GP-led. Own premises. 3,000 patients in the CRM. 12 years of credibility. You already send emails and run the Dermis app, but there's a big chunk of your database that could be doing a lot more. We run two things in parallel from Week 1: a targeted reactivation campaign to your existing patients, and financially qualified ads that bring in the right kind of new patients. Not bargain hunters. People who come back.
Set your revenue goal below. The calculator will show you precisely how many new clients you need each month, at what price points, and how many times they need to return. No guesswork.
"They promised a lot. The leads had no lifetime value. People just wanted a freebie."
Chris Stewart, Director, Underlining BeautyChris, you've run ads before. You've worked with agencies before. And you know exactly what went wrong. The targeting was too broad. The offers attracted bargain hunters instead of real patients. Nobody tracked whether those people actually came back for a second visit. Nobody measured lifetime value. The agencies you worked with were focused on getting leads in the door. They weren't focused on getting the right leads, or on what happened after the first appointment.
On top of that, you mentioned you've explored partnerships as a way to grow, which tells me you're thinking beyond just advertising. That's smart, and it's something we can support down the line. But right now, the biggest opportunity is closer to home. You've got 3,000 patients in your CRM. You're already emailing them through Genie AI, which is great. But there's a layer of direct, personalised outreach that can sit alongside your existing email marketing and drive a measurable spike in bookings, app downloads, and membership sign-ups. We run that in parallel with quality-focused paid ads from Day 1.
Here's what makes this different from what you've tried before. We run two things at the same time, right from the start. First, a targeted reactivation campaign to your existing patients, working alongside the email marketing you already do. Second, paid ads that are built around your GP-led credibility and targeted at people who look like your best existing patients. Everything is tracked through PatientFlo, our own custom reporting software. We use Go High Level for the outreach, but PatientFlo is built on top of that to give us functionality that off-the-shelf tools don't have: tracking the full sales cycle, measuring payback periods, and assessing lifetime value against your actual booking data from Dermis and Aesthetic Nurse Software. You see actual revenue per campaign, per location, per patient. Not impressions or clicks.
You're not starting from zero. You're starting from an exceptional foundation. Here's what changes when the system is in place.
| Area | Right Now | With the System |
|---|---|---|
| How patients find you | Email marketing through Genie AI, the Dermis app, and reputation. You've run ads before but they brought the wrong people. | Your existing email marketing continues. On top of that, we add personalised reactivation (SMS, WhatsApp) and financially qualified Meta ads running in parallel. |
| Your 3,000 patients | You're emailing them, but only about 300 have downloaded the app. There's more you could be doing with direct outreach. | Targeted reactivation alongside your existing emails. Personalised offers, app download prompts, membership invites. Revenue coming in within the first few weeks. |
| Revenue | £24k a month. £300k a year. Strong, especially with no paid ads delivering consistently. | Database reactivation and quality ads running in parallel. We don't make specific revenue promises, but the maths on your database is worth looking at below. |
| Quality of patients | Previous ad campaigns brought people chasing deals. No repeat bookings. No lifetime value. | Every lead financially qualified. Audiences modelled on your best existing patients. Lifetime value tracked per source. If a campaign brings one-timers, we cut it straight away. |
| Knowing what works | No centralised visibility on what's actually driving revenue. | PatientFlo shows you cost per patient, lifetime value, and performance by location. In actual pounds. |
| The Dermis app and membership | 10% have downloaded it. About 1% are paying the £129/month membership. | Every campaign, both reactivation and ads, drives people to download the app and consider membership. That recurring revenue is what makes the business more valuable at exit. |
| Selling the business | Revenue built on reputation and relationships. Hard to transfer to a buyer. | Documented acquisition system, predictable revenue, clean data across the business. That's what moves your EBITDA multiple from 3x to 5-8x. |
Most clinics spend months building what you already have. Here's what that means in practice.
This is the key difference between what we do and what a marketing agency does. We don't run one thing and wait. We build everything at the same time so revenue flows from multiple directions at once.
Pulled directly from the Facebook Ads Library and Instagram this week. Here's what's running in your market.
These are people actively searching with intent to book the treatments Underlining Beauty offers.
