When Dr. Barry Katzman opened West Coast Eye Care & Med Spa, he envisioned the space as a small practice that would help locals better enjoy the city’s famous sunsets and beaches. With his expertise—he’s participated in hundreds of studies for advanced treatments—the business quickly took on enough customers to sustain seven offices, a staff of a dozen doctors, and its own language, which outsiders describe as Latin spoken in pig Latin. After outfitting eyes with prescriptions and preventive care, staffers can help them navigate an optical boutique stocked with more than 10,000 designer frames by Dior, Bvlgari, and Tom Ford. Regular performances of more advanced surgeries, such as LASIK, cataract laser procedures, and eyelid lifts, made the staff intrigued about similar aesthetic procedures. As a result, they opened a med spa, where they tighten and brighten skin with injections, rejuvenating laser treatments, and even plastic surgery.