Google Ads capture patients actively searching — "botox near me," "med spa in [city]," "laser hair removal cost." Higher intent means higher cost per lead, but dramatically higher conversion to booked appointments. We run Search, Local Service Ads, and retargeting alongside our Meta Ads and follow-up systems.
Meta Ads create demand. Google Ads capture demand. When someone types "botox near me" or "best med spa in Dallas," they've already decided they want the treatment — they just need to pick a provider. Skipping Google means handing those bookings to your competitors.
The catch: Google Ads costs more per click ($4-18 for med spa keywords) and most clinics either bid on the wrong terms or send traffic to a homepage that doesn't convert. We fix both. Tight keyword targeting, dedicated landing pages, and conversion tracking that tells Google's algorithm exactly who to find more of.
Real benchmarks from med spa PPC accounts — not theory. Google Ads costs more upfront but generates patients with higher purchase intent, larger first treatment values, and faster booking timelines than any other paid channel.
Cost per click on med spa keywords — depending on treatment and market competition.
Average cost per booked consultation across our med spa Google Ads accounts.
Of "near me" searches result in a booking or call within 24 hours of clicking.
Conversion rate on dedicated landing pages vs. 0.5-1.5% on generic homepages.
Meta targets who someone is. Google captures what they want right now. A "lip filler near me" search is worth more than any lookalike audience — that person is ready to book, they just need to choose you over the clinic next door.
LSAs appear above traditional search ads and charge only when a real lead calls or messages — not per click. For eligible med spa categories, this drops cost-per-lead by 30-50% versus standard Search campaigns.
A 4-step system built around the way med spa patients actually search, click, and book. Every step has one job: convert intent into revenue.
Treatment + intent + local. We mine search data to find the exact queries patients use — and the long-tail keywords competitors miss entirely.
Search, Local Service Ads, and Display retargeting — built as one funnel. Capture intent, recover abandoners, dominate your service area.
Calls, forms, and booked appointments tracked end-to-end. Google's algorithm only optimizes for what it can measure — we make sure it measures everything.
Three layers: treatment terms ("botox," "lip filler"), intent modifiers ("near me," "cost," "best"), and local geography ("Dallas," "Plano," "Frisco"). We map every realistic patient query and rank them by conversion potential — not just search volume.
Three campaign types working as one system. Search ads catch the active buyer. Local Service Ads sit above search results and pay-per-lead. Retargeting brings back the 90%+ of visitors who don't book on the first visit.
Generic homepages kill Google Ads. We build dedicated landing pages for every campaign — treatment-specific copy, single-action layouts, mobile-first speed, and embedded booking forms. The result: 5-12% conversion rates instead of the typical 0.5-1.5%.
Full conversion tracking from click to booked patient — calls, forms, scheduling system events, and offline conversion uploads. Google's smart bidding only works when it has clean data. We feed it the right signals and optimize weekly.
High search volume, clear local intent. "Botox near me" alone gets 100K+ monthly searches in the US. Patients ready to book — they just need to find you first.
Laser hair removal, IPL, microneedling, chemical peels — patients search by treatment, not by clinic. Google captures them at the exact moment they're choosing.
Semaglutide and tirzepatide searches have exploded. High-ticket treatment, motivated patients, and search demand that didn't exist 2 years ago.
Most clinics running Google Ads waste 40-60% of their budget on the wrong keywords, weak landing pages, and broken tracking. Here are the mistakes we fix immediately.
Running broad match keywords without an aggressive negative keyword list is the fastest way to burn money. We add 200+ negatives on day one before a click is bought.
A Botox searcher landing on a general med spa homepage is a 90% bounce. Dedicated treatment landing pages convert 3-5x higher. This single fix usually halves cost per lead.
If Google's algorithm doesn't know which clicks become patients, it can't optimize. Most accounts we audit have tracking misfiring or tracking the wrong events entirely.
LSAs sit above paid search and only charge per lead, not per click. Eligible med spas skipping LSA are leaving 20-40% cheaper leads on the table for competitors.
90%+ of first-time visitors don't book. Without Display + YouTube retargeting, all that paid traffic is gone forever. Retargeted visitors convert at 5-7x cold rates.
Google's automated bidding works — but only when fed clean conversion data and proper bid floors. Otherwise it spends your full budget chasing low-quality clicks.
70%+ of med spa search traffic is mobile. Pages slower than 3 seconds lose 40% of visitors before they see the booking form. Speed is conversion.