These 12 keywords add up to 2,820 searches per month across Liverpool, Wirral, and Chester. That's people actively looking to book treatments near your clinic.
What that means in revenue: A Google Maps listing that's properly optimised typically captures 10-20% of local search impressions. At a conservative 15% capture rate and a 3% website conversion rate, that's roughly 12-13 new patients a month from Google alone. At £300 average, that's around £3,600-£3,900 per month in extra revenue. And as you expand to more locations, each new site opens up its own postcode area and keyword set.
We'd recommend setting up call tracking on your Google Business Profile from the start, even before the SEO work ramps up. That gives you a baseline for how many calls Google is currently driving, so you can measure improvement over time. And unlike ads, SEO compounds. The work you put in now keeps paying for itself month after month.
We also noticed the word Botox appears on around 60 pages of your current website, which is what's causing your Google Ads account suspensions. Cleaning that up is part of the SEO kickstart so you're not locked out of Google Ads going forward.
Important: SEO is background work, not the main focus right now. The immediate revenue comes from the reactivation and paid ads. But it's worth setting the foundation now while the new website is being built.
Source: Estimated search volumes for Merseyside/Wirral/Cheshire region, April 2026.
Use the calculators below. Adjust the sliders to match your situation. The master total at the bottom pulls everything together.
Front-end ROAS = Month 1 revenue divided by ad spend. LTV ROAS = 12-month lifetime value divided by ad spend. The LTV number is what actually matters.
Database reactivation costs nothing in ad spend. It's pure profit from relationships already built. This runs in Week 1, before ads launch.
SEO compounds over time. Month 3 rankings are better than Month 1. The annual figure assumes steady growth across the year.
All three engines running together. This is what the full system looks like in Year 1. Adjust any calculator above and this updates automatically.
Based on your pricing, your existing best-sellers, and the highest lifetime value opportunities.
Here's exactly what happens, week by week. No vague strategy sessions. Concrete actions with measurable outcomes.
Not an agency. Not a freelancer. A specialist team that has built this exact system for aesthetics clinics and knows your industry inside out.
These are the kinds of results we see when a clinic has a strong foundation and we install the system.
Both clinics are doing £40,000 a month. But one is worth twice as much as the other. The difference is what's underneath.
Every plan includes the full system: database reactivation, Meta ads management, PatientFlo tracking, offer creation, and consultation support. The difference is depth and duration.
So there's no ambiguity. Here's the full scope of what's covered.
Based on our call, here are the real questions you're probably weighing up. Honest, straight answers so you can make an informed decision.
A typical agency runs ads, sends you leads, and that's it. Nobody checks whether those patients came back. Nobody measures lifetime value. Nobody works your existing database in parallel. We do all of that, and we track everything through PatientFlo so you can see the actual revenue each part of the system generates. Not impressions, not clicks. Actual pounds from actual patients who return.
We use what we call Affluent Area Targeting. Instead of casting a wide net and hoping for the best, we specifically target higher-income postcodes and demographics around each of your clinic locations. On top of that, we build lookalike audiences modelled on your best existing patients, the ones who've come back multiple times and spent real money. Your front-end is a GP consultation with an AI skin analysis, not a discount. The kind of person who books that is already serious and willing to invest. And PatientFlo tracks lifetime value per lead source, so we can see which campaigns produce patients who stay versus those who book once and disappear. If a campaign starts attracting the wrong crowd, we see it in the data and kill it straight away. We track payback periods and lifetime value, not just cost per lead.
Your email marketing and the Dermis app keep running exactly as they are. What we add sits alongside that. Direct, personalised SMS and WhatsApp outreach to the patients who haven't engaged with the emails or downloaded the app yet. We also set up long-term nurture sequences for new leads that come in through the ads, so they're being warmed up and educated over time, not just contacted once and forgotten. Plus the acquisition side: financially qualified Meta ads that bring in new patients who look like your best existing ones. And PatientFlo ties it all together so you can see the full picture across the business.
