For medspa owners

We bring you revenue, not just leads.

Most agencies hand you leads and walk away — then blame your front desk when they don't book. We run the ads and the retention engine that converts them: instant response, no-show reduction, and patient reactivation. One team, one accountable outcome — a booked calendar.

Book a free growth audit → See packages & pricing ↓

4.8×

avg ROAS on Meta ads

<60 sec

lead response, every inquiry

+22%

revenue from leads you already have

Proof, not promises

Real medspas. Real bookings.

Actual ad spend, purchase revenue, ROAS and cost per acquisition — pulled straight from live client ad accounts.

✓ Verified Meta Ads Manager data

Every number below is a real export. Nothing rounded up, nothing cherry-picked.

Meta Ads Manager Meta Ads Manager results from a live medspa client account — spend, revenue and ROAS

1 Apr – 30 Jun 2026 3 months

Spend$70,961

Revenue$363,266

ROAS5.12×

CPA$46.02

Meta Ads Manager Meta Ads Manager results from a live medspa client account — spend, revenue and ROAS

1 Nov 2025 – 30 Apr 2026 6 months

Spend$226,378

Revenue$1.11M

ROAS4.92×

CPA$27.88

Meta Ads Manager Meta Ads Manager results from a live medspa client account — spend, revenue and ROAS

3 Jun – 2 Jul 2026 30 days

Spend$24,865

Revenue$119,988

ROAS4.83×

CPA$5.77

Meta Ads Manager Meta Ads Manager results from a live medspa client account — spend, revenue and ROAS

3 Jun – 2 Jul 2026 30 days

Spend$81,830

Revenue$458,899

ROAS5.61×

CPA$37.03

Meta Ads Manager Meta Ads Manager results from a live medspa client account — spend, revenue and ROAS

1 Feb – 31 Mar 2026 2 months

Spend$134,397

Revenue$655,792

ROAS4.88×

CPA$45.89

Meta Ads Manager Meta Ads Manager results from a live medspa client account — spend, revenue and ROAS

1 Mar – 1 May 2026 2 months

Spend$83,010

Revenue$397,673

ROAS4.79×

CPA$105.08

More client wins, by vertical

Luxury MedSpa · Miami

Botox & filler, half the cost per lead

CPL $90 → $38312 leads / 60 days4.2× ROAS

Body Contouring · NYC

$148K in attributed revenue

$52 CPL89 appointments$148K revenue

Aesthetic Clinic · LA

CO2 laser that converts to the chair

5.1× ROAS$61 CPL28% lead → booking

Wellness Clinic · Miami

Semaglutide consults at $24 each

213 consults / 45 days$24 / consult61% conversion

IV Therapy Bar · Houston

5.6× revenue growth in 6 months

$18 CPL68% repeat rate

Medspa Group · Florida

$2.4M attributed across 3 locations

$2.4M revenueMulti-location scale

Creator partnership · @drremina

From 4K to 439K followers in 6 months — and the cover of Forbes.

4K → 439K in 6 months$100K+ revenueForbes cover

Dr. Remina Panjwani on the cover of Forbes Canada

The leak nobody fixes

Your ads aren't the problem. The 5 hours before anyone follows up — that's where the money dies.

✓
Leads go cold in minutes, not days.The medspa that replies first almost always wins the booking. Manual follow-up can't keep up — so paid leads quietly evaporate.
✓
No-shows and lapsed patients bleed revenue.Booked consults that never arrive, and past patients who never rebook, cost more than any ad account — and nobody's chasing them.
✓
You blame the ads. The real gap is conversion.More budget on a leaky funnel just loses money faster. Fix the in-between and the same spend prints more revenue.

$2K–$20K+

Lifetime value of a single retained patient — the amount walking out the door every time a lead slips.

8 sec

How fast our system replies to a brand-new lead — versus the 4–5 hours most front desks take.

−33%

Fewer no-shows once automated reminder & confirmation sequences are running.

The other half of the funnel

We don't stop at the lead. We own the outcome.

Marketing brings the leads. Our retention & conversion engine makes sure they become paying, returning patients — the layer between your ad spend and your bank account. It plugs into the tools you already run, or we build it from scratch.

Speed to lead

Instant lead response

Every inquiry gets an on-brand reply in seconds — texted, emailed and routed to book, day or night, before your competitor even sees it.

Never miss a call

AI receptionist

Overflow and after-hours calls get answered and captured instead of going to voicemail. Missed calls stop becoming missed revenue.

Protect the booking

No-show reduction

Confirmation and reminder sequences over SMS & email keep booked consults on the calendar and fill the slots that open up.

Reputation on autopilot

Review automation

Every happy patient is asked for a Google review at the right moment — compounding local trust that lowers your cost per new lead.

Mine your database

Patient reactivation

Lapsed and one-time patients get automated win-back campaigns that pull repeat revenue out of the list you already own.

One source of truth

CRM & booking optimization

We wire your CRM, calendar and messaging together — or build it — so nothing falls through the cracks and every lead is tracked to revenue.

How the retention engine goes live

Four steps to a funnel that doesn't leak.

Growth audit

We map your patient journey and pinpoint every place a future-value patient is slipping away.

Implementation

We optimize the software you already use, or build the right system from scratch around your practice.

Automation

Instant follow-up, booking workflows, reminders, review requests and reactivation go live and start converting.

Monthly optimization

Every month we refine the system to protect more of your marketing investment and lift conversion further.

Lead retention case study

Laser & Me

A busy medspa in Midtown Manhattan was generating plenty of leads — and losing them to 4-hour response times, inconsistent follow-up, missed after-hours calls and zero reactivation. We deployed the full retention engine on top of their existing marketing. Same leads, far more revenue.

