Updated October 2026
Most “best plastic surgery marketing agency” lists were written by an agency. So was this one. We are on this list, and we put ourselves first.
For each agency, we checked the price, the contract, the reviews and the software. Then we put it all side by side.
One honest note: the order is our opinion. The facts in the table are not. Want an agency that only does cosmetic work? Then Plastic Surgery Studios or Etna Interactive may be your #1.
TL;DR
- Our pick: PilotPractice, if you use Nextech, ModMed or NextGen and want ads judged by booked consults, not clicks.
- Best cosmetic-only picks: Plastic Surgery Studios (12-month minimum, and it keeps your ad accounts) or Etna Interactive. Best with no lock-in: Incredible Marketing (60 days’ notice) or Sagapixel (month to month).
- What it costs: our surgery clients paid about $114 for each new patient call or booking, the most of any kind of practice. Other sites say cosmetic-only agencies charge about $2,000 to $10,000 a month, plus the ads.
- Before you sign: ask how long the contract is, who keeps your website and ad accounts, and to see the booking connection on a real client’s account.
The 9 best plastic surgery marketing agencies in 2026
1. PilotPractice (performance marketing judged by booked consults)
Best for: Surgeons who want ads judged by booked consults, not clicks.
Full disclosure: this is our article, and we put ourselves first. We do not work only with cosmetic doctors. If that matters most, Plastic Surgery Studios, Etna Interactive and Plastix beat us there.
What we do differently. We are a performance marketing agency. We judge every ad by one thing: how many consults it booked, not how many clicks it got. Most agencies stop at the click or the call. We follow each one all the way to the booked visit.
Pros
- Real booking: Patients pick a real open time on your website. It goes straight into your own scheduling software: Nextech, ModMed or NextGen. No “request” form sitting in an inbox.
- After hours: An AI phone helper answers when your office is closed. It answers questions and books the consult.
- Missed calls: A missed call gets a text back within seconds.
- You see what works: You can see which ads bring booked consults.
Cons
- We are not cosmetic-only, and we have no price list. Our cost per new surgery patient is just average.
- For film crews and fancy branding, Studio III is better.
What it costs. We give you a quote based on your practice. Booking, texting, call tracking and the AI phone helper are included. They are not extras.
Proof. Here are plastic surgery clients you can look at:
- Bafitis Plastic Surgery (Jupiter, FL)
- Cilento Facial Plastics (Houston)
- Dr. Lissa Plastic Surgery (Atlanta)
- LA Plastic Surgery (Sarasota, FL)
- LaBarbera Plastic Surgery
- Miami Aesthetic
- Navarro Plastic Surgery (Arizona)
- Revive Surgical Institute (Miami)
- PRM Cosmetic Surgery (Southern California)
2. Plastic Surgery Studios (cosmetic-only, around the longest)
Best for: A long-running, cosmetic-only team.
What they do: Websites, Google, ads, social media and reviews. What it costs: Not published. Other sites say from $2,500 a month. Lock-in: You can’t cancel in the first 12 months.
Pros
- It has only ever done cosmetic work.
Cons
- If you leave, the agency keeps your ad accounts.
3. Studio III (high-end practices, big creative team)
Best for: High-end practices that want a big design team.
Studio III is all about design and brand.
What they do: Custom websites, photo and video shoots, social media and ads. What it costs: Not published. Clutch says projects start at $5,000. Lock-in: Other sites say 6 to 12 months, with a fee to leave early.
Pros
- Big-name clients and beautiful work.
Cons
- Its LeadLoop tool only keeps a list of calls. It does not book anything.
4. Etna Interactive (strategy, not just ads)
Best for: Practices that want a plan and a new website.
What they do: Websites, plans and its own tools. Cost and lock-in: Not published. It says it is not for “short-term” help.
Pros
- It says past clients made back about ten times what they spent.
Cons
- Its tools don’t connect to Nextech or ModMed.
- Booking is still done by hand.
