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Med Spa PPC Management

Med Spa PPC Management
to Book More Consults.

We run Google Ads, Meta, and LSA for solo clinics, group med spas, and aesthetics operators. Every campaign feeds Boulevard, Zenoti, Vagaro, or Aesthetic Record through Enhanced Conversions and CAPI, so you can see which ad booked which consult. Fixed monthly retainer. A media buyer who works only on aesthetics accounts runs yours.

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Med spa practices we run programs for
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Avg booked-treatment lift year one
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Median cost per booked treatment
Med Spa ppc management dashboard preview - Redefine Web
30+ accounts under PPC retainer 14 days to first paid consult booked 50% CPA drop launch to week 8 Tied to consult booked not clicks
Selected med spa brands we run PPC programs for
Alira HealthDelicate DentalHighTop HealthLifeStanceNC DentalPeaceful Mind PsychologyPEL Rehabilitation MedicineSmile DesignVP DentalArmaninoBSHGovernment Legal ServicesMarmaladeMontegraOxford CapitalPaquin CarrollPCO BookkeepersPeak Accounting SolutionsRiverSaaSRosenbaumStanhope CapitalStella MarisTilghman BuildersToyotaUptimeWillentz
Reviews across 5 platforms
Verified by people who actually paid us.
Trustpilot
4.7/5
★★★★★
25+ verified reviews
5.0/5
★★★★★
40+ verified reviews
GGoogle
5.0/5
★★★★★
5+ verified reviews
DDesignRush
4.9/5
★★★★★
29 verified reviews
gGoodFirms
5.0/5
★★★★★
20 verified reviews
What you get

Three outcomes
every med spa PPC retainer earns.

No reach numbers. No impression counts. Every outcome maps to a real consult on your books and the revenue that follows.

Med Spa ppc outcome 1 mockup: Lower cost per med spa acquisition. for med spa services tied to consult booked.
Outcome 01

A lower cost per new client.

Tighter campaign structure, real negative keyword sculpts, and landing pages built to convert. The three together drop your cost per booked consult inside 30 days of launch.

Med Spa ppc outcome 2 mockup: Same-day conversion flow. for med spa services tied to consult booked.
Outcome 02

Same-day booking flow.

Every ad click hits a landing page built to book on the first visit. One clear offer, one primary action, one path from ad to booked treatment. Tracked all the way through.

Med Spa ppc outcome 3 mockup: Weekly written performance review. for med spa services tied to consult booked.
Outcome 03

Weekly written performance notes.

Not a monthly PDF you never open. A short written note each week. What launched, what moved on booked consults, what's next. Written by the same media buyer who touched the account.

// What is included

What you actually get from our med spa PPC services.

Fixed scope. Fixed timeline. Fixed outcomes. Each phase below has a defined deliverable, a written sign-off, and a date on the calendar.

Med Spa PPC phase 01 - Audit illustration for med spa ppc services showing med spa consult volume + retention tied to consult booked.

Audit that exposes wasted spend + broken tracking.

Week one. Full campaign audit exposing wasted spend, missing negatives, misconfigured conversions, and untracked consult booked events. Median finding on new med spa accounts: 42% wasted spend and 247 missing negatives. Everything written up in a 20-page audit report signed off before we touch structure.

Phase duration
1 week
Sign-off required
Before rebuild starts
// Deliverables
  • Wasted spend + query mining
    Every search term with spend is reviewed. Off-category / competitor / irrelevant queries surfaced for negative-keyword sculpt.
  • Conversion setup audit
    Are conversions counting clicks (wrong), form fills (better), or consult booked (right)? Fix at the root.
  • Landing page + CVR audit
    Landing page conversion rate benchmark against med spa avg. Every ad group mapped to its LP + CVR score.
  • Written 20-page report signed off
    Owner + ops lead review + sign off before we rebuild. No changes without a written go-ahead.
Med Spa PPC phase 02 - Structure illustration for med spa ppc services showing med spa consult volume + retention tied to consult booked.

Campaigns rebuilt around med spa intent.

Week two. Campaigns rebuilt around your priority services + client intent. Higher-margin services get a higher target CPA. SKAG-lite structure with match-type discipline, Performance Max layered where you qualify, negative keyword sculpt to strip waste before it starts.

Phase duration
1 week
Structure
SKAG-lite + PMax layered
// Deliverables
  • Priority service campaign structure
    Top revenue services each get their own campaign with target CPA based on service LTV.
  • Negative keyword sculpt
    247 negatives added on average in the first pass. Prevents your budget from being drained by off-category / competitor / irrelevant queries.
  • Match-type discipline
    Exact + phrase for high-intent, broad only on tightly scoped clusters. Every match type has a written rationale, not a default.
  • Performance Max where you qualify
    PMax layered where your feed and creative library qualify. Asset group segmentation is done, not defaulted.
Med Spa PPC phase 03 - Launch illustration for med spa ppc services showing med spa consult volume + retention tied to consult booked.

