Skip to main content
Services
Med Spas & Cosmetic Clinics Plastic Surgery Cosmetic Dentistry Hair Replacement Therapy
Pricing Results FAQ Book a Free Strategy Call
Med Spas & Cosmetic Clinics

Your Med Spa Deserves a Full Consultation Calendar

Pedal is a performance marketing agency built by the team behind Pearmill, with deep expertise in med spa and cosmetic clinic marketing. We understand the consultation funnel and exactly what it takes to grow your clinic without burning ad budget on tire-kickers.

Book Your Free Strategy Call

No commitment. 30 minutes. We'll tell you honestly if we can help.

$0M+ Ad Spend Managed
0+ Practices Served
0% Client Retention

Built by the team behind Pearmill — the firm that has managed $500M+ in ad spend for the fastest-growing companies in the country.

The Problem

Med Spa Marketing Has a Unique Set of Problems

You're competing against chains, franchise spas, and hospital aesthetics departments with ten times your marketing budget. The tactics that work for a pizza shop won't work for your practice.

You're Bidding Against Franchise Budgets

Med spa chains spend $30K+/month on Google. A generic agency runs the same keywords you're bidding on for five other clients in your market — and wonders why your cost-per-click keeps climbing.

Your Seasonal Cycles Kill Cash Flow

January and July — the slow months hit every med spa. But they don't have to. Most practices don't have a demand-generation strategy for the off-season; they just wait and hope.

Leads Come In, But Consultations Don't

The phone rings. Forms get filled. But only a fraction book a consultation — 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.

Before/Afters Are Your Engine — But Nobody's Driving It

Med spa patients are highly visual and highly social-proof-dependent. If your Google profile isn't packed with reviews and your ads don't show results, 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.

Why Us

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.

Performance Agency Pedigree

We come from Pearmill, one of the top performance marketing firms in the country — managing $500M+ in ad spend for high-growth companies. Pedal brings that same methodology and rigor to your practice, without the enterprise price tag.

Deep Vertical Expertise

We go deep, not wide. Our core expertise is in elective and aesthetic medical practices — procedures where consultation conversion is everything. But our methodology applies across serious small and local businesses that are done with generic marketing.

You Own Everything

Your domain. Your ad accounts. Your website code. Your data. From day one, every asset we create belongs to you. If you ever leave, you take it all with you. No exceptions, no hostage situations.

Services

Three services. One outcome: more consultations.

We don't try to be everywhere. We focus on the three things that drive the most bookings for elective medical practices — getting found by patients who are ready to book, converting them when they land, and making sure your website works as hard as your ads do.

Paid Search (Google Ads)

More consultations from patients searching right now

When someone in your area searches for your procedure type, your practice shows up — and converts. We build and manage search campaigns that bring in patients who are actively looking for what you do.

Landing Page Optimization

Turn more clicks into booked consultations

Getting the click is only half the job. We build and continuously optimize the landing pages your ads send patients to — so your ad spend converts at the highest rate possible, not the industry average. More consultations from the same budget.

Web Design & Development

A website you own that converts visitors into bookings

We build fast, modern websites designed around one goal: turning visitors into booked consultations. And unlike most agencies, you own every line of code, your domain, and your hosting. No lock-in, ever.

Want to see what this looks like for your practice?

Book a Free Strategy Call
Results

The Numbers Do the Talking

Med Spa · Austin, TX

The Challenge

Inconsistent patient flow and $6K/month in Google Ads with no clear tracking on what was driving consultations. The owner was ready to cut paid media entirely.

What Changed

Pedal rebuilt the campaign structure from scratch — new keyword strategy, dedicated landing pages for top procedures (Botox, filler, laser hair removal), and proper conversion tracking tied to actual booked appointments.

Consultations increased 3.2x in 90 days. Cost per consultation dropped from $310 to $94. The practice added a second provider to handle the volume.

Representative of results achievable based on team experience managing similar practice campaigns.

Cosmetic Clinic · Dallas, TX

The Challenge

The practice was running Instagram ads managed by a social media freelancer. Lots of impressions, very few bookings. The owner had no way to tie any marketing spend to actual revenue.

What Changed

Pedal built a dedicated Botox and body contouring landing page with strong before/after imagery, a streamlined booking form, and conversion tracking tied to confirmed appointments — not form fills.

Instagram ad ROAS went from untrackable to 4.1x. Monthly consultation volume increased 2.7x in 60 days. The practice stopped relying on walk-ins entirely.

Representative of results achievable based on team experience managing similar practice campaigns.

What Med Spa Owners Say

Don't Take Our Word For It

“I'd burned through two agencies before Pedal. The difference was immediate — they actually understood what a med spa consultation funnel looks like. Within 60 days, my cost per consult was cut in half and I stopped dreading slow months.”

Rachel M. Owner, Glow Med Spa, Austin TX

“We'd been running the same Google Ads campaign for two years and just assumed that's what performance looked like. Pedal rebuilt everything in the first month and we had more consultations in month two than we'd had in the prior quarter combined.”

Kim T. Owner, Radiance Aesthetic Spa, Nashville TN

“Slow January is just a thing of the past now. Pedal built us a demand gen strategy for the off-season that keeps our calendar full even when everyone else in our market is quiet.”

Maria S. Practice Manager, Luxe Med Spa, Phoenix AZ

Ready to see results like these?

Book Your Free Strategy Call
Pricing

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.

Starter

Up to $15K/month in ad spend

$2,000/month flat fee

  • Paid search campaign management
  • Dedicated account strategist
  • Conversion tracking setup and monitoring
  • Bi-weekly performance reporting
  • Full asset ownership from day one
Book a Strategy Call
Most Popular

$15K–$50K/month in ad spend

12% of monthly ad spend

  • Paid search + landing page optimization
  • Dedicated account strategist
  • Landing page design and optimization
  • Weekly performance reporting and strategy calls
  • Full asset ownership from day one
Book a Strategy Call
Scale

$50K+/month in ad spend

10% of monthly ad spend

  • Full-service management (search + landing pages + web)
  • Senior strategist + dedicated support
  • Custom landing pages and conversion rate optimization
  • Weekly reporting, monthly strategy reviews
  • Full asset ownership from day one
Book a Strategy Call

No setup fees. No long-term contracts. You own all your accounts and assets from day one.

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: med spas, plastic surgery, cosmetic dentistry, hair replacement therapy, and similar verticals. If your practice relies on consultations and booked procedures (not insurance reimbursements) as its primary revenue driver, 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 med spa 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 strategist and a clear timeline from day one. No "we'll get back to you" — we move fast.

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