Every Lead Answered in 60 Seconds. Every Calendar Filled. Fully Managed.
We build the AI receptionist that calls every new lead back before your competitor does, and we run the Google Ads that bring those leads in. Done for you, end to end. $1,997 a month. No setup fee. No results in 60 days, you get your money back.
15 minutes with our team. A straight answer on whether we can move your numbers, or who can.
NovaSpa AI
Voice Receptionist
It isn't a lead problem. It's a follow-up problem.
78% of buyers book with whoever responds first. A lead contacted in 5 minutes is 100× more likely to be reached than one contacted in 30. The average US business takes 42 hours to respond.
of buyers book with whoever responds first
more likely to reach a lead in 5 min vs 30
average US business response time
Source: Harvard Business Review, "The Short Life of Online Sales Leads," 2011.
Your front desk has six things happening at once. The spa across town has an AI with one job: answer before yours does. We close that gap permanently.
A specialist agency, led by an advertising veteran who has managed over $27M in ad spend.
In&Out Digital is a patient-acquisition agency for US med spas. Our founder, Umar, has 9 years in paid advertising, has managed over $27 million in ad spend across service businesses, and is Google Ads certified. Every account we run is built on that experience and reviewed by him directly.
We don't sell impressions or brand awareness. We're measured on one number: booked patients in your chair.
Book a Strategy Call →Don't take our word for it. Listen.
New Patient — Botox Inquiry & Instant Booking
First-time caller asks about Botox. AI explains, then books the appointment in under a minute.
New Lead — Laser Hair Removal Pricing & Consultation Booking
Caller asks about pricing. AI walks through the treatment and converts to a consultation booking.
Returning Patient — Reschedule + Cancellation Fill + Service Upsell
Existing patient reschedules. AI fills the open slot and adds a premium upgrade automatically.
The robotic phone-tree era is over. The agent stops talking the moment a caller does, like a trained receptionist. If a patient ever asks, it identifies as an assistant and offers a transfer.
Two deliverables. One managed engagement.
AI Receptionist (built on Synthflow)
- Answers every call, 24/7, in under 2 seconds
- Books straight into your scheduler: Boulevard, Vagaro, PatientNow, Mindbody, GHL
- Leads routed where you want them: front desk by phone, or to you on WhatsApp
- Follows up on every missed call and unbooked inquiry
- Trained on your menu, pricing, hours, and providers
Google Ads, Run by a $27M-Managed Team
- Full campaign build, copy, and bidding strategy for your service mix
- Google Healthcare-policy compliant. We know what gets accounts suspended
- Call and conversion tracking, monthly performance review
- You own the account and the data. Always.
What we don't do: Social media, SEO, website rebuilds. We run two systems at a level most full-service shops can't match, instead of ten at a level you've already paid for and regretted. Need the rest? We'll refer you to specialists we trust.
One engagement. One price. No setup fee. Cancel anytime.
We run Google Ads for one med spa per 10-mile radius. Once a territory is taken, it's closed to competitors. Secure your market at the charter rate and it's held for the life of your account, even after standard pricing rises.
Your $1,997/month covers everything we do:
- Full Synthflow AI receptionist build and ongoing management
- Full Google Ads build, compliance, and ongoing optimization
- Leads delivered to your channel of choice
- Monthly performance review with the team
- 10-mile market exclusivity
- 60-day money-back guarantee
- $0 setup fee. No contract. Cancel anytime.
Paid separately, directly to Google: your ad budget. We recommend starting at $2,000 to $3,000 per month. This is not paid to us and never passes through us.
Check If Your Territory Is Open →We work only with US med spas already generating real revenue. If you're pre-revenue, shopping on price alone, or you need a partner to also run your social, write your menu, and rebuild your site, we are not your fit. We are the fit when you have a real practice and the only thing between you and a full calendar is a system that answers faster than the spa down the road. The call is free. It is not a pitch. We will tell you on it whether the math works for you.
You don't pay if we don't perform.
Launch your Google Ads with us. Give it 60 days. No qualified new-patient leads from that campaign? Email the word "refund." Every management fee back. No forms. No retention call. No games.
Ad spend goes to Google, not to us, so that part isn't ours to refund. Our fee is 100% on us.
Book a Risk-Free Strategy Call →Patient data, handled the way the law expects.
Built on Synthflow: SOC 2, HIPAA, PCI DSS L1, ISO 27001, GDPR. We execute a BAA with your practice. Patient data never leaves certified infrastructure. Your ad account, recordings, and build are yours, handed over the day you leave, if you ever do.
Frequently Asked Questions.
Will it sound robotic? Will my patients hate it?
No. You heard it above. We'll dial your number live on the call so you hear it again.
Is it HIPAA-compliant?
Built on Synthflow's certified infrastructure. We execute a BAA. Patient data stays inside it.
What counts as "no results" for the refund?
Zero qualified new-patient leads from the Google Ads campaign within 60 days of launch. Email "refund," every management fee back.
Is the ad spend really separate?
Yes. $1,997 is our management fee. Your ad budget is yours, paid to Google directly. We set the number with you on the call.
Am I locked in?
No. Month-to-month. Cancel anytime before the next cycle. You keep every asset.
Does this replace my front desk?
No. It covers overflow, after-hours, and instant lead callback. Your team keeps the in-person work.
Why Synthflow instead of building your own?
Building voice AI from scratch takes a year and six figures, and the client pays for it. Synthflow gets you live in 14 days on enterprise-grade compliance. We name the tools because hiding them is exactly the agency behavior we built this firm to replace.
Why no client logos on this page?
Our med spa engagements operate under market exclusivity, and we don't publish a client's territory or numbers without their say-so. What we'll show you instead: the live system on the call, our founder's 9-year, $27M-managed track record, and a 60-day money-back guarantee. The math has to work for you. We'll run your actual numbers on the call.