IGX Marketing
The playbook

The 300 Women Playbook

How to find the women near your clinic who already want what you sell, and get them to pay a deposit before they ever walk in.

Prepaid bookings for US med spas
Six parts and a math sheet
IGX Marketing
Before you start

Read it once tonight. Build it next week.

This is the system we install for med spas, written out so you can install it yourself. Nothing in here needs an agency. It needs about ten days and a willingness to stop buying leads.

Every number in this playbook that describes your clinic is an example. It is shaped like a real one so the math is easy to follow, but you have to put your own numbers in. Wherever you see a tag like this assumption it means replace it.

Every number that describes our campaigns is real and comes from live ad accounts. Those are historical results from specific clinics over specific periods. They are not a promise about yours. Every market, every offer and every clinic is different.

The goal of this playbook is not more leads. It is fewer, paid, and already on your calendar.

Part 01

The 300 women math

You do not need a big audience. You need to know exactly how small the real one is, because that is what tells you what you can afford to pay for her.

Most clinic owners think of their market as "women in my city". That number is useless. It is too big to plan with and it makes a $150 booking feel expensive when it is not.

So we narrow it down in five steps until what is left is a number you could almost write on a whiteboard.

The five cuts

CutWhat you are askingExample
1. RadiusWho could realistically drive to you? Use a 20 minute drive, not a mile count. In a dense city that may be 6 miles. In a spread out metro it may be 18.220,000 people
2. Women, 30 to 60Your actual treatment age band. Widen or narrow it to match what you sell.31% = 68,200
3. Can pay cashHousehold income above the line where a $900 treatment is a decision, not a crisis.38% = 25,916
4. In market nowNot "would like to one day". Actively thinking about a treatment in the next 90 days.4% = 1,037
5. Reachable this monthThe share you can actually put an ad in front of and who will act inside 30 days.about a third = 345

Every percentage above is an assumption. They are the shape of a typical suburban US metro, not a measurement of yours. Replace them.

What the number means

Roughly 300 women near you are, this month, actively considering the exact thing you sell. Not 68,000. Three hundred.

Here is the part that changes how you plan. Those 300 are not a ceiling you chip away at. With enough budget you can put your offer in front of every one of them this month. Demand is not what limits you.

What actually limits you

Two things, and neither of them is the size of your market.

Budget is the first one. Across the accounts we run, a booked, deposit paid appointment costs somewhere between $30 and $150. Where you land inside that range is decided almost entirely by the offer, which is what Part 02 is about.

Booked appointmentsAd spend at $30 eachAd spend at $150 eachWhat it takes
40$1,200$6,000What most clinics are willing to spend in month one
120$3,600$18,000A clinic that has seen the math and has the chairs
300$9,000$45,000The whole in market pool, if you could staff it

That spread is real and it is published. Two of the screenshots on igxmarketing.com sit at the ends of it: 42 appointments at $27.00 each in October 2025, and 82 appointments at $153.31 each across January and February 2026. Same method, different offers, different markets.

The offer is the biggest lever on what a booking costs you. A five times swing sits between a good one and a lazy one.

Chairs are the second one. Three hundred new patients in thirty days is more than most clinics can physically treat without hurting the patients they already have. That is a real limit and you should respect it.

But notice what neither of those limits is. Neither of them is "there are not enough women near me". When a clinic books 40 a month, it is almost never because 40 was all that was out there. It is because a few thousand dollars was the budget and 40 was what the calendar could absorb.

Forty is a budget decision and a staffing decision. It has never been a market size decision.

This matters because it changes the question you ask. You stop asking whether there is enough demand, which there is, and start asking the only two questions that decide the outcome: what is a booked appointment actually worth to me, and how many can I deliver well? Part 02 sets up the first. The math sheet at the back answers it.

How to get your own radius number in ten minutes

  1. Open Meta Ads Manager and start a new ad set. You do not have to publish anything.
  2. Set the location to a drop pin on your clinic with a radius, and set the radius to your 20 minute drive.
  3. Set gender to women and the age band to your treatment ages.
  4. Leave all interests off. Interests make the estimate look better and mean nothing.
  5. Read the audience size estimate. That is your cut 2 number, measured rather than assumed.

