A med spa's paid search problem is not getting clicks on "Botox near me." It is that the same auction is full of people shopping a price, hunting a coupon, or looking for injector training, and every one of those clicks costs what the client who buys a membership and comes back four times a year costs. We build the campaigns, the negative lists, and the tracking around the visits that repeat, and quote a flat monthly fee after a free consult.
Book a free consultation →Type a treatment name and a city into Google and look at who bought the sponsored slots. Other med spas, of course. Also dermatology and plastic surgery practices with a bigger case value behind every click, national chains running one regional budget across dozens of locations, and companies selling injector training. Most are not competing for your client. All of them set what your click costs.
The leaks underneath that are ordinary, and most med spa accounts have several at once.
Paid search is not one job. It is a dozen small ones, each wasting money quietly when nobody has hands on it. For a med spa, this is the list that earns its keep.
What we do not control gets said out loud too: what a competing spa bids next week, what the auction charges today, and whether the front desk picks up. The Google Ads hub covers the channel generally.
Almost no med spa makes its money on a first visit. Neuromodulators wear off in three to four months, laser hair removal is sold as a series, and facials are sold as memberships. So the number that sets your bid is not what a first appointment bills. It is what share of first appointments come back, and what a returning client is worth across a year.
Most spas have that number in their booking software and have never put it next to a cost per click. It sets a ceiling, and the ceiling is how you decide what to stop bidding on: when a term costs more than the work behind it earns, drop the term rather than raise the budget.
Intro offers cut both ways. A low introductory price lifts click-through and lowers cost per booking, so the account looks better on paper, and it pulls in the crowd that goes wherever the next offer is. That is a reason to run offers in their own campaign with their own budget, not a reason to stop running them.
Then there is the calendar, which paid search can answer inside a day. Series treatments need lead time, so body and skin searches arrive months before summer. Laser hair removal sells better in the low sun months, usually when a flat budget is being spent elsewhere. Injectables move with weddings, reunions, and the holidays, and January brings resolution traffic and gift cards together. Split twelve equal ways, a budget spends its best money in the quiet weeks, so we move it and tell you first. Capacity works the same way: two injectors and a full Thursday means more clicks are not a win, and paid search is the one channel you can turn down for two weeks and turn back up.
An ad puts your spa in front of someone. What they read next usually decides whether they call, which makes paid clicks the worst traffic to point at a review profile that has gone quiet. Review work is its own job, covered under reputation management, but it changes what the ads give back.
Aesthetics advertising also sits under more than one rulebook, and Google is only one of them.
Forms behind the ads are built with HIPAA-conscious handling in mind, collecting enough for a callback rather than a treatment history, and treatment-level detail does not get passed into advertising tools. That is a way of building, not a certification we hold, and your medical director remains the authority on what your spa may say.
Plenty of ad management runs off a template: one campaign shell for every client, a shared keyword list, and a fee set as a percentage of spend. A manager paid that way earns a raise every time they talk you into spending more, which is a strange foundation for advice.
The honest part: ads are rented. Visibility starts the day the account turns on and stops the day the card does, and paying for clicks does not lift organic rankings. Most spas want both, with paid search holding a position while SEO for med spas builds underneath it. Ads do not win the map pack either, which is earned through the profile work in local SEO for med spas. If the site is the weak link, ads make it more expensive, and the site itself comes first. More searches now end inside an AI answer with no ad on the page. How the pieces fit is on the med spa overview, and the longer read is our med spa marketing guide.
Four steps, and the first one is free.
You will not find an ads management price published on this site, and that is on purpose rather than coy. A percentage of ad spend is the industry's common model, and it quietly rewards whoever advises you for pushing the budget up. A flat monthly fee does not move with the budget at all. We charge flat, and put a number on it after the consult, once we know how many treatment categories, locations, and landing pages the account has to carry. Our free what should you pay tool is a fair place to calibrate first.
The click money is yours and stays separate: it goes to Google on your own card, at whatever number you set, never marked up. Everything runs month to month. If the landing pages or the site have to be built first, a custom-coded build runs $3,500 to $12,000 or more, one time, covered in what a website costs. Ongoing organic work alongside the ads runs $1,500 to $3,500 a month for most spas, and $3,500 to $7,500 a month in competitive metros or multi-location groups, broken down in what SEO costs and how long SEO takes. A custom tool on the landing page starts around $600 for a simple calculator and $1,500 to $4,000 for most, plus $75 a month per tool for care.
A flat monthly management fee, and we quote it once we have had the free consult. There is no single published number, because a one-location spa running injectables is nothing like a three-location group with a full device menu behind it. We take no percentage of ad spend, so the fee holds steady whatever you decide to spend.
That depends on your market and which treatments you want to compete for, and click prices swing widely between the two. We will not quote a range from memory to look helpful. On the consult we look at your real market and give you an honest floor: the point below which there is too little traffic to manage an account sensibly.
Often yes, in its own campaign. An intro price lifts click-through and lowers cost per booking, which flatters the whole account when mixed in with everything else. Kept separate, you can see what offer traffic does after the first visit compared with regular traffic, and decide how much budget it deserves. The wording stays yours and your medical director's to approve.
Usually, and it is one of the first things we check. Many spas book through a third-party scheduler that finishes on the vendor's domain, so the ad account sees a click and nothing after it. Depending on what your platform allows, we wire the booking, the form, and the call back to the search that caused them. If it will not allow that, we tell you before you spend.
No to both. Paid and organic run on separate machinery, and no amount of ad budget moves a listing or a map position. What ads do produce is real search data from your own market within weeks: which treatment names people type, which nearby towns turn up, and which phrases turn into calls. That is useful when deciding what to build organically.
Yes. Kelly WM is based in Orlando and has worked nationwide since 2008. An ad account, its landing pages, its tracking, and its reporting all live online, so location makes little difference to the work. What matters more is reading your local auction, which we do on the consult. Calls and texts reach the person managing the account.
Google Ads services · Med spas: industry overview · SEO for med spas · Local SEO for med spas · Websites for med spas · What should you pay? (free tool)
Book a free consult and we will look at your market, your treatment mix, and what a returning client is worth before anyone spends a dollar on clicks. Call or text (407) 694-2055, or email [email protected].
Book a free consultation → Or call/text directly: (407) 694-2055Tell us a little about the business and we will come back with an honest read: what we would fix first, what it costs, and whether you need us at all. Prefer to see work before you talk numbers? Get a free homepage mockup, built for your business, yours to keep either way.
Brandon reads every one of these himself. You will hear back shortly with an honest read on what we would do first, what it costs, and whether it is worth it for you.