Why med spas and aesthetic clinics in New York 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.
NYC has the densest Dominican, Mexican and Colombian populations in the country, and mobile click-to-WhatsApp beats form fills by a wide margin. On top of that, New York 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.

