- Rejects the ad
- Statements of inferiority about appearance
- "Look younger", "tired of wrinkles" and other personal-attribute framing
- Results promised by a set date without a qualifier
- Under-18 targeting for cosmetic procedures
- Risks the account
- Repeated resubmission of rejected creative
- Adding prescription weight loss to the menu without restructuring pages, events and ads
- Pixel events named after a treatment or a body concern
- Requires
- No certification for cosmetic services; ads must target 18 and over
- 18+ ads for cosmetic procedures may depict before-and-after transformation, since July 22, 2026 including Botox and filler results
- Prescription add-ons such as compounded GLP-1 follow the drugs policy: LegitScript certification and Meta authorization
- How we run it
- Provider-to-camera and treatment-explainer creative, the clinic and its credentials, the consultation and the experience, 18+ on every ad set. Our house rule keeps before-and-after out of the ads we run, even though Meta allows it at 18+.
Med spa marketing agency
Med spa marketing agency for aesthetic clinics
Short answer
As of October 2026, med spa advertising is open on Google and on Meta. Meta allows 18+ ads for cosmetic procedures to depict before-and-after transformation, and since July 22, 2026 that includes Botox and filler results; statements of inferiority, personal-attribute hooks and results promised by a set date are still prohibited. The rule that catches med spas now is the menu: adding GLP-1 weight loss moves the pages and ads that name it into prescription-drug territory. MedScale Health markets aesthetic clinics on the open side of both: treatment-led search, provider-led Meta creative aimed 18 and over, a separate structure for any prescription add-on, and booking attribution. Our house rule is stricter than Meta's: we keep before-and-after out of the ads we run.
Checked against the platform policy pages on October 5, 2026. By Michael Borgia, MedScale Health.
What this means for you
- Meta now allows before-and-after in 18+ cosmetic ads. We still keep it on your treatment pages and out of the ads we run; that is our house rule, not Meta's.
- "Look younger", "fix your" and any second-person copy about the viewer's appearance is a personal-attribute violation on Meta. Describe the treatment and the provider instead.
- Adding compounded GLP-1 (compounded, not FDA-approved) to the menu makes the med spa a prescriber. That page follows the weight loss clinic rules, not the aesthetics rules.
- Google treatment intent is wide open and local: the injectable, the laser, the body treatment, plus near me. Own it with a landing page per treatment and a provider per page.
- Consults, not clicks. Aesthetic bookings happen in scheduling software, so the tracking has to carry the click into it.
Policy reality
What each platform allows for med spas and aesthetic clinics.
Positions are read from each platform's own policy pages, with the source linked on every row and the date we last checked it. Where a row names a certification it is LegitScript unless the row says Google. LegitScript is the third-party certification Meta and Google require before a pharmacy or telehealth provider can promote prescription drugs.
Checked 2026-10-05How the platforms compare
- Rejects the ad
- Unrealistic or guaranteed cosmetic claims
- Misleading pricing
- Prescription drug keywords for weight-loss add-ons without certification
- Risks the account
- Drug-term bidding for weight-loss add-ons
- Trademark misuse of branded injectables in ways the brand prohibits
- Requires
- None for cosmetic treatments
- Since October 29, 2025, an in-person med spa can name a prescription add-on in US ad text and on its landing page; keyword-targeting the drug needs Google's certification, and online prescribing needs telemedicine certification
- How we run it
- Search on treatment and near-me intent with a landing page per treatment, location extensions, call tracking and consult booking above the fold. Weight-loss add-ons get their own campaign under the clinic rules.
- Rejects the ad
- Cosmetic-procedure ads restricted by market and age
- Transformation and body-shaming content
- Injectables promoted as products
- Risks the account
- Prescription products as the offer
- Requires
- Cosmetic procedure ads run 18+ where permitted
- US prescription ads need proof of FDA approval; compounded GLP-1 can't qualify
- How we run it
- Provider-led education and clinic culture content that builds search and referral demand. Direct response only for non-prescription treatments where the market allows.
