Best Google Ads Agencies for Med Spas (2026): 9 Compared

For med spa owners and marketing leads. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not ad management, and none of the agencies below is a Prospyr product. Each summary reflects what the agency publishes on its own website, checked October 2026. Fees, minimum ad budgets and contract terms change, so confirm everything in writing before you sign.

What does a Google Ads agency for med spas do?

A Google Ads agency for med spas builds and runs the paid search campaigns that put your practice at the top of results when someone nearby searches "Botox near me" or "laser hair removal" plus your city. The work covers keyword and location research, ad copy that stays inside Google's health policies, landing pages for each treatment, bid and budget management, call and form tracking, and a monthly report. The agencies worth paying report on booked consultations and treatment revenue, not just clicks, and leave the ad account in your name.

The 9 Google Ads agencies at a glance

How we chose this list

We started with agencies that name med spas, plastic surgery or aesthetic practices as a market on their own websites and list paid search as a service they run, not resell. Then we looked at four things a practice manager can check before a sales call:

1. Aesthetic focus. How much of the agency's work is in elective, cash-pay aesthetics.
2. Google credentials. Whether the agency shows a current Google Partner or Premier Partner badge.
3. Published terms. Whether contract length, notice period, account ownership or pricing appear on the site.
4. Reporting. Whether the agency explains how it connects ad spend to booked patients.

Agencies in our med spa marketing agencies list that don't advertise a paid search service were left off. The order is our editorial view, not a measure of results.

1. Sagapixel

Sagapixel is a healthcare marketing agency whose site lists med spas, plastic surgeons, dermatologists and hair restoration among its main markets. It offers Google Ads, Meta ads, SEO, websites and social media management, with a dedicated med spa page.

What stands out:

• Google Premier Partner. The badge appears on its site, along with Semrush agency partner status.
• Month-to-month contracts. Sagapixel highlights this on its homepage.
• Published case figures. Its med spa page reports a $17 cost per lead for Botox on Meta and a 1,125% increase in leads for a GLP-1 practice. These are the agency's own numbers.
• Both ad platforms. Search and Meta are run by one team, so you can compare cost per lead side by side.

Right for: a med spa that wants a specialist search team without a 12-month contract. Ask: who builds the landing pages, what the management fee is at your ad budget, and whether the GLP-1 results came from paid ads or organic search.

2. Etna Interactive

Etna Interactive has worked with plastic surgery, dermatology, med spa and facial plastic practices for nearly two decades and runs paid campaigns on Google, Bing and social platforms. It is fully remote and serves practices nationwide.

What stands out:

• Google Premier Partner. Etna also lists Microsoft Advertising and Bing Ads accreditation.
• Three service levels. From light, single-channel support to multi-channel campaigns with landing pages written for each ad.
• Ongoing management. Its page describes regular keyword, bid, ad copy, demographic and schedule changes rather than a one-time setup.
• A stated ROI figure. Etna advertises a 10:1 average first-year ROI "based on audited lead data."

Right for: established practices, especially those with a surgeon, that want an aesthetic-only team and several channels. Ask: which tier fits your budget, how the 10:1 figure is calculated, and what the minimum term is.

3. Surgeon's Advisor

Surgeon's Advisor is a Miami Beach agency that works with plastic surgeons, dermatologists, ENT specialists, dentists and medical spas. Its paid advertising service covers Google and Microsoft search ads, Facebook and Instagram ads, display and remarketing, and YouTube video ads.

What stands out:

• No long-term contracts. The site states the practice keeps ownership of its accounts and full access.
• Google certification. It shows a Google Partner badge and Microsoft Advertising certification.
• Wide channel mix. Search, social, display and video under one team.

Right for: practices that want to test more than one paid channel without a lock-in. Ask: how much of its current book is med spas versus surgeons and dentists, and how it handles remarketing under Google's health ad rules.

4. Digital Limelight Media

Digital Limelight Media, based in Grand Rapids, Michigan, manages Google search, display, YouTube, retargeting and Facebook and Instagram ads for aesthetic, medical and dental practices. It shows a Google Partner badge.

Its difference is reporting. DLM states it connects campaign data with a practice's EMR to show how many patients came from each paid campaign and what they spent, so budget moves away from campaigns that bring clicks but not procedures.

Right for: practices that want revenue by campaign and are willing to connect their clinical system to get it. Ask: which EMRs it connects to today, what patient information leaves your system, and whether it signs a business associate agreement (BAA).

5. NexioBit

NexioBit works only with med spas and aesthetic practices. Its Google Ads work covers treatment-specific campaigns on searches like "Botox near me" and "lip filler" plus your city, tested creative, and reporting on what each dollar returns. Paid search is one part of a wider package that also includes Meta ads, SEO, a CRM and websites.

Right for: a single-location or small group med spa that wants clear ownership terms. NexioBit states that ad accounts, domain and hosting are registered to the practice from day one, with month-to-month terms after setup and 30 days' notice to leave. It also states it includes a BAA. Ask: whether it will run Google Ads on its own or only as part of the full package, and what the management fee is.

