Your patients aren't gone.
They were just never told
to come back.

LineRefine's AI-powered tracking and planning shows each patient a side-by-side analysis of their own results as their toxin fades, prompts them to rebook at the optimal moment, and gives your injector a planning overlay for the next treatment. You see who's due, who's overdue, and the revenue that on-time rebooking reclaims for your practice.

Get your free leak analysis See how it works
$285
when a patient doesn't come back
$1,600–$2,100
when a patient does
4.8 → 4.0 mo
the rebooking gap LineRefine closes
LineRefine app showing a patient's treatment effectiveness at 52%, with a prompt to schedule her next visit soon LineRefine app showing a patient's treatment effectiveness at 83%, right on track since her last visit
Visible every scan — not just a rebook nudge
Built with independent med spas in Colorado
Eleve Aesthetics & Wellness Indigo Aesthetics Glosshouz HIPAA compliant
The math nobody does

The industry celebrates the 73%. Your budget lives in the 27%.

73% of med spa patients are repeat patients. Flip the number: you lose about 1 in 4 every year. At 300 active patients, that's roughly 75 out the back door — and at the $285 median cost to acquire a new patient, about $21,000 a year in marketing spend just to maintain the status quo.

For a decade, growth forgave that leak. That era ended: when the market grows 1% and your zip code adds three competitors; retention is the whole game. You can't outspend the chains, and you shouldn't join them at $8 a unit.

73%
repeat patients looks great on paper — until you realize 27% of your client base is constantly churning.
1 in 4
patients quietly lost each year — easy to miss, but hard to afford
$21,375/yr
replacement marketing at 300 patients; zero net growth to show for it.
Same-store growth < 1% in 2025 ~1,000 new med spas every year Chains advertising $8 units

Sources: AmSpa State of the Industry 2024 (73% repeat patients); Cakesmash Media 2026 ($285 median patient acquisition cost); Beauty Independent 2025 (market growth, saturation, $8/unit chains); OptiMantra 2026 (retained injectable patient value $1,600–$2,100/yr). We only publish numbers we can source — and we'll compute yours from your own books.

Where the money goes

You see the revenue on your P&L. You’re missing the three leaks draining it.

01

The wear-off gap

Toxin fades at 12–16 weeks. The average patient rebooks at 4.8 months. That drift costs about $250 per patient per year — and no calendar reminder knows when her toxin is actually fading.

rebook window peak avg. rebook — 4.8 mo
02

The recipe walks out the door

Replacing an injector runs $50K–$100K — and her book leaves with her because the doses, placement, and response history live in her head. It's not disloyalty; the patient is loyal to the only person who knows her face.

An injector with a 300-patient book who takes a third of it removes $150K–$200K of annual recurring revenue.
03

The chart you don't have — until you need it

Documented baselines and tracked results are your only real defense in a refund dispute or review threat and enforcement is rising. The same record that protects you is the one that could be earning rebookings.

New York's 2026 task-force sweep cited roughly 2 in 5 med spas inspected. Documentation done right is an asset with a yield.

Invisible on daily reports. Compounded on your annual bottom line.

The part everyone misses

All three leaks are the same leak: the most valuable data in your business evaporates the moment the appointment ends.

What he was treated with? How did his face respond? When did it actually wear off? What should happen next? Captured nowhere — or in one person's memory.

How it works

The AI aesthetic record that works for you between visits.

Not another booking system. Not a blast tool. Not an arbitrary reminder. The reminder is AI-driven analysis of the patient's own face.

01
In the office

Scanned at check-in, in under two minutes.

Most patients scan at check-in, on an iPad or iPhone — no extra hardware. AI reads their facial anatomy: muscle position, movement, and wrinkle patterns, building a personal baseline for the visit.

LineRefine app guiding a patient through a facial scan, expression by expression
02
Between visits

Prompted to rescan, tracked for real effectiveness.

LineRefine prompts each patient to rescan every few weeks. AI compares each scan to their peak, tracking real effectiveness — so rebooking is triggered by an actual fade, not a fixed calendar date.

LineRefine app comparing a patient's peak results against today, side by side
03
At true wear-off

Prompted to rebook — and personalized for next time.

The patient is prompted to rebook the moment it is actually needed — never on some arbitrary calendar. AI turns actual results into a personalized reference for your injector, so every visit is personalized, not a guess.

