Top 7 Fractional CMOs for Med Spas in 2026

For med spa owners and practice managers. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not marketing services, and none of the firms below is a Prospyr product. Each summary reflects what the firm publishes on its own website, checked October 2026. Retainers, minimum terms and scope change, so confirm everything in writing before you sign.

What does a fractional CMO do for a med spa?

A fractional CMO is a part-time senior marketing lead who owns your practice's marketing plan and budget without a full-time salary. For a med spa, that usually means setting which treatments to grow, managing the agencies and freelancers who run ads, social and SEO, checking that inquiries turn into booked consultations, and reporting monthly on spend against bookings. Some only set strategy and direct vendors; others also do the work themselves. The differences that matter are aesthetics experience, whether execution is included, the minimum term, and what the monthly report measures.

The 7 fractional CMOs for med spas at a glance

How we chose this list

We looked for firms that sell a fractional or part-time CMO service on their own website and name med spas, medical aesthetics or wellness practices as a market. We then checked four things a practice owner can verify before a call:

• Aesthetics experience. Does the firm or founder show med spa, dermatology or plastic surgery work?
• Strategy versus execution. Does the retainer include doing the work, or only directing vendors?
• Published terms. Is there a price, minimum term or month-to-month option on the site?
• Reporting. Does the firm say it reports on bookings and revenue, not only reach?

Full-service marketing agencies are left out unless they sell a distinct fractional CMO service; see our marketing agency list for those. The order is our editorial view, not a measure of results.

1. Medical Grade Media

Medical Grade Media describes itself as a fractional CMO for med spas and therapy practices. Founder Paige Montgomery reports more than 10 years marketing medical aesthetics, including leading marketing at Verve Medical Cosmetics and running digital strategy for Kara Vita Skincare. The firm states it has supported 50+ practice owners.

What stands out:

• Published price. Fractional marketing starts at $600 a month, month to month, as of October 2026. A website build is listed at $2,000–$3,000 one time.
• Agency oversight. It states it sits between you and your vendors, managing budget and agency work rather than replacing them.
• Consultation coaching. Front-desk and consultation coaching is part of the retainer, aimed at turning more inquiries into treatment plans.
• Clear start. A free 30-minute session, then an audit and a 90-day plan, then a monthly report on leads, bookings and spend.

Right for: a single-location med spa that already pays an agency and wants someone senior checking the work. Ask: how many hours the $600 tier covers, and what moves you to a higher fee.

2. Goldman Marketing Group

Goldman Marketing Group is a Southern California consulting firm and agency that works only in healthcare, with a stated specialty in dermatology and plastic surgery. Founder Risa Goldman Luksa reports 20 years in medical marketing, sales and business development, with a background in pharmaceutical sales, device marketing and medical publishing.

What stands out:

• Aesthetics depth. Its fractional CMO page is written for aesthetic dermatology and names device categories such as IPL and CO2 lasers.
• Strategy plus execution. The same firm lists websites, SEO, paid ads, content, social, brand strategy, photo and video, and KPI tracking.
• Range of practices. It serves private practices, PE-backed groups and surgery centers, as well as skincare and device companies.

Right for: a physician-led or dermatology-attached med spa that wants a CMO who understands device and skincare partners as well as patients. Ask: who your day-to-day lead is, and how the fractional retainer differs from its agency services.

3. Seichō Collective

Seichō Collective, formerly 784BRANDED Co, is a Dallas healthcare marketing firm founded in 2022 that serves specialty healthcare and wellness practices. Its fractional CMO service begins with a strategy phase it calls the Foundation (positioning, core messaging and a map of how patients search and book) before any execution starts.

Right for: practices that want the strategist and the people doing the work on one team, including vendor coordination for agencies you already use. Ask: what the Foundation phase costs and how long it takes, and how many aesthetic practices it currently serves.

4. Verena Jensen

Verena Jensen is a Palm Beach, Florida growth strategist who offers fractional CMO work for premium service brands in wellness, aesthetics and high-end practices. She reports 16+ years in growth and performance marketing, including building a premium brand to 70,000+ customers. Her med spa page describes a CMO who owns positioning and pricing, the path from inquiry to confirmed appointment, paid media measured on booked revenue, reviews and AI search visibility.

Right for: an owner whose ad spend has outgrown the time they have to manage it. Ask: for an aesthetics reference and the retainer structure; pricing is not published.