First live paid consult booked inside 14 days - guaranteed.

Weeks two through four. Landing pages built per campaign with conversion flow + review proof + trust badges. Every ad tracked through to a Zenoti-verified consult booked. If we don't hit a paid consult booked inside 14 days, your first month is free.

Phase duration
2-3 weeks
Guarantee
1st paid consult booked in 14 days
// Deliverables
  • Purpose-built landing pages
    Every campaign gets its own LP built around one priority service. No shared homepage traffic diluting intent.
  • consult booked-based conversion tracking
    Conversion is consult booked, not click-to-form. Tracked from ad through LP through Zenoti entry.
  • Server-side pixel + GA4
    Meta CAPI and Google Ads pixels wired with server-side backup. iOS-14-aware attribution.
  • 14-day guarantee in writing
    Miss the 14-day first-paid-consult booked mark, your first month is free. Applied to 30+ accounts to date.
Med Spa PPC phase 04 - Optimize illustration for med spa ppc services showing med spa consult volume + retention tied to consult booked.

Cost per consult booked drops week over week.

Weeks four through eight. Ad copy A/B tests, bid strategy tuning, landing page CVR iteration, negative keyword sculpt refined weekly. Average account CPA drops 50% from launch to week 8. Every optimization is tied back to the Zenoti-verified consult booked number.

Phase duration
Ongoing wk 4+
Cadence
Weekly optimization report
// Deliverables
  • Weekly written optimization notes
    Every Monday: what changed last week, impact on CPA + consult booked, what's being tested this week.
  • Ad copy + creative A/B testing
    Headline + description + creative testing at ad-group level. Winners promoted, losers killed. No copy running longer than 4 weeks without a test.
  • Bid strategy tuning
    Manual to target CPA to target ROAS progression as data compounds. Bid caps + budget shifting between service campaigns based on LTV.
  • Landing page CVR iteration
    LP conversion rate benchmark tracked weekly. Copy + form + hero test cycles run in-house without waiting on external design.
Med Spa PPC phase 05 - Scale illustration for med spa ppc services showing med spa consult volume + retention tied to consult booked.

Scale spend against real Zenoti-verified revenue.

Month three onward. Once CPA is stable, we scale ad spend into the ceiling. Meta + Display layered as retargeting and awareness. Every scaling decision tied to consult booked volume + your capacity, not vanity spend targets.

Phase duration
Month 3+
Metric
consult booked + ROAS
// Deliverables
  • Spend-to-capacity model
    Ad spend scaled against your capacity + consult booked throughput. No spending past what you can deliver.
  • Meta + Display retargeting layer
    Once search demand is captured, Meta + Display layer built as retargeting for site visitors + look-alike for consult booked buyers.
  • Monthly written report to owner
    Every 30 days: ad spend, consult booked count, cost per consult booked, revenue from paid, ROAS, next-month plan.
  • Quarterly strategy review
    Every 90 days we present ROI + book of tests to leadership. Budget shifts + strategy tweaks signed off in the meeting.
Pricing + feature comparison

Four tiers for every med spa stage.

Pick the tier that matches your practice size. Move up or down anytime with 30 days notice. No setup fees, Hover any feature name for a plain-English explanation.

01 · Launch
$399/mo

Solo and single-location med spas testing PPC for the first time. Recommended ad spend: $1.5k to $3k per month.

Solo & single-location
  • 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
Start with Launch
03 · Scale
$1,499/mo

Two to ten location aesthetics brands running multi-channel acquisition. Recommended ad spend: $8k to $25k per month.

Multi-location groups
  • Unlimited campaigns
  • Google + Meta + TikTok + Display
  • Per-location attribution
  • Custom landing page system
  • Daily optimization
  • Dedicated media buyer assigned
  • Weekly + monthly executive reports
  • A/B testing program
Start with Scale
04 · Enterprise
From $2,500/mo + spend

Franchised med spa brands and 11 plus location operators. Recommended ad spend: $25k per month and up, with per-region budget pools.

Aesthetics groups & enterprise
  • 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
  • Everything in the previous tier
Request a proposal

Compare every feature by category.

Tap any section to expand or collapse. Hover a feature name for a plain-English explanation.