6. Plastic Surgery Studios

Plastic Surgery Studios, in Rancho Cucamonga, California, builds websites and runs digital marketing for surgical practices and med spas, including PPC, SEO, social media, photography and video. It lists Google Partner certification and Bing Ads accreditation.

The agency also sells its own StudiosCRM. We list it here for its ad management, not its software.

Right for: practices that want paid search from a team that also builds aesthetic surgery websites. Ask: who on the team runs your PPC day to day, and whether you can buy ad management without a new website.

7. ClinicGrower

ClinicGrower, based in Tampa, Florida, works with aesthetic surgeons, established med spas and vein centers. It runs Google Ads, social ads, SEO and websites, and adds booking support and practice growth coaching under what it calls a "Click-To-Consult" system.

Its Google Ads guide for med spas suggests starting at $50 to $100 a day per campaign (about $1,500 to $3,000 a month in ad spend) with a 10 to 15 mile radius. That is a starting ad budget, not ClinicGrower's fee. The agency reports a 7:1 average return for the practices it works with.

Right for: practices that get leads but struggle to turn calls into booked consultations. Ask: what the coaching includes, and how the 7:1 return is measured.

8. Rosemont Media

Rosemont Media, in San Diego, focuses on plastic surgery and other elective specialties such as LASIK, bariatric and dental practices. Its services include paid search, Facebook and Instagram advertising, websites, SEO and reputation management.

Right for: surgical practices with a med spa side that are rebuilding their website and want paid search from the same team. Ask: what share of its work is paid search, and how it reports cost per consultation.

9. Med Spa Marketing Guys

Med Spa Marketing Guys, founded by Cormac Reynolds, serves med spas with Google and Meta ads, landing pages, conversion tracking and SEO. It publishes Google and Meta ads management from $199 a month, with separate setup packages from $1,487 to $4,587 (as of October 2026).

Right for: smaller med spas that want to compare prices before a sales call. Ask: what the $199 tier includes, which fees are one-time, and what the contract term and notice period are. The site doesn't state them.

Questions to ask any Google Ads agency

1. Whose name is on the ad account? The account should be created under your practice's Google login, with the agency added as a manager. If the agency owns it, you lose your history when you leave.
2. What is the fee, and is it separate from ad spend? Ask whether the fee is flat or a percentage of spend, and whether your ad budget is billed by Google directly to your card.
3. How do you handle Google's health ad rules? Google's personalized advertising policy treats health as a sensitive interest category and says advertisers in those categories can't use advertiser-curated audiences, such as remarketing lists. Ask how the agency reads that for your treatments.
4. What counts as a conversion? Clicks and form fills are cheap to report. Ask for a sample report showing booked consultations and treatment revenue by campaign. Our guide to lead source tracking shows what to measure.
5. Who approves medical claims in the ads? Injectables, weight loss and laser ads are reviewed by Google and by your state's advertising rules. See our ad compliance checklist.
6. Will you sign a BAA? Any agency that handles patient inquiries, call recordings or patient lists should.
7. What is the minimum term and exit notice? Compare month-to-month with 30 or 60 days' notice against a 12-month contract.

Where Prospyr fits

Google Ads brings the inquiry; your practice software is where it becomes a booked, charted and paid visit. Before you sign, ask the agency how a lead from an ad reaches your front desk and how booked visits flow back into its reports. If you're reviewing your practice software too, see how Prospyr handles lead management and analytics, or book a practice demo.

Frequently asked questions

How much does a Google Ads agency cost for a med spa?

Most agencies on this list don't publish fees, so expect a custom quote. Med Spa Marketing Guys publishes ads management from $199 a month plus setup. Your ad spend is a separate cost; ClinicGrower's guide suggests starting at $1,500 to $3,000 a month per campaign. Use our marketing budget planner to set a total.

Should a med spa run Google Ads or Meta ads?

Many run both. Google Ads reaches people already searching for a treatment near them, while Meta ads build demand among people who aren't searching yet. If you're weighing Meta, see our list of Facebook ads agencies for med spas.

Can a med spa use remarketing on Google Ads?

It's restricted. Google's personalized advertising policy treats health as a sensitive interest category and bars advertisers in those categories from using advertiser-curated audiences such as remarketing lists. Ask your agency how this applies to your treatments before you plan a campaign around it.

Is Google Ads or SEO better for a new med spa?

Google Ads can bring calls within days of launch, while SEO usually takes months to build. Many practices run paid search first and invest in SEO in parallel. See our list of med spa SEO companies if you want both.

Want your company considered?

We review this list quarterly. Agencies that run Google Ads for 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 agency's public website, checked October 2026 with AI-assisted research. Agencies did not review this article before publication. It is not a guarantee of results or a substitute for checking references. Read our methodology or report a correction.