The offer
What you get with MedScale for med spas and aesthetic clinics
MedScale Health runs paid acquisition for med spas and aesthetic clinics: Google search on treatment and near-me intent with a landing page for each treatment, provider-led Meta creative aimed 18 and over, and tracking that carries the click into your booking software, so every booked consult is credited to the campaign that produced it. Every ad and page is checked against Meta's personal-attributes and health and wellness rules and Google's ad policies before it is submitted. If you add GLP-1 weight loss to the menu, it runs as its own campaign and page structure under the weight loss clinic rules, so the aesthetics account stays clear of the prescription-drug rules.
- Campaigns
- Meta and Google Ads, set up and run inside your own accounts. TikTok where the category allows it.
- Ad creative
- 8 ads at launch, statics and motion video. On Growth, 6 new ads every month; on Scale, a new round every week.
- Landing pages
- A page for each offer, written for the ad that sends people to it, on your domain.
- Tracking
- Server-side conversion tracking under a BAA, so no health information reaches the ad platforms.
- Compliance review
- Every ad and page checked against Meta's, Google's and TikTok's health rules before it is submitted, with the rule it clears written down.
- Reporting
- A written report every Monday: spend, patients and cost per patient by campaign, what we changed and why. Calls on your package's schedule.
- Ownership
- Ad accounts, pages, creative and tracking stay in your name. We work as a partner on your accounts.
Your first 30 days
Week 1
Access, an audit of your accounts and site, tracking installed, the launch offer and landing page agreed.
Week 2
Landing page built, launch ads written and designed, every ad and page pre-checked against the rules, and campaigns live by Day 14.
Week 3
Daily checks through the first full week of spend.
Week 4
First full Monday report, and the next round of ads planned from what is working.
What does a med spa marketing agency do?
A med spa marketing agency brings in booked consults through ads that clear Meta's and Google's rules for cosmetic procedures. MedScale Health does it on paid: treatment-intent Google search with a landing page for each treatment, provider-led Meta creative aimed 18 and over, and tracking that carries the click into your booking software, so each booked consult is credited to its campaign. Any GLP-1 or other prescription add-on runs as its own campaigns and pages, so the aesthetics account stays clear of the prescription-drug rules.
Why med spa ads get rejected, and the rule behind it
Meta changed the rule aesthetics lived under on July 22, 2026. Its health and wellness policy already let 18+ ads for cosmetic procedures depict before-and-after transformation, except for skin-aging and wrinkle treatments; that exception is gone, so Botox and filler results can run too. What it still prohibits: statements of inferiority about appearance, results promised by a set date without a qualifier, and, for weight-loss ads, close-ups pinching fat. The personal-attributes rule is unchanged: copy must not assert or imply anything about the viewer's appearance, so the second-person question ("tired of your wrinkles?") is still the most common rejection. What passes is creative about the treatment, the provider and the experience: a nurse injector explaining how a consultation works, the clinic and its credentials, what a first visit involves. Google is more permissive on imagery and stricter on claims: unrealistic or guaranteed results and misleading pricing are what get search ads disapproved.
The paid search playbook for aesthetic clinics
Search intent in aesthetics is treatment-led and local, and it is open. Campaigns are built per treatment family (injectables, laser and skin, body contouring, skin health and facials) with keywords on the treatment plus near me and the city, and a landing page per treatment that leads with the provider, the consultation and what the treatment involves. Pricing pages and financing pages capture the cost searches that precede most bookings. Location extensions, call tracking and a booking widget above the fold turn the click into a consult. Branded injectable names can be used descriptively where the manufacturer's trademark rules allow, and negative keywords exclude the free, cheap and DIY queries that never book. Remarketing is allowed for cosmetic services in a way it is not for medical conditions, and it works well for consult-abandon audiences.
Meta creative that passes and still sells
The creative that clears review and books consults is built around people and process rather than results. Provider-to-camera: the injector or aesthetician explaining a treatment, answering the questions every consult opens with, showing the room and the technology. Experience content: what a first visit involves, how a consultation is structured, aftercare. Clinic content: credentials, training, the medical director, the reviews. Offers on consultations and memberships rather than on outcomes. Every ad set targets 18 and over. Imagery shows treatments being performed and providers at work, never a face or body presented as a problem. Before-and-after stays out of the ads we run by our own house rule, though Meta allows it at 18+; the photos do their work on your treatment pages. Event names on the pixel are generic (lead, booked, consult) so the account is not tiered by its own data. Built this way the creative passes on the first review and the account stays out of the restricted tier that makes every subsequent ad slower to approve.
