Sixteen marketing agencies that genuinely serve medical spas, verified against their own live websites: twelve for this page's August 2026 edition and again on 2 and 3 October 2026, four added in October. For the August edition we found two published prices; the October re-read finds nine of the sixteen publish a figure and seven publish nothing on the pages we read. PELORA published this guide and is not on the list, on purpose.
How we built this list
We started from every agency we could find that publicly claims to serve medical spas, including the ten most frequently cited across the seven competing rankings on page one when this page's August 2026 edition was written. We then checked each one against its own live website and cut anything that did not hold up.
Three well-known names did not survive that check. One works exclusively with addiction treatment and mental health facilities, with no aesthetics presence at all, despite appearing on med spa lists. One turned out to be a general small business agency whose entire med spa footprint was a single blog post. One had a dead domain at the address commonly cited for it. Twelve remained.
October 2026 re-read. On 2 and 3 October 2026 (Pacific time) we read all twelve again on their own sites, in a headless browser with the text kept, and added four agencies that publicly claim med spa work on their own websites and were missing in August: Plastix Marketing, Thrive Internet Marketing Agency, First Page Sage and Intrepy. The first three are the agencies the competing rankings put first (Plastix on a software vendor's list, first published in September 2022 and last modified in August 2026 by its own markup, whose text calls Plastix “the only Certified Partner currently using the Aesthetix CRM platform”, Thrive and First Page Sage on their own). The October read covered pricing, packages and service pages, contact, city and terms pages, a report, and the FAQ panels that only open on a tap, which is where eight of the nine published figures live. Where a fact changed since August, the entry says what we read then and what we read now; where we write not published, we mean not on the pages we read.
What we graded: whether the agency genuinely specializes in aesthetics or merely lists it, whether pricing is published, what is actually verifiable about the company (founding year, location, team, named leadership), and whether they publish evidence rather than adjectives. What we did not grade: results we cannot audit. When an agency's numbers are self-reported, we say so.
The honest headline: nine of sixteen publish a number, and you have to dig for eight of them
For this page's August 2026 edition we found two of the twelve publishing real dollar figures: AdJet Marketing's websites from $249 a month and Morales Design's $1,500 to $4,000+ monthly range. Both are still published in October, AdJet's on its med spa page (“Custom Branded Website from $249/m” and “Custom Landing Pages from $99/Month”) and Morales's inside a FAQ panel on its med spa page (“Med spa marketing retainers for OC practices typically range from $1,500 to $4,000+ per month”). The October read found seven more, none of them on the page a med spa owner lands on first: MedStar Media's packages page (“$2,497/mo per location” for its flagship system; Google Ads management at “$1,500/mo base fee or 20% of media managed”), Kōvly Studio's contact page (“Projects start at $7,500, and ongoing support starts at $1,500 a month”), Intrepy's service pages (SEO “starts at $750 per month”; a med spa website “starts at $7,500 and goes up from there”), OC Digital Firm's service pages (“PPC Management Pricing” at $1,200 and $2,200 a month with “Ad spend billed separately”, SEO at $1,500 and $2,400 a month, “SOCIAL MEDIA MARKETING PRICING” at $950 and $1,800 a month, websites at $2,500 and $5,500 one-time, and one-time brand packages at $3,200 and $5,800), Thrive's SEO pricing page and city pages (“Small Businesses Starting at $500/month”), Plastix's terms of service (scope changes “may be billed at the Agency's standard rate of $150/hour”) and an aside in First Page Sage's SEO ROI report (“what a company pays our agency (~$120,000 / year)”).
