The scoreboard
visit
booked — medical and cosmetic on separate scoreboards
We hit 92% of client goals last quarter. Schedule a call.
Industry desk
Medical derm and cosmetic skin — two auctions, one desk.
Dermatology marketing for US clinics. Google Ads, local SEO, and landers that split medical dermatology from cosmetic consults — booked visits, HIPAA-aware tracking.
The scoreboard
visit
booked — medical and cosmetic on separate scoreboards
USA metros we work
How this desk thinks
Dermatology marketing fails when a rash search and a laser consult share a bid. We split medical and cosmetic, insurance and cash-pay, then land each on a page intake can actually use.
High CPCs reward query hygiene. We kill student, jobs, and DIY. SpikeROAS is not a dermatologist. No outcome guarantees. Tracking is booked-visit events, not diagnoses.
Related: lead generation, paid search, landing pages, local SEO, and analytics. Adjacent desks: healthcare hub, cosmetic surgery and hair restoration.
SpikeROAS is a dermatology marketing agency for medical and cosmetic skin clinics. We split campaigns so a medical visit does not compete with a cosmetic consult at the same CPC. Booked appointments are the KPI. We are not a medical provider.
Fit
High-intent Search, insurance language you can honor, speed-to-lead into triage.
Consult path, cash-pay offers, creative through policy. Separate from medical.
Rooftop GBP and geo fences. Corporate ads that steal from the unit get killed.
The leak
The desk
What you get
The fork
Channels
Medical vs cosmetic Search. Brand defense. Negatives for junk.
GBP, reviews, location pages. Categories that match medical and cosmetic without lying.
Cosmetic consult demand inside policy. Medical is usually Search-first.
Insurance vs cash, service match, click-to-call.
Engagement
01
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
Tracking, landing pages, CRM routing, and the first kill list. Ads do not launch into a homepage that was never built to convert.
03
Paid search and the channels that can ring the phone this month. Organic, reviews, and GEO compound while the calendar fills.
04
Weekly reallocation. Scale when cost per booked job, SQL, or contribution holds. Throttle when you are at capacity.
Stack
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
A dermatology marketing agency runs patient acquisition for medical and cosmetic derm clinics. SpikeROAS splits those auctions, then scores Google Ads and local SEO to booked visits — not mixed CPA.
No. Different intent, CPC, and intake. Mixing them is how CPA explodes.
Only within platform rules and your counsel. We default to consults, not drug claims.
No condition lists in ads or Customer Match. Booked-visit events only.
SpikeROAS runs dermatology marketing as split medical vs cosmetic campaigns: Search for medical, Meta where policy allows for cosmetic, local SEO, and landing pages scored to booked visits. No condition lists in ad platforms.
Also on the floor
Next step
Tell us medical vs cosmetic mix and locations. We will map Search and local SEO — and what we would cut.