Table of Contents
A med spa digital marketing agency should spend weeks 1 to 2 on an audit and a baseline, weeks 3 to 8 fixing the foundations and launching campaigns in a set order, and weeks 9 to 12 reading real booking data and adjusting. By day 90 you should hold three things: a documented baseline, campaigns that are live and tracked, and a report showing cost per booked consultation by channel.
EX Studio runs medical aesthetics engagements in this order. This page covers what a med spa digital marketing agency should deliver in the first quarter only: what happens in each phase, what you should have in hand at day 14, day 60 and day 90, and what to question if you don’t. For the full picture of what we do for practices, see our med spa marketing services. For the whole year rather than one quarter, read the medspa marketing guide for 2026.
If you are still comparing agencies, start with how to choose a med spa marketing agency instead. This page assumes you have chosen one and want to know what the first three months should look like.
The 90 days at a glance
- Weeks 1 to 2, audit and baseline: profile, website, tracking and market audit, with compliance rules agreed and nothing launched. You hold a written audit, baseline numbers and approval rules.
- Weeks 3 to 8, fix, build, launch: profile and reviews, booking path, first paid campaigns and treatment pages. You hold tracked inquiries, live campaigns and published treatment pages.
- Weeks 9 to 12, read and adjust: data review, changes to spend and pages, retention flows switched on. You hold the day-90 report against baseline and a next-quarter plan.
Weeks 1 to 2: audit, baseline and compliance, with nothing live
Nothing launches in the first two weeks. This is the part of the engagement most likely to feel slow, and it decides whether the other ten weeks can be judged at all.
What gets audited
The audit covers five areas:
- Google Business Profile: categories, services listed, photos, review count, rating and response rate
- Website: treatment pages, mobile load speed, booking flow, forms and call buttons
- Tracking: whether a booking, call or form can be traced to the channel that produced it
- Existing ad accounts: spend, search terms, and who owns the login
- The local market: who holds the map pack positions for your top three treatments
Tracking is the item most often skipped. Without it, week 12 produces a report full of impressions and no answer to which channel booked a patient.
Compliance rules get written down before any ad does
Before-and-after photos, testimonials and treatment claims fall under FTC advertising guidance for health care and under state medical board rules, which vary by state. Patient details collected through forms, a CRM or call recordings need HIPAA-aware handling.
Week 2 is when you settle three things: who approves ad copy (usually the medical director), which before-and-after images have documented patient consent, and which claims are off limits. The American Med Spa Association publishes compliance resources worth sending to whoever signs off. A med spa digital marketing agency that raises this for the first time in week 8, with ads already built, is raising it too late.
The baseline is the point
If you can’t describe the baseline, you can’t claim the result. A result has a before, an after, a timeframe and a spend level. Any one missing and it is an anecdote.
So week 2 closes with starting numbers: monthly consultation requests, the rate at which website visits become consultation requests, cost per consultation on any current ads, review count and rating, and map pack position for your top treatments. Every figure in the day-90 report gets measured against this list. If it doesn’t exist, the report is an opinion.
What you should have by day 14
- A written audit with a ranked fix list
- Baseline numbers for the metrics above
- Agreed rules on who approves ad copy and before-and-after images
- Accounts in your name, with the agency added as an admin
Weeks 3 to 8: fix, then build, then launch
The order matters more than the speed. A good med spa digital marketing agency sequences the work so that each step makes the next one cheaper or more effective. That is the whole idea behind build it before you amplify it.
Weeks 3 to 4: Google Business Profile, reviews and tracking
Every field on the Google Business Profile gets completed: services, photos, hours, questions and answers. A review request system goes in, and every review, positive or negative, gets a reply. The target before meaningful ad spend is 25 reviews at 4.7 or higher. This is the core of local SEO for med spas.
Here is why that comes before ads. A med spa in our market was running $2,000 a month in Google Ads and converting at 0.4% from the landing page. Its profile had 8 reviews, three of them unanswered, and no services listed. The ads were sending people to a credibility gap. EX Studio paused the ads, spent two weeks on the profile and the review system, and got the practice to 27 reviews. Conversion from the map pack listing alone covered the ad spend within 60 days. The ads went back on at a lower spend and performed better.
Tracking goes live in the same two weeks. EX Studio connects calls, forms and texts to Nexus CRM, its in-house CRM, so every inquiry arrives with a source attached.
Weeks 5 to 6: the path from click to booking
Open your own site on a phone and try to book a Botox consultation from a treatment page. Count the taps. That path is what the next two weeks fix: a booking button visible without scrolling, a click-to-call number, short forms, and pages that load quickly on mobile data.
This comes before paid traffic because every improvement lowers cost per consultation for every dollar spent afterwards. The detail on what to check is in our medspa website SEO checklist.
Weeks 7 to 8: first paid campaigns and treatment pages
Google Ads on high-intent treatment searches go first, at a conservative budget. In a competitive metro, ad spend typically starts at $1,500 to $3,000 a month on top of the management fee. Meta retargeting follows once there is a visitor pool to retarget.
For reference, cost per new consultation on Google Ads in medical aesthetics runs about $90 to $160 for injectables, $160 to $280 for body contouring and $100 to $180 for general med spa services, based on American Med Spa Association and agency benchmarks. Those are ranges to compare against, not promises. Your first month will sit above or below them, and the gap is what you learn from.
