• Aug 29, 2025

Why Most Med Spa Ads Fail (And How to Fix Them in 3 Steps)

  • Nicole Fiorella

If you’ve ever boosted a post on Facebook or Instagram for your med spa and wondered why it didn’t bring in new Botox or filler bookings, you’re not alone. Most med spa ads fail — but it’s not because “ads don’t work.” It’s because the setup is broken.

The good news? Once you understand the common mistakes and how to fix them, ads become one of the fastest, most predictable ways to fill your appointment calendar.


Mistake #1: Random Targeting

Most med spas target “women, ages 25–65 in my city.” That’s way too broad. You’re competing with gyms, salons, and e-commerce products — not just other med spas.

Fix: Use interest-based targeting tied directly to patient psychology: people interested in cosmetic treatments, anti-aging, or influencers in the beauty space. Facebook has powerful options if you know where to look.


Mistake #2: Weak Offers

“Book an appointment today” is not an offer. Patients need a reason to act now.

Fix: Create irresistible entry offers. Examples:

  • $50 off your first Botox treatment

  • Free consultation for laser hair removal

  • Teeth whitening bonus when booking veneers


Mistake #3: Broken Funnels

Clicks don’t equal bookings. Too many med spas send people to their homepage and hope they call. Spoiler: they won’t.

Fix: Build a simple funnel:

  1. Ad → Landing page with a clear offer

  2. Lead form or booking calendar

  3. Automated email/text reminder


The 3-Step Framework That Works

When I run campaigns for med spas, I always use my 3-step framework:

  1. Clarify the offer

  2. Target ready-to-book patients

  3. Build a booking funnel that runs on autopilot

Do this, and your ads stop being “hit or miss” and start filling your calendar predictably.


If you’re already running ads and not seeing results, I recommend starting with a Facebook Ads Audit. I’ll run your account through my 50+ point Ad-Ready Framework™, show you exactly what’s broken, and give you the step-by-step fix. 👉https://www.nicolefiorella.com/ads-audit

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