5. Plastix Marketing (a small cosmetic-only team)
Best for: One-surgeon practices that want a small team.
Plastix is young and small. The people on the sales call do the work.
What they do: Cosmetic marketing, with a web page to see your reports. What it costs: Not published. Other sites say from $2,000 a month. Lock-in: Not published.
Pros
- Clear results with real client names.
Cons
- Nothing connects to your scheduling software.
6. Sagapixel (Google Ads value, month to month)
Best for: Google ads on a smaller budget.
What they do: Google ads, and helping you show up on Google Maps. What it costs: Not published. Lock-in: None. It works month to month.
Pros
- It tells you up front what new patients should cost.
Cons
- No booking, phone or texting tools.
7. Incredible Marketing (full service, no lock-in)
Best for: Owners who never want to be locked in again.
What they do: Websites, Google, ads and social media. What it costs: Not published. Lock-in: No long contract. You give 60 days’ notice.
Pros
- Easy to leave, and it trains your front-desk staff.
Cons
- Nothing books into your schedule.
8. Red Spot Interactive (help answering calls)
Best for: Practices that want a phone team more than ads.
Red Spot is really a software company with an agency on the side.
What they do: A phone team that answers for you, online booking and ads. Cost and lock-in: Not published.
Pros
- It is the only other agency here that names the software it connects to.
Cons
- Its Google rating is 4.5, lower than most on this list.
9. Rosemont Media (their only client in town)
Best for: Surgeons who want to be the agency’s only client in town.
Rosemont takes one practice per town. If your competitor signed first, you can’t join.
What they do: Websites, Google, articles and social media. What it costs: Not published. Clutch says projects start at $5,000. Lock-in: Not published.
Pros
- Strong reviews and an A+ from the Better Business Bureau.
Cons
- Its success stories talk about Google rankings, not new patients.
Quick comparison: the 9 agencies side by side
| # | Agency | What they charge | How long you’re locked in | Works with your scheduling software? | Reviews | Best for |
|---|---|---|---|---|---|---|
| 1 | PilotPractice (that’s us)Performance marketing, healthcare only | Quote based on your practice | Terms shared with your quote | Yes — Nextech, ModMed, NextGen. Patients book into your schedule, and an AI phone helper books after hours. | Google 5.0 (31) | Surgeons who want ads judged by booked consults, not clicks |
| 2 | Plastic Surgery StudiosCosmetic only, since 1999 | Not published (other sites say from $2,500/mo) | 12 months minimum; the agency keeps your ad accounts | Own tracker; does not name your software | Google 5.0 (95) | A long-running, cosmetic-only team |
| 3 | Studio IIICosmetic + dental + law firms | Not published | 6–12 months (other sites say) | Own tracker; does not name your software | Google 5.0 (99) | High-end practices that want a big design team |
| 4 | Etna InteractiveCosmetic only, since 2002 | Not published | Not published | Own trackers; does not name your software | 4.63 (72) | Practices that want a plan and a new website |
| 5 | Plastix MarketingCosmetic only | Not published (other sites say from $2,000/mo) | Not published | No — just a page with reports | Google 5.0 (22) | One-surgeon practices that want a small team |
| 6 | SagapixelHealth care, mostly plastic surgery | Not published | Month to month | No | Google 4.8 (35) | Google ads on a smaller budget |
| 7 | Incredible MarketingCosmetic only, since 2008 | Not published | No long contract; 60 days’ notice | No | Google 4.8 (57) | Owners who never want to be locked in again |
| 8 | Red Spot InteractiveCosmetic + health care, software first | Not published | Not published | Yes — names ModMed, Nextech, NextGen, PatientNow, Symplast, athenahealth, Veradigm | Google 4.5 (24) | Practices that want a phone team more than ads |
| 9 | Rosemont MediaCosmetic + dental, since 2008 | Not published | Not published | No | Google 5.0 (79) | Surgeons who want to be the agency’s only client in town |
Swipe sideways to see every column →
Ratings checked in early October 2026. “Not published” means it is not on the agency’s website. “Other sites say” means the number comes from review sites.
