High-ticket first visit. Low-friction repeat. A membership tail that quietly compounds. The economics that make a multi-injector spa profitable are nothing like a one-and-done service business — and almost no agency we've seen actually models the full funnel. We do.
A med spa client isn't one transaction. They're three.
The first visit is high-ticket and high-friction — Botox, filler, IV, a $400–$1,200 first booking that takes them weeks to commit to. The repeat visits are low-friction and low-ticket — laser, peel, glow drip, $150–$300 every 4–8 weeks. And the membership tail — when it exists — is where 30–60% of profit hides.
Most agencies optimize layer one and walk away. We model all three. That's where the LTV is.
Your agency sells you on cost per booking. You should be measuring cost per 90-day member.
First-visit upsell capture sits at 20–35% in most spas. With the right post-visit flow, it's 50–65%.
Most spas don't have a working membership program. The ones that do see profit margin double.
Discounting "first visit only" trains your worst customers to come once and never return. Your CAC then chases them forever.
Your agency runs same playbook for Botox, IV drip, and laser. They have nothing in common as funnels.
The med spas that compound profit aren't winning on ad spend — they're winning on full-funnel economics. That's the work.
A boutique single-injector and a 5-location aesthetic group don't need the same thing. Here's how we typically start, by size.
Solo NP/PA injector or 2-provider boutique. Booking 30–80 first-visits/month. Spending $1.5K–$5K on ads. Membership program nonexistent or barely working.
3–6 injectors, an established membership program, and growing into laser or IV add-ons. Booking 100–300 first-visits/month. $5K–$25K monthly ad spend.
2+ locations, multi-modality (injectables + laser + body + skin). Booking 300+ first-visits/month. $25K+ monthly ad spend. Already running an agency, but unsure of fit.
For med spas specifically — first-visit acquisition, repeat-visit cadence, membership conversion. Not generic "med spa marketing."
Botox, filler, laser, body — different intent, different creative. We don't run one campaign for all.
Most med spa booking flows ask for treatment selection too early. We test reversed flows and double conversion.
2–6 week consideration window between click and booking. Email + retargeting that doesn't feel pushy.
The single biggest lever in med spa economics. Most spas miss 30%+ of upsell. We rebuild the in-room flow.
Time from visit 1 to visit 2. The difference between 3-week and 8-week rebook is your annual LTV.
30–60% of profit. Most spa memberships are priced wrong, structured wrong, or sold wrong. We rebuild from economics first.
Med spa is a visual category — Google + Instagram social proof. Post-visit ask + GBP optimization. Slow, durable.
"$199 first visit" trains the wrong customer. We design promotions that test for retention before deepening discount.
Indicative ranges from work in our adjacent verticals. Specific to your spa, we model on the fit call.
Fifteen minutes on a call. We'll tell you whether we're the right firm and where the realistic 90-day result lives for a spa your size.
No deck. No pitch. Just a conversation.