Lengea Law

Where Lengea Law fits

Lengea Law occupies a distinctive position in med-spa legal services: it is a firm founded by someone who ran a med spa first. Founding partner Sara Shikhman's operator background shapes everything about the practice — the advice tends toward the practical ("here is how to structure this so you can actually hire that injector") rather than the purely defensive. Based in New York and working with clients across many states, the firm reports having advised more than 600 med spas, which puts it among the highest-volume aesthetics practices in the country.

The service menu maps closely to what med spas actually need: practice and MSO formation, anti-kickback and Stark compliance, medical-board investigation defense, employment and independent-contractor agreements, HIPAA audits, and ongoing state scope-of-practice tracking. That last item deserves emphasis — "can my RN do this procedure in this state?" is the most common legal question in the industry, and Lengea has built tracking that question into a core offering.

What stands out

• Operator DNA. Legal advice from someone who has managed injector schedules and membership revenue lands differently. Clients consistently describe the counsel as business-first, compliance-grounded.
• Volume and pattern recognition. Six hundred-plus med-spa clients means the firm has usually seen your exact structure, your exact state, and your exact board before.
• Substantive paid consults. Initial consultations are paid one-hour sessions rather than free sales calls. That is a real cost, but it means the first hour produces actual answers and a scoped plan, not a pitch.
• Nurse- and PA-founder fluency. Much of the firm's client base is non-physician founders navigating MSO structures, which is exactly where corporate-practice-of-medicine mistakes happen.

Where it falls short

• Pricing is only partly transparent. The consult fee is visible, but full engagements remain custom-quoted. Budget-sensitive founders should ask for a scoped estimate at the end of the first hour.
• The paid consult cuts both ways. Founders comparison-shopping three firms will pay for each conversation; competitors like Jackson LLP offer a free 15-minute screen and ByrdAdatto offers complimentary consults to AmSpa members.
• Narrower on FDA/FTC matters. For advertising-claims exposure or FDA-adjacent product questions, a 30-year boutique like Cohen Healthcare Law Group has deeper benches.
• No aggregate ratings. As with all law firms, there is no verifiable G2/Capterra-style review data; this assessment is editorial, based on public track record and service scope.

Who should choose it

Choose Lengea Law if you want med-spa counsel that combines genuine operator experience with high industry volume — especially if you are a nurse or PA founder structuring an MSO, expanding into new states, or facing an employment or board issue where practical judgment matters as much as black-letter law. If you need free initial screening or flat-fee certainty, look at Jackson LLP first; if your matter is FDA/FTC-heavy, weigh Cohen. For the core med-spa legal lifecycle, Lengea is one of the strongest choices available.