How do I know if my med spa ads are actually working?
By the Margin Media team · Updated
Med spa ads are working if what you pay for each consult that shows up is less than what a new client is worth to you. Leads, clicks and reach don't answer that. Count consults booked from the ads, how many showed, and how many became paying clients, then set that beside the month's ad spend.
Which numbers matter and which don't?
Impressions, clicks and cost per lead describe the ad. They don't describe your calendar. A report can show a falling cost per lead in a month when the rooms were emptier. The numbers that matter start where the ad platform stops: was the lead reached, did they book, did they show, did they buy.
- Leads contacted within minutes, and leads never reached.
- Consults booked from ads.
- Consults that showed.
- New clients, and what they spent on the first visit.
- Ad spend divided by consults that showed.
How do you work out what a new client is worth?
Use your own figures. Take what a new client spends on a first visit, add what they spend over the following year if they return, and be honest about how many do return. Compare that with what a consult that showed cost you. If the first figure is comfortably larger, the ads pay; if not, find which step is leaking.
What if the ads bring leads and the calendar stays empty?
Then the problem is after the click. Check how long leads wait for a first reply, how many attempts each one gets, and how many booked consults are reminded. An ad can't be judged until those are sound. Changing the ad while leads go unanswered only changes who you fail to call back.
How does Margin report on ads for a med spa?
Margin runs the ads in an account your spa owns, so you can see the spend yourself. The portal shows consults booked and how many showed, and each conversation from first enquiry to booking. The monthly report and strategy call cover what the ads brought in, what got booked and what changes next.
What a client spends after the consult is in your own records, so that part of the sum is done with you. Texting for follow-up starts once carriers approve your spa's number.
What Margin sets up for this.
- Ads on Facebook and Instagram, in an account you own
- A monthly report and strategy call
- Your portal: every call, text and booking
- Follow-up until they book or say no
What a business needs is decided on its audit. It is a one-time setup fee and a monthly fee, with exact numbers on the audit.

How Margin works for med spasSee the portal with a sample businessThe Med Spa Accelerator
Related questions
How long should a med spa run ads before judging them?
Long enough for leads to become consults and consults to become visits, which for a med spa means at least a month and often longer. Judging in the first week measures the ad, not the business it brought.
Is cost per lead a good measure for med spa ads?
Only as an early warning. A med spa can buy very inexpensive leads that never answer the phone. Cost per consult that showed is the measure that connects ad spend to the calendar.
What should a med spa ask its agency to report?
Ask for leads, consults booked, consults that showed and spend, by campaign, every month. A med spa should also ask how fast leads were contacted. An agency that reports only clicks and leads is reporting half the story.