Let's TalkLet's TalkThe fastest sales cycle in aesthetics, and the one most dependent on repeat visits - so the work is as much about the second appointment as the first enquiry.
Most med spas price their marketing against a single treatment and then wonder why the numbers never work. Send us 12 months of appointment history and we will show you revenue per patient over their first year, by treatment entry point. That number is what you can afford to spend, and it is usually two to four times what the practice assumed.
Local conditions that change the plan, rather than the state name pasted into a template.
Dallas and Houston have injectables density comparable to Los Angeles, and the auction reflects it. Austin is growing faster than its supply of practitioners, which makes it the most favourable of the large Texas metros right now. San Antonio is materially cheaper to acquire in and underserved relative to population.
Texas regulates who may own and operate a med spa and who may delegate injectable procedures, and the answer changes what the business may claim about supervision and who performs treatments. This is the detail that most affects the copy, and it is the one most often left vague on a med spa's own website - which is exactly what a complaint focuses on.
Texas metros have the population density and the disposable-income profile that make injectables memberships viable at scale, and the practices running them see materially higher first-year patient value than those selling treatment by treatment. That changes what you can afford to pay for a new patient, which is the number most med spas set far too low.
The board that governs your advertising depends on the licence you hold, not only on the state. These are the rules that bite in Texas.
The Texas Medical Board defines a testimonial unusually broadly - an attestation or implied attestation to the competence of a physician's service, which extends beyond patient comments to comments from colleagues, friends, family, actors, models and even fictional characters. Texas statute has long taken a restrictive position here. For a med spa whose marketing leans on social proof, this is the single most consequential rule in the state, and we build campaigns that do not require it.
Texas requires the physician to retain a recording or copy of any advertisement for two years from the last date it ran. Almost no practice does this, and almost no agency sets it up. It costs nothing to keep an archive and it is the difference between a complaint you can answer and one you cannot - we keep the archive as part of the engagement.
Under Texas rules the physician is responsible for the form and content of every advertisement for the practice and is deemed to have reviewed and approved all of it. There is no version of this where the agency carries the exposure. That is precisely why we run a compliance pass before launch rather than after a rejection - the person whose licence is attached should never be finding out what ran from a complaint.
In Texas, board certified may be used only where the certifying body is a member board of the American Board of Medical Specialties, the Bureau of Osteopathic Specialists, or the American Board of Oral and Maxillofacial Surgery. Board eligible and board qualified are expressly prohibited as misleading. Practitioner bios are where this gets breached, and bios are rarely reviewed by whoever reviews the ads.
The same programme as everywhere, run against this state's rules.
We have not run a Texas med spa. The closest evidence we can offer is the multi-state clinic group below, which scaled from three states to twelve with cost per lead down 57%, and a dental network that lifted appointment show-rate 44% - the show-rate work matters most in a repeat-visit business like this one. We would rather tell you that than imply a Texas track record we do not have.
Read the full case studyPhotographs require documented patient consent for advertising use, obtained before the image runs - consent to treatment is not consent to marketing. Testimonials are the harder question: the Texas Medical Board's definition is unusually broad, covering implied attestations to competence and extending well past patient comments, and Texas statute has taken a restrictive position for a long time. It is a question for your counsel, and in the meantime we build creative that does not depend on either.
Austin, on the numbers we see - demand is growing faster than the supply of practitioners, which keeps acquisition cost more favourable than Dallas or Houston, both of which have injectables density comparable to Los Angeles. San Antonio is the value play: cheaper to acquire in and underserved relative to population. None of that is a substitute for modelling your own first-year patient value, which is what actually sets your affordable cost per patient.
Texas requires the physician to keep a recording or copy of any advertisement for two years from the last date of its communication. In practice that means an archive of every ad creative, every landing page version and every piece of copy that ran, with dates. Most practices have none of this. We maintain it as part of the engagement, because it converts a board complaint from an unanswerable problem into a document you hand over.
You are. Texas rules make the physician responsible for the form and content of every advertisement for the practice, and deem the physician to have reviewed and approved all of it. No agency contract changes that. It is the reason our compliance review happens before launch and again on every new creative batch, and the reason we put the review in writing - so the person carrying the exposure has actually seen what is running.
A fraction of first-year patient value, not a fixed number. A med spa where a patient enters on one treatment and returns three or four times a year is worth several multiples of that first appointment, and pricing acquisition against the first ticket is the most common mistake in the category. In competitive Texas metros the practices that can outbid are usually the ones that did this arithmetic, not the ones with bigger budgets.
The full service, and the neighbouring states we cover.
Which metro, which procedures, and what you are running now. We will tell you honestly whether we can help, and what the board rules mean for it.