Frequently Asked Questions

MedSpa Digital Marketing (MDM) is a full-service digital marketing agency based in California, built exclusively for established med spa and aesthetics practices. We build and install complete growth systems that combine Google Ads, Meta Ads, SEO, CRM automation, website design, email marketing, reputation management, and team training into practices that are ready to scale. Everything we do is designed to produce one outcome: a full, predictable appointment calendar.

Most marketing agencies treat med spas the same way they treat plumbers, gyms, or law firms. They apply generic campaigns and templates designed for any business. MDM was built from inside the industry. Our founder Adam Kelley is a practising medspa owner who scaled his own practice, Le Vogue Med Spa, to over $1M in annual revenue in 12 months using the exact systems we now install for clients. We do not theorise. We install what has already been proven inside a real practice.

Specialisation is where results come from. We know the treatments, the patient psychology, the seasonal booking patterns, the ad platform restrictions on injectables, and what cost-per-booking benchmarks look like in competitive California markets. A generalist agency has to guess at all of this. We already know it because we live it. Working exclusively in this niche means every campaign, every system, and every piece of copy we create is built for your type of business rather than adapted from a different industry.

Adam Kelley is the founder of both Le Vogue Med Spa and MedSpa Digital Marketing. After scaling Le Vogue from a growing practice to $1M or more in annual revenue in under 12 months through $300,000 or more in personal ad spend and relentless system-building, other medspa owners started asking how he did it. That question became MDM. We personally lead every new client engagement, conduct all growth audits, and oversee strategy for every client account. This hands-on involvement is the primary reason MDM limits intake to 5 new clients per month.

Our primary focus is established med spas in California. However, we do work with qualifying practices in other US states depending on market fit, service offering, and growth stage. During your free growth audit, we will evaluate whether your location and market dynamics are a good fit for our system. If they are, we will tell you clearly. If they are not, we will tell you that too.

The free growth audit is a working strategy session, not a sales call in disguise. We personally review your current marketing setup, identify the specific leaks costing you bookings each month, and map out a concrete plan to fix them. You walk away with actionable insights you can use immediately, regardless of whether you choose to work with MDM. There is no pressure and no obligation.

During the audit, we review the following:

• Your current Google Ads account (if active), including structure, targeting, spend efficiency, and wasted budget
• Your Google Business Profile, including completeness, review profile, and local ranking position
• Your SEO presence, including keyword rankings, local visibility, and on-page fundamentals
• Your website conversion rate and what percentage of visitors are actually taking action
• Your lead follow-up process and how quickly and consistently you respond to new enquiries
• A custom 90-day growth roadmap specific to your practice and market
• An honest assessment of which MDM plan is the right fit for your current stage

It is genuinely free with no catch. We offer the audit for two reasons. First, it gives you real, actionable value regardless of what you decide. Second, it gives us the data we need to have an honest conversation about whether MDM is the right fit for your practice. If we are not the right fit, we will tell you directly. We only take on clients we are confident we can grow, and this protects both your investment and our reputation.

Fill out the booking form on our website at medspadigitalmarketing.com. You will need to provide your name, phone number, email address, your med spa name, and a rough indication of your current monthly revenue. We review every audit request and will be in touch within 24 hours to confirm your session time.

The audit is conducted personally, not delegated to a junior team member or run through an automated system. We apply the same level of strategic thinking to your audit that was used to scale our own medspa. That level of attention takes real time. By limiting intake to 5 new clients per month, every MDM client gets our personal focus throughout the engagement. When spots are listed as available, it is worth booking promptly because they typically fill within a few days of opening.

Most MDM clients begin seeing meaningful lead flow within the first 2 to 4 weeks of campaigns going live. Consistent, significant booking volume typically builds through months 2 and 3 as campaigns optimise and the CRM automation beds in. SEO results take longer, generally 4 to 6 months before meaningful organic traffic growth, with compounding returns over 6 to 12 months. We set specific, realistic expectations for your practice during the free growth audit so you know exactly what the first 90 days will look like before you commit.

Our Foundation system is designed to generate 60 to 120 or more booked appointments per month for qualifying med spas. Clients like Emily Ross at Radiance Aesthetics saw 40% revenue growth within 4 months. Sophia Carter at Sculpt and Polish Med Spa went from an inconsistent calendar to a full schedule every single week. These are real outcomes from real clients.

Results depend on several factors within your control: your front desk team responsiveness, your service quality, your advertising budget, and your willingness to follow the system including the team training component that most agencies skip entirely.