So nine of the sixteen publish a figure and seven publish nothing on the pages we read, Growth99 among them: its plans page says “Pricing available upon request” beside the ad-spend ceilings of its paid media add-ons (“Up to $1,500 / MONTH managed”, then $3,500 and $8,000), which are budgets you bring, not fees. That is still the single biggest unmet need for an owner researching this decision, and it is worth naming plainly: if an agency will not tell you a number before a sales call, that is a sales choice, not an industry constraint. Ours is on our med spa marketing page.
| Agency | Based | Pricing | Best for |
|---|---|---|---|
| Morales Design | Brea, CA (Orange County) | Published (a retainer range, in a FAQ panel on its med spa page) | an Orange County med spa that wants a local team and a real number up front |
| Influx Marketing | Pasadena CA, Salt Lake City UT, Tampa FL | Not published | a practice that wants the most established name in aesthetics |
| Med Spa Magic Marketing | Mt. Juliet, Tennessee | Not published | an owner who wants an agency that does nothing but med spas |
| AdJet Marketing | Dallas, TX (an Allen address) | Published (website and landing pages, monthly, on its med spa page) | a new or budget-conscious spa that needs a published entry price |
| Growth99 | Salt Lake City, UT | Not published (ad-spend ceilings on its paid media add-ons) | a practice that wants software and marketing from one vendor |
| Studio 3 Marketing | Austin TX, Los Angeles, Tampa | Not published | a multi-location group that needs production capacity |
| MedStar Media | South Jordan, Utah | Published (monthly packages, on a packages page) | a practice whose real problem is the front desk, not the ads |
| Kōvly Studio | Orange County, plus Scottsdale, Denver, Minneapolis | Published (starting points, on its contact page) | a luxury or premium-positioned spa that needs brand work first |
| GCC Consulting | Irvine, CA (Orange County) | Not published | an owner who wants practice consulting alongside marketing |
| DoctorLogic | Not published (signs as Yapi + DoctorLogic) | Not published | a practice that wants a healthcare-only web platform |
| OC Digital Firm | Irvine, CA (Orange County) | Published (monthly and one-time packages, on five service pages) | a local spa that wants a free audit before committing |
| The MedSpa Society | South Florida (exact city not published) | Not published | an owner who wants to keep marketing partly in-house |
| Plastix Marketing | Greenville, SC (on its fact sheet and terms page and in its structured data; an Atlanta area code on the page) | Published (an hourly rate for scope changes, in its terms) | a practice that wants an agency that does only aesthetics and names its partners |
| Thrive Internet Marketing Agency | Arlington, TX, with offices in many cities | Published (general SEO and marketing pricing, on its pricing and city pages) | a group that wants a large general agency with a med spa service line |
| First Page Sage | San Francisco Bay Area | Published (an aside in a report: about $120,000 a year) | a practice that wants content-led SEO and AI search work from a healthcare team |
| Intrepy | Orlando, FL and Atlanta, GA | Published (starting points, on its service pages) | a mid-size or multi-provider practice that wants a healthcare-only agency |
1. Morales Design · Brea, CA (Orange County)
Best for an Orange County med spa that wants a local team and a real number up front
Pricing: Published: “Med spa marketing retainers for OC practices typically range from $1,500 to $4,000+ per month”, with “Google Ads and Meta Ads budgets are separate”, in a FAQ panel on its med spa page that opens on a tap; its blog adds “Our SEO retainers start at $1,500/month” and “Our web design projects start at $3,500”. One of nine agencies here that publish a figure (the August edition counted it as one of only two).
Services: Custom web design, local SEO, Google Business Profile optimization, procedure-specific content, social, review management, Google Ads, Meta Ads, email and SMS.
What we verified: Its med spa page says it has served Orange County businesses “since 2004” and its about page says “Since 2009”; a Brea address on both. A dedicated med spa page covering Newport Beach, Irvine, Huntington Beach, and Anaheim. The content shows real category fluency, naming specific products (Botox, Dysport, Xeomin, Juvederm, Restylane, Sculptra) rather than generic aesthetics language.
Where it may not fit: No quantified case studies on the page, only testimonials. You are trusting the positioning rather than published numbers.
2. Influx Marketing · Pasadena CA, Salt Lake City UT, Tampa FL
Best for a practice that wants the most established name in aesthetics
Pricing: Not published.
Services: Full-service acquisition for plastic surgery, med spas, cosmetic dentistry and cash-pay healthcare, built around a proprietary platform they call Growthstack.
