1,540% return on $664.92 in ad spend at a $1.5M medspa.
The lead case study. Pattern A (Leaky Bucket) into Foundation plus Acquisition Engine.
Situation
Where the engagement started.
Optiskyn is an aesthetic wellness studio operating in our target medspa revenue zone ($800K to $5M owner-operator). The practice had marketing spend going out the door but no diagnostic before the spend was deployed. The owner had run paid campaigns previously and seen them fail. Lead capture and follow-up were inconsistent. There was no review automation, no dormant client reactivation sequence, no defined consult-to-booking flow.
Diagnosis
The Leaky Bucket.
Marketing activity existed. Leads slipped through the cracks downstream. Calls went to voicemail. Web inquiries did not get followed up on within minutes. Past clients sat untouched. Spending more on ads would have made the leaks worse, not better. The pattern was Leaky Bucket.
Prescription
What we deployed.
We installed the Foundation first. AI voice for inbound coverage. Automated lead follow-up. Review automation triggered after every visit. Dormant client reactivation. Then, with the Foundation producing measurable activity, we layered the Acquisition Engine on top: a paid campaign into a Trojan Horse-style funnel, tracked end to end into the CRM.
Results
The numbers, no rounding.
- Ad spend on the original campaign: $664.92
- Leads generated: 29
- Landing page clicks: 250
- Phone consults booked: 19 (65.5% conversion from lead to booked consult)
- Phone consult show rate: 100%
- Revenue collected on the campaign: $2,897.75
- Memberships activated: 3
- Monthly recurring revenue from new memberships: $667
- Total tracked campaign value (including 12-month membership projection): $10,901.75
- Return on ad spend: 1,540%
- Most recently reported: more revenue in Q1 2026 than in all of 2025 combined.
An honest forward look.
See where your practice is leaking revenue.
Ten questions. Four minutes. Five leak categories with dollar figures and a 30% recovery scenario built from your inputs.