Why med spas and aesthetic clinics in Miami 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.
Miami runs the most expensive auctions in Florida in English, while the same searches in Spanish cost far less — and more than 70% of the metro speaks Spanish at home. On top of that, Miami 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.

