TEAM
Chief Executive Officer (CEO)
Chief Operations Officer (COO)
Chief Financial Officer (CFO)
Medical Director (MD)
VP of Acquisitions (VPA)
Business Strategy (BS)
Legal Team
CPA Firm

Scaling Medical Holdings
CEO

Vinay Kalyani: CEO
Architect of Operational Excellence in Aesthetic and Longevity Medicine
Vinay is a high-performance Managing Partner who brings over 25 years of multidisciplinary leadership to the medical spa industry. He specializes in transforming underperforming practices into scalable, institutional-grade assets by bridging the gap between clinical passion and operational discipline.
Vinay understands the foundational scaling challenges that many Aesthetics and longevity practices opened by clinicians who lack the strategic background to manage complex business operations experience and directly addresses these systemic failures through his unique professional strategic background to manage complex business operations:
- Engineering the Growth Engine: As a Six Sigma Black Belt and Certified Lean Champion, Vinay possesses the specific “problem solver” toolkit needed to eliminate the current “operational drift” that many practices experience. He replaces guesswork with standardized workflows, optimizing practice peak operational flow to maximize ‘Room Yield’ and ensure treatment rooms utilization reaches 90%+ capacity.
- Regulatory & Quality Discipline: Having led multidisciplinary teams in Food and Drug Administration (FDA) regulated pharmaceuticals and semiconductors, Vinay brings an uncompromising approach to quality control and documentation. This expertise is critical in a med spa environment where safety, clinical photography compliance, and strict medical oversight are non-negotiable.
- Financial Mastery vs. Guesswork: While many med spas suffer from poor accounting and “guesswork-driven” discounting, Vinay is an expert in P&L management and EBITDA optimization. He replaces assumptions with actionable FP&A models, ensuring that pricing strategies are rooted in true profitability and sound financial strategy.
Vinay’s expertise extends well beyond engineering and into the heart of high-impact, consumer-facing business operations. His history of owning and operating an established service-oriented franchise demonstrates a sophisticated ability to manage high-volume workflows while maintaining strict brand standards. He possesses a battle-tested understanding of the consumer-service landscape, specifically in driving operational throughput and managing multidisciplinary teams in fast-paced environments. This background ensures that the med spas he acquires transition from “accidental” management to a professionalized model centered on exceptional service delivery and institutional-grade efficiency. He understands that a med spa’s success relies on shifting away from a costly, discount-driven marketing cycle toward a value-based growth model. By establishing a strong management team, Vinay ensures that every patient interaction is a strategic step toward long-term loyalty rather than a one-time transaction.

Scaling Medical Holdings
COO

Sahil Kalyani: COO
Operating Partner & General Manager
Strategic Operations & High-Performance Team Leadership:Sahil is a results-driven leader who specializes in scaling premium medical practices by implementing high-stakes hospitality and restaurant-management systems. He optimizes the patient journey by treating every clinical interaction as a world-class service experience, ensuring that operational structures are built to support aggressive, sustainable growth.
Operational Systems Architecture Sahil designs repeatable, scalable systems that allow a practice to operate at 90%+ capacity, by ensuring consistent delivery of premium services that do not depend on the owner’s constant presence.
- Revenue Optimization through Relationship Management Leveraging expertise in customer experience, Sahil serves as the essential bridge between clinical recommendations and patient financial commitment. This approach increases case acceptance by focusing on long-term treatment plans rather than transactional sales.
- “Forever Team” Development Sahil applies rigorous recruitment and coaching models to build resilient, high-performing teams. By hiring for cultural alignment and specific competence, he ensures every staff member is equipped to represent the brand with confidence and professional poise.
- Data-Driven Financial Precision Using hospitality-grade metrics, Sahil replaces guesswork with actionable FP&A models. He manages overhead, labor costs, and inventory turn rates to ensure every service is priced for maximum profitability and EBITDA growth.
- Loyalty-First Marketing Integration He shifts the focus toward relational marketing strategies that prioritize patient retention and referrals. By creating high-value membership rituals and narratives of transformation, he stabilizes cash flow and maximizes patient lifetime value.
- Workflow Optimization: Maximizing treatment room turns and staff productivity through precise scheduling and process design.
- Service Excellence: Training teams in sales psychology and hospitality standards to turn first-time visitors into lifelong advocates.
- Brand Integrity: Maintaining a cohesive brand narrative across all patient touch points, from initial inquiry to post-care follow-up.
Sahil’s comprehensive management approach takes away the logistical and strategic complexities of scaling, empowering providers to focus exclusively on what they do best: delivering exceptional patient care.

