The scoreboard
consult
showed — not a vanity aesthetic CPL
Industry desk
Cosmetic surgery marketing that books consults — not banned before-and-after spam.
Consult-first aesthetics. No miracle bodies in the ad.
Cosmetic surgery marketing for US plastic surgery and aesthetic clinics. Paid search, Meta, and landing pages for consultations — claim-safe, HIPAA-aware measurement, scored to showed consults.
- P&L desk
- Reply in one business day
- 30-min working session
Claim-safeConsult creativeBooked consults
USA metros we work
Dallas–Fort WorthHoustonPhoenixAtlantaMiamiChicagoLos Angeles
How this desk thinks
Performance marketing for plastic surgery and aesthetic clinics
Cosmetic surgery marketing dies in two ways: reckless before-and-after ads that get the account suspended, or ads so empty they cannot earn a $300 consult CPC. We write consult-first creative your counsel can approve, then we still test hooks.
We split procedures you actually perform. We do not stuff every aesthetic keyword onto one page. SpikeROAS is not a surgeon. No guaranteed results. Show rate and consult-to-surgery (as you define it internally) stay in the CRM — platforms get booked-visit events only.
Related: lead generation, paid search, landing pages, local SEO, and analytics. Adjacent desks: healthcare hub, dermatology and hair restoration.
SpikeROAS is a cosmetic surgery marketing agency for plastic surgery and aesthetic clinics. We run consult-first Google Ads, Meta, and landing pages with claim-safe creative. We do not guarantee surgical results. We are not a medical provider.
Fit
Who this cosmetic surgery desk is for
Plastic surgery practices
Surgical consults, not a Groupon. Financing only if you offer it. Separate from injectables.
Aesthetic and med-spa adjacent
If the ticket and license are clinic-grade, we can run it. Pure product spam is a different shop.
Multi-location aesthetic groups
Geo-fenced campaigns and GBP per rooftop.
The leak
What breaks in this category
- Platform bans on misleading imagery and outcome claims
- High CPCs on competitive procedures
- Consult no-shows after cheap lead ads
- Mixing surgical and med-spa tickets in one campaign
The desk
What we run
- Procedure-level Search and landers
- Meta and YouTube inside restricted rules
- Proof stacks that counsel will actually allow
- Bidding on booked/showed consults
What you get
What this engagement actually delivers
- Procedure-level consult campaigns
- Claim-safe creative with a test cadence
- Landing pages that match the ad
- Show-rate instrumentation
The fork
The fork that decides the P&L
Banned creative mill
- Guaranteed result language
- Lead ads that never sit
- One campaign for every procedure
- Accounts that keep getting limited
How this desk runs
- Consult-first, policy-aware ads
- Split by procedure and ticket
- You own the Business Manager
- Kill rules on no-shows
Channels
Channels on this desk
Google Ads
High-intent procedure and 'surgeon near me' Search. Brand defense. No unsanctioned medical claims.
Meta and YouTube
Consult offers and education. Imagery and testimonials through policy and counsel.
SEO and GEO
Surgeon and procedure pages that can be cited. Directories should not own your name.
Landing pages
One procedure intent per page. Click-to-call. Proof you can legally show.
Engagement
How an engagement starts
01
Define the unit
What a qualified enquiry is, which jobs or tickets sales will actually run, and the number that has to move. If marketing and sales disagree, we do not buy traffic.
02
Rebuild the path
Tracking, landing pages, CRM routing, and the first kill list. Ads do not launch into a homepage that was never built to convert.
03
Launch what can move now
Paid search and the channels that can ring the phone this month. Organic, reviews, and GEO compound while the calendar fills.
04
Pace to the scoreboard
Weekly reallocation. Scale when cost per booked job, SQL, or contribution holds. Throttle when you are at capacity.
Stack
Services this desk uses
Lead Generation
Sales-accepted conversations. Not a CPL screenshot.
Paid Search
Google and Microsoft Ads treated as capital — every query has a job.
Paid Social
Meta, LinkedIn, TikTok, and YouTube — creative as the media plan.
Landing Pages
The page is the second half of the ad.
Local SEO
Maps, GBP, and city pages that actually ring the phone.
SEO
Search that compounds. Rankings that close.
AI + GEO
Get cited in ChatGPT, Gemini, Perplexity, and AI Overviews.
Performance Creative
Ads designed to be tested, killed, and scaled — not presented.
Analytics & Attribution
Know which dollar worked — without worshipping last click.
FAQ
Questions from this industry
What is a cosmetic surgery marketing agency?
A cosmetic surgery marketing agency runs patient acquisition for plastic surgery and aesthetic clinics: Google Ads, Meta, and landing pages scored to booked consults. SpikeROAS does not guarantee surgical volume and will not run banned before-and-after creative.
Can you run before-and-after ads?
Only when platform policy and your counsel allow, with required disclosures. Many accounts should not. We will not risk the MCC for a banned image.
Do you guarantee surgical volume?
No. We optimize to booked consults and show rate. Treatment decisions are clinical, not a media KPI we will promise.
Med spa too?
When it is clinic marketing with a real consult path. Pure product drops are not this desk.
Does SpikeROAS guarantee cosmetic surgery results?
No. SpikeROAS is a performance marketing agency. Cosmetic surgery ads are scored to booked consults and show rate. Clinical outcomes are not a media promise.
Also on the floor
Other clinic desks
Next step
Ready to brief cosmetic surgery marketing?
Tell us procedures, locations, and consult capacity. We will map claim-safe Search and Meta — and what we would cut.