Med spa PPC management that fills the calendar, measured in treatments, not impressions.
You get med spa PPC management run by senior paid media buyers who have run dozens of aesthetics accounts, not generalist account execs splitting attention across SaaS and e-commerce. Every Google Ads campaign, every Meta and Instagram placement, and every TikTok test is tied back to a booked consult in your scheduling platform. The unit you spend against is a treatment on the schedule, not a click, a form fill, or a vague lead that the front desk never hears from again.
Med spa PPC built for aesthetic-buyer behavior,
not generic Google Ads playbooks.
Every med spa PPC engagement, from Launch through Enterprise, includes these acquisition fundamentals. Tier differences are mostly campaign volume, recommended ad spend headroom, and the depth of weekly optimization a senior paid media buyer brings to your account each week.
Treatment-specific campaigns
Separate campaigns for Botox and dermal fillers, body contouring (CoolSculpting, Emsculpt), laser hair removal, IPL and photofacials, microneedling, skin programs, and GLP-1 weight loss. Each one carries its own keyword strategy, ad copy library, landing page, and conversion goal, so a client searching “lip filler near me” never sees your CoolSculpting ad and your $1,200 body contouring offer is not buried under a free-consultation headline.
Call tracking and booked-treatment attribution
CallRail integration so every med spa PPC dollar gets measured against booked treatments, not clicks. Every call and form fill traces back to the campaign, keyword, ad copy, and landing page that produced it, and feeds your booking platform so revenue lands on the same row as spend.
Meta and Instagram (visual-first)
Reels, Stories, and feed ads for injectables and body contouring, where before/after results sell better than text headlines. Aesthetic clients live on Instagram, and Meta is usually the highest-ROAS channel after branded search for any visually-driven treatment line.
Conversion-tested landing pages
Every med spa PPC campaign points to a dedicated landing page, not your homepage. Average conversion rate 6.1 percent across active programs, versus the 1 to 2 percent industry baseline for generic agency landing pages with stock photos and a contact form.
Negative keyword sculpting
The single biggest lever in med spa PPC advertising. We block “DIY,” “at home,” “free Botox,” “cheap filler,” cosmetic dermatology terms (when out of scope), school and training terms, and 200 plus other waste-spend triggers from day one, then refine the list every week as the data lands.
Geo and demographic targeting
Aesthetic client travel patterns vary by treatment line. Radius gets tuned per campaign: body contouring 30 miles, injectables 15 miles, laser 10 miles, with age, income, and lifestyle layers added on Meta and Google to keep the spend on clients who actually buy at your price point.
Live revenue dashboard
Spend, CPA, ROAS, booked treatments, and per-treatment performance refreshed daily. No monthly PDFs, no autogenerated rollups that hide the campaigns quietly burning your budget.
You own the ad accounts
Google Ads, Meta Business, TikTok Ads Manager, GA4, and CallRail, all in your name from day one. We work inside your accounts, not ours. If the relationship ever ends, your campaigns keep running and the data stays with you.
Six stages.
One revenue-tied loop.
Most med spa PPC agencies treat campaigns as set and forget. You get them run as a continuous loop, where research feeds setup, setup feeds optimization, optimization feeds new research. The loop runs weekly, every week, for the life of the engagement, with a senior media buyer reading every report and making the call.
Research
Keyword, competitor, and treatment-line audit grounded in real local search data and your actual high-LTV treatments.
Campaign setup
Treatment-specific structure, ad copy library, landing pages, and conversion goals tied to booked consults.
Audience targeting
Geo, age, income, in-market, and remarketing audiences, calibrated per treatment line and per client travel pattern.
Conversion
Call tracking, form attribution, and offline conversion import. Every booked treatment gets measured and tagged to source.
Optimization
Weekly bid, copy, audience, and negative keyword adjustments based on actual booking data from your scheduling platform.
Reporting
Live dashboard plus a weekly written review tying ad spend back to booked treatment revenue, by treatment line and location.
Med spa PPC pricing that scales with your ad budget.
Four tiers. Flat monthly management fees. No percentage-of-spend gotchas. Most growing med spas pick the Growth package at $799 per month for management, with $3k to $8k per month recommended in ad spend on top. Med spa PPC is a 90-day proof window, then month to month.
Solo and single-location med spas testing PPC for the first time. Recommended ad spend: $1.5k to $3k per month.
