Meta and Google for dermatology telehealth
Dermatology telehealth advertising
MedScale Health is a dermatology paid-ads agency for US telehealth brands: it runs Meta, Google, Microsoft and TikTok ads, creative and landing pages for acne, anti-aging and custom-formula programs, with every ad pre-checked against health policy before it spends. Acne, anti-aging, rosacea and custom compounded formulas, sold through a photo-based visit and a monthly bottle. A visual category in which the visual is the thing the platforms restrict.
How it is sold
The model, before the rules.
The patient uploads photos and a short history, a prescriber reviews them asynchronously, and a partner pharmacy ships either an approved drug (tretinoin, spironolactone, doxycycline) or a compounded custom cream that mixes several actives. Isotretinoin adds iPLEDGE enrolment and monthly checks. The subscription is the bottle, and the photo upload is where the sensitive data enters the funnel. MedScale starts with a free growth audit; campaigns are live by Day 14 from access when certifications are in place.
The offer
What do you get with MedScale as your dermatology ad agency?
As a dermatology ad agency, MedScale keeps before-and-after out of the ads it runs, keeps drug names out until certification is in place, and labels compounded formulas as compounded and not FDA-approved. You get 8 ads at launch, a landing page for each offer on your domain, every ad and page checked against Meta's, Google's and TikTok's health rules before it is submitted, help with the LegitScript application if you are not yet certified, and a written report every Monday on spend, patients and cost per patient by campaign. You own the accounts, and MedScale works month to month.
- 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.
How it gets restricted
Statements of inferiority about appearance under Meta's health rules, and second-person hooks ("struggling with acne?") under the personal-attributes rule. Drug names without certification. TikTok's outright ban on cosmetic claims to cure acne or remove wrinkles, which catches prescription programs that try to run as skincare. And the pixel on the photo-upload step, which can forward an image URL or a condition and move the account into the restricted health tier.
Paid outlookCertification first
Policy by platform
Where a platform asks for LegitScript, it means LegitScript certification: the third-party check Meta and Google require before a telehealth business can name a prescription drug in an ad. It certifies the business, its prescribers and its pharmacies. It does not change what a drug is.
- Meta
- Naming tretinoin, spironolactone or any prescription requires LegitScript certification and written authorization, 18+ targeting and a disclaimer. Meta allows 18+ ads for cosmetic products and procedures to depict before-and-after transformation, since July 22, 2026 including skin-aging treatments, and still bars statements of inferiority about appearance. A prescription acne program names a drug, so the drugs rule applies as well. Our house rule is stricter than Meta's: no before-and-after in the ads we run. Personal-attribute framing is the most common rejection.
- Google Ads
- A telederm service that prescribes needs Google's prescription drug services certification before its prescription-drug ads serve and to bid on drug terms. Google judges the ads, the site and the app, so dermatology-intent ads ("online dermatologist", "acne treatment online") are still judged on the whole site. Certification is the path. Unrealistic cosmetic claims are restricted.
- TikTok
- As of October 2026, TikTok may allow US prescription medicine ads with proof of FDA approval and certification, restricted to 18+. Compounded formulas can't qualify, and cosmetic products cannot claim to remove or cure acne or remove wrinkles.
Policy pages read 2026-10-05. Meta: Drugs and pharmaceuticals · Meta: Health and wellness · Meta: Personal attributes · Google: Healthcare and medicines · Google: Prescription drug services certification. Dated rule changes
What we run
The plan for skin.
- Channels
- Meta on the visit-and-formula offer with provider or product creative from launch. Google Search once certification clears, on dermatology and treatment intent and then drug terms. TikTok for dermatologist content that builds the brand and feeds search.
- Creative that passes
- A board-certified provider reviews your photos within a day, the formula ships monthly, here is the price. Product in hand, provider to camera, texture and packaging. No faces mid-breakout, no split-screen skin, no "you".
- Landing page
- Treatment page first, the formula and the approved-drug options second, compounded formulas labelled as compounded and not FDA-approved. Isotretinoin gets its own page with the iPLEDGE requirements stated.