Then apply your own income and intent assumptions to that figure. Write the final number down. Put it somewhere you will see it when you are deciding whether $120 for a booked appointment is expensive.

A small market is not a problem. A small market you have not counted is.

Part 02

The offer she pays for first

She is not buying a discount. She is buying certainty about a decision she has already been having with herself for months. Price the entry, never the treatment.

Here is the trap almost every clinic falls into. The calendar gets quiet, so someone runs a promotion. Twenty percent off. Then the next quarter it is thirty percent off, because twenty stopped working. Within a year the clinic has trained its own market to wait for the sale, and the brand is worth less than it was.

The way out is not to stop making offers. Women respond to offers. The way out is to change what is on offer.

The ladder

Every offer that works sits on a three step ladder. The ad only ever sells step one.

StepWhat it isWhat it does
EntryThe first visit. Specific, time bound, paid for with a deposit.Turns a stranger into someone who has paid you and is in your chair.
CoreThe treatment she actually wants, at full price, decided at the visit.This is where the visit becomes revenue.
PlanThe course, package or membership that follows.This is where a visit becomes a patient.

The entry offer is never a discount on the core treatment. That is the whole trick. You are not selling Botox at a discount. You are selling a first visit that is worth turning up for, and the Botox is priced normally when she gets there.

Eight rules for discounting without looking cheap

  1. Discount the entry, never the treatment. A reduced price on your core service tells her your normal price was invented. A valuable first visit tells her nothing about your pricing at all.
  2. Always give the price a reason. A new device arriving. A new injector opening her book. A quiet January. A block of seats set aside. A price without a reason reads as desperation. A price with a reason reads as a decision.
  3. Take a deposit. Every time. Free reservations are not reservations. A woman who has paid $50 turns up. A woman who filled in a form is still deciding.
  4. Make the deposit a credit, never a fee. "$50 to hold your time, taken off the cost of your treatment" is a completely different sentence to "$50 booking fee", and it converts like one.
  5. Cap it, and say the cap out loud. "Twelve seats this month" is believable and checkable. "Limited time only" is neither, and everyone has learned to ignore it.
  6. Never use the sale words. Sale, deal, cheap, bargain, blowout, percent off. They belong to a different kind of business. Use: reserved, held, credit, seats, first visit, opening list.
  7. Anchor once, quietly. State the normal price a single time, in normal type, near the offer. Repeating it or shouting it makes the whole thing feel like a pitch.
  8. Let the photography carry the luxury. One real room, natural light, your actual injector. No stock models, no purple gradients, no confetti. The picture decides whether she believes the price before she reads a word.

The words, side by side

What it usually says
What it should say
50% off Botox this month
Your first visit, with $100 credit toward treatment
Limited time offer, book now
Twelve seats held for March. Nine left.
$50 non refundable booking fee
$50 to hold your time, credited to your treatment
Free consultation
A 30 minute mapping session with your injector
Cheapest prices in town
Priced the same every day of the year
Don't miss out!
When the seats are gone we reopen in April

Read the right hand column out loud. Nothing in it is a discount, and yet every line is more compelling than the one beside it. That is the entire point of this section.

Three offers you can copy

Each of these is built the same way: a specific first visit, a real reason, a deposit that becomes credit, and a cap. The dollar figures are examples. Put your own prices in.

Offer A · Injectables

The First Syringe

Who it is for: a woman who has been thinking about filler or tox for a year and has never booked because she does not know who to trust.

What she pays now: $50 to hold her time.

What she gets: a 30 minute face mapping session with the injector, a written plan, and $100 credit toward treatment on the day. Her $50 comes off as well, so she arrives with $150 of credit.

The reason: your injector is opening a limited new patient list, or you are moving to a new product line.

The cap: a real number of seats for a named month.

The anchor, stated once: a syringe is normally $650. example

Why it does not look cheap: the treatment price never moved. You gave away time and planning, which cost you far less than a discount and is worth more to a nervous first time patient.

Offer B · Skin and devices

The Skin Reset

Who it is for: a woman whose skin has changed and who has been buying more and more expensive products instead of getting a treatment.