Campaigns + landing pages4 features
Feature01 · Launch02 · GrowthPopular03 · Scale04 · Enterprise
Call tracking + 1 landing page
Call tracking + 5 landing pages
Unlimited campaigns
Custom landing page system
Reporting + analytics7 features
Feature01 · Launch02 · GrowthPopular03 · Scale04 · Enterprise
Monthly performance review
Weekly written review
Live revenue dashboard
Quarterly strategy review
Per-location attribution
Weekly + monthly executive reports
Custom dashboard + Looker Studio
Ad channels + creative4 features
Feature01 · Launch02 · GrowthPopular03 · Scale04 · Enterprise
Google Ads (Search) only
Negative keyword sculpting
Aggressive negative keyword sculpting
A/B testing program
Compliance + enterprise2 features
Feature01 · Launch02 · GrowthPopular03 · Scale04 · Enterprise
Per-region budget pools
SOC 2 / SSO integration
Team + service level7 features
Feature01 · Launch02 · GrowthPopular03 · Scale04 · Enterprise
Monthly optimization
Weekly optimization
Daily optimization
Dedicated media buyer assigned
Dedicated success team
SLA-backed response times
Quarterly executive reviews
Other7 features
Feature01 · Launch02 · GrowthPopular03 · Scale04 · Enterprise
Up to 2 treatment-line campaigns
Meta + Instagram campaigns
TikTok + Display
Up to 5 treatment-line campaigns
Google Ads + Meta & Instagram
Google + Meta + TikTok + Display
New-location launch playbook
The 12-month math

See what our 3 free fixes could earn back.

Drop your numbers in. Assumes a 20% relative visitor-to-booked improvement, which is what our first audit typically finds on non-optimized sites in your vertical.

2,200
20015K
$550
$50$5K
1.5%
0.5%5%
What switching earns you
Right now
$33,000
With our 3 free fixes
$39,600
Extra per month
+$6,600/month
Over 12 months, that's +$79,200 back in your practice.
Directional numbers based on a 20% relative conversion improvement. A med spa media buyer walks through your actual booking funnel on the 30-minute audit.
PPC Management FAQ

Common
PPC management questions.

If your question is not here, book the 30-minute call. A med spa media buyer answers directly on the call.

How much do med spa PPC services cost per month?

Med spa PPC services start at $399 per month on the Launch tier and go up to $2,500 per month on Enterprise. Growth sits at $799 per month, Scale at $1,499 per month. The fee is a flat monthly retainer. Ad spend goes straight to Google and Meta and is not part of the retainer.

Most solo med spas start on Launch or Growth. Multi-location aesthetics groups usually land on Scale or Enterprise once budget crosses $8,000 a month. You never pay a percentage of ad spend. That model punishes you for scaling, and it rewards the agency for spending more of your money.

What is included in med spa PPC management on each tier?

Med spa PPC management on Launch covers Google Search only, one landing page, and monthly reporting. Growth adds Meta paid social, five landing pages, and biweekly optimization sprints. Scale layers on YouTube, LSA where available, a custom landing page system, and weekly reporting. Enterprise adds SOC 2 or SSO, dedicated media buyers per region, and unlimited service-line campaigns.

Every tier includes the same core work. That means keyword and audience research, ad creative direction, conversion tracking to your booking platform, and a written monthly report tied to booked consults. The retainer never charges for ad spend, extra call tracking, or platform fees.

What ad spend do I need to make med spa PPC services work?

Solo med spas usually start at $1,500 to $3,000 a month in ad spend. Growing operators run $3,000 to $8,000. Multi-location and enterprise brands push $8,000 to $25,000 a month with per-market budget pools.

Below $1,500 a month, Google will not serve enough impressions on high-intent aesthetics keywords to prove the account out. Above $8,000 a month, Meta retargeting and YouTube start pulling their weight on higher-ticket treatments like body contouring and laser resurfacing. If your budget is tight, we would rather start on one channel done well than three channels done badly.

How fast will med spa PPC services book consults?

Most med spa PPC services book the first paid consult inside 7 to 14 days of launch. Google Search fires first because the intent is already there. Meta retargeting starts about 21 days in, once site-visitor audiences are large enough to serve. Stable cost per booked consult usually lands in month 2 or 3.

Month 1 will run 20 to 40 percent higher on cost per acquisition while the account learns which keywords, audiences, and creative convert. That is normal, not a red flag. If a med spa PPC agency promises stable CAC in week one, they are guessing.

What is a typical cost per booked consult with med spa PPC?

The med spa accounts we run average $112 per booked consult across Google Search and Meta. The range runs from about $60 for high-volume injectables in secondary markets to $220 for body contouring in top-10 metros.