- Up to 2 treatment-line campaigns
- Google Ads (Search) only
- Call tracking + 1 landing page
- Negative keyword sculpting
- Monthly optimization
- Monthly performance review
- Meta + Instagram campaigns
- TikTok + Display
Growing med spas serious about new-client acquisition through Google Ads and Meta. Recommended ad spend: $3k to $8k per month.
- Up to 5 treatment-line campaigns
- Google Ads + Meta & Instagram
- Call tracking + 5 landing pages
- Aggressive negative keyword sculpting
- Weekly optimization
- Weekly written review
- Live revenue dashboard
- Quarterly strategy review
Two to ten location aesthetics brands running multi-channel acquisition. Recommended ad spend: $8k to $25k per month.
- Unlimited campaigns
- Google + Meta + TikTok + Display
- Per-location attribution
- Custom landing page system
- Daily optimization
- Senior media buyer assigned
- Weekly + monthly executive reports
- A/B testing program
Franchised med spa brands and 11 plus location operators. Recommended ad spend: $25k per month and up, with per-region budget pools.
- Everything in Scale
- New-location launch playbook
- Per-region budget pools
- Custom dashboard + Looker Studio
- Dedicated success team
- SLA-backed response times
- Quarterly executive reviews
- SOC 2 / SSO integration
90-day performance guarantee. Hit your agreed CPA target in 90 days or month 4 is free. Free Google Ads audit available for accounts spending $5K+/mo.
The fastest-moving
acquisition channel in aesthetics.
SEO compounds over months. Membership renewal pays off in quarters. Med spa PPC moves the calendar in days, as long as it gets run right. Three reasons med spa PPC advertising outpaces every other channel for new-client acquisition in the first 90 days of an engagement.
Fast
From the day campaigns go live, most med spas see their first booked treatment inside 14 days. Compare with 90 plus days for SEO and 60 days for membership reactivation. The calendar fills before the next month ends.
Better
Med-spa-specific landing pages convert 3 to 5 times better than generic agency landing pages, because the aesthetic client question (cost, downtime, results, before/after) is answered before the consult-booking button is ever clicked.
High-ticket
Treatments with a high ticket and a defined consult-to-treatment path, like body contouring, laser packages, and GLP-1 weight loss, produce the highest ROAS in any med spa PPC account. The model rewards qualified clients who pay a $1k to $5k ticket on first treatment.
Six shifts we made to the playbook in the last 18 months that materially changed CPA.
The med spa PPC playbook from 2023 will not produce 2026 results. Auction prices have inflated 30 to 60 percent on competitive injectables keywords. AI-driven shopping behavior has changed how clients research. Google’s healthcare ads policies have tightened on prescription treatments. Meta has rewritten how it values landing-page experience. Below are the six biggest changes we made to the playbook in the last 18 months, with the measurable impact on portfolio-level CPA across active accounts.
−18% CPA on most accounts
Performance Max was the default recommendation from Google account reps for two years. The data is now clear: PMax for med spas tends to over-spend on Display and Discovery placements that produce form fills but not booked treatments. We migrated most active accounts from PMax-led structures back to manually structured Search campaigns with treatment-line segmentation. The blended CPA across the migrated accounts dropped roughly 18 percent inside 90 days, with no change in booked-treatment volume.
Highest-ROAS channel for injectables
Meta Reels overtook Meta Feed as the highest-ROAS placement for injectables in mid-2025 and has held the position since. The economics work because the unit cost of a thumb-stop on a Reel is roughly 60 percent lower than the unit cost of a feed-ad impression, and the qualifying behavior (watching 75 percent of a 20-second Reel) signals stronger intent than scrolling past a static image. We shifted budget allocation aggressively in that direction and built a creative pipeline that produces 3 to 5 fresh Reels per treatment line per month.
+34% reported conversions
Browser-side conversion tracking is now meaningfully under-counting bookings due to iOS privacy changes, browser cookie restrictions, and the gradual loss of third-party tracking pixels. We migrated every active account to server-side conversion tracking via GA4 Measurement Protocol and Meta Conversions API. Reported conversions climbed by an average of 34 percent across the portfolio not because more clients were booking, but because the existing bookings were finally being attributed correctly. The bidding algorithms responded by optimizing more aggressively on the now-visible conversions, which lifted real CPA efficiency by another 12 percent.
