Your Dermatology Practice Deserves a Full, High-Value Schedule
You run two practices under one roof: medical and cosmetic. We grow the cash-pay cosmetic side that actually drives profit, without wasting budget on tire-kickers.
No commitment. 30 minutes. We'll tell you honestly if we can help.
Built by the team behind Pearmill — the firm that has managed $500M+ in ad spend for the fastest-growing companies in the country.
Dermatology Marketing Has a Unique Set of Problems
You run two businesses under one roof: insurance-based medical dermatology and cash-pay cosmetic work. You're competing with med spas, aesthetic chains, and hospital groups with ten times your marketing budget. The tactics that work for a pizza shop won't work for your practice.
You're Competing With Med Spas for the Cosmetic Dollar
Med spas and aesthetic chains bid aggressively on Botox, filler, and laser — your highest-margin services. A generic agency runs the same keywords for five other clients in your market and wonders why your cost-per-click keeps climbing.
Medical Fills the Schedule, But Cosmetic Pays the Bills
Insurance-based visits keep you busy at thin margins, while the cash-pay cosmetic and self-pay services that actually drive profit rarely get marketed on purpose. Most practices wait on referrals instead of generating demand for the work that matters most.
Cosmetic Leads Come In, But Consults Don't Book
A form gets filled for a laser or filler consult, but a front desk built for insurance scheduling isn't set up to sell an elective procedure — and almost no one follows up on the ones who ghost. Your marketing gets the blame, but the real problem is a conversion gap nobody's fixing.
Reviews and Before/Afters Are Your Engine — But Nobody's Driving It
Patients choosing a dermatologist — for a mole check or a cosmetic procedure — lean hard on reviews and visible results. If your Google profile isn't packed with reviews and your ads don't show proof, you're invisible to the patients who matter most.
If any of this sounds familiar, you're not alone — and you're not the problem. Most marketing agencies aren't built for practices like yours. We built one that is.
Built for Practices Like Yours. By People Who've Done This Before.
We spent years delivering marketing to small medical practices and kept hitting the same wall: the best tools and talent were locked behind $50K/month minimums. So we built Pedal — a focused team with big-agency experience, purpose-built for practices that are serious about growth but not yet at enterprise scale.
Pearmill Pedigree
Same methodology that manages $500M+ in ad spend — without the enterprise price tag.
AI-Native Delivery
We embed AI into execution so you get big-agency work at a fraction of the cost.
Vertical Depth
We specialize in your category — not generalist spray-and-pray.
Fully Transparent
Published pricing. No setup fees. Month-to-month. No contracts.
Three services. One goal: growth that compounds.
Full-stack performance marketing for practices that want to grow — not just spend.
Performance Media
Every paid channel, one team
Search, social, remarketing, email, SMS — we manage the full media mix to drive consultations at the lowest cost.
Growth Ops
Make every dollar and every visit work harder
SEO, analytics, CRO, automation, and proprietary tooling — the systems that turn ad spend into compounding growth.
Web Design & Development
A site you own that actually converts
Fast, modern websites built to book consultations. You own the code, the domain, and the hosting. No lock-in.
Want to see what this looks like for your practice?
Book a Free CallHow We Grow a Dermatology Practice
No two dermatology practices split the same way between medical and cosmetic. Here's the playbook we run to grow the side that actually compounds.
Separate the Cosmetic Engine
We build campaigns and landing pages around your high-margin cash-pay services — Botox, laser, injectables, peels — instead of burying them under generic "dermatology." Medical demand largely sustains itself; the cosmetic side is where marketing dollars compound.
One Service, One Page
A dedicated, in-depth page for each cosmetic procedure you want to grow. Someone researching laser resurfacing and someone comparing injectables are different searches with different intent — and Google ranks the page that answers each one best.
Track to Booked Consults
We wire conversion tracking to actual booked cosmetic consultations — and, where possible, to revenue — so budget flows to what fills the schedule, not what generates clicks or form fills.
