Which keyword booked the surgery
Cost per lead hides the truth. We connect your ad account to your EMR so you see cost per consult and cost per surgery by procedure, and we bid on what actually produces revenue.
Plastic Surgery Google Ads Management
Plastic Surgery Google Ads
Plastic Surgery Google Ads Measured in Surgeries, Not Cost Per Click
A rhinoplasty consult and a Botox consult are not the same lead. We build campaigns procedure by procedure, bid on the ones that pay for the month, and track every call and form to the surgery it became.
Google Premier PartnerProcedure-level campaignsNo long-term contracts
DLM Insight · Revenue by source
Last 90 days
Consults booked
184
Surgeries scheduled
61
Revenue attributed
$486K
Organic search46%
AI search16%
Google Ads24%
Paid social14%
Sample dashboard. Figures shown are illustrative. Synced with your EMR or practice management system.
Trusted by plastic surgery practices nationwide
PremierGoogle Partner status, top tier of agencies
14+years running ads for medical and aesthetic practices only
95%client retention, with no long-term contracts
EMRevery ad lead tracked to the consult and the surgery
Why your clicks are so expensive
Quality Score decides your price. Most surgeon campaigns land on a generic home page and pay 40% more per click for it. We build one landing page per procedure and the cost drops with it.
Where the leads went after the click
Half of ad leads die in voicemail. Our lead management follows every call and form by text and email until it’s a scheduled consult, and reports what happened to each one.
Real results of real practices
“We don’t report on first-page rankings. We report on revenue.”
Ads are the fastest lever in a surgical practice. Here is what the program looks like when it’s tied to the consult room.
“I could not have built my own business without DLM. They helped to create my vision and bring it to life.”
Plastic surgery · Reno, NV
Janiga MDs Plastic Surgery & Cosmetic Center
A custom website built around the practice’s surgical before-and-after results, paired with video marketing that puts the surgeons on camera and in front of Reno patients researching procedures.
Plastic surgery · Cary, NC
CARE Plastic Surgery
New custom website and procedure content written to rank, so patients in the Raleigh-Cary market find CARE first when they search for the surgeries the practice wants to grow.
Dental · Brooklyn, NY
#1 in 4 months
Ranked #1 for most target keywords in one of the most competitive metros in the country within four months of launch. The same local playbook runs on every practice we take on.
Procedure-level search campaigns
Separate campaigns for breast, body and face, with keywords, ads and budgets that match each procedure’s margin and demand.
Landing pages per procedure
Pages built for the ad, with the gallery, the surgeon and the consult form above the fold, which raises Quality Score and lowers your cost per click.
Call tracking and recording
Every call tied to the keyword that produced it, recorded for coordinator coaching, and scored as consult or not.
Remarketing and YouTube
Patients research surgery for months. We stay in front of them across Google, YouTube and the Display Network until they book.
Performance Max and Demand Gen
Used where they produce consults, with brand guidelines and exclusions so your ads never appear beside the wrong content.
Lead management
Text and email follow-up on every ad lead until it’s a scheduled consult, with no-show reduction built in.
Cost per surgery reporting
DLM Insight connects spend, calls, forms and your EMR, so the monthly report shows what each surgery cost to acquire.
| What to ask | DLM | Large generalist agency | Freelance PPC manager |
|---|---|---|---|
| Can you show me cost per surgery, not cost per lead? | Yes, from your EMR | Cost per lead | Clicks and conversions |
| Do you build a landing page per procedure? | Yes, included | Sometimes | Rarely |
| Who follows up the leads? | We do, by text and email | Your front desk | Your front desk |
| What happens if I want to leave? | You leave. No long-term contract. | 12-month agreements are common | Varies |
Agency comparisons are based on publicly listed services and typical contract terms in the category. We don’t name competitors; ask them yourself.
Free ad account audit
We read your current account: wasted spend, Quality Scores, landing pages, conversion tracking, and what a procedure-level rebuild would change.
Rebuild and launch
Procedure campaigns, landing pages, call tracking and EMR connection built in the first 30 days, with your approval on every ad before it runs.
Optimize to surgeries
Bids, budgets and keywords tuned monthly against cost per consult and cost per surgery, not cost per click.
Questions surgeons ask about Google Ads
How much should a plastic surgeon spend on Google Ads?
Enough to own the procedures you want to grow in your market, which varies wildly by city. A rhinoplasty click in Beverly Hills costs several times what it does in Reno. The audit shows what your competitors are spending and recommends a budget per procedure from that.
How fast will I see consults?
Search ads produce consults in the first 30 days once tracking and landing pages are in place. Cost per surgery improves over 60 to 90 days as the account learns which keywords convert.
Can you work with my existing ad account?
Yes. We audit it first; most accounts need restructuring rather than starting over, and we preserve the history that helps your bids.
Do you also run Meta and Instagram ads?
Yes, as part of the paid program when it fits. Google captures patients who are actively searching; Meta keeps you in front of the ones who are still deciding.
Is this HIPAA-compliant?
Yes. Tracking, CRM and reporting are configured so no protected health information reaches ad platforms, and we sign a BAA.
Do you require a long-term contract?
No. We keep clients by producing revenue, which is why our retention is 95%.
Free ad account audit
See where your ad budget is leaking.
In 20 minutes we’ll walk through your account: wasted spend, Quality Scores, landing pages and tracking gaps, and show you what a procedure-level rebuild would change in cost per consult.
- Wasted spend and Quality Score report
- Competitor ad spend in your market
- A rebuild plan with cost-per-consult targets
Prefer to talk? Call (616) 222-3735