Compliance & Legal Services

For most first-time owners, Lengea Law is the natural starting point: its practice is concentrated on startup formation and MSO setup, its packaging is shaped around new-spa budgets, and its operator-founded perspective helps first-timers make legal decisions that also make business sense. ByrdAdatto absolutely serves startups too—and if your launch is unusually complex (multiple states, outside investors, a non-physician ownership group with real capital), its deeper bench justifies the step up. If you are an AmSpa member, use the ByrdAdatto consult benefit to get a first read before deciding.

Neither firm publishes a rate card, so this is directional. ByrdAdatto quotes custom fees typical of a marquee national healthcare firm—flat fees for defined projects, hourly for advisory and defense—and AmSpa members get consult access as a benefit. Lengea charges for initial consultations and prices projects to scope, with a leaner boutique cost structure that generally lands lighter for startup-stage work. For any real comparison, get both firms to quote the same defined scope in writing and confirm exactly what is included.

Yes—board defense is part of both firms' core practice, and either is a dramatically better call than answering a board letter on your own. The difference is depth: ByrdAdatto's larger bench and national profile are built for the highest-stakes matters, multi-state exposure, and cases that may interact with a transaction or license portfolio, while Lengea capably defends the investigations its startup and growth-stage clients typically face. Whichever firm you use, call them before you respond to anything from the board, including routine-seeming records requests.

Usually, yes. Law firms design and defend the structure—MSO, delegation, good-faith-exam protocols—but the recurring hygiene of HIPAA risk assessments, staff training logs, and OSHA documentation is better served by software like Abyde, MedTrainer, or Compliancy Group, or a consultancy program such as MedSafe. Lengea's HIPAA audit offering covers part of this ground, and ByrdAdatto's outside-GC work keeps the legal layer current, but neither replaces a day-to-day compliance system. Most mature med spas run a firm plus a software or consultancy layer.

No. This article is independent editorial research about two law firms' positioning, practice focus, and pricing models—it is general information, not legal advice, and reading it does not create an attorney-client relationship with anyone. Med spa law is state-specific and fact-specific: whether you need an MSO, who can inject under your supervision model, and how to respond to a board inquiry all depend on your state and circumstances. Use this comparison to shortlist counsel, then get advice on your actual situation from a licensed healthcare attorney.