01
Acquisition by treatment
Google and Meta structured by treatment and intent, creative that stays inside platform rules on cosmetic procedures and still says something, and landing pages built for how patients actually decide.
Fractional CMO for med spas and aesthetic clinics
A fractional CMO for med spas that need booked patients, not leads.
I'm Monica Hacker, a fractional CMO for med spas and aesthetic clinics. Patient acquisition by treatment, compliant creative, the booking funnel and memberships, with the AI system underneath and one senior person accountable for the number.
Part of my healthcare practice. Based in New York and Miami.
The pattern
Med spa marketing usually breaks between the lead and the chair.
Most med spa marketing I inherit is a Meta account running Botox and filler offers, a landing page with a form, and a front desk that calls the lead back the next day, if at all. The ads produce leads. Half never get reached. Half of the rest book and don't show. The clinic pays for every one of them.
Meanwhile the real economics of a med spa are in the second visit and the membership. A patient who comes back for maintenance every three months is worth ten first time offers. Very few clinics market to that patient at all, and the ones that do send the same promo email to everyone.
So I start with the whole path. Where patients come from by treatment, where the booking funnel drops them, what a booked and shown patient is actually worth, and what the membership and rebooking numbers look like. Then the plan, in priority order.
What I run
How an engagement usually works.
02
A booking funnel that converts
Online booking that works on a phone, deposits that cut no shows, front desk scripts and speed to lead, and follow up that doesn't depend on someone remembering.
03
Memberships and rebooking
Email and SMS timed to treatment cycles, memberships designed to retain rather than discount, and a reporting layer that shows cost per shown patient, not cost per lead.
Who this is for
Clinics I tend to work best with.
A med spa, aesthetic clinic or cosmetic dermatology practice with one or a few locations, real media spend, and a marketing agency or coordinator who is producing leads that don't turn into patients.
Usually the owner is a clinician or an operator, not a marketer, and what's missing is someone senior who owns the number and connects ads to the front desk to revenue.
This sits inside my healthcare practice. Not sure where you stand? Drop your site into the free audit and I'll send you three things I'd tighten up.
Where to start
Start with a Med Spa Growth Audit.
A prioritized read on patient acquisition, the booking funnel, creative compliance and retention, delivered in 7 to 10 days with a recorded walkthrough.
What I look at first
- Acquisition: where patients come from by treatment and what each costs
- Booking funnel: where prospective patients drop between click, call and chair
- Creative and compliance: what your ads can say about procedures, and what they should
- Retention: rebooking rates, membership economics and who you're not marketing to
- The verdict: where growth is leaking and what to fix first
Starting at $1,500
Delivered in 7 to 10 days
Credited toward your first month if you move to a retainer.
Fair questions
What med spa owners ask me first.
What does a fractional CMO do for a med spa?
Owns patient acquisition end to end: strategy, paid media by treatment, the booking funnel from click to chair, memberships and rebooking, and reporting on cost per shown patient. With me you also get the AI system that keeps the reporting and first pass work running.
How much does a fractional CMO cost for a med spa?
From $8,500 a month for about 10 to 12 hours a week, 4 month minimum, review at month 3. Paid acquisition on its own from $4,500 a month. A Growth Audit is $1,500 and credited toward your first month.
Can you advertise Botox, filler and body treatments on Meta and Google?
Yes, inside the rules. Both platforms restrict how cosmetic procedures can be shown and described, and healthcare tracking has its own limits. I build creative and measurement that stay compliant and still convert.
Why do my leads not turn into patients?
Almost always speed to lead, no online booking, no deposit, or no follow up. The audit shows exactly where in the funnel they drop and what it's costing you.
Do you work with multi location aesthetic groups?
Yes. For groups, the work shifts toward location level reporting, shared creative and centralized follow up. See my page on fractional CMO for multi location practices.
Let's fill the chairs, not the CRM.
I take on a few new clients each quarter. If you're running a med spa that's ready to grow, let's talk.
Book a call →Thirty minutes. Bring your numbers, or just bring the problem. You'll leave knowing what I'd fix first.