Paid MarketingHealthcareNew Yorksmall

NYC MedSpa Achieves 8.4x ROAS on Facebook and Instagram Ads

A New York medspa was running broad awareness ads with poor tracking. A performance-focused Meta Ads strategy delivered 8.4x return on ad spend.

8.4x
ROAS
on Meta Ads spend tracked through to bookings
+220%
Monthly bookings from paid social
from 12 to 38 per month
$94
Cost per booking
down from $320
4.2%
Ad-to-landing-page conversion
vs. 0.9% previously
The medspa was spending $8,000/month on Meta Ads and attributing every new client to 'word of mouth' because there was no tracking in place to say otherwise.

The Situation

Without pixel events firing correctly, Meta's algorithm had no signal to optimise against. It was showing ads to whoever was cheap to reach, not whoever was likely to book. Creative was lifestyle photography from the studio — beautiful, but with no CTA and no reason to click. The offer wasn't clear. The path to booking wasn't visible.

The Turning Point

When conversion tracking was set up correctly for the first time, it revealed that out of 3,400 landing page visits from ads in the previous month, only 12 had resulted in bookings — a 0.35% conversion rate. The scale of the opportunity was visible for the first time.

What We Did — And Why

We rebuilt everything. Pixel events tracking form submissions, phone clicks, and OpenTable bookings. Creative shifted to before/after treatment reels, 60-second treatment explainer videos, and patient testimonial carousels — formats that had demonstrated conversion superiority in the medspa category. Retargeting was structured across 5 audience tiers: cold lookalike, website visitors, post engagement, enquired but not booked, and lapsed clients.

Our Approach

Timeline:4 months
Before
12
Monthly Bookings from Paid Social
After
38
Monthly Bookings from Paid Social

The Results

Within 4 months, ROAS reached 8.4x. Monthly bookings from paid social grew 220%. Cost per booking dropped from $320 to $94.

In Their Own Words

Tracking is everything in paid media. Without it you're flying blind and congratulating yourself for the view.
D
Dr. Stephanie R.
Owner & Medical Director
Creative Showcase

The Work Behind the Results

2 pieces of creative work delivered for this project

📢

Creative preview

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Instagram

Before/After Treatment Reel

15-second reel showing laser treatment results with 'Book Your Free Consultation' CTA overlay.

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Creative preview

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Facebook

Patient Testimonial Carousel

4-card carousel featuring patient quotes with treatment type, results highlight, and booking CTA.

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