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Est. 1796

1796, Clinical excellence.
Commercial intelligence.
Built to last.

From training and mentoring to start-up, scaling, and acquisition, 1796 is the consultancy that takes aesthetic and longevity practitioners from where they are to where they are worth something.

Work with me
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1796

Physician · Apothecary · Educator

The philosophy

In 1796, Edward Jenner administered the world's first successful vaccine, not by following convention, but by challenging it. That act of scientific courage, grounded in evidence and driven by a refusal to accept the status quo, is the founding principle of this consultancy.

1796 is a specialist aesthetic scaling consultancy founded by Dr Vix Manning. I bring 30 years in medicine, deep clinical expertise and lived private equity experience, having scaled my own practice through to acquisition.

I do not offer generic business advice. I build strategies rooted in clinical reality and commercial intelligence.

My approach is defined by

I.

Clinical excellence

II.

Commercial intelligence

III.

Uncompromising standards

Proven track record

Dr Vix Manning successfully scaled River Aesthetics to an 800% increase in turnover, culminating in a private equity acquisition. I understand what makes a clinic genuinely valuable and what acquirers and investors look for.

Under-treat by design

Dr Vix Manning is a GMC registered GP, a Global Key Opinion Leader, and an international conference speaker. Her clinical standards define the quality benchmark for every clinic she builds.

Commercial rigour

The same discipline to your numbers that I bring to the treatment room: clear pricing, the right treatment mix and patient journeys designed for retention.

Training & Education

Teaching the techniques I use every day.
Eleven years and counting.

For 11 years I have been a Key Opinion Leader and trainer for Sinclair Pharma, teaching doctors and nurses Silhouette Soft and Ellansé in the UK and internationally. Alongside this, I offer one to one mentoring and bespoke training days for clinics and practitioners, built around your patients, your team and your goals.

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Most recently: Silhouette Soft training at RTW Skin, Tunbridge Wells, October 2026.

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Dr Vix Manning leading Silhouette Soft thread lift training at RTW Skin, Tunbridge Wells
1796

Trainer · Mentor · Educator

MDCCXCVI

Foundations before decorations.
Always.

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