What we verified: In their own words: “Plastic surgery marketing and aesthetic patient acquisition is where we started and will always be at the core of what we do.” Influx appeared in 6 of the 7 competing rankings we reviewed for this page's August 2026 edition, more than any other agency, and sits fourth on both agency-published rankings we read in October 2026.
Where it may not fit: Founding year and team size are not published. Their center of gravity is plastic surgery, so a smaller injectables-only med spa may not be the core client profile.
3. Med Spa Magic Marketing · Mt. Juliet, Tennessee
Best for an owner who wants an agency that does nothing but med spas
Pricing: Not published.
Services: Google Ads, Meta ads, SEO, retargeting, email and SMS, reputation management, web design and conversion optimization, strategy consulting.
What we verified: “serving local businesses and medical offices since 2012”, in its words, and its about page says it has clients “since we started up in 2012” (the August edition said founded 2012). Genuinely aesthetics-exclusive, which is rarer than the category makes it sound. Owner Ricky Shockley: “Ricky's tips & insights have been featured in sites like CIO.com, Search Engine Watch and Bank of America Small Business Forum”, in the about page's words (it served a bot check on our first October read and loaded on the second).
Where it may not fit: Agency-side background only, with no clinic operating experience. Smaller shop than the national names, so bandwidth is worth asking about directly.
Visit Med Spa Magic Marketing →
4. AdJet Marketing · Dallas, TX (an Allen address)
Best for a new or budget-conscious spa that needs a published entry price
Pricing: Published: “Custom Branded Website from $249/m” and “Custom Landing Pages from $99/Month”, on its med spa page, below the first screen. Still the most transparent entry price we found.
Services: Web design, landing pages, Google Ads (they display a Google Partner badge), Meta ads, SEO, local search.
What we verified: “based in Dallas, Texas” on its about page, with an Allen, TX address in its footer (the August edition said Frisco / Plano, Dallas metro). Its med spa case study reports “increasing organic traffic by 85%” and “a 60% increase in online appointment bookings” within six months in its text, and its results block shows “Monthly Appointments + 237 %” and “Monthly Visitors (330 - 4061) + 1,130 %”, the figures we quoted in August. Company-reported either way, not independently audited.
Where it may not fit: Not med-spa-exclusive by a wide margin. They also serve cannabis, mental health, dental, IV clinics, private schools, radiology, real estate and home services. They claim 10+ years but their actual founding year is not published.
5. Growth99 · Salt Lake City, UT
Best for a practice that wants software and marketing from one vendor
Pricing: Three named plans (Essentials, Accelerator, Elite) with a published feature list, and the words “Pricing available upon request”. The only dollar figures on the page (the August edition said no dollar figures anywhere) are the ad-spend ceilings of its three paid media add-ons (“Basic Paid Media”, “Advanced Paid Media”, “Premium Paid Media”): “Up to $1,500 / MONTH managed”, “Up to $3,500 / MONTH managed” and “Up to $8,000 / MONTH managed”, budgets you bring, not fees you pay. Still the most detailed non-priced pricing page in the category.
Services: CRM and marketing automation, web design and hosting, paid media, SEO, social graphics, an AI front-desk agent, review generation, ADA compliance.
What we verified: Its about page now says “Growth99 was founded in 2017” (the August edition said 2016) and that it is “With new owners and leadership now at the helm”; Cameron Hemphill, named as founder in August, is no longer named as founder, and the site's menu still names him as the host of its Medical Millionaire podcast (“from host Cameron Hemphill and guests”). Serves med spas, wellness, plastic surgery, dental and dermatology.
Where it may not fit: Platform-plus-agency means some lock-in: leaving can mean rebuilding your site and CRM. The 36-employee figure comes from third-party databases, not the company.
6. Studio 3 Marketing · Austin TX, Los Angeles, Tampa
Best for a multi-location group that needs production capacity
Pricing: Not published.
Services: Branding, web, video and photography, SEO, AI search optimization, paid media, email, social, lead management, multi-location tech, patient acquisition coaching.