What she pays now: $75 to hold her time.

What she gets: a diagnostic skin analysis, a single entry level treatment on the day, and a written three step plan for the next 90 days. Her $75 is credited if she starts the plan.

The reason: a new device has landed and you are building a before and after library with a limited group.

The cap: the number of slots you can actually deliver in a month without hurting your existing patients.

The anchor, stated once: the full course is normally $2,400. example

Why it does not look cheap: she is buying a diagnosis, not a discount. Diagnosis is the most premium thing a clinic can sell, and it makes the course that follows feel prescribed rather than upsold.

Offer C · Body

The Six Week Shape

Who it is for: a woman with a date in mind. A wedding, a holiday, a reunion.

What she pays now: $100 to hold her start date.

What she gets: a body mapping session, measurements, a six week schedule with her sessions already in the calendar, and the $100 credited to the course.

The reason: the course only works if it is finished, so you only open starts at the beginning of each month.

The cap: one intake per month, which is true, because the schedule is the product.

The anchor, stated once: the six week course is normally $3,200. example

Why it does not look cheap: the scarcity is structural rather than invented. You are not pretending to run out. The programme genuinely has a start date.

If you cannot say out loud why the price is what it is, she can feel it. Give every offer a reason and the discount stops being a discount.

Part 03

The deposit page

A form makes a lead your front desk has to chase. A page that takes a card makes a patient. The difference is one step, and it changes who walks in.

Here is the part that matters more than the design. When you send traffic to a form, you are asking Meta to find people who fill in forms, and it will. When you send traffic to a page that takes a deposit, and you tell Meta that a deposit is the thing you want, it goes and finds women who pay. Same budget, different woman.

So the page is not just a nicer form. It is the instruction you give the algorithm.

What goes on it, top to bottom

  1. One headline that names the treatment and the outcome. Not your clinic name. She does not know your clinic name yet.
  2. The offer box. Three lines only: what she gets, what she pays now, what she pays on the day. If a visitor cannot answer those three questions in four seconds, the page is not finished.
  3. One real photograph. Your room or your injector. Not a stock image of a woman in a towel. This single element does more for your close rate than any headline you will write.
  4. Three proof lines. Short, specific, and true. A number of patients treated, years open, a real review quote. Three is enough. Twelve looks nervous.
  5. The booking step, with the deposit inside it. She picks a time and pays in the same flow. If she picks a time and you email her a payment link later, you have rebuilt the lead problem.
  6. What happens next, in three lines. Confirmation now, a reminder the day before, what to bring. Certainty is what she is paying for.
  7. The refund line, stated plainly. Reschedule freely with 24 hours notice, credit never expires. Say it clearly and more people pay, not fewer.
  8. Four questions, answered. Does it hurt, how long does it take, how long does it last, what if it is not right for me. Nothing else.

The offer box, written out

HeadingYour first visit, held for you Line 130 minute face mapping session with your injector, plus a written plan you keep either way. Line 2$50 today to hold your time. Line 3$150 credit toward treatment on the day. Your $50 is part of it. Under the buttonReschedule any time with 24 hours notice. Your credit does not expire.

Mechanics that decide whether it works

  • Deposit size. Large enough that turning up matters, small enough that it is not a decision. For most US clinics that sits between $50 and $100. Below $25 it stops predicting attendance.
  • The card is taken at booking. Not after. This is the single most common place clinics break the system and then conclude it does not work.
  • Times she can actually attend. If your only slots are Tuesday at 11am you will blame the ads for a calendar problem.
  • Confirmation in under a minute, with the address, the parking situation and the injector's first name.
  • A reminder the day before and the morning of. Show rate is not a marketing metric, it is an operations one.
  • Tell Meta about the deposit. Fire a purchase or a schedule event on the confirmation page and optimise the campaign for that, not for leads. Without this step the rest of the page is wasted.

Ask Facebook for form fills and it finds women who fill in forms. Ask it for deposits and it finds women who pay.

Part 04

The three ads we run

Three angles, because three different women are scrolling. Run all three from day one and let the account tell you which one your market is.