No ethical agency can guarantee specific revenue numbers or booking volumes because too many variables are within your control, including how your team responds to leads, your pricing, and your local market competition. What we can say is that we install and operate the same system that has already been proven in real medspa environments.

We have never had a client who fully followed the system and did not see meaningful, measurable growth. Your free growth audit will include honest, specific projections for your practice.

The biggest factors in our experience are:

• Lead response speed: Practices that follow up within 5 minutes convert 2 to 3 times more leads than those that wait hours. Our CRM automation handles this, but your team must be trained to follow through on booked consultations.
• Ad budget: Practices with higher ad spend reach more high-intent patients faster. Our Foundation plan minimum is $5,000 to $7,000 per month in ad budget for this reason.
• Team training participation: The front desk scripting and intake training component is the most commonly skipped element by agencies and one of the highest-impact elements we install.
• Market competition: A medspa in a lower-competition California market will see results faster than one in a saturated metro. We account for this in your growth roadmap.
• Starting point: Practices with an existing Google review profile, active website, and some brand recognition typically see faster early results.

This is the most common concern we hear and it is completely valid. The pattern we see most often is this: a medspa owner tries a generic agency, gets polished reports but an empty calendar, fires them, tries another, gets the same result, and concludes that marketing does not work. The problem is rarely the agencies individually. It is that none of them were building a connected system. They were running campaigns in isolation with no CRM, no follow-up automation, no team training, and no real understanding of medspa patient psychology.

MDM is different in one concrete way: every strategy we install has already been validated inside a real medspa before it touches a client account. Adam spent $300,000 of his own money testing what actually works. You are not funding his education. You are benefiting from it.

MDM provides a complete, connected growth system. Services include:

• Med Spa SEO: Ranking your practice at the top of local search results for treatments like Botox, fillers, laser, and medspa near me searches in your city
• Google Ads Management: Capturing high-intent patients actively searching for your treatments right now
• Facebook and Instagram Ads: Scroll-stopping creative that generates demand and turns followers into booked appointments
• Med Spa Website Design: High-converting, treatment-specific pages designed to book, not just look good
• Social Media Marketing: Consistent, branded content that builds trust with local audiences
• Email Marketing: Automated sequences that re-engage past clients and drive repeat bookings
• Reputation Management: Systematic review generation so you consistently rank as the highest-rated medspa in your area
• Lead Generation: Multi-channel pipelines with automated 60-second follow-up
• Google Business Profile (GBP) Optimisation: Ensuring you appear prominently in local map results
• Content Marketing: Treatment-focused blogs and guides that build authority and organic traffic
• Answer Engine Optimisation (AEO): Positioning your practice to appear in AI-powered answer results
• Generative Engine Optimisation (GEO): Future-proofing your visibility in ChatGPT, Google AI Overviews, and emerging AI search platforms
• CRM Setup and Automation: Automated lead follow-up that responds within 60 seconds
• Front Desk Team Training: Proven scripts and objection-handling frameworks that convert leads into booked patients

MDM is a growth system, not a menu of individual services. The reason our system produces results that standalone campaigns do not is because every component works together. Ads drive traffic, landing pages convert it, the CRM follows up automatically, and the trained front desk closes the booking. Removing any component creates gaps in the system. Depending on your current situation and the plan you are on, not every service will be launched simultaneously. We prioritise in a logical sequence during the onboarding process.

CRM (Customer Relationship Management) automation is the software system that automatically follows up with leads the moment they enquire via SMS and email, within 60 seconds, 24 hours a day. Research consistently shows that 70% of patients book with the first practice that responds to their enquiry. Without automation, your front desk is competing against their own sleep schedule. With it, every lead gets an instant, personalised response even at 2am on a Sunday. This single component accounts for a disproportionate share of the results our clients see.

Most agencies stop at generating leads and consider their job done once someone fills out a form or clicks an ad. A lead that gets a slow response, a confused receptionist, or no follow-up after the initial contact is a wasted lead. Our team training component provides your front desk with proven answer scripts, objection-handling frameworks, and booking protocols so that the leads your ads generate actually convert into seated patients. Other agencies skip this because it is time-intensive and requires real industry knowledge. We include it because it is one of the highest-return components in the entire system.

These are two of the most important emerging services in 2025 and 2026. Answer Engine Optimisation (AEO) involves optimising your online presence so that when someone asks an AI tool like Google AI Overviews or Perplexity who the best medspa for laser hair removal near them is, your practice appears in the answer. Generative Engine Optimisation (GEO) does the same for large language models like ChatGPT and Google Gemini. As an increasing share of patient searches are handled by AI assistants rather than traditional search results, practices that are not optimised for these platforms will become increasingly invisible. MDM includes both services in our growth system.