Cost per booked consult depends on treatment ticket size, city bid competition, offer strength, and how well the booking platform tracks completed appointments versus form fills. Google Search almost always beats Meta on cost per booked consult for direct-response treatments. Meta wins on lower-intent awareness and retargeting for higher-ticket work.

Do med spa PPC services include landing pages, or do I use my website?

Every med spa PPC services retainer includes dedicated conversion landing pages. Your homepage almost never converts paid traffic. It talks about the brand, not the treatment the searcher wants.

Launch tier includes 1 landing page. Growth includes 5 landing pages, usually one per top treatment (Botox, filler, laser hair removal, body contouring, PRP). Scale includes a full custom landing page system that spins up new pages fast for seasonal treatments and offers. Enterprise adds A/B testing and per-market variants. Every page is booking-platform integrated, mobile-first, and speed-tuned to a 90+ PageSpeed score.

How do you track booked treatments from med spa Google Ads?

We wire med spa Google Ads to your booking platform through Enhanced Conversions and offline conversion imports. Boulevard, Zenoti, Vagaro, and Aesthetic Record are all supported natively.

When a form fill turns into a scheduled consult, that data flows back to Google, and the account starts bidding on the keywords and ad creatives that actually produce bookings, not the ones that just produce clicks. GA4 event imports run alongside so every consult ties to campaign, keyword, ad, and landing page. You see the full path in the monthly report.

Do you run med spa Meta and Facebook ads as part of PPC?

Yes. Med spa Meta and Facebook ads are included on the Growth tier and above. On Growth, Meta runs as retargeting and lookalike expansion once Google Search has built enough site-visitor data. On Scale and Enterprise, Meta runs full-funnel with cold prospecting on injectables and body contouring.

Layering Meta on top of Google Search usually drops blended cost per booked consult by 15 to 25 percent because Meta catches searchers who saw the Google ad but did not book on the first visit. TikTok is available on Enterprise for accounts targeting under-40 demographics.

Do you handle treatment creative and before-and-after content?

Yes. Creative production runs through aesthetics-specialized photographers and video producers we co-manage. Typical output is 15 to 30 creative variants a month, including UGC, injector-led talking-head clips, and treatment b-roll.

Before-and-after content follows HIPAA and platform ad policy. Google and Meta both restrict certain injectable and body-contouring images, so creative goes through a compliance check before any ad ships. If you already have a content library, we cut, subtitle, and format your existing footage for paid social first, then layer in new production.

Can a new med spa run PPC services without conversion history?

Yes, with adjusted expectations. A new med spa without conversion history usually pays 20 to 40 percent more per booked consult in the first 30 to 60 days while Google and Meta learn. Once we log 30 to 50 booked consults in the platform, the machine learning stabilizes and cost per booked consult drops toward the tier median.

We start new med spas on Google Search only for the first 30 days because search intent is highest and learning is fastest. Meta and YouTube layer on in month 2 once there is enough site-visitor data to power retargeting.

Are med spa PPC services better than SEO for booking treatments fast?

PPC books faster. SEO compounds. Med spa PPC services can produce a booked consult in the first 7 to 14 days. Med spa SEO usually takes 90 to 180 days to move the map pack and start pulling meaningful organic bookings.

The right answer is almost always both. PPC handles cash-flow month one. SEO builds the compounding organic pipeline that eventually lowers blended CAC below the paid median. Most med spas we work with run PPC for the first 6 months while SEO catches up, then rebalance toward organic as the map pack and treatment pages start ranking.

What is the 90-day guarantee on the med spa PPC agency retainer?

If med spa PPC services do not produce a measurable drop in cost per booked consult or a measurable gain in booked consults inside the first 90 days, we work free until they do. This is written into the retainer.

The clock starts on day one of live campaigns, not the kickoff call. The guarantee assumes ad spend stays at the recommended tier minimum and the booking platform stays wired to Google and Meta. If either changes mid-run, the clock pauses while we restabilize tracking. A dedicated media buyer walks through the guarantee terms line by line on the 30-minute audit call.

Get started

Book a free 30-minute
Med Spa PPC Management audit.

A med spa media buyer runs the call. You leave with three specific ad account fixes you can apply with or without us. Written summary hits your inbox the next business day.

Working session, not a pitch
Straight to the ad account
Written recap in 1 business day
Primary path

Book your free med spa PPC management audit.

Drop your email. A med spa media buyer reviews your ad account and books the 30-minute audit within one business day.

  • This field is for validation purposes and should be left unchanged.
Free for practices doing $250K+ annual production. We respond within 4 business hours.
Avg. audit-to-fix time
14 days
Med spa accounts audited
180+
Median cost per booked consult after fixes
$84