What we verified: Founded 2011. Publishes case studies with real numbers, including Aurora Medical Spa at +199% traffic in six months and Genesis Lifestyle Medicine at 226% traffic CAGR.
Where it may not fit: Claims of 200+ staff and “58 #1 rankings” are self-reported with no external corroboration. Not aesthetics-exclusive: also plastic surgery, legal and national brands. Likely oversized for a single-location spa.
7. MedStar Media · South Jordan, Utah
Best for a practice whose real problem is the front desk, not the ads
Pricing: Published, as monthly packages (the August edition said not published) on a packages page: “$2,497/mo per location” for its flagship “Aesthetic Growth System”, Google Ads management at “$1,500/mo base fee or 20% of media managed”, Meta at “$1,750/mo base fee or 20% of media managed”, both together at “$2,750/mo base fee or 20% of media managed”, and a custom WordPress site at “$8,750 one-time” (“base $5,000 + 5 pages @ $750”).
Services: Web, SEO, Google and Meta ads, email, SMS, social, plus lead conversion training for your staff.
What we verified: “Our founders have worked in digital marketing and website development since 2005”, family-owned (the August edition said founded 2005; the sentence the site gives is this one). The staff training piece is a genuine differentiator: most agencies deliver leads and stop. A team member cites over a decade in aesthetics spanning operations, practice management and sales.
Where it may not fit: That aesthetics operating experience belongs to a team member, not the founder. Not med-spa-exclusive (also plastic surgery, dental, fertility). Their own med spa page carries no date.
8. Kōvly Studio · Orange County, plus Scottsdale, Denver, Minneapolis
Best for a luxury or premium-positioned spa that needs brand work first
Pricing: Published, as starting points (the August edition said not published): “Projects start at $7,500, and ongoing support starts at $1,500 a month”, on its contact page, which also says “We also typically book four to six weeks out”.
Services: Brand and campaign strategy, digital media planning, creative strategy, media buying, email, SMS, website content management.
What we verified: Founded 2015 by Brittany Woitas, MBA. Their team of five is individually named on the site, which is the most transparent team disclosure of anyone we researched. Publishes an annual State of Health + Wellness Marketing report.
Where it may not fit: Brand-and-strategy-first rather than performance marketing, so if you need leads next month this is a mismatch. Hospitality is a co-equal vertical, so aesthetics is not the sole focus.
9. GCC Consulting · Irvine, CA (Orange County)
Best for an owner who wants practice consulting alongside marketing
Pricing: Not published.
Services: Web and branding, medical SEO, local search, social and paid, email, photography and videography, practice consulting, patient acquisition.
What we verified: Describes itself as a medical consulting and aesthetic marketing agency. Displays 40+ client practice logos across med spas, plastic surgery and aesthetic clinics.
Where it may not fit: Founding year, team names and pricing are all unpublished, and there are no case studies, only client logos. Thinner public evidence than others on this list.
10. DoctorLogic · Not published
Best for a practice that wants a healthcare-only web platform
Pricing: Not published.
Services: Medical web design, local SEO, content, Google Ads, reputation management, and their own AI tooling.
What we verified: Positions as healthcare-exclusive, with med spas as one specialty alongside dental and other medical. Publishes a case studies section with named med spa clients. Its pages sign as “Yapi + DoctorLogic”, with a dental tagline.
Where it may not fit: Almost nothing about the company itself is published: no HQ, no founding year, no team size, no pricing. Med spa is one vertical among many rather than the focus.
11. OC Digital Firm · Irvine, CA (Orange County)
Best for a local spa that wants a free audit before committing
Pricing: Published, as monthly and one-time packages on five service pages (the August edition said not published): “PPC Management Pricing” at $1,200 (Starter) and $2,200 (Growth) a month, “Ad spend billed separately”; SEO and AI visibility at $1,500 and $2,400 a month, and that page's FAQ says “pricing ranges from $1,500 to $10,000+ per month”. Its social media marketing page (“SOCIAL MEDIA MARKETING PRICING”) prices Starter at $950 and Growth at $1,800 a month, Pro on request; its web design page (“How Much Does it Cost to Develop a Website”) prices a 5-page site at $2,500 and a 10-page site at $5,500, one-time, Enterprise on request. Its brand marketing page prices brand development at $3,200 (Starter) and $5,800 (Growth), one-time, with add-ons beside them (logo design $500, brand guidelines $750, additional pages $20 a page, monthly maintenance $299 a month, content writing $150 a page, photography from $500; those figures animate into view, so our text capture holds their targets separately). Its med spa page itself publishes no fee.