5. Madelyn Victoria Co

Madelyn Victoria Co is an Alabama-based solo fractional CMO who works with service businesses and has a dedicated med spa offer covering social media, email and Showit websites. It is not an aesthetics specialist, but it publishes more terms than most.

It lists two retainers as of October 2026: $3,000 a month for strategy, social media, weekly email and quarterly launch sequences, and $4,500 a month adding up to 10 hours of website updates. Both have a 3-month minimum, then month to month. She does the execution herself instead of handing it to subcontractors.

Right for: a smaller med spa that wants one person to plan and post, including promoting a membership program. Ask: how she handles patient photos and consent, and whether paid ads are in scope.

6. Aesthetic CMO

Aesthetic CMO describes itself as a fractional marketing department founded by owner-operators who have scaled businesses in beauty, wellness, events and hospitality. It works with beauty and aesthetic companies, wellness concepts, multi-location brands and founder-led companies. Its process is an audit and strategy, then building ads, SEO, funnels and tracking, then monthly optimization.

Right for: a founder-led or multi-location aesthetics brand that wants an operator's view as well as marketing. Ask: who the senior lead on your account is and where they are based; names, location and pricing are not published on the site.

7. Chief Outsiders

Chief Outsiders is a national network of fractional CMOs and sales executives with a healthcare practice. It reports 120+ marketing and sales executives, 5,000+ engagements and 17+ years in business, and states it has no expensive long-term contracts. It is a general firm, not a med spa specialist.

Right for: a multi-location group or PE-backed platform that wants an experienced executive to build a marketing team. Ask: to be matched with a CMO who has worked in cash-pay or aesthetic healthcare, and for the expected monthly commitment.

Questions to ask any fractional CMO

1. Strategy only, or strategy and execution? Find out who writes the posts, runs the ads and builds pages, and what that costs on top of the retainer.
2. How many hours or days a month do I get? A fractional retainer should name a time commitment and a response time.
3. What is the minimum term? Compare month to month with 3-, 6- and 12-month minimums, and the notice to leave.
4. What will the monthly report show? Ask for a sample with booked consultations, treatment revenue by channel and cost per new patient.
5. Will you sign a BAA? Anyone who sees inquiries, patient lists or booking data should.
6. Who owns the accounts? Ad accounts, analytics, social profiles and the website should stay in the practice's name.
7. How do you handle medical claims? Ads and posts about injectables, weight loss and lasers must follow platform rules and your state's advertising rules, with your medical director's review.

Where Prospyr fits

A fractional CMO can only report on bookings and revenue if your practice software records where each patient came from and what they bought. In Prospyr, lead management tracks inquiries from first contact to booked visit, and analytics show revenue by service and provider, which gives a CMO the numbers to work from. To see that before you hire, book a practice demo.

For budgeting, see our clinic marketing budget planner and FAQs on marketing ROI for clinics. A fractional CMO often hires specialists too: see our lists of med spa copywriters, med spa branding agencies and PR firms for aesthetic practices.

Frequently asked questions

How much does a fractional CMO cost for a med spa?

Published prices on this list run from $600 a month at Medical Grade Media to $3,000–$4,500 a month at Madelyn Victoria Co, as of October 2026. Most firms quote each practice. Execution, ad spend and agency fees are usually extra, so compare the total monthly cost.

Is a fractional CMO better than a marketing agency?

They do different jobs. An agency runs channels such as ads, SEO and social; a fractional CMO decides which channels deserve the budget and holds the agencies to booked-patient results. Many med spas use both, with the CMO managing the agency.

When should a med spa hire a fractional CMO?

Hire one when marketing spend has outgrown the owner's time to manage it, or when you can't say what last month's spend produced in booked treatments. A first location still finding its treatment mix may get more from a good agency and a clear budget first.

What should a fractional CMO report each month?

Ask for spend, new inquiries, booked consultations, treatments sold and revenue by channel, plus what will change next month. Reports that show only reach, clicks or followers don't tell you whether the money worked.

Want your company considered?

We review this list quarterly. Fractional CMOs and marketing leaders who serve med spas can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each firm's public website, checked October 2026 with AI-assisted research. Firms did not review this article before publication. It is not a guarantee of results or a substitute for checking references and contract terms. Read our methodology or report a correction.