Treatment pages are built in the same window, one page per treatment, each aimed at a specific search. The approach is covered in our guide to med spa SEO and local rankings.
What you should have by day 60
- A completed Google Business Profile and a running review request flow
- Tracking that attaches a source to every call, form and booking
- A booking path tested on a phone
- First campaigns live, with spend and cost per consultation visible
- Treatment pages published for your top treatments
Weeks 9 to 12: read the data, adjust, report
What the day-90 report should show
Cost per booked consultation by channel leads the report. Followers and impressions can appear, further down. Every number sits next to its week-2 baseline.
- Cost per booked consultation, by channel
- Booking rate: website visits to consultation requests to booked appointments
- Review count and rating
- Map pack position for your top treatments
- Spend by channel, and what changed in it during the quarter
What day 90 can and cannot tell you
Paid search shows results in about 30 days. Local SEO takes 60 to 120 days. Organic content and social take 3 to 6 months. So at day 90 you can judge the paid campaigns, the booking path and the profile. The SEO read is a trend, not a verdict, and a med spa digital marketing agency that tells you otherwise at day 90 is guessing or selling.
Retention starts in the last month
In weeks 11 and 12, the first two retention flows go on: a rebooking reminder at 3 months and a message to lapsed patients. A patient who visits four times a year is worth $3,000 to $5,000 over two years, which is why retention is set up in the first quarter and not the second.
What you should have by day 90
- The day-90 report, measured against the week-2 baseline
- A written read on what worked, what didn’t and why
- A next-quarter plan with a budget and the first thing to change
- Two retention flows running
What the first 90 days with a med spa digital marketing agency costs
These are 2026 US market ranges for a full-service digital marketing agency engagement for a med spa, not an EX Studio quote.
- Setup (one time): $1,000 to $3,000
- Full-service management, 3 months at $2,500 to $5,000: $7,500 to $15,000
- Ad spend, about 6 weeks (weeks 7 to 12) at $1,500 to $3,000 a month: $2,250 to $4,500
- Quarter total: $10,750 to $22,500
As a sanity check, the benchmark from The Aesthetic Society is 5 to 8% of annual revenue on marketing. A practice generating $600,000 a year would budget $30,000 to $48,000, which is $2,500 to $4,000 a month. If a quote for the quarter sits well above the top of the range, ask what the extra pays for. Setup fees above $5,000 with vague deliverables are a warning sign.
When to delay day one
The prerequisites on your Google Business Profile, review count and patient profile are covered in how to choose a med spa marketing agency. These are the ones specific to the first 90 days:
- You can’t connect your booking system or EMR to tracking. The baseline becomes guesswork, and week 12 can’t show cost per booked consultation
- Nobody is available to approve ad copy and before-and-after images. The week-2 compliance step stalls and everything behind it waits
- A website rebuild is in progress. Measuring against a site that is about to change makes the baseline meaningless
- The ad budget isn’t funded alongside the fee. You would get a better profile and a better website, which is useful, but it is not a 90-day patient acquisition plan
None of these needs a med spa digital marketing agency to fix, and EX Studio would rather you start on a clean baseline than start on time.
Start with the audit
EX Studio is a med spa digital marketing agency based in Bayonne, New Jersey, working with medical aesthetics practices across the US. Book a free call and we will tell you which of the three phases your practice needs most, or whether you should wait.
Our sales team would like it noted that the first two weeks are the hardest part of this plan to sell. They have been outvoted.
EX Studio Digital Marketing Agency builds AI-driven marketing systems that help businesses attract, convert, and retain clients. Our expertise includes SEO, paid ads, web design, social media, and CRM automation, all focused on measurable growth and scalable digital strategies that deliver results.
Frequently asked
What does a med spa digital marketing agency do in the first month?
Weeks 1 to 2 are the audit, baseline and compliance rules, with no campaigns live. Weeks 3 to 4 go to the Google Business Profile, the review system and tracking. Paid campaigns and new treatment pages come after that, not before.
Why doesn’t a med spa digital marketing agency launch ads in week one?
Ads send people to a profile, a website and a booking path that haven’t been checked yet. Spending on traffic before those are fixed raises the cost per consultation for every dollar that follows. Two weeks of audit work protects the budget that comes after it.
What results should I expect from a med spa digital marketing agency at day 90?
Paid campaigns and the booking path can be judged by then. Compare cost per booked consultation against $90 to $160 for injectables, $160 to $280 for body contouring and $100 to $180 for general med spa services. Local SEO is a trend at day 90 because it takes 60 to 120 days, and content and social take 3 to 6 months.
What should I prepare before day one?
Admin access to your Google Business Profile, website, booking system or EMR and any existing ad accounts, plus your treatment list, price list and the name of whoever approves ad copy. Accounts should stay in your name with the agency added as an admin. Having these ready keeps the audit inside the two weeks.
What should the day-90 report include?
Cost per booked consultation by channel, booking rate from visit to booked appointment, review count and rating, map pack position for your top treatments, and spend by channel. Each figure sits next to its week-2 baseline. Followers and impressions can appear, but they shouldn’t lead.
What if the numbers haven’t improved at day 90?
Ask which stage is behind: traffic, the booking path or follow-up. Paid and booking-path problems show up by day 90 and can be corrected in the next quarter, while local SEO often hasn’t had time to show a result yet. A good report names the diagnosis and the first change for next quarter.