+22%

Revenue from existing leads

4 hrs → <60s

Avg lead response

+$27.4K

Recovered / month

19% of leads booked a consultation in the first two weeks
No-shows cut by 33% with automated reminder sequences
Manual admin work reduced by 62% — the team stopped chasing
Review automation compounding local trust after every visit
Lapsed patients reactivated automatically from the existing database

Get this on your leads →

What we deployed

AI instant lead responseEvery inquiry answered in seconds and routed to book.

AI receptionistOverflow & after-hours calls captured, not lost.

Booking workflows & remindersConfirmation and reminder sequences that kill no-shows.

Review automationPost-visit review requests building local authority.

CRM optimization & reactivationClean data plus automated win-back campaigns.

Who we work with

Longevity & anti-aging medspas Laser & skin studios Peptide & hormone clinics GLP-1 & weight-loss clinics IV therapy & wellness bars Botox & injectable bars Body contouring studios Multi-location med-spa groups

Return on investment

Most clients make their money back in 30–60 days.

We're not here to hand you a nice-looking ROAS screenshot. We build the funnel so your investment comes back fast — then compounds every month after. The dashboards above are real client ad accounts, averaging 4.8× ROAS.

The payback math

Recoup your full investment — our fee and your ad spend — inside the first 1–2 months.

At a conservative 3× blended ROAS, a client running ~$10K/mo in ads on top of the Revenue Engine turns roughly $17.5K of total monthly investment into $30K+ in tracked revenue. Our live accounts average 4.8× — so most owners are net-positive well before month two, and every month after is compounding profit.

👇 The proof is the dashboards above — real, verified client ad accounts See the verified results↗

3×+

target blended ROAS floor

4.8×

average actually achieved · verified

See your payback plan →

Illustrative math based on real client averages — not a guarantee of specific results. Every practice's offer, pricing and close rate is different; we'll model your actual payback on the free growth audit.

Social media case study

@drremina

A medical-aesthetic creator with 4K followers and no content system. We built a full Instagram growth engine — reels strategy, hook-first scriptwriting, posting cadence and an audience funnel — that turned her profile into a $100K+ revenue channel.

4K → 439K

Followers

$100K+

Revenue

Forbes

PR Placement

Grew from 4,000 to 439,000 followers in 6 months
Built a full Instagram content funnel — reels, stories, highlights
Converted followers into booking clients via DM automation
Secured a Forbes PR placement for brand authority
Generated $100K+ in direct revenue from social

View @drremina →

What we built

Viral Reels SystemWeekly reels with hook-tested scripts and trending audio.

Content FunnelAwareness → education → consultation booking flow.

Influencer CollabsPartnerships with beauty and wellness micro-influencers.

PR in ForbesEditorial placement for authority and trust building.

DM-to-Client FlowAutomated and manual DM sequences turning followers into bookings.

@drremina — real reels we made

Instagram

The numbers we run on

Revenue, not vanity metrics.

4.8×

Average ROAS on blended Meta campaigns

<60 sec

Lead response on every inquiry, day or night

6–8×

Email/SMS ROAS from patient reactivation

$2M+

In ad spend managed — and converted

Two ways to work together

Marketing + retention, priced as one.

Not lead-gen you have to convert yourself — the full engine. Acquisition and conversion under one roof, one accountable number. Month-to-month after the first 90 days, no long lock-in.

Package 01

Revenue Engine

Meta Ads Management$4,000/mo
Lead Retention & Conversion$3,500/mo

Total$7,500/mo

Everything that turns ad clicks into booked, paying patients — the ads and the engine that converts them.

Full Meta (Facebook + Instagram) ad management
Compliant creative, testing & weekly optimization
Instant lead response + AI receptionist
No-show reduction & booking workflows
Review automation + patient reactivation
CRM optimization & revenue reporting

Start with the Revenue Engine

What clients say about us.

“

We let the team take over our Meta ads — looking back, probably the best decision we made this year. Revenue went from about $180k to $410k/month in roughly three months, and communication was solid the whole way through.

Emily R.Owner — Medical Spa

$180k → $410k/mo in 3 months

“

Honestly, I didn't expect much — we'd been burned before. Within a few months the consults were consistent and predictable, and for the first time growth wasn't something I had to worry about every week.

Sarah M.Founder — GLP-1 & Weight-Loss Clinic

Consistent, predictable consults

“

Our biggest issue wasn't getting traffic — it was scaling without everything breaking. Once the ad account was cleaned up, revenue grew by about 67% over the next few months. Things finally felt stable.

Jason R.Founder — Research Peptide Store

+67% revenue after cleanup

“

We've hired agencies before, and most spent more time explaining metrics than improving the business. These guys were different — we scaled ad spend from around $25k to over $120k/month and kept ROAS above 3.8.

David L.Founder — Wellness Brand

$25k → $120k/mo · ROAS 3.8+

“

They looked at the whole business, not just clicks. Appointment volume is up about 54% and Meta is performing much better than before. It's been a really good experience overall.

Michael T.Director — TRT & Hormone Clinic

+54% appointment volume

Let's talk

Stop paying for leads you never convert.

Book a free growth audit. We'll show you exactly where leads are slipping through the cracks, what it's costing you in lost patient value, and the fastest path to more revenue from the spend you already have.

Call +1 786-608-5714 Text us helloupdigital@gmail.com Miami · 1111 Brickell Ave | New York · 135 Madison Ave

Questions? Text us nowText us