Why plastic surgery practices in New York overpay for leads
High-ticket surgical leads need a long nurture cycle, but most accounts measure success at the form fill and never track which consults actually book surgery.
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.

