Why med spas and aesthetic clinics in Dallas overpay for leads
Aesthetics is a creative-driven auction: the offer and the before/after asset decide the CPL, not the bid. Most accounts recycle stock imagery and stall at a $40+ CPL.
DFW is one of the fastest-growing Hispanic metros in the country, and click-to-call intent dominates home services and clinics. On top of that, Dallas accounts almost always mix Spanish and English keywords in one campaign, which inflates CPCs on both sides and hides which language is actually producing revenue.

