All Ad Performance Data is from August 2026
Can we please stop saying “Botox ads don’t work anymore”?
Because one of our campaigns in Doral, Florida would like a word. 😂
This clinic generated 45 injectables leads at just $7.82 per lead with a straightforward $9.99/unit tox offer.
Even better? The campaign had a 5.00% click-through rate.
And this wasn’t happening in some tiny market where the nearest competing injector is 87 miles away.
We’re talking about Doral in the Miami market.
You know…the place where it sometimes feels like there’s a med spa, injector or aesthetic clinic every time you make a right turn.
So yes – Injectables ads still work.
But that’s actually not the most interesting part of this story.
“But Botox Is Too Competitive…”
I hear this one constantly.
- “Everyone around me offers Botox.”
- “My competitors are all advertising tox.”
- “Patients are shopping based on price.”
- “There are too many injectors in my market.”
All valid concerns, but here’s where I disagree with the conclusion.
Competition doesn’t automatically mean a treatment is impossible to advertise.
Sometimes competition exists because there is a lot of demand.
The problem isn’t necessarily that everyone is offering Botox. The problem may be that everyone’s marketing looks exactly the same.
- Same stock photo.
- Same syringe.
- Same forehead.
- Same “Refresh Your Look” headline.
- Same vague “Schedule Your Consultation Today” CTA.
Nobody asked for this.
If you’re competing in a crowded market, being generic isn’t safer.
It’s easier to ignore.
Let’s Look at the Actual Numbers
This Doral campaign was promoting injectables with a simple: $9.99/unit tox offer.
In the earlier reporting period, the campaign generated 31 leads at $11.41 each with a 4.54% click-through rate. Then performance improved.
The next reported period generated:
- 45 leads
- $7.82 cost per lead
- 5.00% click-through rate
Now that is the part I want clinic owners to pay attention to.
- Lead volume went up.
- Cost per lead went down.
- And engagement improved.
That’s a much more interesting story than simply finding one random day where an ad generated a $7 lead.
From 31 Leads to 45 While CPL Dropped
Let’s do some marketing girl math.
The campaign moved from:
31 leads → 45 leads
while CPL moved from:
$11.41 → $7.82
That’s roughly a 31% decrease in cost per lead while lead volume increased by approximately 45%.
And the click-through rate improved from 4.54% to 5.00%.
That’s what I like seeing because sometimes clinics assume that getting more leads automatically means paying more for each one. Not necessarily.
When an offer and campaign are connecting with the market, you can sometimes increase volume while improving efficiency.
Does that happen forever? Of course not.
Campaigns fluctuate. Audiences change. Creative fatigues. Competitors change offers. Markets move.
But when the numbers start moving in the right direction together? Pay attention. You may have found something worth leaning into.
The Offer Wasn’t Fancy. That’s Kind of the Point.
Here’s what the campaign offered: $9.99/unit tox.
That’s it.
- No “Ultimate Age-Defying Facial Rejuvenation Experience.”
- No complicated package requiring six bullet points to understand.
- No vague promise to “unlock a more radiant you.”
Please don’t make your patients solve a riddle to figure out what you’re selling.
The offer told them: What it is + What it costs.
And therefore whether it might be worth learning more about.
That simplicity matters.
A person scrolling Instagram isn’t sitting down with a legal pad to evaluate your value proposition.
She’s scrolling.
You have seconds.
The easier an offer is to understand, the easier it is for someone to decide whether she’s interested.
That’s especially important in a competitive category like injectables.
Price Isn’t Always About Being the Cheapest
Now I can already hear someone saying:
“So you’re saying I need to discount Botox?”
Girl, no.
That’s not what I’m saying.
A price-based offer can work because it gives the prospect specificity.
Specificity reduces uncertainty.
And reducing uncertainty can make taking the next step feel easier.
That does not mean you should start a race to the bottom with every injector in town.
- Your clinic still needs healthy margins.
- Your offer needs to make financial sense.
- Your positioning matters.
- Your providers matter.
- Your patient experience matters.
And attracting someone with an introductory offer is only valuable if your clinic has a system for turning that initial visit into a relationship.
Don’t copy the price. Copy the principle.
Make the offer easy to understand.
Here’s Where This Gets REALLY Interesting
Remember how I said Doral is competitive?
We actually have an even better comparison.
The same dataset includes $9.99/unit tox campaigns across multiple Miami-area locations.
And the results were very different.
In the same reporting period:
- Doral: 45 leads at $7.82 CPL
- Midtown: 23 leads at $15.06 CPL
- Coral Gables: 17 leads at $19.28 CPL
- Kendall: 9 leads at $25.76 CPL
Read that again.
We’re looking at essentially the same type of offer in the same broader Miami market.
Yet Doral generated leads for $7.82 while Kendall was at $25.76.
That is more than a 3X difference in CPL.
And THIS is why I want med spa owners to stop obsessing over somebody else’s cost per lead screenshot.
“My Friend Gets $8 Botox Leads. Why Don’t I?”
- Because you’re not your friend.
- You’re not in her exact market.
- You don’t have her exact competition.
- You don’t have her audience.
- You don’t have her account history.
- You don’t have her clinic reputation.
- You don’t necessarily have her creative.
- And you definitely don’t have the exact same group of humans seeing your ads.
