Why med spas and aesthetic clinics in Houston 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.
Houston mixes very high-ticket legal and medical demand with a huge Spanish-first service market — separate campaigns per language is the single biggest lever. On top of that, Houston 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.

