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Building an Inclusive Med Spa, Leading with Integrity & Saying No to the Wrong Patients – with Sarah Berg, DNP, FNP-C

In this deeply inspiring episode of Profiles in Aesthetics, host Dr. Lonny Green (@ninjainjector) sits down with Sarah Berg, founder of Bespoke Aesthetics and Wellness. Sarah shares her real story—from being homeschooled and feeling like an outsider, to becoming one of the Top 30 Most Distinguished Women in Medical Aesthetics (2023).

Together, they unpack what it really means to build a med spa that balances profit, patient ethics, and aesthetic education. This episode is a must-listen for injectors navigating self-worth, patient selection, and the pressure to perform in a filtered world.

[03:50] The mindset shift that changed everything for Sarah’s aesthetic practice and career outlook

[07:45] Her biggest “oops” moment as an injector—and why it taught her to trust her gut before picking up the syringe

[11:25] The emotional story of losing her best friend—and how that reshaped her “why” in medical aesthetics

[15:30] Why Sarah refused to perform a non-surgical nose job—and how it cost her a patient (but protected her practice)

[20:40] How Sarah approaches Botox and fillers differently by focusing on inclusive, pressure-free consultations

[27:00] Why she teaches new injectors to anchor their careers in self-worth, not social media trends

[32:45] The overlooked detail most injectors miss when working with first-time patients

[39:10] How she created a business where everyone feels like they belong—regardless of their background or income

Topics Covered

  • Ethical Botox and filler consultations
  • How to say no to patients (with grace and clarity)
  • Injector confidence and professional boundaries
  • Preventing burnout in aesthetic medicine
  • Facial balancing for natural results
  • Starting over as an injector after setbacks
  • Building a med spa for every body and every budget
  • Holistic patient care & inclusive practices

Guest: Sarah Berg, DNP, FNP-C

Founder of Bespoke Aesthetics and Wellness, Sarah leads with empathy, ethics, and education. She is also the creator of Bespoke Medical Academy, mentoring the next generation of injectors to build careers rooted in integrity.

Follow Sarah:

Hosted by: Dr. Lonny Green (@ninjainjector)

Stanford-educated, Harvard-trained physician helping injectors grow with clarity, mentorship, and no-BS strategy.

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Hosted by: Lonny Green, MD – injector, educator, and advocate for real, unfiltered conversations in aesthetics.

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6 episodes