When Manisha and Manshika Prakash set out to study esthetics, they weren’t simply imagining careers in skincare. Alongside their older sister Patricia, they were laying the groundwork for something bigger: Kash Aesthetics and Medical Spa, a clinic built around science, honest advice and a very thoughtful approach to skin.
The sisters opened their commercial clinic in Langley in October 2022, just two years after the twins began their esthetics education with Blanche Macdonald in Vancouver. Turning that vision into reality took more than ambition. It required clinical knowledge, plenty of problem-solving and a willingness to learn as they went. Today, those early foundations continue to shape how they treat clients, make business decisions and plan for the future.
“We chose Blanche for its reputation for excellence and the quality of education it provides, and that foundation continues to shape how we approach every treatment at Kash Aesthetics today.”
A shared passion for understanding skin
Before Kash, the three sisters were on very different career paths. Patricia was a registered nurse working in a hospital’s neonatal intensive care unit, while her younger sisters were considering their next steps after high school. The pandemic prompted a bigger conversation about their futures, and Patricia proposed a medical spa.
Their interest in skin was personal, too. Manisha had struggled with cystic acne since she was twelve, while Patricia experienced hormonal breakouts and the frustration of spending time and money on ineffective treatments. Manshika, meanwhile, had grown up watching skincare videos online and recognized how easily popular advice could outpace actual clinical knowledge.
They wanted to do things differently. Rather than chase trends, they wanted to understand the science behind the skin and offer treatments grounded in evidence.
Manisha and Manshika, graduates of Blanche Macdonald’s Global / Medical Esthetics program in Vancouver, developed more than technical esthetics skills. It gave them a foundation for making informed decisions and the confidence to keep learning.
“We chose Blanche for its reputation for excellence and the quality of education it provides, and that foundation continues to shape how we approach every treatment at Kash Aesthetics today,” Manisha says. “One of the most valuable things we took away from Blanche was the importance of attention to detail, maintaining high standards, and truly understanding the techniques behind our work. The facial techniques we learned are still the basis of how we perform treatments, and the emphasis on precision, proper technique, and high standards continues to guide the level of care we strive to provide every client.”
“You don’t want your first mistake to be when you’re alone with a client,” Manshika adds. “The Blanche Macdonald curriculum gave us a safe, controlled environment to make those mistakes. We learned to embrace the real-time correction from our instructors instead of fearing it.”
That support hasn’t ended at graduation. The twins still turn to their foundations that they established from their education at Blanche.
“Knowing how to properly consult with the client, understanding their skin, and knowing the contraindications is essential,” Manisha says. “Understanding when someone is not a candidate for a treatment is just as important as knowing how to operate a machine.”
“One of the most valuable things we took away from Blanche was the importance of attention to detail, maintaining high standards, and truly understanding the techniques behind our work.”
Building a clinic from the ground up
Kash began as a home-based studio in April 2022 before moving into a commercial space six months later. When the sisters opened their doors that October, they were looking at an entirely empty clinic. They had no staff, no established client base and a business to build from scratch.
The reality of entrepreneurship quickly extended far beyond their clinical expertise. As young women of colour navigating the business world, they encountered people who underestimated them, questioned their ability to fund the business and took advantage of their trust. They had to learn to scrutinize contracts, advocate for themselves and make difficult decisions while figuring out how to run a clinic.
Building a business together brought its own learning curve. The sisters discovered that trying to manage every decision and responsibility collectively was a recipe for burnout. They learned to divide the work according to their individual strengths, trust one another’s expertise and accept that getting things wrong was sometimes part of moving forward.
Through it all, they stayed grounded in the reason they had started Kash in the first place: to offer science-based treatments and a more thoughtful approach to skincare. They wanted clients to understand their skin, their options and why a particular treatment was being recommended, rather than feel pressured into buying something.
That commitment sometimes means making difficult business decisions. Recently, the sisters turned down a $2,000 treatment package because the client wasn’t a suitable candidate. Walking away from that revenue wasn’t easy, but their responsibility to the client came first.
For the sisters, building a successful clinic has meant learning that clinical knowledge is only one part of the job. Running a business requires resilience, sound judgment, communication and a willingness to keep learning long after graduation.
“You don't want your first mistake to be when you're alone with a client. The Blanche Macdonald curriculum gave us a safe, controlled environment to make those mistakes. We learned to embrace the real-time correction from our instructors instead of fearing it.”
Three sisters, three strengths
Working together as family has taught the sisters to recognize their individual strengths and give one another room to lead.
Manshika oversees the clinic’s laser technology department and client relationships, bringing warmth and conversation to treatments that can feel intimidating. Having heard countless stories of uncomfortable laser hair removal experiences, she wants clients to feel at ease.
Manisha leads skin treatments alongside the clinic’s marketing and social media prior to outsourcing. Her own experience with acne continues to inform her interest in treatments such as microneedling and advanced chemical peels.
Patricia oversees operations, systems and advanced treatments, including neurotoxin and dermal fillers. Together, the sisters bring different perspectives to the same goal: helping clients make informed decisions about their skin.
Of course, building a business together hasn’t always been easy. They’ve had to navigate the learning curve of running a clinic, divide responsibilities and learn to advocate for themselves in an industry where they haven’t always been taken seriously. The experience has reinforced something they believe strongly: professional growth requires accountability, adaptability and a willingness to accept feedback.
“My biggest piece of advice to students is to have faith in the process of failing. You don't need to have your entire career path mapped out on day one. Your mistakes will spotlight exactly where you need to grow.”
What they’d tell the next generation
The sisters’ experience has shaped not only how they run Kash, but also what they look for in future team members. They’re developing an internship program and hope to help train the next generation of esthetics professionals, including graduates from Blanche Macdonald.
For Patricia, a willingness to learn matters far more than pretending to know everything.
“The way a student treats their instructors, classmates and colleagues today is exactly how they will treat clients tomorrow,” she says. “We want someone who admits what they don’t know over someone who feels like they need to be an expert.”
It’s advice that reflects their own journey. Building a clinic hasn’t meant arriving at a point where they know everything. It has meant developing a strong foundation, staying open to correction and continuing to learn as the industry evolves.
Manshika encourages students to give themselves that same room to grow.
“My biggest piece of advice to students is to have faith in the process of failing. You don’t need to have your entire career path mapped out on day one. Your mistakes will spotlight exactly where you need to grow.”
For the Prakash sisters, esthetics education was the beginning, not the finish line. The knowledge they gained, the guidance they received and the confidence to keep asking questions helped them turn a shared idea into a clinic with a clear purpose.
And they’re still building.
Follow in the footsteps of Blanche Macdonald graduates and build your foundation in professional skincare. Explore our Global Esthetics program to develop the practical skills and knowledge to pursue your future in the beauty industry.
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