Project Overview
This multi-service med spa offers a range of treatments, including hormone therapy, thyroid and weight loss programs, and general aesthetic services. Like most med spas, growth depends on a steady stream of new patient inquiries, but running ads and running ads well aren’t the same thing.
Southline Digital was brought in to manage the practice’s Google Ads account, with a mandate to turn ad spend into qualified phone calls without letting cost per lead creep out of control.
Since taking over the account, we’ve helped the practice generate 2,577 total conversions at a $16.39 cost per lead, with performance continuing to improve month over month.
Leads Generated
Cost Per Lead
Conversion Rate
Increase in Conversions
The Challenge
Med spas compete in a crowded local market where several practices are often bidding on the same core keywords: “Botox near me,” “weight loss clinic,” “hormone therapy.” Without a tightly structured account, ad spend gets spread thin across broad campaigns, cost per click climbs, and lead quality drops.
This practice needed an account built to do two things at once: keep cost per lead low enough to scale profitably, and keep the leads coming in as real phone calls from people ready to book, not clicks that go nowhere.
Our Solution:
Service-specific campaign structure.
Rather than running one catch-all campaign, we built out dedicated campaigns by service line and intent, including a dedicated campaign for the practice’s Hormone, Thyroid, and Weight Loss offerings, plus a supporting display campaign for brand awareness. This keeps ad relevance high and prevents any single service from cannibalizing budget meant for another.
Single Theme Ad Groups (STAG).
The hormone/thyroid/weight loss campaign uses a STAG structure; each ad group built around one tightly focused keyword theme. This keeps Quality Scores high and cost per click down, which is a big part of why this campaign’s average CPC held around $3.09 even in a competitive niche.
Budget allocated by performance, not evenly split.
Daily budgets are set per campaign based on what each is actually producing, not divided evenly. That’s how a total daily spend of roughly $67 across four campaigns can generate over 100 conversions a month.
Call tracking as the only conversion that counts.
Every conversion in this account is a phone call, not a form submission. That means our optimization decisions — bid adjustments, keyword additions, budget shifts — are all based on the metric that actually matters to a med spa: people picking up the phone.
Ongoing keyword and bid refinement.
The account isn’t set-and-forget. Month over month, we’re trimming underperforming keywords, expanding on what’s converting, and adjusting bids to keep cost per lead moving in the right direction — which is exactly what’s driving the recent 31.1% drop in CPA.
Key Takeaways
- You don't need a massive ad budget to generate consistent patient leads; this account runs on roughly $2,000/month
- Structure matters more than spend: STAG-based targeting kept cost per click under $3.10 in a competitive niche
- Every lead is a phone call, not a form fill, the kind of lead that actually books
Contact Southline Digital
Want Results Like This for Your Med Spa?
If your Google Ads account is spending money without producing real patient calls, it’s worth a second look. Let’s talk about what a properly structured campaign could do for your practice.
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