instead of solving the real bottleneck.
Weekly visibility
The KPIs a med spa leadership team should review every week
A focused scorecard for better decisions without drowning the team in reports.
Leadership
Fractional operations leader vs. practice manager
Where the roles overlap, where they do not, and how to tell which gap you actually need to fill.
Growth readiness
Is your med spa operationally ready for a second location?
The operating foundation to test before duplicating your current model.
Use the five-area operations review worksheet to turn a recurring problem into an evidence-based first step.
Browse all InsightsFrequently asked questions
What does an operations consultant actually do?
I look at how your business runs day to day: the workflows, the team structure, the numbers, and the systems behind them. Then I help you fix what slows you down. In practice that means building SOPs, setting up KPI dashboards, clarifying roles, and creating processes that don't depend on the founder for every task.
Who do you work with?
Established med spas, aesthetic practices, and wellness businesses with paying clients and a team. The work is most useful when the owner is losing time to repeated workflow problems, unclear responsibilities, or weak reporting. Other service businesses may fit when they face similar operations challenges.
What happens on the free discovery call?
The free 60-minute discovery call is for discussing your team, priorities, budget, and whether working together makes sense. It does not include a completed operations audit or a written action plan. Any paid review or ongoing support is scoped separately.
How much does it cost to work with you?
Hourly consulting and monthly support are available. The fee depends on your needs and the agreed scope. Before paid work begins, we agree on priorities, included time, deliverables, and fees. Email Breana with your team size, main operations problem, and budget to discuss fit.
What's the difference between the Operations Audit and the Scale Strategy Blueprint?
The Audit is the diagnosis. You get a deep look at your P&L, KPIs, staffing, and workflows, delivered as a growth opportunities report. The Blueprint includes that audit and adds the build plan, with a 30-60-90 day roadmap, a KPI dashboard, SOP priorities, team structure recommendations, and a revenue optimization plan.
What is a fractional Director of Operations?
Operations leadership for a defined part of the month. Depending on the agreed scope, support can include leadership meetings, KPI review, team accountability, and workflow implementation. The proposal defines included time, meeting cadence, responsibilities, and what stays with your team.
Do you only work with med spas and aesthetic practices?
No. I spent 15 years in dermatology, aesthetics, and wellness, so I know those businesses inside out. But founder bottlenecks, missing SOPs, and untracked KPIs show up in every growing service business, and the work that fixes them is the same.
Where are you based, and do you work remotely?
I'm based in San Diego, California, and I work with clients remotely across the United States. Most of the work happens over video calls and shared documents, so where you are is not a barrier.
How do I get started?
Book the free discovery call. Scheduling takes a minute and the call itself is 60 minutes with no obligation. If you'd rather start by email, write to bre@breanayarnall.com.
Ready for a business that can run without you?
Use the free 60-minute discovery call to discuss your team, priorities, and budget. We will decide whether a paid operations review or ongoing support fits your business.
Choose a TimePrefer email? bre@breanayarnall.com