Scaling Medical Holdings
MD

Ryan Karmouta: Medical Director
Harvard Medical School: Doctor of Medicine (MD)
Harvard Business School: Master of Business Administration (MBA)
New York University, College of Arts & Science: BA Psychology, and Chemistry
State Medical Licenses:Active licenses in 50 states in addition to District of Columbia
Board Certified: American Board of Dermatology
Ryan is a distinguished practitioner specializing in medical, surgical, and cosmetic dermatology. He provides elite medical oversight and ensures rigorous healthcare compliance through standardized clinical governance, systematic chart reviews, and mandatory good faith exams. By offering dedicated support at every stage of medical growth, he serves as the foundational bridge for practices seeking to scale without compromising clinical excellence.
Clinical Operating Systems & Performance:Ryan implements a comprehensive clinical operating system designed to foster compliant, connected, and high-performing medical teams. His strategic framework enables practices to:
- Automate Compliance: Establish streamlined workflows for HIPAA, OSHA, and state-specific regulatory requirements.
- Optimize Workforce Management: Enhance clinical collaboration and streamline our providers’ logistics through precise protocols.
- Real-Time Visibility: He monitors team performance and clinical requirements.
- Empowering our Clinical Team: Recognizing that the quality of a practice is determined by its team, Ryan provides personalized support for Nurse Practitioners (NPs), Registered Nurses (RNs), and Physician Assistants (PAs). By facilitating seamless collaboration and ensuring absolute compliance, he empowers providers to transition away from administrative burdens and focus exclusively on exceptional patient care delivery.

Scaling Medical Holdings
VP of Acquisitions

Shefali Kalyani: VP of Acquisitions & Administrative Director (Partner)
Shefali is a mission-driven executive with a profound background in operational precision, human resources, and high-impact community leadership. She specializes in transforming the administrative chaos often found in medical spas into streamlined, institutional-grade systems that protect brand integrity and drive patient loyalty. She provides the foundational operational framework necessary for sustainable scaling. She directly addressesmed spa challenges through her unique cross-industry expertise:
- Operational Precision & Workflow Management: Many med spas suffer from scheduling conflicts. Shefali leverages her background in Agile Methodologies and her Bachelor’s Degree in Management Information Systems to design efficient workflows, ensuring the practice operates as a professional medical practice rather than an ad-hoc day spa.
- HR Excellence & Staff Stability: High staff turnover is a primary challenge for med spa owners who lack formal recruitment strategies. Shefali oversees payroll, compliance, and HR operations, implementing structured hiring and management practices that eliminate cultural misalignment.
- Financial Control & Vendor Coordination: While many spas struggle with inconsistent cash flow and inventory mismanagement, Shefali provides rigorous oversight of budgeting, vendor payments, and cash-flow tracking. Her experience auditing complex non-profit accounting ensures that the practice moves from guesswork-driven discounting to data-backed financial stability.
- Brand Visibility and Patient Advocacy: Shefali understands that a premium med-spa image requires a sophisticated digital presence and a deep commitment to the patient journey.
- Strategic Marketing & Engagement: She eliminates “inefficient marketing” by managing a professional online presence and leveraging social media to drive genuine engagement rather than discount-seeking inquiries.
- Empathetic Leadership: As the founder of a successful 501(c)(3) non-profit, she brings a “service-first” heart to the industry. This empathy is critical for managing patient expectations and reputation management, ensuring that every patient feels heard and valued.
By integrating her operational precision with her “marketing savvy,” Shefali ensures that practitioners can focus entirely on clinical excellence while she maintains the front-office systems and brand visibility essential for market leadership.

