How is this different from a normal SEO agency?

Agencies bill hours. We bill outcomes — 20 to 100+ medically reviewed pages every month at one transparent monthly price.

Do you actually rebuild my website?

Yes. A practicing MD founder oversees a new, conversion-optimized site published to your own GitHub repo. You own the code and domain and can leave anytime.

Is the content medically accurate?

Yes. Every page is reviewed for medical accuracy before it publishes, with optional provider and treatment copy review.

How long until I see results?

New patient calls typically in 30–60 days, meaningful ranking lifts in 60–120 days, compounding from month four.

Med Spa

Med spa Google Ads shouldn't cost $9 a click to book patients who never show. Yours probably does.

Aesthetics is one of the few areas of medicine where paid search actually pencils out — the services are self-pay, high-margin, and repeat-purchase. But most med spa campaigns burn budget on broad injectable and laser keywords that pull price-shoppers instead of bookings.

Google Ads should be a money printer for a med spa. The patient searching "lip filler near me" or "laser hair removal [city]" is elective, self-pay, ready this week, and worth thousands over a year of touch-ups, packages, and add-ons. There's no insurance denial, no referral, no gatekeeper — just a motivated buyer and an auction. And yet most med spa accounts quietly hemorrhage money: broad-match keywords that trigger on "Botox before and after" and "how much does filler cost," a landing page that dumps clickers onto a generic homepage, and a "Contact Us" form where a self-scheduler should be. The result is a cost per click that keeps climbing while the cost per actually-booked patient stays invisible — because nobody's tracking to the booking. This page breaks down the paid search economics that make aesthetics different: which keywords convert versus which just spend, what a realistic cost per booked injectable or laser patient looks like, and where the leaks are. Want it specific to your account and your market? The free Surge Report™ estimates your booked-patient cost and wasted spend in about 60 seconds — no strategy call required, though you can book one from the same page.

$4–$9

Typical cost per click on competitive injectable keywords like "Botox near me"

Aesthetics paid-search benchmarks

$2,800+

Illustrative first-year value of one repeat aesthetics patient

Surge benchmark

30–60%

Share of med spa ad spend commonly wasted on price-shopper and no-intent search terms

Surge account-audit range

See your Surge Score™ in 60 seconds

What's your Med Spa practice losing every month?

Surge analyzes your homepage and shows you the exact monthly revenue your practice is leaving on the table.

Get my Surge Score

The economics: cost per click is a vanity number — cost per booked patient is the game

On competitive aesthetics terms, expect to pay somewhere in the $4–$9 range per click, and "Botox near me" or "CoolSculpting [city]" can run higher in a dense metro. That number scares people, but it's the wrong number to fixate on. What matters is cost per booked patient — the total ad spend divided by patients who actually put a card down and showed up. Here's why aesthetics can absorb a high click cost that a primary care practice never could: the case value and the repeat rate. If it takes, say, 40 clicks and roughly $250 in spend to book one filler patient, and that patient is worth $650 on the first syringe and materially more once you count touch-ups, tox, and the laser package they add in month three, the math is comfortably positive. The problem is almost never that clicks cost too much. It's that the campaign is buying the wrong clicks and losing the right ones at the landing page — so the true cost per booked patient is two or three times what it should be, and nobody's measuring it because conversions are tracked to a form fill, not a booking.

Which keywords book patients — and which just spend your budget

Aesthetics search intent splits sharply, and the split is where most budget leaks. **Keywords that book (protect and scale these):** service-plus-location and service-plus-"near me" terms with buying intent — "lip filler near me," "laser hair removal [city]," "Botox [neighborhood]," "CoolSculpting near me," "Dysport [city]," "Morpheus8 [city]." These are patients choosing a provider, not researching a concept. **Keywords that quietly drain (cut, tighten to exact/phrase, or move to negatives):** informational and price-shopper terms — "how much does Botox cost," "Botox before and after," "is filler safe," "lip filler gone wrong," "Botox units for forehead." These pull clicks that read a blog and leave. Under broad match, a single injectable keyword can silently trigger on dozens of these. **Keywords to negate on sight:** "cheap," "free," "Groupon," "at home," "DIY," "school," "training," "jobs." Every dollar these spend is a dollar not booking a patient. A disciplined negative-keyword list and a shift toward exact and phrase match on your money terms is usually the single fastest way to cut cost per booked patient — often more impactful than raising bids or budget.

The landing page is where the paid click lives or dies

Winning the auction is half the battle; the click still has to convert. Sending a $7 "lip filler near me" click to your generic homepage is the most common — and most expensive — mistake in med spa PPC. The homepage answers a dozen questions the filler-shopper never asked, and buries the one thing she wants: can I book, at what price, this week. High-converting med spa ad landing pages do four things. **One: match the ad.** If the ad says lip filler, the page is about lip filler — same service, same offer, same city. **Two: show a price range.** "Filler from $650/syringe" filters tire-kickers and pulls the ready buyer; "call for pricing" sends the paid click straight back to Google. **Three: prove results** with real, consented before-and-afters, not stock models. **Four: let her book now** with an embedded self-scheduler showing open times — not a nine-field form and a promise to call back. A campaign with tight keywords and a leaky landing page still bleeds; fixing the page is often where cost per booked patient drops fastest.

See your booked-patient cost in the free Surge Report

Drop your URL and Surge will estimate — specifically for your med spa and your market — the injectable, laser, and body-contouring keywords worth bidding on, a realistic cost per booked patient for your service mix and case values, where your current ads and landing flow are likely leaking spend, and the top three moves to lower your cost per booked patient. Free. About 60 seconds. No sales call required — and if you'd rather walk through it live, you can book a strategy call from the same page.

Prefer to talk it through?

Book a strategy call with the team.

Twenty minutes. We'll walk through the specific opportunities in your market and what a Surge engagement would look like for your practice.

Frequently asked

Google Ads or Instagram for a med spa — which should I run first?

They do different jobs. Google captures patients who already want a specific service and are searching for a provider right now — the highest-intent, closest-to-booking traffic you can buy, which is why it usually earns the first dollar. Instagram and Meta create demand and showcase results but reach people who weren't actively looking yet. For most med spas, start with search to capture the ready buyers, then layer social to build the pipeline.

What's a realistic cost per booked patient for injectables versus laser or body contouring?

It varies by market and case value, but as a rough frame, a booked injectable patient often lands in the low hundreds of dollars in ad spend, while higher-ticket body-contouring or device treatments can justify more because the case value and package revenue are larger. The number that matters isn't the benchmark — it's yours, tracked all the way to a booking, not a form fill. The Surge Report estimates it for your specific service mix.

How do I know if my current med spa Google Ads are actually wasting money?

Two fast tells: your conversions are counted at a form submission or phone click rather than an actual booking, and your search-terms report shows spend on informational or price-shopper queries like "how much does Botox cost" or anything with "cheap" and "Groupon." Both mean your real cost per booked patient is higher than your dashboard suggests. Run the free Surge Report for an estimate of your wasted spend and booked-patient cost, or book a strategy call to review the account line by line.

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