Install the system yourself
Wire call tracking, build intent-based search campaigns, and stop wasting budget on Smart Campaigns. For service-business owners with 2-3 hrs/week for marketing.
You dominate on Instagram but Google captures the 'best Botox near me' intent that social media can't touch. The problem: Google's healthcare ad policies reject the exact words your patients search for and the exact photos that sell your treatments. You need a system that works within the rules.
Pick how you want to fix lead flow
Wire call tracking, build intent-based search campaigns, and stop wasting budget on Smart Campaigns. For service-business owners with 2-3 hrs/week for marketing.
$8-20
Injectable keywords higher; laser treatments lower
$150-300
With treatment-specific landing pages and call tracking
$0/year
4 sessions/year at $450 average
$0
Typically one-time; upsell to maintenance treatments
Botox is a brand name, so Google requires 'botulinum toxin' or 'neuromodulator' in ad copy. Nobody searches for those terms. Your marketing coordinator spends 3 hours/week fighting ad disapprovals.
Before/after photos are the #1 thing that sells med spa treatments, but Google rejects them. You can't run remarketing for healthcare either. The ad platform actively works against your best marketing assets.
At $2K/mo spend you get 5-6 bookings. $330/patient works for Botox ($1,800 LTV from 4 sessions/year) but you need volume for CoolSculpting ($3,500 one-time) where individual patient LTV is lower.
Google Ads traffic lands on your general website instead of treatment-specific pages. A patient searching for 'lip filler Scottsdale' sees your homepage with 15 different services listed instead of a focused conversion page.
“How do you advertise Botox on Google when the word 'Botox' gets your ad disapproved?”Reddit r/MedSpa
“Before/after photos are the #1 thing that sells med spa treatments but Google rejects them.”Reddit r/PPC
“Google Ads for med spa — worth it or just stick to Instagram?”Reddit r/MedSpa
These are representative outcome patterns we've seen from operators implementing these systems. Details are anonymized; numbers are realistic for the vertical.
Operator profile
Starting point
New patients/month from Google: 5-6. Cost per new patient: $330 (blended).
What changed
Built a compliance-safe ad copy library, switched to appointment-request conversions (not form fills), and added retargeting lists excluding healthcare policy violations.
Outcome
New patients/month from Google → 15+ with treatment-specific campaigns. Cost per new patient → $180-220 (segmented by treatment).
Each product builds on the previous one. Start where you are, progress at your own pace.
Your YouTube campaigns aren't failing - your attribution model is. A measurement framework that reveals what dashboards hide about top-funnel impact.
Same customer, same $100 order — Triple Whale shows $200 in revenue. It's the attribution model you're using, and it's costing you thousands.
Every system on this page is what we install for our own clients. If you'd rather have us run it with you — or for you — these are the paths.
Instagram builds awareness. Google captures the 'I want to book this week' patients Instagram can't reach. These systems give you compliance-safe copy templates, treatment-specific campaigns, and per-treatment booking attribution — so you're not spending $2K/mo and wondering which treatments are actually filling the schedule.
Or book a free 15-min audit if you're not sure which path fits.
© 2026 Tegra
hello@tegra.co60-min strategy session — call tracking architecture, lead quality scoring, seasonal bid pacing, and per-location attribution. For multi-truck or multi-location operators.
Full ad ops for service businesses — Google + LSA + Meta + call routing + booked-job CRM integration. For $10K+/mo spenders who'd rather close jobs than manage campaigns.
Operator profile
Starting point
Ad account suspended twice in 6 months over Botox policy violations, coordinator rebuilding campaigns from scratch each time, CoolSculpting revenue stuck at 2-3 bookings/month.
What changed
Deployed a compliance-safe copy framework, built treatment-specific landing pages with policy-approved before/after patterns, and split campaigns to isolate high-risk ad groups.
Outcome
Zero suspensions in 9 months, CoolSculpting bookings scaled to 11/month at $240 CPA, Google ad spend doubled to $8K/mo without triggering healthcare policy flags.
Operator profile
Starting point
Shared campaigns routing Scottsdale patients to the Phoenix location and vice versa, no visibility into which treatment drove highest per-location LTV, owner manually copying ads between locations.
What changed
Used the AI Agentic System to orchestrate per-location budget allocation by treatment ROI, wired the POS system in as a conversion source, and auto-cloned winning ads across locations with geo adjustments.
Outcome
Per-location CPA down 30%, cross-location routing errors eliminated, owner redirected 8 hrs/week from ad management to clinical operations.
AI creative brief generation that works around Google's before/after photo policy. Brief Demand Gen and Display creatives using lifestyle imagery, results-adjacent framing, and treatment-adjacent visuals that pass review — and still book appointments.
Already running $50K+/mo in ad spend? See Premium Advisory