Med spa Google Ads, fully managed, with an AI receptionist that books every lead they bring in.
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.
- Calls every new lead back in under 60 seconds
- Answers missed calls and online forms, 24/7
- Trained on Botox, fillers, lasers and more
- HIPAA-ready, with a BAA executed before launch
15-minute fit call. No pressure. A straight answer on whether the math works for your spa.
Certified and Trusted




It's not your ads. It's what
happens after.
Most med spa clients still call to book or change an appointment, and many simply give up when they can't reach someone or the process feels confusing. They expect quick, round-the-clock answers, and your front desk is already stretched thin. Answer first and you win the booking. Respond within five minutes and you're far more likely to connect and convert. That's the gap we quietly close for you.
A turn-key system for more bookings and less stress.
High-intent Google Ads
We build and manage search campaigns around your high-margin treatments, so you attract quality patients, not bargain hunters.
AI receptionist
A warm, human-sounding assistant trained on your spa's services and policies, available around the clock to answer calls.
Real-time booking and qualification
It books consultations directly into your calendar, collects deposits when needed, and gently filters out time-wasters.
Peace of mind and growth
Ongoing campaign optimization, call transcripts, and a secure, HIPAA-ready system. We execute a BAA before launch.
Med spa owners, in their own words.
Real med spa clients, sharing their experience by choice.
Don't take our word for it. Listen.
- First-time caller asks what Botox costs and how it works.
- Nova explains pricing and units in plain language.
- Books the appointment at 0:48
- Caller asks about laser hair removal pricing.
- Nova walks through the treatment and packages.
- Converts to a consultation at 0:52
- Existing patient reschedules an appointment.
- Nova fills the open slot and offers a premium upgrade.
- Rebooked + upsell accepted at 1:04
Real recorded audio from our demo agent. No patient data. Play with sound, or read the beats above.
The robotic phone-tree era is over. Our assistant stops talking the moment a caller does, like a trained receptionist. And if a patient ever asks, it says it's an assistant and offers a real person.
9 yrs in paid advertisingA specialist agency, led by an advertising veteran who’s 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, and 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 thing: booked patients in your chair.
- Fully managed. Our team builds, runs, and optimizes everything. You never touch the platforms.
- No black boxes. You always know what’s working, and you own every account and asset.
- Performance-backed. If we don't produce, you don't pay. The risk sits with us.
From new lead to booked consultation. On autopilot.
Lead comes in
A patient inquiry from your ads, your website, or a phone call.
AI calls instantly
Our AI receptionist calls back in under 60 seconds, and answers around the clock.
Qualifies the patient
It answers questions, learns what they need, and checks whether it’s the right fit.
Books the consult
It books the appointment directly into your calendar, in real time.
Sends you a summary
You and your team get a full summary by email, text, and in your dashboard.
We optimize and grow
We use high-intent Google Ads and analytics to refine your campaigns for more booked consults.
It pays for itself.
One new patient can be worth $500 to $2,000 or more in revenue, from the first treatment and the follow-ups that come after. You don’t need dozens of bookings to cover your investment. On your free growth call, we’ll map your numbers and show you how quickly this system pays off.
Simple, transparent pricing.
AI receptionist setup, onboarding, and training. Your Google Ads and landing pages built and optimized.
Ongoing ad management, receptionist usage, call tracking, reporting, and strategic support. Scales with your volume.
Paid directly to Google, never through us. We’ll recommend the right budget on your strategy call.
No long-term contracts. Cancel any time.
You don’t pay if we don’t perform.
Here’s our 60-day promise: once we launch your campaign and you’ve run the agreed ad budget for 60 days, we guarantee qualified new-patient opportunities. If we don’t deliver, we refund your management fees for that period. No forms, no retention call, no games.
Ad spend goes to Google, not to us, so that part isn’t ours to refund. Our management fee is 100% on us.
Book My Free Growth Call →Support and onboarding
Personal onboarding
We handle the setup and train your AI to sound like you, so you’re up and running quickly.
Ongoing mentorship
Regular strategy calls to review performance, refine your scripts, and keep your calendar full.
Frequently asked questions
Ready to fill your schedule and reclaim your time?
Book your free growth call and we’ll map your numbers and show you how quickly this pays off.
No pressure. Just clarity.