Better ROAS starts with better patients.
The right lead management system doesn't just book more leads. It captures the patients who show up, spend and come back. Here's what we learned tracking 73 med spa clinics for five months.
24 clinics with DNA+ lead management vs. 49 without, same franchise network, Apr–Aug 2026.
Most conversations about return on ad spend start with the ads: the creative, the audience, the budget. But two clinics can run the same ads, get the same number of bookings and walk away with very different returns.
The difference is who those bookings turn into. Some patients show up, spend on their first visit and come back. Others no-show or buy once and disappear. Your ROAS is decided by how many of the first kind you capture.
The clinics running our lead management earned about 50% more first-visit revenue per ad dollar. It wasn't about booking more leads. It was about turning more bookings into the patients every clinic wants.
Capture more of these patients and ROAS grows without touching the budget.
They show up
A booking only pays when the patient walks through the door. A no-show still cost you the lead.
They spend on day one
They come in ready to buy, often because their questions were answered before they arrived.
They come back
They join a membership or rebook, which turns one ad dollar into revenue for months.
Better patients. Better return.
From April through August 2026, we compared 24 med spa clinics running DNA+ lead management against 49 clinics in the same franchise network that weren't. Same brand, same services.
More patients showed up, they spent more on day one and more of them stayed. Together, that added up to roughly 50% more first-visit revenue per ad dollar and a new patient that cost $119 less to win.
First to reach them
The median lead at our clinics heard back in 6 minutes, versus 44 across the rest of the network. We reached 89% of leads by call or text, versus 65%.
Growth while others slipped
Our clinics grew revenue 4.3% and added 9.2% more new patients. The rest of the network's revenue fell 2.2% over the same month.
Our strongest clinic
Over a 30-day window it kept a 59% show rate and returned 2.59× on first visits alone.
ROAS figures here count only a patient's first purchase. Memberships and repeat visits come on top, so the long-term return is higher for both groups. First-visit spend and membership rates also depend on each clinic's services and pricing, so read these as what we saw, not a promise.
What would a few more shows be worth?
Slide in your monthly numbers. We'll show your ROAS today, and what it becomes if 5 more of every 100 booked patients show up, close to the gap we measured.
An illustration using your inputs, on the same ad spend. Not a guarantee of results.
The best patients book with whoever makes it easy
Reach them first
Great patients reach out while they're excited. Replying in minutes, nights and weekends included, means you talk to them before anyone else does.
Answer real questions
Patients who know what to expect on price, treatment and timing arrive ready to buy, not just to browse.
Keep them confirmed
Reminders, confirmations and quick rescheduling keep a booked patient on track until they're in the chair.
Win back the ones who slip
No-shows and older leads go back in the queue for another try. A lead you already paid for is the cheapest patient you'll ever win.
Measure the patients you win, not just the leads you buy
Track these for at least a full month. If ROAS is flat while lead counts look healthy, look at who actually showed up and what they spent.
Capture better patients, not just more leads.
You don't need a bigger ad budget to grow ROAS. You need a system that reaches your best patients first, prepares them to buy and keeps them coming back. DNA+ Connect is the lead management software behind the clinics above. It replies to every new lead in minutes, answers their questions, books straight into the calendar you already use (it's custom built to each client's model) and keeps patients confirmed until they arrive. Our team still configures and tunes every account.