Services: Lead generation campaigns, conversion-focused web design, Google Ads, SEO and local search, social including TikTok, geo-targeting.
What we verified: Maintains a dedicated medical spa industry page and offers free marketing audits, which is a low-friction way to evaluate them before signing anything. An Irvine address; “hundreds of Orange County brands” served, company-reported.
Where it may not fit: The least documented agency on this list: no team or founding year is published (the August edition noted a years-experience stat with no number filled in; the page's markup now sets that counter to count up to +10, and our browser capture caught it at +0 before it ran), and the footer names the operator as “Studio Davar LLC Doing business as OC Digital Firm”.
12. The MedSpa Society · South Florida (exact city not published)
Best for an owner who wants to keep marketing partly in-house
Pricing: Not published.
Services: Branding, web, social, Google and Meta ads, CRM and lead conversion, retention, growth consulting. Offers both done-for-you and done-with-you engagements.
What we verified: Exclusively aesthetics and wellness. The done-with-you option is genuinely uncommon and suits an owner who wants to build internal capability rather than outsource permanently.
Where it may not fit: A recent entrant (its copyright line reads 2023 to 2025). The founder, unnamed in August, is now on its about page: “Hillary Small is the founder of The MedSpa Society, bringing more than 20 years of experience in advertising”, company-reported.
13. Plastix Marketing · Greenville, SC (on its fact sheet and terms page and in its structured data; an Atlanta area code on the page)
Best for a practice that wants an agency that does only aesthetics and names its partners
Pricing: Published only as an hourly rate for scope changes: its terms of service say changes to agreed scope “may be billed at the Agency's standard rate of $150/hour”, “unless a different rate is stated in the Order”. No program price; its forms ask for a budget band, from “Under $5,000/mo” to “$20,000+/mo”.
Services: Websites, SEO and content, email, paid media, what it calls the Plastix Growth Plan.
What we verified: “We grow plastic surgery and med spa practices. It's all we do.” and “We focus exclusively on marketing for plastic surgeons, medical spas, coolsculpting studios, and other aesthetic practices”. Its partners are named on its about page: Kari Stevison, Eric Dunn and Ethan Rogers. It is the agency the three competing lists we read in October agree on: first on a software vendor's list (Aesthetix CRM's, dated “September 13, 2022” on the page and last modified 27 August 2026 by its markup; its text also names Plastix as “the only Certified Partner currently using the Aesthetix CRM platform”), third on both agency-published ones. Its fact sheet, linked from every page's footer and “Last updated: September 14, 2026”, says the company is “headquartered at 411 University Ridge Ste 235, Greenville, SC 29601”; its terms of service print a second Greenville address (“2541 N Pleasantburg Dr, Ste 338, Greenville, SC 29609”), its pages' structured data gives the fact sheet's, and both agency-published lists also give Greenville.
Where it may not fit: No city on its home, about, contact or Growth Plan pages, only a phone number with an Atlanta area code (the Greenville headquarters is on its fact sheet, linked from the footer, and in its structured data; its terms page prints a second Greenville address for notices); no founding year on the pages we read; no program price, only the scope-change rate in its terms; the published SEO example is a plastic surgery practice.
14. Thrive Internet Marketing Agency · Arlington, TX, with offices in many cities
Best for a group that wants a large general agency with a med spa service line
Pricing: Published as general SEO and marketing pricing: its SEO pricing page says “Small Businesses Starting at $500/month” and that SEO “can range from $500 to $10,000+ per month”; its city pages say “With pricing packages starting at $500” (Arlington) and that costs “typically range from $1,500 to $7,500 per month” (Houston). None of it names med spas; the med spa page gives no figure, and its contact form asks for a budget band from under $750 a month upward.