LineRefine app showing a patient's treatment cycle progress, approaching her rebook window
04
In your practice

Your practice sees retained revenue, automatically.

Who's due, who's overdue, who's been nudged, and the revenue you're retaining per patient. That's your ROI from LineRefine, updated in real time.

Retention — this week
sorted by urgency
Sarah W. Overdue 3 wks $1,600/yr
Jane H. Nudged Jun 24 $1,250/yr
Marcus G. Due this week $980/yr
Retention view — rolling out with pilot practices.
Three pillars

Where retention turns into revenue.

01 Retention

Rebookings timed to the patient's face, not a guess.

Toxin doesn't read your reminder schedule. Somewhere around week 14 she sees movement again, and whoever reaches her in that window gets the visit. LineRefine reaches her automatically, her own scans set the timing, and the prompt arrives with your booking link.

On-time rebooking ≈ one extra visit per patient per year.
LineRefine iPad view showing a patient's treatment effectiveness declining over time, with AI analysis and recommendations for the next plan
02 Practice memory

When an injector leaves, their knowledge stays.

Doses, placement maps, response curves, and wear-off profiles live in your practice's record — not in one person's head. If a provider leaves, their replacement treats your patients like they've read the file. Because they did.

The patient relationship becomes institutional — not personal.
Treatment record — Jane Halton
Mar 2, 2026 · Glabella + forehead responded in 11 days
Nov 8, 2025 · Glabella + crow's feet wore off ~wk 15
Jul 3, 2025 · First visit baseline placement map saved
Full history available to covering injector
03 Proof of quality

Differentiation an
$8-a-unit chain can't copy.

Every discounter has before-and-afters. Almost nobody has documented analysis, planning, and tracked results across the whole cycle — proof of process that justifies your full price, and gives every patient a visible record of their own results, visit over visit.

A margin defense — not another cost line.
Early pilot data: up to 30% fewer touch-up visits — operating cost you get back.
LineRefine iPad view showing a documented treatment record with injection points mapped on the patient's face and full dosage detail
Run your own numbers

What's the leak costing you?

Our whole pitch is this math, so we publish it. Change every number to yours — the assumptions too. If your numbers don't clear breakeven, we'll tell you not to buy.

Your practice
25%
Our assumptions — change them

These are conservative pilot targets, not observed results — we're honest about that. Set them to whatever you believe.

60%
20%

LineRefine costs your band price, set by how many patients are engaged: $199, $349, or $499 a month. Unlimited injectors. No other fees exist to hide.

Your annual leak, today
Revenue sitting in your lapsed pool$93,750
Revenue drifting away in stretched intervals$56,250
At stake per year $150,000
≈ $500 leaking per active patient per year

That's what's at stake — not what any tool recovers. Below is the conservative slice we model as recoverable.

With LineRefine — conservative
On-time rebooking revenue (scanning patients)$45,000
Lapsed patients reactivated$18,750
Replacement marketing avoided$4,275
LineRefine, all-in ($349 band · ~180 engaged)−$4,188
Net annual gain $63,837
16.2×
return on the fee
0.7 visits/mo
covers the entire fee
Get this from your real books — free

Model notes: visits per year = 12 ÷ interval. On-time rebooking counts only patients who keep scanning between visits. Reactivated lapsed patients resume their prior cadence; each also avoids a ~$285 replacement acquisition. Benchmarks: AmSpa 2024, Cakesmash Media 2026, OptiMantra 2026. This is the same calculator we use in sales conversations — there isn't a different one.

The patient experience

Why patients keep scanning.

Patients scan because they see their own results, side by side — a personal timeline of how each treatment performs, from peak through wear-off. Their scans set the rebooking timing. The timing brings them back.

It also makes every visit feel more tailored than a discount chain ever could — an experience patients notice, and a reason to stay connected to your practice between appointments.

"In aesthetic medicine, every injection is more than the placement of a needle—it is a commitment to precision, an expression of artistry, and a promise worthy of a patient’s trust. Trust transforms a single treatment into a lifelong patient relationship."
LineRefine app comparing a patient's peak results against today, side by side LineRefine app showing a patient approaching her rebook window
Who built this

Founded by a leading facial plastic surgeon. Engineered by Big Tech veterans.

