Tripled monthly consultations on the same $900 ad budget
Boosted posts replaced with a proper Meta campaign structure, Conversions API tracking and three tested creative angles.
- Cost per booked consult
- −58%
- $104 → $44
- Consults per month
- 3.2×
- 11 → 35
- Monthly ad spend
- No change
- $900 → $900
- Return on ad spend
- Now measured
- Untracked → 6.1×
Client
Independent Med Spa
Location
Mid-size metro, US
Plan
Pro
Duration
6 months
The owner had been boosting Instagram posts for about eighteen months at roughly $900 a month. Engagement looked healthy — comments, saves, follower growth — but nobody could connect any of it to a booked appointment.
There was no pixel on the booking system, so no conversion data existed at all. The only measure of success was a gut feeling that busy months followed heavy posting.
Creative was whatever had performed organically, which skewed heavily toward before-and-after photos that ran into Meta's advertising policies for health and beauty claims.
- 1
Installed real tracking
Meta Pixel plus the Conversions API wired into the booking platform, so consultation bookings were attributed server-side even where browser tracking was blocked.
- 2
Separated cold and warm audiences
Prospecting, engagement retargeting and abandoned-booking retargeting split into distinct campaigns with their own budgets, so spend could be judged and moved on merit.
- 3
Built compliant creative
Three angles tested against one seasonal offer — practitioner-led explainer video, treatment education carousel and a straightforward offer card — all written within Meta's health advertising policies.
- 4
Tightened the service radius
Targeting reduced from a 40-mile radius to 12 miles, matching where clients realistically travelled from. Impressions dropped, booked consults rose.
Cost per booked consultation fell from $104 to $44 across the first 90 days and held steady through month six.
Monthly consultations grew from 11 to 35 with no increase in ad budget, driven by better targeting and the retargeting layer that previously did not exist.
With attribution finally in place, the practice could see a 6.1× return on ad spend and made the decision to increase budget in month seven from an informed position.
“I genuinely thought boosting was advertising. Seeing an actual cost per booking for the first time changed how I think about the whole business.”
Illustrative example. This case study is a composite written to demonstrate our method and reporting. It does not describe a specific named client, and past performance is not a guarantee of future results.
More case studies
Let's Find Out What's Possible For You
Every business is different. A free audit tells you what's realistic in your market, at your budget, before you spend anything with us.
+1 (307) 317-9270