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Answers · Buyers & Deal Structure
Private equity is one of several buyer types actively competing for aesthetic practices, alongside family offices and strategic acquirers, so it is not an automatic yes or no. PE buyers typically structure deals as a joint venture, asset purchase, or stock sale, paying through cash at close, rollover equity, and earnouts.
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Who's Actually Buying
Buyer pools differ by specialty. The buyers who pay the most for a surgical center are not the same buyers who buy a med spa, so "should I sell to PE" depends heavily on what you are actually selling.
Private-equity-backed platforms build multi-location groups through add-on acquisitions, one of the active buyer categories currently acquiring aesthetic practices.
Consolidators expanding an existing service line into a new specialty, the way dermatology groups have moved into non-surgical aesthetics, are a second active category.
Individual physician-entrepreneurs entering ownership for the first time round out the pool, and they do not pay or structure a deal the way an institution does.
A generalist broker runs a process and sees who responds. We know which buyers are actively building right now, so your practice is positioned as a platform asset, not an add-on footnote.
How PE Buyers Structure A Deal
PE buyers use several structures, and the right one depends on your goals. Common forms include a joint venture, where the buyer takes a majority interest while you retain equity and distributions, an asset purchase, and a stock sale. Deal value is split across cash at close, rollover equity, promissory notes, and earnouts. In many states, MSO and management arrangements are also used to satisfy corporate-practice-of-medicine rules.
Same Deal, Different Outcomes
Cash buyout, equity partnership, or a phased transition with rollover equity each pay differently. We translate the structures so you choose what fits your life.
See the full deal-structure FAQ →Where Aesthetic Brokers Stands
We are sell-side-exclusive, which means we represent the practice owner, never the buyer, in your transaction. Private equity firms and strategic acquirers come to the table with their own advisors and a practiced playbook. Our role is to be the experienced team in your corner so the deal is structured around your goals, your staff, and your number, not theirs.
Read the full FAQ →We bring a competitive market of vetted private equity, family offices, and strategics to your doorstep, so buyers compete instead of anchoring against you.
See our four-step method →When you request your confidential report, you receive:
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This is one answer inside a larger picture. The full buyer pool, deal-structure FAQ, and sale process for medical spas live on the Medical Spas hub.
Who you work with
Bill Walker founded Aesthetic Brokers after leading mergers and acquisitions for a large private-equity-backed healthcare services organization. Before that he flew for the Marine Corps at the Presidential Helicopter Squadron and commanded a squadron in combat. He knows how an investor values a practice, and how to make sure that value lands with you, not the buyer.
Talk with Bill about your practiceStart with a confidential, two-minute read on where you stand.