These are two separate costs that are always kept transparent and separate. The ad budget is the money that goes directly to the advertising platforms, specifically Google and Meta (Facebook and Instagram). This money is spent on reaching patients and is controlled entirely by you. The management fee is what MDM charges for building, managing, and optimising your complete growth system, which covers strategy, creative, CRM, automation, SEO, reporting, and team training. Many agencies bundle these figures together to obscure where your money is actually going. MDM always keeps them separate and fully disclosed.

The right way to think about ROI for medspa marketing is in terms of patient lifetime value, not cost per lead. A Botox patient who books every 3 months and adds filler and laser treatments over time might be worth $3,000 to $6,000 or more annually to your practice. If the total cost to acquire that patient is $150 to $300, the return is substantial. The metric that matters most is cost per booked appointment, not cost per click and not cost per lead. MDM reports specifically on cost per booked appointment.

Setup investment varies depending on what infrastructure is already in place at your practice and which plan you are starting on. Some practices already have an active Google Ads account and a functioning website. Others are starting from scratch. Your growth audit will surface exactly what is needed for your situation, and any setup investment will be clearly outlined in your service proposal before you commit to anything.

MDM works on a service agreement basis. We recommend a minimum 6-month commitment for the Foundation and Expansion systems, not to lock you in, but because meaningful, compounding results from a complete growth system take time to build. Practices that commit for 12 months consistently see the strongest outcomes. The specific terms of your agreement will be outlined clearly in your service proposal before you sign anything.

If you are not seeing meaningful progress, the first step is a direct conversation with us. We troubleshoot together, identify what is and is not working, and adjust the system accordingly. We do not hide behind reports. If something is underperforming, we say so and fix it. Our track record is built on results and we take underperformance seriously. The specifics of our performance expectations and resolution process will be outlined in your service agreement.

Yes. All advertising accounts, data, creative assets, and content produced during your engagement belong to you. We do not hold campaigns or data hostage, and we do not take over account ownership as a retention tactic. This is a deliberate policy. It keeps us accountable and keeps the relationship based on results rather than contractual lock-in. Some agencies transfer accounts into their own ownership and delete them when a client leaves. MDM does not operate this way.

For the system to work at its best, we ask for meaningful engagement from your side, particularly in the early weeks. This includes an onboarding session to brief us on your practice, treatment menu, pricing, and ideal patient profile; access to your ad accounts and analytics; participation in the front desk training component; and responsiveness to leads during the first 30 days as we calibrate the system. Once the system is running, the ongoing time demand is low. On the Expansion plan and above, expect approximately 1 to 2 hours per week for strategy calls and review.

Yes, we do. We are happy to support new medspas from the beginning and help build a strong foundation for growth. Whether you are just launching or in the early stages, our team can guide you in setting up your systems, building your online presence, and creating strategies to attract clients and scale effectively.

Yes, and competitive markets are where a connected system matters most. In a saturated medspa market, practices running generic campaigns with no follow-up automation and no team training are simply outspending each other for the same results. Our system is designed to win on conversion efficiency, turning a larger percentage of leads into booked patients, rather than just outbidding competitors for clicks. We have helped practices grow significantly in competitive California markets by fixing the gaps in their funnel that competitors are too disorganised to notice.

This depends on the arrangement. MDM is a complete growth system and it works best when all components are connected under a unified strategy. Running conflicting campaigns across two agencies typically produces poor results due to overlapping audiences, inconsistent messaging, and no clear accountability. If you are currently under contract with another agency, we recommend discussing this during your free growth audit. In some cases, we can assess what your current agency is doing and identify a transition path that makes sense without disrupting your current lead flow.

Yes. Our Market Domination plan is built specifically for multi-location and high-growth medspas. We build location-specific campaign architecture so each location is targeted appropriately for its local market and patient base, while maintaining a consistent brand presence across all locations. Multi-location practices often have the most to gain from a connected system because the compounding effect of SEO, reputation management, and CRM automation multiplies across every location simultaneously.

Google Ads lets your medspa appear at the top of Google search results when someone in your area types searches like "Botox near me," "lip filler California," "best laser hair removal in [city]," or "medspa open now." These are high-intent searches. The person is actively looking for a treatment and is close to booking. Unlike social media ads that interrupt people while they are scrolling, Google Ads capture patients who are already actively searching. This makes Google Ads the fastest channel for generating immediate, high-intent bookings.