Every ad below is written for the injectables offer in Part 02 so you can see the whole thing end to end. Swap the treatment words for skin or body and the structure holds.

Angle 1: the specific outcome

For the woman who knows what she wants and is looking for somewhere to have it done. This is usually the cheapest booking in the account and it is the first one to scale.

Primary textIf you have been thinking about filler for a year and still have not booked, it is usually not the money. It is not knowing who is going to be holding the needle. So we do it the other way round. You book a 30 minute mapping session with the injector who would actually treat you. You get a written plan. If you want to go ahead that day, there is $150 of credit waiting. $50 holds your time and comes off the treatment. Twelve seats for March. HeadlineSee your plan before you commit to anything Description30 minutes with your injector. $50 holds your time. ButtonBook Now

Creative direction

Your injector talking to camera in your actual treatment room, no script on screen, 20 to 30 seconds. Phone footage is fine and often beats a produced video. Open on her saying the first line of the primary text.

Angle 2: the objection

For the woman who has been quoted a frightening number somewhere else, or who is scared of looking done. This one usually has the highest value per booking.

Primary textMost women who come to us for the first time say some version of the same thing. "I do not want to look like I have had work done." That is a planning problem, not a product problem. It is why we map the face first and write it down, so you can see exactly what is being treated and what is being left alone before anyone touches you. 30 minutes with your injector. A written plan you keep whatever you decide. $50 holds your time and comes off treatment. HeadlineThe plan comes before the needle DescriptionWritten plan, yours to keep. $50 holds your time. ButtonBook Now

Creative direction

Static image of the written plan on the desk, or the injector's hands marking a face chart. Avoid faces mid treatment. Avoid anything that looks clinical enough to be frightening.

Angle 3: the local one

For the woman who needs to know other people like her already go to you. Weakest on day one, strongest after 60 days once you have real reviews to quote.

Primary textWe have been treating women in [your suburb] for [X] years. The thing we hear most is that they wish they had come in sooner, and that they had no idea the first visit would just be a conversation. That is all it is. 30 minutes, a written plan, and no pressure to do anything on the day. $50 holds your time and comes off treatment if you go ahead. Booking March now. HeadlineWhere [your suburb] books its injectables Description30 minutes, a written plan, no pressure. ButtonBook Now

Creative direction

The front of your clinic, or the room with a real patient in it who has given written permission. Local specificity is the whole point. Name the suburb.

How to run them

  • One campaign, one ad set, all three ads. Do not split them into separate ad sets to be fair to them. Let the account decide.
  • Optimise for the deposit event, not for leads and not for landing page views.
  • Targeting: location, gender, age band. Nothing else. Interests shrink the audience and the algorithm already knows more about who books than you do.
  • Judge nothing for the first 7 days. Under about 20 to 30 deposit events a week the account has not learned anything and neither have you.
  • Replace the losing creative, never the winning one. Most accounts die because someone got bored of an ad that was still working.
Before you upload anything

Two rules that get med spa accounts shut down

Meta restricts before and after images and anything implying an idealised body or appearance outcome in health and beauty advertising. Side by side transformation shots are the most common reason a clinic account gets rejected or restricted.

You also cannot imply you know something personal about the viewer. "Worried about your wrinkles?" asserts a personal attribute. "The plan comes before the needle" does not. Write about the treatment and the process, never about her body.

Part 05

The 10 day install

This is what the ten days actually contain, in the order we run it. The order is most of the job. Do these out of sequence and you will spend money before the thing that measures it exists.

Read this as a scope of work rather than a checklist. Every line is a decision someone has to own, and the two that sink most clinics are not the ones you would expect.

Day 1

Pick the one treatment

The one you have capacity for and margin on. One. Not a menu. A menu is why the last campaign did not work.

Day 2

Write the entry offer

Use the ladder in Part 02. Write what she gets, what she pays now, what she pays on the day, the reason and the cap. Five lines. If it takes more you have not decided yet.

Day 3

Build the deposit page

Eight blocks from Part 03, in that order. One page, no navigation, nothing linking off it.

