The usual inherited med spa ad account has one campaign called something like "Med Spa Services", a long keyword list covering every treatment on the menu, a single landing page and a conversion goal that counts any form submission. Laser hair removal, injectables and body treatments share one budget, and the reporting averages them together, so nobody can see which treatment is paying and which is being subsidised.
Aesthetics adds two complications most accounts never handle. Google restricts prescription drug terms in ads, so the product names clients search cannot simply be dropped into headlines. And the clicks that matter are expensive in most metros, which means a campaign trained on cheap form fills will find plenty of people who never book. Structure, copy and conversion tracking all have to account for both.
What med spa PPC with us includes
Campaigns per treatment
Separate campaigns or ad groups for each treatment you want to sell, each with its own budget, keywords and landing page.
Policy-safe ad copy
Ads written around the treatment, the providers and the booking details, kept clear of restricted drug terms and appearance claims.
Treatment landing pages
A page per campaign with pricing guidance, injector credentials and a booking button that opens the right service.
Booked-appointment conversion tracking
Bookings from your scheduling platform sent back to Google, without health details, so bidding learns from real clients.
Search term and negative keyword work
Weekly review of what people actually searched, with training, job, DIY and wholesale searches blocked.
Meta and retargeting, once search converts
Instagram and Facebook campaigns added when the search account is profitable, within each platform's health ad rules.
The searches med spa PPC should pay for
Not every aesthetics search is worth a click. Treatment plus location, price questions and searches for your own name usually are. Searches for training courses, injector jobs and products to buy online are not, and they show up in every med spa account that has not been told to exclude them.
Search, campaign, and the landing page it should reach
The client searches
Campaign
Landing page
your spa's name
Brand search, capped budget
Homepage or the booking page
lip filler westlake
Lip filler
The lip filler page with per-syringe pricing
laser hair removal near me
Laser hair removal, tight radius
The laser hair removal page with package pricing
wrinkle relaxer injections cost
Neurotoxin, generic-term keywords
The neurotoxin page with per-unit pricing
microneedling with prp
Microneedling
The microneedling page and its series pricing
med spa open saturday
Brand and general med spa
A location page showing weekend hours
botox certification course
None: negative keyword
No page. The search is blocked
How we run med spa PPC
1 Fund treatments by margin, not search volume
Search volume pushes budget toward whatever is searched most, which in many markets is laser hair removal. We start from the spa's own numbers instead: what each treatment is worth over a year, how often clients rebook it, and how much provider time it uses.
Treatments that bring clients back on a cycle and carry good margin get funded first. Entry treatments that lead into a series or membership get a share if the spa actually follows up on those clients. New devices and seasonal services run on a test budget with a date to review them.
Twelve-month value and rebooking rate per treatment, from booking data
Budgets set per campaign so one treatment cannot starve another
A fixed review date for every test campaign
2 Build keywords in client language, with heavy negatives
Clients search the nickname, the problem and the price as often as the treatment name. Keyword lists cover those phrases with a location attached, and match types are kept tight enough that a lip filler budget is not spent on searches about lip balm.
Negative keywords matter more in aesthetics than in most medical specialties, because so many searches are from people who want to learn the skill, find a job or buy something online. We review the search terms report weekly in the early months and keep adding exclusions.
Treatment, problem and price phrasing grouped per campaign
A shared negative list covering training, jobs, DIY, wholesale and at-home products
Location targeting by radius around each spa, set to where clients actually come from
Competitor names only in dense metros, and never in ad text
Example: starter negative keyword list
course, certification, training, class, school
jobs, hiring, salary, career
at home, diy, kit, buy, wholesale, online
side effects, gone wrong, lawsuit
free
3 Write ads that stay approved
Ad text that names a prescription product is likely to be limited or disapproved, so headlines use the treatment category, the provider type and the details that help a client choose: location, evening hours, pricing on the site. Ads make no promises about results and never suggest something is wrong with the reader.
Within those limits there is plenty to say. Ads can be specific about who does the work, where, when and how to book, which is information competitor ads often leave out.
Generic treatment terms in headlines, no drug brand names
Provider credentials and booking details as the selling points
No outcome promises, appearance claims or before and after language
Assets reviewed against current Google healthcare policy before launch
Example: neurotoxin search ad
Wrinkle Relaxer Injections in Westlake | Nurse Practitioner Injectors
Per-unit pricing listed online. Evening and Saturday appointments. Book with an injector in minutes.
4 Send each campaign to its own page
A lip filler click that lands on the homepage has to hunt for pricing and booking, and many will not. Each campaign gets a landing page about that treatment only: pricing guidance, the injectors who perform it, reviews that mention it, what the first appointment involves and a booking button that opens the service.