Services: SEO, social media, web design, PPC, reputation management, content, video, email, under a dedicated medical spa page.
What we verified: “Established in 2005” as MLB Web Design, renamed Thrive Internet Marketing Agency in 2012, founder Matt Bowman; “more than 160 employees across 34 states”, company-reported; headquarters at 4604 Park Springs Blvd, Arlington, TX. Its med spa page: “We provide full-service medical spa digital marketing services, which include search engine optimization (SEO), social media management, web development and a variety of custom marketing solutions”.
Where it may not fit: Med spas are one line among dozens of industries, and Thrive publishes its own ranking of med spa marketing companies, “Last updated September 18, 2026”, with itself first at 97 out of 100. Weigh that when you read it. Its published pricing is general, not a med spa quote.
Visit Thrive Internet Marketing Agency →
15. First Page Sage · San Francisco Bay Area
Best for a practice that wants content-led SEO and AI search work from a healthcare team
Pricing: Published only as an aside: its SEO ROI report says “Typically, the costs of an SEO campaign are what a company pays our agency (~$120,000 / year) plus a share of the salary of all the people interacting with our firm on the client side”; no price on its service or healthcare pages.
Services: SEO and generative engine optimization with a monthly content program, conversion content, web development, for healthcare among other sectors.
What we verified: Founded by Evan Bailyn, its founder and CEO; “For 18 years, we have turned healthcare websites into a wellspring of patients, referrals, and qualified leads”; its healthcare page lists “MedSpas, Aesthetics & Wellness Medicine” among its client experience, with “Compliant promotion of elective and integrative treatments”. Company-reported figures on that page: “214 Healthcare clients served to date” and “61 Active healthcare clients”. Its locations page calls it an “SF Bay Area-based SEO agency”.
Where it may not fit: No med spa service page of its own; the claim lives on its healthcare page and on its own ranking of med spa SEO agencies, “Last updated: May 14, 2026”, with itself first. No price on its service pages, only the aside in its report; no named med spa client on the pages we read.
16. Intrepy · Orlando, FL and Atlanta, GA
Best for a mid-size or multi-provider practice that wants a healthcare-only agency
Pricing: Published, as starting points: its medical SEO page says starter SEO “starts at $750 per month” and that for larger practices “our average monthly retainers typically range from $3,000 to $5,000+”; its med spa web design page says, in a FAQ panel, that pricing “starts at $7,500 and goes up from there”.
Services: Med spa website design, SEO, paid advertising, social media, patient retention programs, under a dedicated medical spa page.
What we verified: “Justin & Kelley Knott Founded Intrepy Healthcare Marketing in 2014”; “works exclusively with private medical practices and healthcare organizations”; “Mid and large-size specialty practices have been our 100% focus for 10+ years”. Its med spa page says its programs “are designed to book more cash-pay patients”. Fifth on First Page Sage's ranking.
Where it may not fit: Built for mid and large practices by its own account, so a single-injector spa is not the core profile; med spas are one of many specialties; the published case studies on its home page are other specialties; the figures are starting points, not a quote.
How to actually choose one
Ignore the rankings, including this one, and run four checks instead.
Ask for the number first. If the fee only appears after a discovery call, you are being sold to before you are being helped. Nine agencies here publish a figure, eight of them in a panel or on a page you have to go looking for. Ask the other seven directly, in the first email.
Ask who owns the accounts. Your ad account, your website, your CRM data, your domain. If leaving means rebuilding from scratch, that is not a partnership, it is a hostage situation. This is the question owners forget and later regret.
Ask for a med spa client whose bookings went up. Not traffic, not impressions, not reach. Booked, showed-up appointments. Traffic growth with flat bookings is the most common way agency reporting flatters itself.
Ask about compliance, unprompted. A real med spa specialist will immediately talk about Meta's restricted category rules, before-and-after imagery limits, and what happens when an ad gets rejected. A generalist will not know the question is coming.
