What Equipment Does a New Dermatology Clinic Need? (Lease vs Buy Guide for India)
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TL;DR
Tier 2: Add Within 6 Months (Enables Core Aesthetic Services)
| Equipment | Purchase Price | Monthly Lease | Recommendation |
|---|---|---|---|
| Diode laser (hair removal) | ₹10L–20L | ₹25,000–45,000 | Lease in year 1 |
| Q-switched Nd:YAG (pigmentation) | ₹6L–15L | ₹18,000–35,000 | Lease in year 1 |
| RF microneedling device | ₹4L–10L | ₹12,000–25,000 | Lease or buy |
| Chemical peel station | ₹15,000–40,000 | N/A | Buy |
| PRP centrifuge kit | ₹60,000–1.5L | N/A | Buy |
Tier 3: Add at Year 2+ (Premium Procedures)
| Equipment | Purchase Price | Notes |
|---|---|---|
| HIFU / Ultherapy | ₹12L–35L | High margin; buy when volume justifies |
| PICO laser | ₹25L–60L | Premium tattoo/pigmentation; lease initially |
| Fractional CO2 laser | ₹20L–50L | Scar/resurfacing; high value procedures |
| Skin analyser (VISIA equivalent) | ₹3L–8L | Premium consultation experience |
| Body contouring RF | ₹8L–25L | Expanding patient demographic |
The Lease vs Buy Decision
Lease when:
- Revenue from the device is unproven (you have not run the numbers yet)
- Your first 12 months' cash flow is tight
- The technology is evolving rapidly (PICO lasers, for example, improve significantly every 2–3 years)
- The lease includes maintenance (a significant ongoing saving)
Buy when:
- Device utilisation is consistently high (5+ sessions per day)
- You have been leasing for 12+ months and the numbers confirm ROI
- The device is a commodity (diode hair removal lasers are mature technology)
- Lease cost over 3 years exceeds purchase price
The rule of thumb: If a device generates ₹3 lakh per month and costs ₹12 lakh to buy, payback is 4 months. Buy it. If it generates ₹50,000 per month and costs ₹15 lakh to buy, payback is 30 months. Lease it.
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