Industry Guide · 15 of 15 chapters published
A cosmetic patient researches for months, compares surgeons, studies galleries and reads reviews before asking for a consult. These fifteen chapters build a Google Ads account around that journey, using real searches, websites and ads from the Dallas-Fort Worth market. The method works for practices anywhere in the US.
Five steps, in the order we build the account. Numbers come from our example market, Dallas-Fort Worth; yours will differ, but the method holds.
A patient can book surgery in month five, and Google won't credit a conversion more than 90 days after the click. So the account learns from what happens soon after it:
Track that an inquiry happened, never the height, weight or photos the form collects. Then price each procedure on its own: in our worked example, a mommy makeover click is worth about $31 and a breast augmentation click about $10.50.
The big procedure searches belong mostly to people still researching. The account starts with the smaller local ones, in what we call the Isolation campaign: exact match only, one procedure per ad group, a page for each procedure, down to “reverse tummy tuck,” and manual bids priced procedure by procedure.
Keywords come from competitor websites through Google's Keyword Planner, and the negative list gets checked against patient slang: a negative written for job seekers can block “boob job dallas,” with 720 searches a month. The ads come from reviews, where a fear like “looking fake” becomes “Natural Results, Not Overdone.”
Health is a sensitive category, so ads can't be aimed at people based on who they are or what they've done; Search is the channel those rules leave alone. Patients travel for their surgeon, so the location follows where your consults actually come from, not a simple radius. AI Max goes off in the Isolation campaign, and the practice name and the med spa each get their own campaign.
An Exploration campaign (also our name) takes over once consult requests reach about 30 a month, usually in months two or three and sooner for bigger accounts. Performance Max usually follows around months six or seven, one asset group per procedure, fenced off from the brand and the med spa, and without patient lists or breast and body photos. Demand Gen has to pass a budget test first; Local Services Ads and AI Max come late, if at all.
Before-and-after photos ranked third among what women value when choosing a provider, named by 53% in a 2019 RealSelf survey conducted by The Harris Poll. Google counts exposed breasts and buttocks as nudity even when blurred, so those results belong on the gallery page, with the patient's written permission. Injectables get their own campaigns, budgets and goals, because mixed in, automated bidding chases the cheaper Botox booking every time.
Start at Chapter 1 if the account is new. Each chapter leans on the ones before it.
Count consults honestly and know what a surgery is worth
Win the patients ready to book, then the ones still researching
Settings that respect a sensitive health category
More reach, once the account knows what a real patient looks like
Galleries, the rules around them, and the med spa next door
The order matters as much as the campaigns. Each step waits until the one before it has taught Google something.
Exact match on the procedure searches most likely to book, plus your practice and surgeon names.
Broad match with a target CPA, once consult requests reach about 30 a month.
Only after months of clean consult data, and without the photos Google won't allow.
Video that introduces the surgeon to patients still researching.
Pay-per-lead ads with little control, and Google's newest automation, fenced in.
Go in order. Tracking and budget come before a single keyword.
Chapter 01 →Start with tracking and settings. The 90-day import limit and the health-category rules catch most practices.
Chapter 09 →Searches, websites and live ads from Dallas-Fort Worth practices, described as we found them.
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 Plastic Surgeons
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.