Google Ads for Cosmetic Medical Clinic

Dii Pooler rebuild their Google Ads account, increasing leads by 334% while dropping CPA by 61% in just 60 days.

Overview

This California cosmetic medical clinic had been scaling Google Ads aggressively, but generic campaigns, overfed Performance Max, and misaligned landing pages meant cost climbed faster than results. By rebuilding the account around treatment-level intent, tightening search structure, and pairing high-intent keywords with focused consult pages, we turned scattered spend into a predictable stream of qualified cosmetic leads.

Objectives

Challenges

Existing campaigns bundled multiple procedures, service areas, and intents into the same ad groups.
Shopping ads leaned on generic cosmetic language instead of the specific outcomes patients were searching for.
Landing pages sent traffic to a mix of generic pages and informational content, diluting conversion rates and confusing tracking.
Performance Max was spending heavily on broad, low-intent queries and blog traffic, driving up CPL without reliably filling the consult calendar.

Dropped Cost-Per-Lead by 61%

Strategy

Rebuilt search campaigns with service-specific ad groups & revamped keywords by treatment type. RSAs were rewritten around real patient language & treatment benefits.
Non-converting search terms were paused & budget was reallocated into high-intent, lower-volume services where the clinic had strong margins. Call extensions with day-parting were added so ready-to-book prospects could reach the receptionist directly during business hours.
Layered beauty & cosmetic-focused audiences in observation mode to understand who was engaging, then tested new ad copy tied to trending topics in the aesthetic space. Campaigns were segmented by treatment category so budgets & creatives lined up with revenue priorities. Fresh asset sets were created using procedure one-pagers, patient testimonials, and lifestyle before/after visuals.
Final URL expansion was disabled and blog / informational pages were excluded so paid clicks landed on conversion-focused pages only. Conversion value rules were implemented to prioritize high-revenue procedures. We synced with GA4, turned on enhanced conversions, and began importing offline conversions from the clinic’s CRM to align optimization with booked consults instead of just form fills.
Dedicated landing pages were created for each core service line, each with a clear “Book a Consult” form and click-to-call option. We A/B tested headline angles, benefit messaging, and call vs form emphasis, while building a reusable asset library in Canva and Adobe Premiere Pro to keep Performance Max creative fresh without starting from scratch each time

Client Feedback

“Dii Pooler turned our ad performance around. We’re getting far more qualified leads, and the cost per consult has dropped dramatically. For the first time, we understand how to scale both Search and Performance Max in a way that actually fits our clinic’s goals.”

Post-Campaign Wins

Leads increased by 334% while cost per lead dropped 61% within the first 60 days.
Cost per consultation fell from $327+ to under $200 as budget shifted into high-intent services.
Search campaigns delivered more qualified consult requests by aligning keywords, ads, and landing pages around specific treatments.
Performance Max budget was scaled 3x after consistently hitting a ROAS above 1.4, supported by ongoing creative refreshes and better exclusion rules.
Offline conversion imports and lead scoring gave the clinic a clearer picture of which campaigns were filling the schedule with profitable patients, not just generating clicks.

Interested in collaborating with me?

Let’s rebuild your paid search foundation and drive more qualified leads.

Learn more about how I increased conversion by 89% for a commercial roofing company here.