Pivots was built for the moments where clarity matters most.

When execution slips, alignment fades, or decisions stall - Pivots steps in with momentum and control to help shape bold, coherent strategies.

Why Pivots Consultancy was built to be different.

I founded Pivots after 25 years helping health and aesthetics businesses grow across global markets. Time and again, I saw talented teams lose momentum - not for lack of vision, but because priorities blurred, functions clashed, or decisions stalled in complexity. I’ve seen it. I’ve lived it. And I’ve learned how to cut through it.

Most consultancies arrive with frameworks. I offer something more grounded: real-world insight that accelerates decision-making, shortens time to market, sharpens investment choices, and avoids costly missteps.

At the heart of it all is the customer. Everything I do is anchored in helping businesses stay focused on the people they serve - ensuring decisions are not just efficient, but meaningful, impactful, and built to last.

Pivots is about making clarity actionable. Whether you’re setting up, starting up, or scaling up, I help focus what matters, remove friction, and build momentum where it counts - Helping leaders decide whether to ‘pivot or persevere’.

25 Years scaling health, aesthetics & pharma brands

Dan Stewart has built a reputation for delivering commercial clarity and operational growth across some of the most recognisable names in health and aesthetics. Known for his sleeves-rolled-up approach, he brings a proven ability to galvanise teams, cut through complexity, and deliver real momentum in fast-moving, high-stakes environments. Dan’s value lies not in theory, but in execution.

At Evolus, he built the company’s entire international business from the ground up - leading expansion across the UK, EU5, Canada, and Australia in just three years.

At Teoxane, he spearheaded global portfolio rationalisation and commercial realignment, helping align strategy and performance across key international markets.

At Allergan, he launched neuromodulators into the UK and Ireland aesthetics category, growing the platform from a single product into a diversified commercial ecosystem that shaped the market.

2006

Neuromodulator Launch | UK & Ireland

Built the team and led the successful UK launch of Botox (Vistabel)

2009

Filler Portfolio
Launch | UK

Led the introduction of the Juvéderm® Ultra range and created a new value proposition in the market

2018

Global Portfolio Realignment | Teoxane

Spearheaded commercial and portfolio strategy across key international markets

2021

Revanesse EU Assessment & Strategy | Prollenium

Led full assessment and commercialisation plan for Revanesse Lidocaine in Europe

2021

International Business Launch | Evolus

Built Evolus International from the ground up across UK, EU5, Canada & Australia

That experience shaped how Pivots works today - direct, hands-on, and built to match the reality of your business.

Pivots isn’t built on static frameworks or bloated decks - It’s designed for leaders who want to move fast, focus sharply, and act decisively.

Dan works shoulder-to-shoulder with clients - identifying pressure points, prioritising clearly, and shaping solutions that match the reality of your business.

Whether you’re entering new markets, repositioning a portfolio, or preparing for strategic growth - the Pivots approach brings focus where there’s uncertainty, and momentum where things have stalled.

Because strategy only matters if it moves you forward.