Dr. Keith Ladner
Dr. Keith Ladner
Co-founder, Facial Plastic Surgeon

Double board-certified facial plastic surgeon and national injectable trainer. The clinical architecture here reflects the exact protocols that built his own premier practice—so every algorithm answers to a proven master of the craft, not a software committee.

Jeff Zabel
Jeff Zabel
Co-founder, CEO

Stanford d.school design engineer, serial tech founder, and former Amazon innovator. After building products scaled for millions, we’re bringing enterprise rigor and consumer-grade design to medical practices—because you deserve software you love, not software you just tolerate.

Hans Wustruck
Hans Wustruck
VP Engineering

Big Tech veteran with engineering roots at Amazon and Google. Renowned for clean architecture and system reliability, he leads our core engineering—combining machine learning with strict compliance standards to build software patients and practices can trust with their data.

"Aesthetic medicine has always run on experience. LineRefine is the first instrument I've used that lets me see how my work performs over time — for every patient, every cycle."
Dr. Keith Ladner
Dr. Keith Ladner
Co-founder, Facial Plastic Surgeon
Where we are, honestly
Built in Colorado with 5 practices Physician medical direction HIPAA compliant Early data shown as early data

You've seen vendor hockey sticks. Our posture is the opposite: we publish our math, we baseline your practice from your own booking data before claiming anything, and the monthly recovered-revenue statement means you can fire us the moment the numbers stop working.

What it costs — all of it

Unlimited patients, unlimited injectors. Pay only for who engages.

One account for the whole practice. Adding patients and injectors costs nothing. Your monthly price is set by one number: how many patients are engaged — scanning at home between treatments, so you have visibility into how each result is holding and when it's time to bring the patient back. Patients who've gone quiet cost nothing until we bring them back.

How your bill is set · example practice
In your record
640patients
Everyone you've treated

Every patient, every injector, every scan. Add as many as you like.

Included
scans at home
post-treatment
Engaged
180patients
Scanned at home in the last 150 days

Only pay for patients using LineRefine outside your office. What you're paying for is visibility into how each treatment holds post-visit. This count sets your band.

Sets your price · $349 band
no scan in
150 days
Lapsed
75patients
Gone quiet

Free until we bring them back. When they rescan, they move back to engaged.

Not billed · $0

Example practice, matching the calculator's defaults. Your dashboard shows your own engaged count against your band, for example 180 of 350. You step up only after two months in a row over a line, and step down the first month you're under one.

Up to 150 engaged patients
$199/ month
151 to 350 engaged patientsWhere most practices land
$349/ month
351 to 600 engaged patients
$499/ month
More than 600, or several sitesPriced per site that offers injectables
Let's talk
Every band includes everything. The AI aesthetic record, the patient app, unlimited scans, fade-based rebooking prompts with your own booking link, HIPAA-compliant patient messaging, the retention view, and your monthly recovered-revenue statement. No setup fees. No per-user fees. Month to month.
Start here — the 150-day proof period
Your band price for 150 days. Refunded if we miss.

Your free leak analysis projects your band, so the proof period costs exactly what month six will. We agree three success criteria in writing on day one:

Scan adoption at check-in
Lapsed patients reactivated, checked at day 90
Rebooking interval for first-month scanners, checked at day 150

Miss them and the period is refunded. The risk is ours, not yours.

The pledge

One account. Everything included. No setup fees. No per-user fees. No feature tiers. No long contracts. Cancel anytime. And every month we send you the recovered-revenue math — who we nudged, who rebooked, what those visits were worth, and what each recovered visit cost you — so the fee is a receipt, not a leap of faith.

One recovered visit a month roughly pays the fee, at any band. If your numbers don't clear it, we'll tell you not to buy.
The first step is free

Find out what your leak
is actually costing you.

You don't have to believe any of this. You just have to be curious what your own number is.

1
The Retention Leak Analysis — free

Send a booking export; we send back your real rebooking interval, your lapsed patient pool, and what both are costing you. No product required. Yours to keep either way.

2
If your numbers justify it — the proof period

150 days at the band your leak analysis projects. Success criteria agreed in writing on day one, refunded if we miss them. Month to month after that.

Book 20 minutes — we'll help you analyze your practice data and identify hidden revenue leaks or opportunities.

Your patients aren't gone. They were just never told to come back.