What changes when you add GLP-1 to the menu
Many med spas now offer compounded semaglutide or tirzepatide, and the moment the clinic takes an online intake and a provider prescribes, the med spa is a telehealth prescriber for that service line. That page, and any ad pointing at it, follows the weight loss clinic rules: Meta needs LegitScript and its authorization before the drug is promoted, Google needs certification to keyword-target it, compounded products are described as compounded, not FDA-approved, there are no close-ups pinching fat and no second-person copy about the body, and the pixel never carries the drug name. The most common way an aesthetic clinic loses its Meta account is adding a GLP-1 page to a site whose ads, events and structure were built for injectables. MedScale Health runs the weight-loss line as its own campaign and its own page structure, with the medical weight loss playbook, so the aesthetics account is never pulled under the prescription-drug rules by a menu change.
Landing pages and booking attribution
Every treatment gets its own landing page: the provider who performs it, what the consultation involves, what it costs or how financing works, and a booking widget above the fold. Before-and-after galleries live here, on the treatment pages, where they are persuasive and where our ads point. The click ID from every ad travels into the booking software inside a bridge token, so the booked consult is credited to the campaign that produced it and nothing about the treatment travels to the ad platform. Listings, reviews and referral partnerships still matter for local results; your team or a partner runs them, and the tracking counts them as sources in the same report.
What we measure, and how MedScale Health runs it
The numbers are cost per booked consult by treatment family and channel, consults attributed to source through the scheduling platform, and membership or package sales where the clinic tracks them, on the Monday report. Week one is a policy read of every live ad, page and pixel, with any GLP-1 exposure flagged separately. Week two puts tracking live with generic event names. Treatment-intent search and provider-led Meta creative launch by Day 14. If the account is already restricted for imagery or a weight-loss add-on, the Ad Account Rescue diagnoses the real flag inside twelve hours and rebuilds and appeals inside seventy-two.
Med Spa Marketing Agency questions
What buyers ask before they book.
Can a med spa use before-and-after photos in Meta ads?
Yes, in ads for cosmetic procedures targeted 18 and over. Meta's health and wellness policy allows those ads to depict before-and-after transformation, and since July 22, 2026 that includes Botox and filler results. Still prohibited: statements of inferiority about appearance, copy that implies something about the viewer's appearance, results promised by a set date without a qualifier, and, for weight-loss ads, close-ups pinching fat. MedScale Health's own house rule is stricter: MedScale keeps before-and-after out of the ads it runs and puts the photos on your treatment pages, where the ads land.
Why was our aesthetics account restricted after we added semaglutide?
Because the site became a prescriber's site in the reviewer's eyes. A GLP-1 page that names or prices the medication pulls the account under Meta's drugs policy, which requires LegitScript certification and Meta authorization, and the injectables ads pointing at the same site are judged alongside it. The fix is structural: separate the weight-loss line into its own page structure and campaigns built to the weight loss clinic rules, rename any pixel events, and appeal with evidence.
Does a med spa need LegitScript?
Not for cosmetic treatments. It becomes relevant the moment the clinic prescribes and promotes a prescription product online, most often compounded GLP-1 weight loss: Meta needs LegitScript and its authorization before the drug is promoted, and Google needs certification for telemedicine and for drug-term keywords. An in-person med spa can name the drug in US Google ad text and on its landing page without certification since October 29, 2025. Injectables, lasers and skin treatments run without it.
What is the best channel for a med spa: Google or Meta?
Google for treatment intent, because people searching for a specific treatment near them are close to booking and the category is open. Meta for demand creation and consult offers, with provider-led creative that passes review. Both feed the same booking flow and the same tracking, and the audit sizes them for your market before budget is set.
How do you attribute consults booked in our scheduling software?
The click ID from the ad travels into the booking platform inside a bridge token, and the booked consult is sent back server-side with that token attached. The campaign is credited with the consult, not the click, and no treatment detail goes to the ad platform. It works with the scheduling tools aesthetic clinics commonly use.
How much does a med spa marketing agency cost?
