Recommended monthly ad spend depends on market competitiveness and goals. Small markets: $2,000-4,000/month. Medium markets: $4,000-8,000/month. Large competitive markets (NYC, LA, Miami): $8,000-20,000/month. Start with a test budget for 3 months, then scale based on ROI. Most profitable med spas invest 5-10% of revenue in advertising.

Unlike SEO, PPC delivers immediate visibility. You’ll see clicks and website visitors within 24-48 hours of launch. Initial leads typically arrive within the first week. However, campaigns improve significantly over 60-90 days as we gather conversion data and optimize. Month 1 is the learning phase; months 2-3 show optimal performance.

Yes, you can bid on “Botox” keywords, but with restrictions. Your landing pages cannot use “Botox” or “Botulinum Toxin” in most regions (prescription drug advertising laws). We use terms like “injectable wrinkle treatments” or “cosmetic injectables” on landing pages while bidding on “Botox” keywords. Some regions require LegitScript certification for prescription drug advertising.

Average cost per lead for med spas: $40-150 depending on treatment and market. High-value treatments (CoolSculpting, thread lifts) may have higher CPLs ($100-200) but also higher client values. Laser hair removal and chemical peels typically have lower CPLs ($30-80). The key metric is cost per acquisition (CPA), not CPL—track how many leads convert to actual appointments.

No. While you can reduce budget during slower periods, pausing entirely means starting from scratch when you resume. Better strategy: Run brand campaigns year-round to capture existing demand, reduce spend on prospecting campaigns during slow months. Many treatments are seasonal (laser hair removal peaks in spring, body contouring in winter)—adjust campaign focus rather than pausing.

Comprehensive negative keyword management (we maintain 200+ negative keywords for med spas), tight geographic targeting (exclude areas outside your service radius), device bid adjustments (increase bids for mobile if it converts better), dayparting (reduce/pause ads during non-business hours if calls aren’t answered), quality score optimization (lower costs for higher quality scores), and continuous A/B testing.

Google frequently disapproves healthcare ads for policy violations. We handle all disapprovals: (1) Review the specific policy cited, (2) Correct the violation (update landing page or ad copy), (3) Request re-review, (4) Appeal if we believe the disapproval was incorrect, (5) Implement preventative measures to avoid future violations. Our healthcare compliance expertise means fewer disapprovals than general PPC agencies.

Yes, but with adjusted expectations. New med spas face higher CPCs and lower conversion rates due to lack of social proof. Strategy for new med spas: (1) Focus on treatment-specific keywords rather than branded, (2) Emphasize credentials and experience of providers, (3) Offer strong opening promotions, (4) Implement aggressive review generation from day one, (5) Use Google Local Service Ads which boost trust, (6) Consider slightly higher initial ad spend to build momentum.