Day 4

Wire payment and the calendar

Deposit taken at booking, in the same flow. Confirmation, a day before reminder and a morning of reminder. Test it with your own card and refund yourself.

Day 5

Shoot the creative

One afternoon. Injector to camera for angle 1, the written plan for angle 2, the clinic front for angle 3. A phone is fine.

Day 6

Install the pixel and the deposit event

Pixel on every page of the site. A purchase or schedule event on the confirmation page only. Verify both in Meta Events Manager before you spend a dollar.

Day 7

Build the campaign

One campaign, one ad set, three ads. Optimise for the deposit event. Location, gender, age. No interests.

Day 8

Break it on purpose

Go through the whole thing on your own phone as a stranger would. Pay a real deposit. Check the confirmation, the reminder, the calendar entry and that the event fired once and not three times.

Day 9

Launch

Set a daily budget you can run for 30 days without flinching, using the affordability number from the math sheet rather than a feeling. A budget you panic about on day 4 is worse than a smaller one.

Day 10

Read it, do not touch it

Check the deposit count and the cost per deposit. Fix anything broken. Change nothing that is merely disappointing. That comes at day 14.

The clinics that fail at this almost never fail at the ads. They fail at day 4 and day 6.

Bonus

The patient math sheet

This is the sheet that tells you what you can afford to pay for a booked appointment. Once you know that number, everything else is arithmetic.

Worked example

Every figure here is an example. The column you care about is the last one.

LineHow you get itExample
Booked appointmentsDeposits taken in the month120
Show rateAttended divided by booked85%
Attended120 × 85%102
Conversion at the visitBought something divided by attended60%
New patients102 × 60%61
Average first visitYour till, not your price list$620
First visit revenue61 × $620$37,820
Repeat within 12 monthsYour own history2.2 visits
12 month patient value$620 × 2.2$1,364
12 month cohort value61 × $1,364$83,204

What you can afford to pay

LineHow you get itExample
Gross marginAfter product, consumables and clinical time65%
Margin per new patient, 12 months$1,364 × 65%$887
Patients per booked appointment85% × 60%0.51
Margin per booked appointment$887 × 0.51$452
Break even cost per appointmentThe point where you make nothing$452
Target at 3x return$452 divided by 3$151
The number that matters

On these example numbers you could pay $151 for a booked, deposit paid appointment and still triple your money over twelve months.

A booking actually costs between $30 and $150 depending on the offer. Put those two numbers side by side. That gap is the whole opportunity, and most owners never work it out because they are comparing a booking to the price of a click instead of to the value of a patient.

What it looks like at each level

Same example clinic, three different budgets. The per patient economics do not change. Only the size of the decision does.

BookedNew patientsFirst visit revenue12 month valueAd spend, $30 to $150 each
4020$12,400$27,280$1,200 to $6,000
12061$37,820$83,204$3,600 to $18,000
300153$94,860$208,692$9,000 to $45,000

The bottom row is the whole in market pool from Part 01. It is on the table because the demand is on the table. Whether you go after it is a budget and staffing decision, and now you have the numbers to make it deliberately instead of by default.

Your turn

Fill this in with your own figures before you spend anything.

LineYours
Show rate________
Conversion at the visit________
Average first visit value________
Visits in 12 months________
Gross margin________
Margin per booked appointment________
Most you can pay per appointment________

If you do not know your show rate or your conversion at the visit, that is the first thing to fix. You cannot buy appointments sensibly without them, and no agency can work it out for you.

One last thing

Now you know what to do. Doing it is the other ten days.

Everything in here is what we build for clinics every week. The thinking is yours to keep. The part that takes the time is the build, the creative volume, the testing and knowing what to change on day 14 instead of day 4.

That is what IGX does. We build the offer, run the Meta ads, produce the creative, run the deposit backed booking page and handle the reminders. You treat the patient.

Book a free call with IGX
IGX Marketing
Patient acquisition for med spas and aesthetic clinics. Prepaid appointments, not leads.
Results referenced are historical examples from specific clinic accounts over the periods shown. They are not guarantees of future performance. Every market, offer and clinic is different. Individual results vary.
© 2026 IGX Marketing · mo@igxmarketing.com