Google Ads drives a lot of calls. Missed calls = missed patients. Without call tracking and instant callback systems, 30-50% of paid leads vanish.
Real budgets, real CPLs, real expectations. Google Ads cost more than Meta — but generate higher-intent patients. Here's what to expect at each spend tier.
booked patients / month
Single-location practices in mid-competition markets. Focus on 1-2 hero treatments.
booked patients / month
Our most common tier. Full Search + LSA + Retargeting across 3-5 treatments.
booked patients / month
Multi-location groups or competitive metros. Full treatment coverage + brand defense.
$5,000/month into Google Ads at $75 cost per booked patient = roughly 65 new patients. At an average first-visit value of $450, that's $29,000+ in first-visit revenue — before retention, rebooks, or treatment stacks.
Google patients have higher purchase intent than Meta patients, so they typically rebook faster and convert into longer-term LTV. The math compounds.
We put our revenue on the line. If our Google Ads campaigns don't deliver 15+ booked patients in your first month, we keep working for free until they do. See the full ROI breakdown.
Booked patients guaranteed in month one
Keywords, campaigns, landing pages, tracking handled
Risk — miss the target and we keep working free
Every piece of a profitable Google Ads program — keyword research, campaign builds, landing pages, tracking, A/B testing, reporting. Pair it with our Meta Ads for full funnel coverage from awareness to booked patient.
Single-location med spas typically need a minimum of $2,500-3,500/month in ad spend to compete on Google. Search keywords like "botox near me" or "med spa [city]" run $4-18 per click, so smaller budgets get crushed before they generate data. Multi-location practices invest $5,000-15,000/month.
Different jobs. Google Ads cost more per lead ($45-120 CPL vs. $7-50 on Meta) but those leads have far higher intent — they're actively searching to book. The conversion rate from lead to booked patient is typically 2-3x higher on Google. Best practice is running both: Meta for awareness and demand generation, Google for capturing demand.
Treatments with high search volume and clear intent dominate: Botox, laser hair removal, CoolSculpting, lip filler, microneedling, IV therapy, and GLP-1/semaglutide. These are searches people make when they've already decided to book — they just need to find a provider. Awareness-driven treatments like body contouring or wellness work better on Meta first.
Yes — full conversion tracking is the first thing we build before a single ad runs. That includes Google Ads conversion tags, GA4 events, phone call tracking, form submissions, and booked appointment tracking through your scheduling system. Without proper tracking, Google's algorithm optimizes blind and you waste budget.
Google Ads typically generate leads within 24-48 hours of launch — faster than Meta because you're capturing existing demand, not creating it. The first 2-3 weeks are a learning phase where the algorithm gathers conversion data. By week 4, campaigns stabilize and we start scaling winners and cutting losers. More on this in our guide to filling your med spa calendar.
Generic PPC agencies bid on the wrong keywords, send traffic to weak landing pages, and miss treatment-specific buyer intent. We've run thousands of dollars through med spa search campaigns and know exactly which keywords convert (treatment + "near me," branded competitor terms, condition-based queries) and which burn budget. Specialization compounds — we don't relearn med spa marketing for every client.
Local Service Ads are Google's pay-per-lead format that appears above traditional search ads. Med spas in eligible categories (currently expanding) can run LSAs and pay only when a real lead calls or messages — not per click. We help you get verified, optimize your profile, and manage lead disputes to keep your CPL low.
We build dedicated conversion-optimized landing pages for every campaign. Your main website is built for browsing and brand — landing pages are built for one job: converting a Google searcher into a booked patient. Treatment-specific pages typically convert 3-5x better than sending ads to a generic homepage.
Yes — but execution becomes everything. In saturated markets like Miami, LA, or NYC, CPCs run $12-25 for top treatments. The win comes from tight keyword targeting, fast-loading landing pages, aggressive retargeting, and a follow-up system that books leads before competitors respond.
Yes. Retargeting (Google Display + YouTube ads to past visitors) is built into every campaign. Visitors who land on your site but don't book are 5-7x more likely to convert when retargeted within 7 days. We run retargeting across Display Network, YouTube, and Google's Discover feed for full coverage.
Book a free 30-minute strategy call. We'll audit your current Google Ads (or build the case for starting), map out the keyword opportunities in your market, and tell you straight if we're a fit.
No obligation. No pitch deck. Just a real conversation.