Yes, and this is one of the key reasons you need a specialist agency. Google and Meta both have restrictions on advertising certain injectable treatments by brand name, such as Botox and Dysport, without specific certifications like LegitScript. Running non-compliant ads can result in account suspension. MDM is experienced with navigating these restrictions. We know how to run high-performing campaigns for medspa treatments within platform guidelines so your accounts remain active and your campaigns stay effective.

When campaigns are set up correctly, you can expect to see leads within the first 7 to 14 days of going live. The first 30 days is a calibration period where the campaign learns which keywords, audiences, and ad variations produce the best bookings for your specific market. By month 2, campaigns are typically optimised well enough to be running at meaningful efficiency. This is why we recommend against judging Google Ads performance solely on first-month data.

Every day, patients in your area are searching Google for terms like "medspa near me," "best Botox in [city]," and "laser hair removal [city]." If your practice does not appear prominently in those results, you are invisible to a significant volume of high-intent patients who have already decided they want a treatment and are now choosing where to go. SEO is the only marketing channel that compounds over time. The rankings you build today continue generating patient traffic months and years from now, without ongoing ad spend.

SEO is a medium to long-term investment. You can typically expect to see initial keyword movement within 60 to 90 days of focused optimization. Meaningful ranking improvements for competitive treatment terms generally take 4 to 6 months. Significant organic traffic growth that contributes measurably to your bookings typically develops between months 6 and 12. This is why we run Google Ads and Meta Ads simultaneously with SEO. Ads deliver immediate results while SEO builds long-term, compounding organic visibility.

Your Google Business Profile (GBP) is the listing that appears in Google Maps and the local results at the top of search when someone looks for a medspa near them. It shows your address, phone number, hours, photos, and reviews. A fully optimised GBP with consistent reviews, up-to-date service descriptions, and regular posts can put your practice in front of local patients without any ad spend. For medspas, local map visibility is often the first thing a potential patient sees before they ever reach your website. MDM includes full GBP optimisation in all plans.

Local SEO focuses specifically on making your practice visible when patients in your geographic area search for your treatments. This involves optimising your website for location-specific keywords such as "Botox Beverly Hills" or "medspa San Diego," building consistent citations across local directories, generating Google reviews, optimising your Google Business Profile, and earning local backlinks. Local SEO is the highest-priority SEO investment for a single-location or regional medspa because your patients are, by definition, in your area.

Meta Ads work differently from Google Ads. Instead of capturing patients who are already searching, they place your practice in front of people who match the profile of your ideal patient, even if they were not actively looking. Meta targeting allows us to reach women aged 28 to 55 in your city, with interests in skincare, beauty, and wellness, who have income levels consistent with your treatment pricing. The right creative, including before-and-after imagery, video testimonials, and treatment explainers, can generate a high volume of interest-based leads at a lower cost per lead than Google, especially for newer or aspirational treatments.

No. Paid Meta advertising operates completely independently of your organic follower count. You can run highly effective ad campaigns with 500 Instagram followers or 50,000. The ads are served to targeted audiences based on their demographics and interests, not based on who already follows you. A strong following helps organic reach but is not a prerequisite for successful paid campaigns.

Based on our experience running medspa campaigns, the following creative types consistently perform well:

• Before-and-after result imagery: Authentic, high-quality results build trust and desire simultaneously. Always ensure these comply with platform and FTC guidelines regarding claim specificity.
• Short testimonial videos: A 30-second video of a real patient talking about their experience converts extremely well because it combines social proof with emotional connection.
• Treatment explainer content: Short reels or carousels that demystify a treatment, covering what to expect, how long it lasts, and what it costs, address the biggest barrier to booking which is fear of the unknown.
• Limited-time offers: Specific, genuine offers with a clear deadline create urgency without devaluing your brand when structured correctly.

The moment a lead submits a form or triggers an enquiry through any channel in our system, the CRM automation fires immediately, typically within 60 seconds. The lead receives a personalised SMS and email acknowledging their enquiry, providing relevant information about the treatment they asked about, and prompting them to book a consultation. The system then follows up in a pre-configured sequence over the next 48 to 72 hours if no booking is made. Your front desk receives a real-time notification and is trained on exactly how to handle the conversation when the lead responds or calls.

The data on this is clear and consistent across every study of healthcare and aesthetics bookings. Seventy percent of patients book with the first practice that responds to their enquiry. A patient who enquires about lip filler at 8pm and gets an automated, personalised response within 60 seconds is far more likely to book with you than a competitor who calls them back the following morning. Every hour of delay significantly reduces your conversion rate. This is frequently the single highest-impact change an MDM client experiences.

