The word on the street in the spa industry? Indulgence is out and results are in, according to David Miller, co-owner and aesthetic director for David & Mary skin care salon in Indianapolis. "In the `80s if you had a facial you spent half the day--it didn't matter what it cost as long as it felt good and smelled good," Miller says. Now clients want results and they want them fast.

To respond to his client's needs, Miller implemented a concept borrowed from the medical industry and dubbed it the Clinic. A 400-square-foot room is divided into quadrants with four beds; instead of having his or her "room," estheticians use whatever bed is available to perform above-the-neck ...

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