Questions med spa owners ask
How much does a med spa marketing agency cost?
Almost nobody publishes it on the page you land on. Of the sixteen agencies in this guide, nine publish a figure somewhere on their sites: AdJet Marketing lists websites from $249 a month and landing pages from $99 a month on its med spa page; Morales Design puts retainers of $1,500 to $4,000+ per month, ad spend separate, in a FAQ panel on its med spa page; MedStar Media prices monthly packages on a packages page ($2,497 a month per location for its flagship system; Google Ads management at $1,500 a month); Kōvly Studio's contact page says projects start at $7,500 and ongoing support at $1,500 a month; Intrepy's service pages start SEO at $750 a month and a med spa website at $7,500; OC Digital Firm prices PPC management from $1,200 a month, SEO from $1,500 a month and social media from $950 a month on its service pages, plus one-time website packages from $2,500 and brand packages from $3,200; Thrive's SEO pricing page starts small businesses at $500 a month and its city pages give general ranges; Plastix's terms of service give a standard rate of $150 an hour for scope changes unless an order states another rate; First Page Sage's SEO ROI report mentions in passing what a company pays it, about $120,000 a year. Growth99's plans page says pricing is available on request and lists ad-spend ceilings, not fees. The other six publish nothing on the pages we read. Our own med spa pricing is published on our med spa marketing page. If an agency will not give you a number before a sales call, that is a choice they made, not an industry constraint.
Should I hire a med spa specialist or a general marketing agency?
A specialist matters most for the parts that are genuinely different: Meta's restricted-category rules around before-and-after imagery and body-related claims, how injectables are advertised, and the membership and package economics that drive med spa retention. A generalist can absolutely run good ads, but you will spend the first few months teaching them the compliance edges. The practical test is not whether they say “med spa” on the homepage, it is whether they can explain, unprompted, why a before-and-after ad gets rejected.
Why did PELORA leave itself off this list?
Because we build med spa marketing, and ranking ourselves in a guide we control is not evidence of anything. Every other “best med spa marketing agency” list we reviewed for this page's August 2026 edition was published by an agency, and six of the seven put themselves in the number one position; of the three lists we read in October 2026, two are agency-published and rank their author first, and one is a software vendor's that ranks a certified partner first. We would rather this list be useful than be an advertisement. If you want to evaluate us, do it on our own med spa page, where the pricing is published, not on a ranking we wrote.
What questions should I ask a med spa marketing agency before signing?
Five that reliably separate operators from vendors. What is your monthly fee, and is ad spend included or separate? Who owns the ad account and the website if we part ways? Can you show me a med spa client whose booked appointments went up, not just their traffic? What happens when Meta rejects a before-and-after ad? And who actually does the work, the person on this call or a junior team? The account-ownership question is the one most owners forget and most regret.
How long before med spa marketing produces booked appointments?
Paid ads can produce inquiries within days of launch, but the honest number for booked, showed-up appointments is usually four to eight weeks once creative testing settles and the follow-up sequence is running. Organic search and local SEO are slower: three to six months before meaningful movement, longer in a market as saturated as Orange County. Any agency promising page one in thirty days is either buying it with ads or telling you what you want to hear.
Does a med spa marketing agency need to be local to me?
For the marketing itself, no. Ads, SEO, web and CRM are all run remotely, and several of the strongest agencies in this guide serve clients nationally. Local matters for one thing specifically: video. Somebody has to be physically in your treatment room to film your injectors and your space, and that footage is the single highest-converting asset in this category. If your agency is across the country, ask who is holding the camera.
How do I know if these rankings are trustworthy?
Assume they are not, including ours, and check the sourcing instead. Every price, service, location and leadership claim in this guide about an agency came from its own live website, and each ranking we name from that ranking's own page, read on 2 and 3 October 2026 (the four agencies added in October on those October days); the one figure from outside an agency's site, Growth99's headcount, is labelled so in its entry; where something was not published we said so rather than guessing. Self-reported statistics are labeled as company claims. The single most useful check you can run on any list like this: look at who published it, then look at where they ranked themselves.