The management fee is £3,000 for 90 days, or £1,300 a month on a rolling basis. There's normally a £1,000 setup fee but we're waiving that this month. Our rates are increasing after April due to demand, so this is the most competitive these prices will be. Ad spend is separate and goes directly to Meta. We recommend £1,000 a month to start, and you control that budget directly. Total outlay over 90 days: £6,000. If the system doesn't at least generate £6,000 in revenue over those 90 days, you get a full refund on the management fee. No questions asked.
The system is built to scale. When you open a new location, it gets its own campaign, its own targeting radius, and its own tracking. One dashboard showing everything. You've already run up to 10 sites before, so you know the model. The difference this time is you'll have documented acquisition systems in place from day one at each new site.
Yes, you can start right now. The database reactivation uses SMS, WhatsApp, and email, not the website. The Meta ads can run to a simple booking form or lead form. The SEO foundation work starts at the Google Business Profile level, which is independent of the website. And when the new site is ready, we do a fresh SEO pass on it so it's optimised from the day it launches.
Smart thinking, and it's something we can help structure once the core system is running. Partnerships tend to be a slower burn. The reactivation and paid ads will move the needle faster in the first 90 days. Once those are generating consistent revenue, we can layer in partnership outreach as an additional channel. It's a bonus on top of the core system.
Database reactivation starts generating revenue within the first couple of weeks. It runs alongside your existing email marketing, so nothing gets replaced. Meta ads typically take 4-6 weeks to optimise and show consistent results. By month 3, you'll have full visibility on what the system delivers and can decide whether to continue, scale, or adjust.
The total outlay over 90 days is £6,000: £3,000 management fee and £3,000 in ad spend to Meta. If the system doesn't at least cover that £6,000 in revenue generated, you get a full refund on the management fee. No questions asked. That's there for peace of mind as a bare minimum. We plan and expect to drastically outperform that number. With 2,000+ reachable patients in your CRM and your treatment menu, the maths is firmly on your side.
This is probably the single most valuable reason to start now. A clinic group running on reputation with no documented acquisition system typically sells for 2-3x EBITDA. A group with proven systems, predictable revenue, and clean data across the business typically sells for 5-8x EBITDA. On your numbers, that's a difference of hundreds of thousands of pounds at exit. Dr. Kala Eulitt on our team has built and sold multiple practices and advises specifically on this.
We handle the strategy, the reactivation campaigns, the ad creative and targeting, the PatientFlo tracking, and the SEO groundwork. You handle approving the messages before they go out, making sure your team can handle the bookings, and the clinical delivery. We're not here to tell you how to do aesthetics. You know that better than anyone. We're here to install the system that brings the right patients through the door and tracks every pound.
After 90 days you'll have the data to make a clear decision. PatientFlo will show you exactly what the system generated. We'd recommend moving to the 6-month plan at that point because that's where the exit positioning, expansion planning, and academy strategy work comes in. But if you'd rather keep it flexible, you can continue rolling month to month at £1,300, or prepay again for another block. Entirely your call. The database reactivation and SEO groundwork we've done doesn't disappear either way.
Dr Nyla is the biggest competitor running paid ads in your region right now. They're a corporate chain with premium positioning and multi-city campaigns. But they don't have what you have: a local, personal, GP-led clinic that patients feel genuinely connected to. Your GP-led creative will outperform their corporate approach on trust and repeat bookings. And they can't match 12 years of local reputation.
The ads are about 30-40% of what we do. The rest is database reactivation alongside your existing email marketing, PatientFlo tracking with sales cycle and payback period analysis, SEO groundwork including cleaning up the Botox issue on your website, and consultation conversion support. We also handle all the ad creatives and video editing. We just ask you to send over raw photos and video content, and we take care of the design and production from there. The ads work because the system around them works.
Chris, the management fee is £3,000 for 90 days (setup fee waived this month). Ad spend is £1,000 a month paid directly to Meta. Total outlay: £6,000. A conservative reactivation of your database alone, even assuming only 2,000 are still reachable, has the potential to generate £30,000 in revenue. And that's before the paid ads bring in a single new patient. If the system doesn't at least cover the £6,000, you get a full refund on the management fee. No questions asked. That's the bare minimum guarantee. We expect to drastically outperform it.