PPractice Growth Co
Case Study · Medical Spa · Tattoo Removal · US Market Entry
United States · 3 new markets

How a medical spa brand built around tattoo removal launched in three competitive US markets and generated 525 leads in five months.

An established medical spa brand, with laser tattoo removal as its core service and years of success overseas, was ready to enter the US, opening three locations in some of the most competitive aesthetics markets in the country. We built its US Google Ads program from scratch: a dedicated landing page and campaign set for each location, Performance Max alongside search, and brand protection. In the first five months the three clinics generated 525 leads, and cost per lead fell 46% from the launch month.

Google AdsPerformance MaxLocation Landing PagesMarket Entry

525

Leads in 5 Months

May – Sep 2026 · forms + calls

3

New US Markets

Texas + Southern California

$179 → $96

Cost Per Lead

Launch month vs. Sep 2026

206

Phone Calls from Ads

Alongside 319 form leads

Stat card for a medical spa tattoo removal brand entering three new US markets in Texas and Southern California: 525 leads in the first five months, with Google Ads cost per lead falling from $179 in the launch month to $96

Snapshot

Client snapshot.

Business
Established international medical spa brand specializing in laser tattoo removal
US footprint
3 new clinics in Texas and Southern California
Services
Laser tattoo removal as the core service, plus cosmetic tattoo removal and fading for cover-ups
Channels
Google Ads: search, Performance Max, brand
Engagement
US market launch: location landing pages + full Google Ads build
Window
May 1 – Sep 23, 2026

The Challenge

A proven brand with zero name recognition in the US.

Overseas, this brand was a known quantity with years of steady demand. In the US it was starting from nothing: no reviews, no brand searches, and no history in Google's system to learn from.

And it wasn't entering easy markets. All three locations opened in large, affluent metros where aesthetics competition is intense and other med spas, tattoo removal clinics, and dermatology practices all bid on the same searches.

The goal was to fill three brand-new clinics fast without letting launch costs run away, and to learn quickly which market and which campaign type deserved more budget.

$179Cost per lead in the launch month

From the Field

“Launching a new location is expensive in the first month no matter how good the brand is. Google doesn't know you yet, and neither do patients. The job is to structure the account so it learns fast, then move money toward what's working. By month five the cost per lead was about half what it was at launch.”

Mike Funkhouser

Founder, Practice Growth Co

Campaign Architecture

Every clinic runs as its own market.

Three cities means three different competitive landscapes. We built each one to be measured and managed on its own.

A dedicated landing page per clinic

Each location has its own landing page with local details and a clear way to book, so a searcher in one city never lands on another city's page.

Search campaigns for high-intent terms

Location-specific search campaigns capture people actively looking, like "tattoo removal austin" and "laser tattoo removal near me", including niche demand such as eyebrow and cosmetic tattoo removal.

Performance Max for reach

A Performance Max campaign for each location extends reach across Google's network to find people considering removal before they start searching.

Brand protection

A brand campaign captures people searching for the business by name as local awareness grows, at a far lower cost than non-brand leads.

Calls tracked as leads

Many med spa clients, and tattoo removal clients especially, prefer to call. Calls from ads are tracked alongside form fills, so the results reflect every inquiry, not just forms.

Results · First 5 Months

525 leads across three new clinics, and cost per lead down 46% since launch.

525

Total Leads

319 forms + 206 calls

$96

CPL · Sep 2026

vs. $179 at launch

−46%

Cost Per Lead

Launch month to month five

3

Markets Live

All producing leads

Metric
Result
Launch month (May 2026)
49 leads · $179 per lead
Month two (June 2026)
156 leads · $134 per lead
July – September 2026
320 leads · $104 per lead
September 2026 (to the 23rd)
98 leads · $96 per lead
Lead mix
319 form submissions + 206 calls from ads
Monthly leads, forms + calls (Sep* = through September 23)
May 49 · Jun 156 · Jul 116 · Aug 106 · Sep* 98

Monthly leads (forms + calls) · Sep* = through September 23

MayJunJulAugSep*

What Carries Over

Lessons for any med spa or practice opening a new location.

01

Expect the launch month to be the most expensive

A new location has no history for Google to learn from. Budget for a higher first-month cost per lead and judge the program on the trend, not the first 30 days.

02

Build each location to stand on its own

Separate landing pages and campaigns per clinic make it easy to see which market is working and move money accordingly.

03

Count the phone calls

Nearly 40% of leads here came by phone. A program that only tracks forms would have undercounted its results by that much.

If you're opening a new location

Let's plan the launch before the doors open.

Whether you're opening your second location or entering a new market entirely, the first 90 days set the tone. Book a strategy call and we'll map out how we'd launch it.

Market + competitor review before launchWe tell you what we'd change, even if we don't engageWritten plan within 48 hours

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