Breana Yarnall · Senior Operations Consultant
Helping founders build the systems, teams, and processes that fuel sustainable growth.
For founder-led service businesses, especially med spas, aesthetic practices, and wellness businesses, that should run with clarity, structure, and purpose without depending on you for every decision.
60 minutes · free · no obligation
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
Each engagement has a defined scope and a fixed quote. All of them start with a free discovery call.
Start here
Operations Audit
A clear, outside diagnosis of where your operation stands.
- 60‑minute deep‑dive discovery
- P&L review
- KPI review
- Staffing & workflow analysis
- Growth opportunities report
The roadmap
Scale Strategy Blueprint
A complete plan for what to fix, build, and systemize, in priority 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
Senior operations leadership without the full‑time executive hire.
- Weekly leadership meetings
- KPI tracking & review
- Team accountability
- Workflow & SOP implementation
- Operations & financial oversight
Not sure which fits? That's exactly what the discovery call is for.
How it works
- Discover. We start with a free 60‑minute call about where the business is, where it's stuck, and whether we're a fit.
- Diagnose. I audit your numbers, workflows, and team structure to find out what's really going on.
- Design. You get a roadmap of systems, SOPs, KPIs, and team structure, sequenced so the most important fixes come first.
- Drive. I help build it with your team and keep it on track until it sticks.
Book a free discovery call and we'll map yours.
Who I work with
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
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.
Grab a Time on My CalendarPrefer email? bre@breanayarnall.com