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It is not uncommon for cosmetic dermatologists to complement their practice with either a medical spa or in-office sales of spa products. Medical spas generally offer facials, manicures, pedicures, and body wraps. The decision around the selling of spa products is often more delicate, considering the vast array of available products and the potential claims made by their marketers. To uphold their fiduciary duties toward their patients and to avoid any conflict of interest, it is generally recommended that physicians set up their clinics in such a way that separates the dermatology aspect of their practice from any onsite peripheral services and sales.

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