Case Study · Med Spa · North Carolina ·
HIFU marketing case study: $149,074 in revenue from $13,371 in ad spend
How a North Carolina med spa used a $249 HIFU skin-tightening intro offer to book 300 appointments in 90 days. It returned 11.15× on ad spend, and the campaign is still running.
$149,074
Revenue
11.15×
Return on ad spend
300
Booked appointments
49.3%
Lead-to-booking rate
$21.96
Cost per lead
182
New customers
29%
Bought an upsell package
$2,117
Average package
The Offer
The HIFU offer: a $249 intro treatment with a deposit to book
HIFU (high-intensity focused ultrasound) skin tightening is a high-value treatment that most prospects have never tried. Leading with the full package price on a cold ad rarely works. Instead, we built the campaign around a $249 intro treatment and a $29 deposit to hold the appointment.
A premium intro that still converts
At $249, this is a high price for an intro offer, not a discount. It attracts people ready to invest in their skin, and it's still well below a full HIFU package.
Deposits protect the calendar
A $29 deposit filters out tire-kickers and keeps the show rate up.
The first visit sells the package
The intro treatment is the doorway. The real revenue is the package the spa's team sells at that first appointment.
The Results
HIFU campaign results after 90 days
Between August 1 and October 29, 2026, the campaign spent $13,371 on Meta ads and generated 609 leads at $21.96 each. Our setters turned 49.3% of those leads into booked appointments, 300 in total, at $44.57 per booking.
Of those appointments, 182 have become new customers so far. 29% of them bought an upsell package, averaging $2,117. Total revenue: $149,074, or 11.15× the ad spend. Another 28 appointments are still waiting on an outcome, so that number is still climbing.
Then vs. Now
What happened between day 21 and day 90
We first published this case study at day 21. Here's how the same campaign looks three months in.
| Metric | Day 21 | Day 90 |
|---|---|---|
| Ad spend | $3,309 | $13,371 |
| Booked appointments | 78 | 300 |
| Lead-to-booking rate | 38.4% | 49.3% |
| Revenue | $11,974 | $149,074 |
| Return on ad spend | 3.6× | 11.15× |
Spend went up 4× while revenue went up more than 12×. Cost per lead rose as we scaled, from $16.30 to $21.96, which is normal when an audience grows. But our setters booked a bigger share of those leads, and the spa's team kept turning intro visits into packages. A HIFU campaign compounds: the front end fills the calendar, and the back end is where the return grows.
The Ads
The HIFU Facebook ads behind the results
The campaign runs on Meta (Facebook and Instagram), and every ad variation is built around the $249 intro offer. One ad did most of the work: 245 purchases at $43.12 each from $10,564 in spend. It has since been paused, with budget moved to newer variations.
The Playbook
How we market HIFU for med spas
This is the same system we'd build for your spa.
- 01
Lead with an intro offer, not the package.
Price the intro high enough to attract serious buyers and well below the full package. Tie it to a deposit so cold audiences commit.
- 02
Send ads to a dedicated funnel.
One HIFU landing page, one offer, one action: book and pay the deposit.
- 03
Answer every lead in minutes.
Human setters, backed by AI after hours, work every lead seven days a week. That's how this campaign reached a 49.3% lead-to-booking rate.
- 04
Automate the follow-up.
SMS and email reminders in GoHighLevel keep bookings showing up.
- 05
Sell the package at the first visit.
We help the spa structure the upsell. Here, 29% of new customers bought a package averaging $2,117.
- 06
Scale what books.
We cut ads that don't book and put budget behind the ones that do.
Related services: Paid Advertising Management · AI + Human Appointment Setting · GoHighLevel CRM Builds · Offer Creation & Campaign Strategy
FAQ
HIFU marketing FAQs
What is a good cost per lead for HIFU ads?
In this campaign, HIFU leads from Meta cost $21.96 on average over 90 days, and $44.57 per booked appointment. Your cost depends on your market, offer and creative. Cost per booked appointment and revenue matter more than cost per lead.
What intro price works for HIFU?
This spa charged $249 for a single intro treatment, which is on the high end for an intro offer. It still booked 300 appointments in 90 days, and the higher price brought in buyers ready for more: 29% bought a package averaging $2,117. Price your intro high enough to signal value and well below your full package.
Do Facebook ads work for HIFU skin tightening?
Yes. Every result in this case study came from Meta (Facebook and Instagram) ads. The ads work best when paired with fast follow-up and a deposit, so leads turn into booked, paid appointments.
How long does a HIFU campaign take to pay off?
This campaign was at 3.6x return on ad spend after 21 days and 11.15x after 90. Deposits cover part of the ad cost up front, and package sales at the first visit drive the rest.
Do you only market HIFU?
No. We're a med spa marketing agency for aesthetic and wellness businesses. We also run campaigns for CryoSlimming, body contouring, cryotherapy and more.
More results: CryoSlimming case study · Wellness Date Night campaign · All client results · Our med spa marketing agency
Want a HIFU campaign like this for your med spa?
We build the offer, the ads, the follow-up and the booking system behind results like these. Get a free audit and we'll show you what's realistic for your market.
Methodology: ad spend, leads, bookings, new customers, upsell rate and revenue come from the client's Appointment & ROI Report (HIFU only, Aug 1 to Oct 29, 2026). Ad-level results come from Meta Ads Manager (Aug 1 to Oct 28, 2026). Booked appointments are confirmed bookings with deposits collected. Revenue reflects appointments with recorded outcomes; 28 appointments had no outcome yet at publication. Client identity available on request.