Top Plastic Surgery PPC And Paid Ads Agencies In 2027
Lily Roberts
Senior Marketing Strategist - ReVerb
11.13.2026
Last updated: November 12, 2026
The best plastic surgery PPC and paid ads agencies for 2027 are Sagapixel for Google Premier Partner management on month-to-month terms, Etna Interactive for aesthetic specialists with custom landing pages and audited ROI claims, and Digital Limelight Media for ad spend tied to booked procedures in your EMR. Plastic Surgery Studios and NKP Medical Marketing complete the top five.
Plastic surgery is one of the most expensive local categories in Google Ads, with procedure clicks often costing $10 to $30 or more. That makes tracking, landing pages and fast follow-up as important as bidding.
At a glance
Agency
Headquarters
Best for
Terms
Sagapixel
Pennsylvania
Google and Meta ads with flexible terms
Month to month
Etna Interactive
San Luis Obispo, CA (remote)
Custom landing pages and aesthetic experience
Three service tiers; prices not published
Digital Limelight Media
United States
EMR-linked revenue attribution
Not published
Plastic Surgery Studios
Rancho Cucamonga, CA
Google Partner with Microsoft Ads accreditation
12-month minimum
NKP Medical Marketing
Not published
Strong attribution reporting
Not published
Influx Marketing
Park City, UT
Meta ad creative
Not published
Studio III Marketing
Glendale, CA
Paid media with in-house creative
Not published
Rosemont Media
San Diego, CA
Paid search alongside a new website
Not published
Incredible Marketing
Lake Forest, CA
Paid media without lock-in
60 days’ notice
Plasthetix
Baton Rouge, LA
Google Ads judged on revenue
Not published
How we evaluated
We compared platform accreditations, aesthetic experience, landing page and creative capabilities, conversion and revenue tracking, ad account ownership and contract terms. No agency paid to be listed.
The 10 best plastic surgery PPC agencies in 2027
1. Sagapixel
Sagapixel is a Google Premier Partner that also runs Meta ads for plastic surgeons, med spas and dermatologists, on month-to-month contracts.
2. Etna Interactive
Etna Interactive runs Google, Bing and social campaigns for aesthetic practices with custom landing pages. It is a Google Premier Partner with Microsoft Advertising accreditation and advertises a 10:1 average first-year ROI based on audited lead data.
3. Digital Limelight Media
Digital Limelight Media connects ad spend to booked procedures through EMR integration, so practices see revenue per campaign.
4. Plastic Surgery Studios
Plastic Surgery Studios is a Google Partner with Microsoft Ads accreditation serving surgical practices and med spas.
5. NKP Medical Marketing
NKP Medical Marketing is known for attribution, tracking which campaigns lead to consultations and surgeries.
6. Influx Marketing
Influx Marketing pairs paid social with strong ad creative for cash-pay practices.
7. Studio III Marketing
Studio III Marketing runs Google and Meta ads backed by in-house photo and video.
8. Rosemont Media
Rosemont Media runs paid search alongside its custom websites and SEO.
9. Incredible Marketing
Incredible Marketing manages paid media with no long-term contract and 60 days’ notice.
10. Plasthetix
Plasthetix runs Google and Meta ads for surgeons and tracks revenue back to source.
How to choose a plastic surgery PPC agency
Own your ad accounts. Some agencies keep accounts when you leave; insist that the account is in your practice’s name.
Track to revenue. Ask for cost per consultation and cost per surgery, not just cost per lead.
Use procedure-specific landing pages rather than sending clicks to your homepage.
Follow ad policies. Google and Meta restrict some before-and-after imagery and health claims.
Frequently asked questions
How much should a plastic surgeon spend on Google Ads?
Many practices spend $3,000 to $15,000 or more a month in ad spend, plus management fees, depending on market size and procedures.
Are Meta ads or Google Ads better for plastic surgery?
Google Ads captures people actively searching for procedures. Meta ads build demand and work well for non-surgical offers and retargeting. Most practices use both.
