Industry / Med Spas & Cosmetic Dentists
Med spas + cosmetic dentists.
Local visibility, retention, consult attribution.
The unit economics are strong; the operating machinery is thin. Most practices we work with have $80–$300 average tickets, LTVs above $2K, and a booking system that can't tell them which channel actually filled last week's consults. That's the gap we install into.
→DIRECT ANSWER
Med spas and cosmetic dental practices win with an integrated stack across four capability layers: Search & Discoverability (Google Map Pack, GBP category discipline, review engine), Marketing Systems (lifecycle sequences tied to treatment cycles), Applications (booking + retention SaaS like Boulevard, Aesthetic Record, or our own Retention IQ), and Intelligence (consult-to-treatment attribution). Vanity Map Pack rankings alone do not move revenue; treated cases per new patient does.
The vertical, in writing
Who we are talking about.
- 01 · REVENUE MODEL
- Ticket-based; recurring treatments; membership models
- 02 · TEAM SIZE
- 4–30 employees · one to three locations most commonly
- 03 · STACK
- Boulevard / Aesthetic Record / Vagaro · GHL or Klaviyo · GBP
- 04 · CHALLENGE
- Local visibility, review acquisition, dormant-patient reactivation
Capability priorities
Where med spa / cosmetic dental engagements deliver the most leverage.
GBP + local SEO discipline
Category strategy, service pages by treatment intent (not one generic Services page), review engine cadence, citation cleanup. The Map Pack fundamentals most practices skip because "the agency handles it."
Review acquisition engine
Repeatable review-request cadence tied to the moment-of-value (treatment complete, before checkout). The single highest ROI investment for most practices — moves Map Pack ranking within weeks.
Database reactivation
Every practice has 500–5,000 dormant patients sitting in Boulevard / Aesthetic Record. Segmentation + sequenced win-back campaigns typically recover 4–12x within 30 days. Our Retention IQ product was built for this specific use case.
Consult-to-treatment attribution
Which channel actually books consults that convert to treatment? Server-side tracking + booking-system-to-CRM data join answers the "where should we spend next?" question honestly.
Treatment-intent landing pages
Botox, filler, coolsculpting, RF microneedling, and other high-intent treatment pages engineered for the queries patients actually search. Each with local schema, review integration, and conversion-tracked booking flow.
AEO for aesthetic queries
"Best med spa near me for [treatment]" is now answered as often by ChatGPT / Perplexity / Google AI Overviews as by traditional search. Content + schema + entity graph work makes the practice citable by AI engines.
Layer fit
Which capability layers matter most.
- 01
Search & Discoverability
Critical. Map Pack ranking + AEO citations are the primary demand generator for high-LTV local aesthetic services.
- 02
Marketing Systems
Critical. Lifecycle sequences, reactivation, and consult follow-up are where 30–60% of the untapped revenue lives.
- 03
Applications
High. Retention IQ or custom retention/analytics layer on top of the booking platform. Provider scorecards, dead-time detection.
- 04
Intelligence & Analytics
High. Consult-to-treatment attribution, provider performance, treatment-mix trends — data the practice needs to make marketing decisions.
- 05
Revenue Operations
Medium. Multi-location practices need CRM + attribution; single-location practices often stay in the booking platform.
- 06
Automation & Integration
Medium-high. GHL or Zapier workflows connecting booking / SMS / email / CRM.
Common challenges
What we see in this vertical, repeatedly.
Vanity rankings ≠ revenue
Practice ranks #2 in the Map Pack but consults are flat. Because the booking flow, review engine, and consult-follow-up systems aren't wired to convert the traffic that shows up.
The dormant list
2,000+ patients haven't booked in 6 months. Nobody's running a segmented reactivation program because "the front desk doesn't have time." Recoverable revenue sits there quarter after quarter.
Provider performance opacity
Owner can't see which providers are producing, which have dead time, which have retention problems. Data exists in Boulevard/AR but the reporting layer to surface it doesn't.
Typical engagement
How a project usually starts.
- 01Most med spa / cosmetic dental engagements start with a Systems Audit covering local SEO + review engine + retention baseline.
- 02First Implementation Sprint typically installs GBP + review engine + treatment-intent landing pages (4–6 weeks).
- 03Second Sprint frequently is a database reactivation campaign — quickest revenue recovery on any engagement type.
- 04Retention IQ install (our own product) for practices that want productized retention analytics rather than custom reporting.
- 05Embedded Retainer post-launch maintains the search stack + runs the ongoing review engine + monthly retention reporting.
FAQ
Vertical-specific questions.
01Do you work with single-location med spas?+
Yes — a lot of our best case studies are single-location practices with strong unit economics and 2,000–5,000 patient files. The systems don't require multi-location scale to work; the ROI just compounds faster when there are more locations to standardize across.
02We use Boulevard — do you build inside it?+
Yes. Boulevard is our most common med spa booking platform. Its data is accessible, its scheduling logic is respectable, and it plays well with retention/analytics layers on top. Aesthetic Record and Vagaro also work.
03Is Retention IQ a product or a service?+
Both — Retention IQ is a TechStack-built SaaS product (retentioniq.io) but we also install and configure it as part of a consulting engagement. Practices with ≥1,500 dormant patients typically see 4–12x ROI in the first 30 days.
04How is this different from a med spa marketing agency?+
Agencies typically run paid + GBP + posts. We build the systems those channels feed into — review engine, lifecycle, reactivation, consult attribution, provider dashboards. If the agency is running the channels but revenue is flat, the system underneath is the gap.
05Do you work with cosmetic dentists too?+
Yes — cosmetic dental practices share the same operating model with med spas (high-LTV, local, treatment-based, retention-dependent). Same six-layer install pattern.
06Can you help with A2P 10DLC / SMS compliance?+
Yes — SMS in medical / aesthetic verticals has real compliance rails. A2P registration, HIPAA-appropriate messaging patterns, and carrier-safe cadence are all part of setup on lifecycle engagements.
07How much does a typical engagement cost?+
Audit: $7,500 fixed. First Sprint (GBP + review engine + landing pages): $12K–$18K depending on treatment surface area. Reactivation campaign pilot: $3K–$6K. Embedded Retainer: $4K–$10K/month.
08How fast do results show up?+
Reactivation revenue: days to weeks. Map Pack movement: 4–8 weeks. Review engine impact on ranking: 6–10 weeks. Full-stack compounding: 3–6 months.
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