Google Ads Cosmetic surgery

How we cut Absolute Cosmetic Medicine's cost per lead 26% on less spend

Absolute Cosmetic Medicine's Google Ads account was built around YouTube awareness, not enquiries. We moved the budget into procedure-led search campaigns and fixed call tracking: 24% more conversions, 26% cheaper, on 9% less spend.

I Want Results Like This Cost per lead down 26%
A woman on a rocky beach, from the Absolute Cosmetic body treatment campaign
26%Lower cost per lead
24%More conversions
9%Less ad spend
01

The problem

Absolute Cosmetic Medicine runs four full-time and six part-time clinics across Western Australia. The goal was more enquiries for the main Perth clinics, while keeping a presence for key procedures in the regional areas. And the competition isn't just local: overseas clinics offer the same procedures cheaper, with a higher complication risk.

We took over an existing account whose structure leaned on awareness campaigns, YouTube in particular. That reaches a lot of people, but it typically converts at a much lower rate than search, and enquiries were what the clinics needed.

What we were up againstBudget weighted to low-converting YouTube awareness campaignsTen clinics, from metro Perth to regional WACompeting with cheaper overseas clinicsWebsite phone calls not tracked as conversions
The Absolute Cosmetic Medicine homepage. The account behind it was set up for awareness, not enquiries.
The Absolute Cosmetic Medicine homepage. The account behind it was set up for awareness, not enquiries.
02

What we did

With leads as the goal, the budget had to move away from YouTube and into search, where people are actively looking for these procedures. We restructured the account so most of the spend went where we knew it would convert, without abandoning the lower-converting procedures and regional locations entirely.

1Shifted budget from YouTube to searchAwareness spend was redirected into search campaigns, reaching people already searching for specific procedures rather than a broad audience.
2Split campaigns by procedure performanceSearch campaigns were divided into top-selling procedures, low-selling procedures and rural location campaigns, so the majority of traffic flowed through what we knew converted for the clinic.
3Kept a regional presenceSeparate rural campaigns held a presence for key procedures in the regional clinics without draining the Perth budget.
4Fixed the call tracking gapNo website calls were being recorded as conversions. We added call tracking so we could see which campaigns and search queries were actually producing enquiries.
The restructured account: Perth search campaigns split by procedure performance, plus a small rural campaign for each regional clinic.
The restructured account: Perth search campaigns split by procedure performance, plus a small rural campaign for each regional clinic.
03

The results

By restructuring the campaigns around procedure search queries, we reduced ad spend by 9% while increasing conversions by 24%. Cost per lead came down 26%. Less money in, more enquiries out.

With call tracking now in place, every campaign and search query is measured against real enquiries, which gives us a much clearer picture to keep optimising against.

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