About this episode
In this episode, Gary sits down with Dr Caitriona Ryan and Dr Niki Ralph, co-founders of the Institute of Dermatologists in Dublin, to unpack how they built a modern “centre of excellence” model in Irish private care - combining medical dermatology, cosmetic dermatology, skincare, and a growing surgical pathway under one roof.They share the realities of scaling a high-trust healthcare business (systems, hiring, standards, and culture), how COVID sparked a major pivot into new services, and why Ireland needs to shift from reactive healthcare to preventative, longevity-led thinking. Plus: the story behind ID Formulas, their new data-driven approach to supplements (including wearables integration), and what they believe actually moves the needle for healthspan.Show NotesWhy Caitriona and Niki built a centre of excellence model (and why it’s scalable)A day in the life of two Consultant Dermatologists with five businesses and thousands of patientsThe difference between medical dermatology and cosmetic dermatologyHow they protect standards at scale: meetings, feedback loops, SOPs, and hiringThe COVID moment that forced a pivot - and led to a new surgical modelTheir longevity philosophy: healthspan over lifespanThe “longevity hype” they’re most sceptical of — and what they’d focus on insteadA simple, no-fuss skincare framework for founders (men + women)Links & ResourcesInstitute of Dermatologists (IoD): https://instituteofdermatologists.ieIoD Instagram: https://www.instagram.com/instituteofdermatologists/?hl=enID Formulas waitlist: https://www.idformulas.com/