Yes, and this is one of the most common situations we see. High lead volume with low conversion is almost always a follow-up and intake problem, not an advertising problem. The gaps are usually: slow response times, no structured follow-up sequence, front desk staff who are not trained to handle aesthetics enquiries confidently, or a booking process with too much friction. MDM's CRM automation, follow-up sequences, and front desk training component address all of these simultaneously. In many cases, fixing the conversion process on existing lead volume produces more revenue than increasing ad spend.

MDM sets up comprehensive tracking that connects ad spend directly to booked appointments, not just form fills or website visits. This includes Google Ads conversion tracking tied to actual appointment bookings, call tracking to capture phone enquiries from ads, CRM integration that matches incoming leads to their originating campaign, and weekly reporting that shows cost per booked appointment by channel and treatment type. This is a level of attribution that most agencies do not implement. They report on clicks and impressions because those numbers are easier to make look good. We report on what actually matters to your business.

Google reviews directly affect two things: how high your practice appears in local search results, and whether a new patient chooses you over a competitor once they find you. A practice with 4.8 stars and 200 reviews will consistently outrank and outconvert a practice with 4.2 stars and 30 reviews, even if everything else is equal. In the aesthetics industry, patients are making high-trust decisions about who will treat their face. Reviews are one of the primary trust signals they rely on. MDM includes systematic review generation to ensure your review profile grows consistently.

You will receive weekly performance reports that focus on the metrics that actually matter to your business: number of leads generated, number of booked appointments, cost per booked appointment by channel, lead response rates, and revenue attribution where trackable. On the Expansion plan and above, we also conduct bi-weekly strategy calls where we review performance, discuss what we are optimising, and align on the next period's priorities. We do not hide behind dashboards full of impressions and clicks. If something is not performing, we say so and tell you what we are doing to fix it.

Our core reporting metrics include:

• Lead volume by channel: Google Ads, Meta Ads, organic search, and Google Business Profile
• Cost per lead by channel and treatment type
• Cost per booked appointment — the most important metric we track
• Lead response time and CRM automation performance
• Google Ads impression share, click-through rate, and quality scores
• Meta Ads reach, engagement rate, and cost per result
• Keyword rankings and organic traffic growth from SEO activity
• Google Business Profile views, calls, and direction requests
• Review count and average rating trajectory
• Revenue attribution where your CRM and booking system allow integration

Yes. Our reports are built for medspa owners, not marketers. Every metric is explained in plain language alongside the number. We do not use jargon to obscure performance or surround mediocre results with impressive-looking secondary metrics. If your cost per booked appointment went up last week, we will tell you why and what we are doing about it. If a campaign is outperforming projections, we will tell you that too and show you how we are capitalising on it. You will always understand exactly what is happening with your marketing investment.

Once you have signed your service agreement, the onboarding process typically takes 2 to 3 weeks before campaigns go live. The process includes:

• Onboarding session: A deep-dive call where we learn about your practice, treatments, pricing, ideal patient profile, and local market
• Account access: You grant MDM access to your Google Ads account, Meta Business Manager, Google Analytics, and Google Business Profile
• CRM setup: We install and configure your lead follow-up automation and connect it to your booking system
• Campaign build: Google Ads and Meta campaigns are built, reviewed, and approved by you before launch
• Landing page creation: High-converting, treatment-specific landing pages are built or optimised
• Team training session: Your front desk team is trained on scripts, objection handling, and booking protocols
• Go-live: Campaigns launch and you receive your first weekly report within 7 days

The more of the following you have in place before we begin, the faster we can move:

• A Google account with access to Google Ads (we can help create this if needed)
• A Meta Business Manager account connected to your Facebook page and Instagram
• Access to your current website, or willingness to build a new one if needed
• A functioning booking system or CRM, or willingness to implement one
• Before-and-after patient photos you have consent to use in advertising
• Your current pricing for key treatments
• A clear idea of your top 2 to 3 treatments you want to prioritise

Do not worry if some of these are not in place. We will guide you through everything that needs to be set up during onboarding.

The first step is booking your free growth audit at medspadigitalmarketing.com. Fill out the form with your name, phone number, email address, your med spa name, and your current monthly revenue range. We will review your request and reach out within 24 hours to schedule your audit session. The audit takes approximately 45 to 60 minutes and will give you a clear picture of what is holding your practice back and what a realistic growth path looks like, whether or not you decide to work with MDM.

Reach us directly through any of the following:

• Email: infro@medspadigitalmarketing.com
• Phone: 123 456 7890
• Website: medspadigitalmarketing.com

We review all incoming enquiries and aim to respond to all messages within 24 hours, Monday to Saturday.