This is why I get nervous when someone tells a clinic owner:
“Your Botox leads should cost $10.”
Based on what?
Our own data shows the same general $9.99/unit tox offer producing CPLs ranging from $7.82 to $25.76 across four Miami-area locations during the same reporting period.
So what is a “good” Botox CPL?
The one that works with your clinic’s economics.
That’s the answer.
Maybe not as sexy as a universal benchmark, but it’s a lot more useful.
Stop Asking, “Is $7.82 a Good CPL?”
Ask this instead:
What happens to the $7.82 lead?
This is where I ruin all the fun. 😂
Because I love cheap leads.
But a cheap lead who never books is still expensive.
A $7.82 lead is only exciting if there’s a functioning patient acquisition system behind it.
The person submits the form. Then what?
- How quickly does your clinic respond?
- Does she receive an immediate text?
- Can she schedule easily?
- What happens if she doesn’t respond?
- Does your team follow up again?
- Is there automated nurture?
- Does she receive reminders after booking?
- Does she actually show up?
And ultimately…
- Does she become a patient?
That’s why one of the core beliefs behind how we approach clinic marketing at MedspaBloom is simple:
Leads are not the win. Booked appointments are the win.
Your Front Desk Can Turn a $7.82 Lead Into a $78 Lead Really Fast
Imagine we generate 100 leads at $7.82 each. Beautiful.
That’s $782 in lead-generation cost.
Now imagine your front desk is busy.
- They call once.
- No answer.
- They move on.
- Or they wait five hours to text.
- Or there’s no booking link.
- Or nobody follows up tomorrow.
Suddenly, that amazing CPL isn’t nearly as exciting.
This is why I consider your front desk part of your marketing system.
The ad doesn’t operate in a vacuum.
The full path matters:
Ad → Lead → Follow-Up → Booking → Show → Treatment → Retention
MedspaBloom’s approach is built around connecting lead capture, nurture, retargeting and booking support rather than treating ads as the entire growth strategy.
Because generating interest and converting interest are two different jobs. You need both.
The 5% CTR Is Nice. But Please Don’t Frame It.
I also want to talk about that 5.00% click-through rate.
That’s a strong engagement signal, but clinic owner reality check:
CTR doesn’t pay your rent.
Neither do impressions.
Neither does reach.
Neither does the giant chart your agency puts in the monthly report because it goes up and to the right.
I want to know:
- How many leads?
- How much did they cost?
- How many booked?
- How many showed?
- How many became patients?
- What revenue did the campaign create?
MedspaBloom’s own brand framework specifically treats lead volume, booking rate, show rate, nurture response and other downstream measures as client-success metrics—not just surface-level ad engagement.
That’s how clinic owners should think about marketing.
Follow the patient, not the vanity metric.
So…Do Injectables Ads Still Work?
Yes.
This campaign generated 45 injectables leads at $7.82 each in Doral, Florida.
The previous reporting period generated 31 leads at $11.41 each.
That’s real campaign performance, but I don’t want you leaving this article thinking:
“Great! I’m launching a $9.99 Botox ad tomorrow.”
I want you thinking:
“What can I learn from why this worked?”
For me, there are a few takeaways.
- The offer was clear.
- The price was specific.
- The treatment had existing demand.
- The market responded.
And once the campaign started showing signs of strength, the numbers told us to pay attention rather than randomly changing everything.
That’s marketing, not guessing, not copying your competitor, not changing your ads because you’re bored with them.
Listen to what the market is telling you.
If Your Botox Ads Aren’t Working, Fix This First
Before declaring injectables “too competitive” in your market, I would look at the entire system.
- Is your offer specific?
- Can someone understand it immediately?
- Is there a compelling reason to respond to your clinic instead of the 12 other injectors she follows?
- Does your creative actually stop the scroll?
- Does your landing page continue the same message?
- Are leads being contacted quickly?
- Is booking easy?
- Do you have nurture for people who aren’t ready today?
- Are you measuring booking and show rates—not just CPL?
MedspaBloom’s philosophy is that clinics rarely need more disconnected marketing activity. The better approach is to identify what’s working, find what’s failing, fix the leaks and connect lead generation, follow-up, booking, nurture, reactivation and retention into a system.
Because your marketing probably isn’t hopeless.
Something is working or something is broken.
Let’s figure out which before we throw more money at it.
My Takeaway From 45 Leads at $7.82
So yes… Injectables ads still work.
But I’d argue that’s actually the least interesting lesson from this campaign.
The more useful lesson is that even in a crowded market, the right offer can still get attention.
And the multi-location results prove something else:
There is no magical universal CPL your med spa is supposed to hit.
Doral got $7.82 leads.
Another location with the same general offer was over $25.
Your job isn’t to beat somebody’s screenshot.
Your job is to find the combination of offer + market + creative + follow-up + booking that produces profitable patients for your clinic.
That’s the number I care about.
Pretty ads are nice.
Cheap leads are exciting.
Booked patients are better.
And a repeatable system for creating them?
That’s how you grow a clinic.
Let’s chat about growing YOUR clinic:
Results vary based on location, competition, offer, creative, audience, budget, follow-up and other factors. This case study reflects actual campaign data from one reporting period and does not guarantee future results.
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