Landing pages also have to satisfy ad review. Pages that lean on prescription brand names or before and after imagery can cause problems even when the ad itself is clean, so ad landing pages are kept to the same standard as the ads.
One landing page per campaign, matched to its keywords
Booking above the fold on mobile, opening the specific service
Pricing and provider credentials on the page, not a click away
5 Train bidding on booked clients
If Google counts every form fill as a success, it will find people who fill out forms. We send booked and attended appointments back from the scheduling platform or CRM as the conversion that matters, with no treatment or health details attached.
Once that data is flowing, automated bidding has something real to learn from, and reports show cost per booked appointment by treatment instead of cost per lead. Performance Max and broader match types come later, if at all, once search is profitable and the conversion data is clean.
Offline conversion imports of booked and attended appointments
Call tracking with calls over a set length counted as leads
Form fills kept as a secondary signal, not the bidding goal
6 Add Meta when search is working
Search catches clients who already know what they want. Instagram and Facebook reach the ones who have not decided yet, usually through injector video, treatment explainers and retargeting of people who visited a treatment page.
Meta has its own health ad rules and limits the conversion data health advertisers can use, so creative stays on the treatment and the provider, and retargeting stays within what the platform allows. We add it once the search account is profitable, not before.
Injector video and treatment explainers as the core creative
Retargeting of treatment page visitors within platform rules
Creative refreshed on a schedule, before costs start climbing
Where med spa PPC usually goes wrong
One campaign for every treatment
Lumping treatments together lets the cheapest clicks absorb the budget and hides which service is profitable. Split campaigns by treatment.
Drug brand names in ad text
Ads that name a prescription product get limited or disapproved, sometimes after they have been running for a while. Use the treatment category instead.
Optimising for form fills
Bidding trained on any form submission finds price checkers and people looking for financing. Import booked appointments and bid on those.
No negative keywords
Without exclusions, budget goes to people searching for courses, jobs and at-home kits. The search terms report shows it within days.
What to expect and when
Campaigns can launch within the first few weeks, once landing pages and booking tracking are in place. Early weeks are spent on search terms, negatives and copy, and the first bookings usually arrive in that period.
Automated bidding needs a steady flow of booked-appointment data before it performs well, so results tend to improve over the first couple of months as that data builds. Meta is added after search shows a cost per booked appointment the spa is happy with.
What we report on
Cost per booked appointment, by treatment
The number that decides where budget goes next month.
Attended rate from paid bookings
Booked clients who do not show are not counted as wins.
Search terms spent on that were excluded later
Shows how much budget is leaking to the wrong searches, and whether it is shrinking.
Twelve-month value of paid clients
Whether paid clients rebook as often as clients from other sources.
Disapproved or limited ads
Policy problems caught before they quietly cut delivery.
Med spa PPC, ad policy and privacy
Google restricts the promotion of prescription drugs, and that applies to injectables as much as to anything sold at a pharmacy. Ads and landing pages built around brand names, outcome promises or before and after imagery are the usual cause of disapprovals in aesthetics accounts. We write to the current healthcare policy for each platform and recheck when the policy changes.
Conversion tracking sends booking events to ad platforms, so it has to carry no health information: no treatment names in conversion data, no pixels on intake forms, and remarketing kept within each platform's rules on health audiences. State rules on how injectors may be titled in ads and on promotional offers also vary, and campaigns follow the rules in each location's state.
Questions about med spa PPC
Can we advertise Botox on Google Ads?
You can advertise the treatment, but prescription product names are restricted in ads. Campaigns usually run on terms like wrinkle relaxer injections and neurotoxin, with the provider and booking details as the selling points.
How much should a med spa spend on Google Ads?
Enough to generate a steady flow of bookings in the treatments you prioritise, which depends on your market and how many campaigns you run. We set budgets per treatment and move money toward the ones with the best cost per booked appointment.
Should we bid on competitor names?
In dense metros it can work as a small campaign. In smaller markets it rarely matters. Either way, competitor names never appear in ad text and ads never comment on another spa.
Is Google Ads or Meta better for a med spa?
They do different jobs. Google catches clients searching for a treatment now. Meta reaches people who have not decided yet. We usually make search profitable first, then add Meta.
Why are our ads getting disapproved?
In aesthetics the common causes are prescription brand names in ad text or keywords, landing pages built around them, outcome language and before and after imagery. We audit the account and rewrite to current policy.
What does med spa PPC management cost?
It depends on the number of treatments, locations and platforms. We scope the work after a strategy call, and our custom marketing packages start at $2,500 a month.
Do you use Performance Max for med spas?
Only once search campaigns are profitable and booked-appointment tracking is clean. Without good conversion data it tends to find cheap form fills rather than clients.
We will go through your Google Ads account, search terms and conversion setup with you and show you what is paying for itself, on a thirty minute call.