Cheapest impression for under-35s
TikTok ad inventory remains dramatically under-priced for med spa audiences under 35, especially for treatments with high visual appeal (lip filler, brow lift, microneedling, body contouring). We do not run TikTok for direct-response conversion targets, because the platform’s conversion tracking is still weaker than Meta’s, but we use it as a top-of-funnel awareness channel that feeds Meta retargeting at a lower unit cost than any other channel. Med spas with a TikTok feed running consistently see a measurable lift in branded search volume inside 90 days, which downstream lifts the lower-cost retargeting and branded campaigns.
Zero account suspensions in 18 months
Google’s healthcare ads policy has tightened around prescription treatments (Botox, GLP-1, hormone) and around therapeutic claims. We audited every active account in early 2025 against the updated policy and revised ad copy, landing pages, and disclaimer placement to comply. Zero account suspensions across the portfolio in 18 months. Most med spa PPC agencies still ignore the policy until an account gets suspended, and the recovery process loses 7 to 14 days of spend at exactly the worst possible time. The compliance work is unglamorous, but it shows up as zero downtime in the campaign log.
−28% wasted spend
Most med spa PPC programs optimize toward form fills because the CRM is what plugs into Google and Meta. Form fills are not booked treatments. We rebuilt attribution to fire conversions only when the client actually shows up on the schedule (via direct booking software integration with Boulevard, Mindbody, or Aesthetic Record), not when they submit the consult form. The bidding algorithms shifted spend toward audiences that book treatments, not audiences that book consultations and then ghost. Wasted spend on no-show form fills dropped roughly 28 percent across the portfolio, and the CPA per booked treatment dropped accordingly.
What you would pay somewhere else for med spa PPC.
An apples-to-apples comparison of what a Growth package includes versus a generic med spa PPC agency, a freelance media buyer, and self-managed campaigns run by the owner on a Sunday night.
| Feature | Generic agency | Freelance media buyer | Self-managed | Redefine Web |
|---|---|---|---|---|
| Aesthetics-specific campaign strategy | – | Sometimes | – | ✓ |
| Treatment-line campaign structure | Sometimes | Maybe | – | ✓ |
| Aggressive negative keyword sculpting | – | Sometimes | – | ✓ (200+ blocks) |
| Meta & Instagram (visual-first) | Sometimes | Maybe | DIY | ✓ |
| Conversion-tested landing pages | Extra cost | – | – | ✓ |
| Booked-treatment attribution (not just clicks) | – | – | – | ✓ |
| You own the ad accounts | Sometimes | ✓ | ✓ | ✓ |
| Optimization cadence | Monthly | Bi-weekly | Whenever | Weekly |
| Pricing model | 10 to 20% of spend | Hourly | Free + your time | Flat fee |
| Typical avg. CPA (body contouring) | $280 to $500 | $180 to $320 | $350+ | $112 to $148 |
Comparison reflects typical industry quotes for med spa PPC management with equivalent scope. CPA figures are anonymized averages across the 60 plus med spas we have worked with since 2022. Self-managed assumes a med spa owner running campaigns without expert support.
Questions every med spa owner asks before running ads.
Real practices, real numbers.
A sampling of recent engagements that match this work.
Repositioned a Las Vegas med spa from "trusted provider" to industry benchmark — without a traditional photoshoot.
A Vegas aesthetics destination launching independently needed a brand that signaled discretion in a city built on spectacle. We ran brand strategy, identity, website, and a fully art-directed AI imagery system — so launch happened on schedule, with editorial-grade visuals from day one.
Built an injector-led med spa distributor-ready in 6 weeks — online bookings live from launch.
A solo-provider injectable practice needed a website that would (a) unlock cosmetic distributor accounts that wouldn't ship without one and (b) let returning patients self-book without DMs. We shipped a brand-aligned WordPress build with native booking, treatment-led copy, and a retainer for ongoing service additions.
Refreshed a South Shore med spa under new ownership — site, brand, and shop scaled with the new chapter.
Under sole new ownership after eight years, an established Massachusetts med spa needed a brand refresh, a complete website overhaul, and a re-architected e-commerce shop to replace outdated coding and a flat product catalog. We delivered a luxury-toned rebuild with mega-menu navigation, AA-accessible color work, and a category-organized shop.