Build the Reputation Engine
A systematic review workflow and a Google Business Profile that reflects your real work. Patients choosing a dermatologist lean on reviews and visible results more than almost any other care decision — so we make that a deliberate system, not an afterthought.
Simple, Transparent Pricing
Most agencies hide their pricing because it changes depending on how much they think you'll pay. We publish ours because we think you deserve to know what you're getting into before you pick up the phone.
Up to $10K/month in ad spend
$2,500/month flat fee
- Paid search campaign management
- Conversion tracking setup and monitoring
- Dedicated growth advisor
- Monthly strategy check-in
$10K–$50K/month in ad spend
15% of monthly ad spend
- Everything in Starter, plus:
- Landing page design and optimization
- Weekly strategy calls
$50K+/month in ad spend
Custom
- Everything in Growth, plus:
- Email / SMS marketing
- Senior growth advisor + dedicated support
- Custom CRO and 2x/month strategy calls
No setup fees. No long-term contracts. You own all your accounts and assets from day one.
Get Your Free Dermatology Marketing Audit
See exactly where your ad spend is going — and where it should be. We'll analyze your dermatology campaigns, landing pages, and cosmetic-consult conversion funnel.
Still Have Questions?
You're not alone — most of our clients have been through at least one bad agency experience. The difference is usually in three things: focus, accountability, and structure. We only work with medical practices, we set clear KPIs from day one, and we report on actual consultations booked — not vanity metrics. If the last agency sent you a monthly PDF full of impressions and clicks, you'll notice the difference quickly.
Paid search campaigns typically show meaningful data within 30 days and strong performance within 60–90 days. We set milestone expectations during onboarding so you always know what to expect and when. We won't tell you to "just give it six months" — if something isn't working, we adjust.
Yes. Always. Your domain, your Google Ads account, your website code — it's all yours from the moment we set it up. If you ever leave Pedal, you take everything with you. We will never hold your assets hostage. This is non-negotiable for us.
We build all campaigns and landing pages with HIPAA considerations in mind. We don't collect protected health information through ad forms, we use compliant tracking methods, and we follow industry best practices for patient privacy. If your practice has specific compliance requirements, we'll work with your team to make sure everything is squared away before we launch.
Month-to-month. No long-term contracts, no cancellation fees. We earn your business every month. If we're not performing, you should be able to leave — and you can, with everything you own. We stay because we deliver results, not because a contract says you're stuck.
We focus on elective and cosmetic medical practices: dermatology, med spas, plastic surgery, cosmetic dentistry, hair replacement therapy, and similar verticals. For dermatology specifically, we concentrate on the cash-pay cosmetic and self-pay services that drive the most profit, while strengthening the reputation and local presence that feed your medical schedule too. If your growth depends on booked consults and elective procedures, we're likely a strong fit. If you're not sure, book a call and we'll tell you honestly.
Three things. First, we come from Pearmill — a top-tier performance agency managing $500M+ in ad spend. We bring that level of rigor to your $15K campaign. Second, we only work with medical practices. We're not a generalist agency that treats your dermatology practice like a pizza shop. Third, we publish our pricing, we don't do contracts, and you own every asset. Most agencies can't say all three.
After your strategy call, we start with a practice audit — we review your current marketing, website, and competitive positioning. From there, we build a custom plan and present it to you for approval. Once approved, we typically have campaigns live within 2–3 weeks. You'll have a dedicated growth advisor and a clear timeline from day one. No "we'll get back to you" — we move fast.
Let's Talk About Your Growth
Tell us about your business and we'll get back to you within one business day.
Let's Find Out If We're the Right Fit
Book a free 30-minute strategy call. No pitch deck, no pressure. We'll look at your current marketing, your market, and your goals — and tell you honestly whether we think we can help.
Prefer email? Reach us at hello@pedal-performance.com