Average lifetime value for a med spa patient ranges from $2,000 to $15,000 depending on the service mix and retention rate. Botox-only patients who return 3 to 4 times per year at $400 to $600 per visit generate $6,000 to $8,000 over a 3-year relationship. Patients who add filler, laser, and weight loss services have significantly higher lifetime values.
Understanding lifetime value fundamentally changes how much you should spend to acquire a new patient. If your average patient is worth $5,000 over 3 years, spending $200 to $300 to acquire them through Google Ads is obviously worthwhile. Practices that only look at the revenue from the first visit dramatically undervalue new patient acquisition and underinvest in marketing.
The highest-LTV patients are those who use multiple service categories. A Botox patient who adds lip filler, then starts a weight loss program, then does a laser package is worth 5 to 8 times more than a single-service patient. Marketing programs that introduce existing patients to complementary services — through in-practice recommendations, email campaigns, and loyalty incentives — are among the highest-ROI activities for an established med spa.
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