- Tracking
- Server-side events with generic names, under a BAA, and no names, emails, phone numbers, IP addresses or browser IDs. The photo-upload step fires nothing client-side; no image URL, condition or form field reaches an ad platform. The click ID rides a bridge token into the intake platform so the prescription is attributed to the campaign.
What we measure
- CPQL
- Cost per qualified lead: photos and history submitted, eligible state.
- Consult booked
- Async visit submitted for prescriber review.
- Rx issued
- Formula or medication prescribed and first bottle ordered.
- 90-day retention
- Subscribers still shipping at month three, by campaign.
Reported weekly by campaign from the tracking installed in the first two weeks. We publish the definitions, not a benchmark, because the number depends on your price, your states and your pharmacy.
Commitments
What is done by which day.
Policy read of every ad, page and pixel event, with the photo-step exposure called out
Server-side tracking live with the upload step silent client-side
Provider-led Meta campaigns live; treatment-intent search live once certification clears
Weekly report on CPQL, Rx issued and retention by campaign
Days count from kickoff. Certification timelines belong to LegitScript and the platforms, so campaigns that need drug terms start on program intent and add them when approval lands.
Skin questions
What brands in this category ask first.
What does MedScale run as a dermatology ad agency?
MedScale runs Meta and Google ads, ad creative, landing pages and server-side tracking under a BAA that keeps the photo step off the pixel, for US dermatology telehealth brands. You get 8 ads at launch, no before-and-after in the ads, and every ad and page checked against each platform's health rules before it is submitted.
How does working with MedScale start for a dermatology brand?
With the free Growth Audit: MedScale reads your live ads, landing pages and tracking against the dermatology rules and writes a 90-day plan within five business days of access. Campaigns are live by Day 14 from access when certifications are in place. Engagements run month to month, and the ad accounts stay in your name.
Can MedScale guarantee approval or patient numbers for dermatology ads?
No. Platform review, auction prices, your offer and how your photo visit converts decide the numbers, and no one controls all of those. MedScale checks every ad and page against Meta's, Google's and TikTok's rules before it is submitted and reports spend, patients and cost per patient by campaign every Monday.
Can we show before-and-after photos?
Meta allows before-and-after for cosmetic products and procedures in 18+ ads, since July 22, 2026 including skin-aging treatments, and still bars statements of inferiority about appearance. A prescription acne program names a drug, so the drugs rule applies too. MedScale's house rule is stricter than Meta's: MedScale keeps before-and-after out of the ads it runs and builds creative around the provider, the product and the routine. The photos can live on your treatment pages.
Our custom formula is compounded. Can we advertise it?
The program, yes. The compounded formula is an unapproved formulation and the ad does not name it or its actives. The page explains the formula, says it is compounded and not FDA-approved, and names the prescriber.
Is the photo upload a HIPAA problem for advertising?
It is the single biggest exposure in the funnel. A client-side pixel on that step can send an image URL or a form field to an ad platform. MedScale fires nothing client-side there; the event is sent from the server with a generic name and no personal identifiers, under a BAA.
Can we run acne creative on TikTok?
Brand and dermatologist content, yes. Cosmetic claims to cure acne are prohibited, and TikTok's US prescription path needs proof of FDA approval and 18+ targeting, which a compounded formula can't provide. TikTok carries the story and sends people to search.
From the answers library
Rules that decide Skin campaigns.
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
How Do You Advertise a Telehealth Brand on Meta Without Losing the Ad Account?
As of October 2026, keeping a telehealth ad account healthy on Meta comes down to three habits: never write copy that implies knowledge of the viewer's health, never send traffic to a page that contradicts the ad, and track disapproval rate as a metric. MedScale Health, a paid ads agency for US telehealth brands and clinics, finds that accounts are almost never lost to a single bad ad but to an accumulating pattern of disapprovals nobody was tracking.
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
Next step
Start with the audit.
We read your live ads, landing pages and pixel against the rules on this page and send back the flags and the plan. 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