Why med spas and aesthetic clinics in San Antonio 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.
San Antonio is majority Hispanic, which makes Spanish-first campaigns the primary channel rather than a secondary experiment. On top of that, San Antonio 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.