With MedScale Health, the fee is set by scope after a free Growth Audit: how many treatment families, which platforms, and how much new creative each month. It runs month to month, with no long contract. Ad spend is separate and is paid straight to Google and Meta from the clinic's own accounts, which stay in your name. The audit reviews your current ads, pages and tracking and returns a written plan, so the scope is clear before you commit.
Which treatments and platforms do you run for a med spa?
Injectables, laser and skin, body contouring and skin health each get their own Google campaign, with keywords on the treatment plus near me and the city, and their own landing page. Meta runs provider-to-camera and treatment-explainer creative and consultation offers, aimed 18 and over. TikTok carries provider-led awareness, with direct response only for non-prescription treatments where the market allows. A GLP-1 weight loss line gets its own campaign and pages under the weight loss clinic rules, with LegitScript and Meta's authorization in place before the drug is promoted on Meta.
How fast can our med spa ads run?
Treatment-intent search and provider-led Meta creative go live by Day 14. Week one is a policy read of every live ad, page and pixel, with any GLP-1 exposure flagged separately. Week two puts tracking live with generic event names and builds the landing pages and the launch ads, each checked against the rules. Google reviews most ads within one business day. A GLP-1 line that needs certification takes longer, because LegitScript and the platform approvals come first, and that review runs in weeks rather than days.
From the answers library
The answers behind this page.
How Do You Run Meta Ads for a Med Spa?
As of October 2026, a med spa should run Meta ads as a few well-funded campaigns grouped by treatment, aimed at adults near the clinic, with offers that say what the price includes. MedScale Health, a paid acquisition agency for telehealth brands and clinics, builds med spa accounts this way and checks every ad against Meta's health rules before submission. Instant forms work if they ask no health or insurance questions, which Meta bars without its prior permission; cosmetic before-and-after is allowed for adults, but inferiority statements and timed promises are not.
Reviewed October 24, 2026
What Are the Advertising Rules for Med Spas and Aesthetic Clinics on Meta and Google?
As of October 2026, med spa and aesthetic clinic ads are open on Google with realistic claims and open on Meta with limits: cosmetic procedure ads must target adults and may show before-and-after results, including Botox and filler since July 22, 2026. MedScale Health, a paid ads agency for US telehealth brands and clinics, pre-clears med spa creative against Meta's health and personal attributes standards before spend. Inferiority statements and second-person lines about the viewer's looks still fail, and TikTok may allow US cosmetic clinic ads for adults.
Reviewed October 24, 2026
Can You Use Before and After Photos in GLP-1 Ads?
As of October 2026, GLP-1 and weight loss ads on Meta targeted to adults 18 and over can use before-and-after photos, because Meta's July 22, 2026 Health and Wellness update stopped rejecting them on sight; the claims around the image now decide review. MedScale Health, a paid ads agency for US telehealth brands and clinics, treats the format as usable but unforgiving and uses no before-and-after imagery in the ads it builds. Inferiority statements, pinched-fat close-ups and timed outcome promises without a disclaimer still fail.
Reviewed October 24, 2026
What Is Meta's Personal Attributes Policy and Why Does It Block Weight Loss Ads?
As of October 2026, Meta's Privacy Violations and Personal Attributes policy says “ads must not contain content that asserts or implies personal attributes,” and it names “physical or mental health (including medical conditions),” so weight loss copy about the reader's body fails. MedScale Health, a paid ads agency for US telehealth brands and clinics, checks every weight loss ad against that sentence before it spends and writes the creative in brand voice, so no line is about the viewer. Meta's change log shows the policy unchanged since June 2024.
Reviewed October 24, 2026
Next step
Start with the audit.
We read your live ads, landing pages and tracking against the rules on this page and send back the flags and a written ninety-day plan in five business days. If the account is already restricted, the rescue is the faster door.
Growth audit
See where your growth is leaking.
We audit the ads, the landing pages, the tracking and the compliance posture, then hand you the roadmap. The people writing it have run the same funnel from the inside. You keep it whether or not we work together.
- Reviewed
- Funnel, tracking, and compliance posture
- Discussed
- One 30-minute call with the operator on your account
- Delivered
- A written roadmap within 5 business days