Industry Guide · 15 of 15 chapters published
A med spa sells a dozen treatments with different prices, seasons and rules: injectables clients come back for, laser hair removal sold in packages, and weight-loss programs that Google and the FDA both watch. These fifteen chapters build a Google Ads account in the order that works, using real searches, websites and client reviews from one example market, Miami. The method works for med spas anywhere in the US.
Five steps in the order we build a med spa account. Local numbers come from our example market, Miami; yours will differ, and the method holds.
Most med spa bookings finish on the scheduling company's website, where Google can't see them unless the confirmation is tracked. Count what a new client actually does:
Membership, gift card and shop clicks are mostly clients you already have. Then budget for the client who comes back: the average visit is $527, and a neurotoxin client can return four times a year.
The account is built by treatment, not category: one ad group and one treatment page each, launched in what we call the Isolation campaign on searches that pair a treatment with a place. Most med spas can't buy “botox” as a keyword, since there doesn't appear to be a certification an in-person spa can get, so the neurotoxin line starts with “lip flip,” at 880 searches a month.
Laser clicks can top $55 in our example market against national chains, so bids are set treatment by treatment, and a local spa wins where clients ask for the injector by name. The ads use clients' words, like “Natural Results, Not Frozen.”
Injections and drug names cost you remarketing, but keywords survive. The default location setting can buy clicks from people a thousand miles away, so it changes to people in your area. Search partners and AI Max go off at launch, and if your front desk speaks Spanish, the language settings should too.
An Exploration campaign (also our name) takes the long tail to broad match at about 30 bookings a month, usually in months two or three and sooner for bigger accounts. Performance Max follows around months six or seven with one treatment line, since it counts a $220 facial the same as an $859 lip filler. Local Services covers hair removal and facials, not injectables, so it's a late, optional test. AI Max comes last, after expired specials leave the site.
Compounded GLP-1 ads can't claim to be generic versions of approved drugs, and Google bans promises like “Lose 20 pounds in 8 weeks,” so the safest page sells the supervised program and a clinician reads every ad. Clients also want to know who holds the needle: the injector's name goes in the brand campaign, the headlines and the treatment page, and “board certified” appears only where it's exactly true.
New account? Start at Chapter 1. Every chapter builds on the ones before it.
Count the booked visit and know what a returning client is worth
Win treatment searches near you, then the long tail
Settings for the limits Google already applies
More reach, timed to each treatment's season
Weight-loss programs, and who holds the needle
The order matters as much as the campaigns. Each step waits until the one before it has taught Google something.
Exact match on treatment searches near you, plus your med spa and injector names.
Broad match with a target CPA on the long tail, once bookings reach about 30 a month.
Only after months of clean data, one treatment line at a time.
Video and images that reach people before they search, timed to each treatment's peak.
Pay-per-lead ads in the categories that fit, and Google's newest automation, fenced in.
Go in order. Tracking and budget come before a single keyword.
Chapter 01 →Check tracking and settings first. Off-site booking tools and Google's drug-name rules catch most med spas.
Chapter 09 →Examples come from Miami med spas, described as we found them. Run the same steps in your own market.
Chapter 05 →Running more than one specialty under one roof? Google Ads for Healthcare shows how to run them as one account without one service line starving the rest.
Google Ads for Med Spas
We've run paid ads for 25+ years and seen just about every way a budget goes sideways. Get on the phone with someone who does this every day. Bring your questions, your numbers and your skepticism. You'll hang up knowing what we'd do, whether you hire us or not.
Or see how our Google Ads management works.