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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
Clear operations. Stronger teams. More room to lead.
I help med spa, aesthetics, wellness, and other founder-led service businesses fix the systems, team gaps, and reporting problems that keep every decision 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.
Three ways to work together
You work directly with Breana. Each engagement has a defined scope and a fixed quote, and all of them start with a free discovery call.
Start here
Operations Audit
Best when something feels off and you need an outside operator to show you where the problem starts.
- 60‑minute deep‑dive discovery
- 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
Best when the team needs ongoing operations leadership to carry the plan through.
- Weekly leadership meetings
- KPI tracking & review
- Team accountability
- Workflow & SOP implementation
- Operations & financial oversight
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
My background is 15 years in aesthetic medicine, but these same problems show up in just about every founder-led service business.
Meet Breana
I spent 15 years inside dermatology, aesthetics, and wellness businesses, starting in nursing and rising to Regional Director of Operations, responsible for the systems, teams, and numbers behind multi‑location growth. 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.
Frequently 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?
Founders and owners of service businesses. My roots are in med spas, aesthetic practices, and private healthcare and wellness, and the same work applies to any founder-led company that has outgrown its systems.
What happens on the free discovery call?
It's a real 60-minute working conversation, not a sales pitch. We talk through where the business is, where it's stuck, and what's costing you the most. If one of my engagements fits, I'll tell you which one and why. If none of them fit, I'll tell you that too.
How much does it cost to work with you?
Every engagement is a fixed quote rather than hourly billing, and the number depends on the size and scope of your business. You'll get the exact quote on the free discovery call, with no obligation either way.
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?
Senior operations leadership on a part-time retainer. You get weekly leadership meetings, KPI tracking, team accountability, and oversight of operations and financials, without the cost of a full-time executive hire.
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?
Start with a free 60‑minute discovery call. There's no pitch. We'll spend the time talking through your business and whether I can help.
Choose a TimePrefer email? bre@breanayarnall.com