What does a Meta ads agency do?
Strategy, creative production, campaign management, tracking, and reporting for Facebook and Instagram advertising. The difference at PELORA is that we produce the creative ourselves, 5 to 26 new ads per account every month, built from real footage shot on location wherever you are or produced remotely, and we wire every campaign into a CRM follow-up system so leads become booked appointments. Most agencies manage settings. On Meta in 2026, settings are the smallest part of the job.
Do Facebook and Instagram ads still work in 2026?
Yes. Meta reported 3.56 billion daily active people across its apps in its Q1 2026 earnings, and WordStream's 2025 benchmarks put the average Facebook cost per lead at $27.66 versus $70.11 on Google search. What no longer works is running one tired graphic to a stale audience. Meta now rewards fresh creative volume and clean conversion data, and punishes accounts that provide neither.
How much do Meta ads cost?
Budget two numbers separately. Ad spend goes from you directly to Meta with no markup, and as a working floor, about $1,400 a week gets an average lead generation account to the 50 conversions a week Meta needs to optimize properly, based on WordStream's $27.66 average cost per lead. Management at PELORA starts at $3,500 a month and includes the creative production. We run the math on your margins in the $1,500 Audit and Game Plan before you spend on ads.
Can I just run Meta ads myself with Advantage+?
Honestly, yes, at a small budget. Advantage+ handles targeting and delivery well, and Meta has made launching easier than ever. What it cannot do is make your creative, and creative volume is now the whole game. If you can produce ten or more fresh ads a month, check performance daily, and keep your tracking clean, DIY is viable. Most owners can sustain that for about six weeks while also running their business. The accounts we take over usually prove it.
How long until I see results?
First leads often show up within the first couple of weeks. A signal you can make decisions on takes about 90 days, and compounding performance takes about six months as winning creative and clean data stack up. Anyone promising profitable ads in week one is guessing with your money, and we would rather tell you the truth in the sales call than apologize in month two.
Do Meta ads work for med spas and medical weight loss?
They are among the strongest local verticals on Meta, with a catch: Meta's personal health policies block before and after images and copy that implies something negative about the viewer, which kills the most obvious creative angle. What works instead is provider-led video, treatment walk-throughs, and compliant patient stories, which is exactly the footage our shoot days produce. Facebook advertising for med spas is a creative problem before it is a media buying problem, and we solve it with cameras.
Can a treatment center or behavioral health program advertise on Meta?
Yes, with real constraints. Addiction treatment advertisers need LegitScript certification before Meta will run their ads in the US, and Meta restricts which conversion events health and wellness advertisers can optimize against. We know this category as operators, not observers: Preston co-founded Fresh Start Detox, sold in 2025, and helped build SoCal Mental Health. We build admissions funnels that stay compliant without going silent.
Do Meta ads work for home services and construction?
Very well, because the feed is where homeowners decide who they trust before they ever search. Real job site video, crew introductions and finished project walk-throughs from actual homes consistently outperform stock footage and lead form gimmicks. The operational key is speed: a homeowner who submits a lead calls someone else within hours, so we pair every home services campaign with missed-call text-back and follow-up automations that respond in minutes, not mornings.
Who owns the Meta ad account and the pixel if we part ways?
You do. The ad account and the dataset, which used to be called the pixel, live under your own Business Manager and we are granted partner access that you can revoke. This matters more on Meta than on Google, because the dataset is where all the conversion learning accumulates. Losing it means a new account starts cold and your costs go up while it relearns.
What happens in the first 30 days on Meta?
Week one is access, dataset and conversion checks, and confirming your account is not already restricted, which happens quietly in health categories. Week two is the first creative batch and the campaign build. Week three the ads run small across several creative angles, because on Meta the creative is the test. Week four we kill what lost, scale what won, and report. The first month is about finding the angle that works, not about volume.
What happens when Meta rejects an ad?
It is routine in health and wellness, not a crisis. The rule that catches most health creative is Meta's Privacy Violations policy on personal attributes, which prohibits implying you know something personal about the viewer, such as asserting that they or their family have a health condition. Meta does allow you and your language where no attribute is named. Before and after imagery is a stricter line we hold ourselves, not a blanket Meta ban. We write to these rules from the start rather than appealing afterwards.
How many creatives do I need a month?
More than most people expect, because on Meta the creative is the targeting. The algorithm finds the audience; your job is to give it enough distinct angles to find them with. A handful of variations of one idea is not a test. Several genuinely different ideas is. What that number is for you depends on spend, and it is in the tier you choose rather than invented per client.
Can you run Meta ads nationwide, or only locally?
Nationwide. Meta places no limit on where we can run, and national campaigns are in some ways simpler than local ones because there is enough audience to let the algorithm work. The constraint at national scale is creative volume rather than geography: a wider audience burns through creative faster, so the content pipeline has to keep up. If you serve the whole United States we build for that from the start.
Do I have to appear on camera?
No, but it helps, and in some categories it helps a lot. People buy health and wellness from people. If you will not be on camera we work with staff, clients who consent, product footage, text-led creative and motion. It is a real constraint rather than a dealbreaker, and we would rather plan around it honestly than book a shoot you quietly dread.
What does Meta's health restriction actually block?
Not what most people assume. You can advertise a clinic. What is restricted is implying you know something personal about the viewer, so copy asserting that someone has a condition, and anything suggesting a diagnosis. Separately, Meta restricts how data sources categorised as health and wellness can be used for custom conversions, custom audiences and lookalikes, which can mean fewer usable optimisation signals. Meta publishes no start date or country list for that, so we do not quote one. It is a structural limit rather than a copy problem, and it is one reason we sometimes recommend Google instead.
What happens if I want to leave?
Standard terms are a three month minimum, then month to month with 30 days notice, and no early termination fee. The three months exist because finding the creative angle that works takes that long, not to trap you. When you leave you revoke our partner access, and the ad account, the dataset and every creative we produced for you stay with you. No holding the dataset hostage, which is the thing that would actually hurt.