Scaling Medical Holdings
Business Strategist

Claudia Herrera
Business strategist and mentor
With over seven years expertise in the aesthetics and longevity healthcare sectors. She provides high-level guidance on practice growth, strategic partnerships, acquisitions, and exit strategies.
A Legacy of Institutional Scale: An Electrical Engineer by training, Claudia has demonstrated a lifelong mastery of business acquisition and rapid scaling. Her track record of capital mobilization and organizational growth is world-class:
- Investment Banking & IPOs: In her 20s, she acquired an investment banking firm and scaled the organization from 30 to 450 professionals within five years, successfully taking four companies public and engineering her first multi-million dollar exit.
- Conglomerate Building: In her 30s, she co-founded a construction venture, scaling it to a $35 million conglomerate within seven years.
- Capital Markets & Fund Raising: Since her 40s, she represented premier family offices and investment funds, successfully raising over $2 billion in capital.
The Scale Fast Method:Claudia is the creator of the Scale Fast Method, a proprietary blueprint designed to scale fast med spas. She is currently working on developing a scale fast curriculum for a California-based business accelerator to optimize their holding companies growth in logistics operations through standardized, data-driven frameworks.
The Billion-Dollar Vision:Her current venture is the development of a billion-dollar enterprise, anchored by a portfolio of 250 aesthetics and longevity practices and strategic commercial real estate. By implementing her proven operational systems, Claudia transforms underperforming medical practices into institutional-grade assets poised for market leadership.

Scaling Medical Holdings
Law Firm
Attorneys:Lengea Law
Lengea is a leading healthcare law firm focused on providing top-notch legal services to healthcare providers and entrepreneurs. They specialize in providing innovative legal solutions to healthcare companies. Their clients include medical spas, medical practices, plastic surgery and dermatology practices, IV hydration businesses, medical testing centers, and aesthetic training companies. They represent businesses and individuals nationwide with respect to entity formations, scope of practice, mergers and acquisitions, employment law, healthcare compliance, and regulatory issues.
Lengea helps build and scale med spa and healthcare businesses through legal resources. Their team has extensive experience helping medical providers and business professionals to start, manage, acquire, and sell a wide variety of medical practices.
Their comprehensive, team-based approach to representing clients allows them to provide support and effective counsel across the wide array of legal concerns unique to operating a business in the modern healthcare landscape.
The firm’s culture is focused on creative problem solving and innovation to ensure they meet every client’s unique needs and offer tailored solutions to their legal issues.
www.lengealaw.com

Scaling Medical Holdings
CPA FIRM
Accountants and Due Diligence:
DGA TAX, INTERNATIONAL TAX PLANNING & COMPLIANCE
Dmitriy Goykhman, CPA P.C. was founded in 2009 with the mission to offer boutique, customized tax, and accounting services to individuals and businesses. They have built a strong reputation founded on integrity, expertise, and specialization.
Understanding that no two clients are the same, they work with clients to develop a formulated strategy most appropriate and effective for their needs.
Their boutique approach has allowed clients to benefit from individualized attention and planning as they grow.
They currently do accounting services for over 20 medical spas and offer the following Mergers and Acquisition services:
- Buy-side and sell-side financial due diligence.
- Seller readiness consulting
- Carve-out financial statement preparation.
- Corporate strategy
- Income, payroll, and sales tax exposure analysis
- Internal tax compliance controls analysis
- Assistance in responding to due diligence requests.
- Assistance to sellers in determining eligibility for Qualified Small Business Stock gain exclusion benefits.
- Assistance in value acceleration and exit planning.