Full disclosure before anything else: this list is published by ScaleHaven, a med spa marketing agency, and yes, we ranked ourselves first. Instead of pretending to be neutral, we are doing something more useful: showing you the exact criteria we would use to hire an agency if we owned a clinic, being honest about what each company on this list does well, and letting you judge us by the same standard. Every agency below is a real company you can evaluate today.

How to Judge Any Med Spa Marketing Company

  • Niche depth. Aesthetics has its own physics: ad platform restrictions on before/afters, HIPAA exposure, treatment seasonality, price-shopper traps. A generalist learns on your budget.
  • Proof with numbers. Ask for real campaign results with costs per lead and per booked consultation. "We increased engagement" is not an answer.
  • Skin in the game. Who carries the risk of a slow first month: you or them? Guarantees are rare in this industry, which tells you something.
  • What they make you install. Some companies are software platforms first and agencies second. If the pitch requires migrating your booking system or adopting a new CRM, understand you are buying lock-in with your marketing.
  • Contract terms. 90-day initial commitments are reasonable because campaigns need a ramp. Twelve-month locks with auto-renewal before any results are not.

1. ScaleHaven (that’s us)

Best for: med spas and aesthetic clinics that want booked, financially qualified patients with the risk on the agency.

We are a specialist agency for med spas, aesthetic clinics, dermatology, and plastic surgery practices across the US and Canada. Founder-led: John Blackwood ran the digital marketing inside a cosmetic clinic that grew into one of the largest in its region and sold to a private equity firm. The model is deliberately different in two ways. First, the guarantee: 15+ booked consultations in month one, or we work free until you hit it. Second, zero integration: leads are qualified in the ad form, routed instantly to your team, and hot leads book straight into whatever booking system you already use. Nothing new to install, no platform migration, no lock-in. Creative is provider-on-camera by design, because cold traffic books people, not logos.

Real Result

From a live client account, one 30-day window: a Neurotoxin New Client Offer brought in 128 leads at $3.83 per lead from under $500 in spend, and a Glo2Facial campaign added 69 leads at $4.66. About 200 qualified leads for roughly $810, every one routed straight to the clinic’s team the moment it landed.

2. Growth99

Best for: practices that want software and marketing from one vendor.

Growth99 is a technology platform for aesthetics and elective wellness that bundles websites, CRM tools, and marketing services. The all-in-one approach appeals to practices that want a single login for everything. The trade-off is the flip side of the bundle: your marketing, website, and patient data live inside one vendor’s ecosystem, so evaluate how easily you could leave with your assets intact.

3. Influx Marketing

Best for: plastic surgery and high-end aesthetic practices investing in brand and web presence.

Influx has a long track record building polished websites and brands for plastic surgeons and premium aesthetic practices. If your priority is a flagship digital presence for a surgical practice, they belong on your shortlist. Practices whose first need is immediate lead flow at a defined cost should ask hard questions about performance campaigns and reporting cadence.

4. PatientGain

Best for: healthcare practices that want structured, repeatable marketing programs.

PatientGain runs marketing programs across many healthcare verticals, med spas included, with defined monthly deliverables. The breadth is the caveat: aesthetics is one vertical among many, so probe how deep the med spa specific experience runs on the team that would handle your account.

5. Sagapixel

Best for: practices betting on SEO and content as the primary growth channel.

Sagapixel is a healthcare SEO shop with real organic-search craft and transparent educational content. If you want to win search over 6-18 months, that focus is valuable. Pair it with a plan for the demand side of the equation, because SEO captures existing demand; it does not create it the way paid social does.

6. Cardinal Digital Marketing

Best for: multi-location groups and MSOs with enterprise budgets.

Cardinal runs performance marketing for large healthcare organizations, including multi-location aesthetics groups. Strong analytics and scale. A single-location med spa is not their center of gravity, and enterprise-grade retainers reflect that.

7. MyAdvice

Best for: established practices that want a long-tenured, full-service vendor.

MyAdvice has served medical and dental practices for decades with websites, SEO, and social packages. The longevity means process maturity. Ask to see aesthetics-specific creative and recent paid-campaign results so you are not buying yesterday’s playbook.

What These Companies Charge

Specialist med spa agencies generally run $2,500-5,000 USD per month for management, with ad spend separate and paid directly to the platforms ($2,000-3,000/month per location is the productive range). Software-led platforms can look cheaper monthly but bundle costs into subscriptions and switching friction. Enterprise shops start well above this range. Full pricing anatomy is in our med spa marketing cost guide. ScaleHaven sits mid-market on fees and stands alone on the guarantee, which is the honest reason we put ourselves first.

The Five Questions That Expose Any Agency

  • What was the cost per booked consultation on your last three med spa campaigns?
  • Who films and who edits the ad creative, and will my providers be on camera?
  • What happens if month one underdelivers: who carries that risk?
  • What software will you require me to adopt, and what happens to my data if we part ways?
  • Can I speak to a current client with a practice like mine?

Any agency worth hiring answers all five without flinching. We are happy to go first: book a call and ask.