Our pick for each kind of practice
One surgeon, small budget
Sagapixel or Plastix. But fix your phones and online booking first.
Growing practice
PilotPractice for ads judged by booked consults. Plastic Surgery Studios or Etna for cosmetic-only. Incredible for no lock-in.
High-end brand
Studio III for the look.
Nobody answers the phone
Red Spot’s phone team, or PilotPractice’s AI phone helper.
Busy city, and you want to be the only one
Rosemont Media.
What plastic surgery marketing actually costs in 2026
New surgery patients cost more to find than most other patients. Our chart shows why.
Our surgery clients paid about $114 for each new patient call or booking. That is close to average.
Three things to know.
- Surgery patients take longer to decide. So each one costs more to find.
- One surgery is worth far more than a spa visit. So the higher cost is still fine.
- Big cities cost more. Expect to pay a lot more in Los Angeles, Miami or New York.
Numbers to hold any plastic surgery agency to
| What to check | Good | Time to worry |
|---|---|---|
| Cost of each new patient call or booking from Google | Under $120 | Over $300, with no consults booked |
| Calls that turn into booked consults | More than 1 in 5 | Fewer than 1 in 10. Fix your phones before buying more ads. |
| Ad cost for each surgery | Less than a tenth of the surgery price | More than a fifth of the surgery price |
| What the monthly report shows | Consults booked and surgeries scheduled | Only how many people saw your ads |
How to choose a plastic surgery marketing agency
Three things decide most of it: the fine print on “promises,” the connection to your scheduling software, and the contract.
The “promises,” in plain words
| Agency | The promise | The catch | What it really means |
|---|---|---|---|
| Etna Interactive | Past clients made back about ten times what they spent | No money back if you miss it. | Good proof, not a promise. |
| Plastix, Studio III, Sagapixel | Stories of great results | Each story is one practice. | Ask for results from a practice like yours. |
| Rosemont Media | You’ll be our only client in your town | Contract length not published. | Nice, but it does not bring patients by itself. |
| Incredible, Sagapixel | None | You can leave easily instead. | Maybe the best promise: if it’s not working, you leave. |
| PilotPractice | None | Terms shared in writing with your quote. | Ask every agency for the contract on paper. |
Who actually connects to your practice software
Almost every agency says “we connect to your software.” It can mean three things:
- Real connection: patients can book right into your schedule.
- Reports only: it shows which ads worked, but it can’t book anything.
- Just a list: your staff still types everything in by hand.
Here is what each agency says on its own website.
| Agency | Nextech | ModMed | NextGen | PatientNow | Symplast | What it does | Patients can book into your schedule? |
|---|---|---|---|---|---|---|---|
| PilotPractice | ✓ | ✓ | ✓ | — | — | Real connection | Yes — from the website and from the AI phone helper |
| Red Spot Interactive | ✓ | ✓ | ✓ | ✓ | ✓ | Reports, booking and a phone team (also athenahealth, Veradigm) | Says yes — ask to see it working |
| Etna Interactive | Does not name any | Just a list, plus its own call tracking | No | ||||
| Studio III | Does not name any | Just a list (LeadLoop) | No | ||||
| Plastic Surgery Studios | Does not name any | Just a list, plus “calendar sync” (StudiosCRM) | Into its own calendar, not your software | ||||
| Plastix | No connection | A page with reports | No | ||||
| Sagapixel, Incredible, Rosemont | No connection | Counts calls only | No | ||||
Swipe sideways to see every column →
Based on each agency’s website, October 2026. “—” means not listed. Ask to see the connection working before you sign.
Five questions to ask before you sign anything
Ask this
- How long is the contract, and how do I cancel?
- If I leave, who keeps my website and my ad accounts?
- Can you show me your booking connection on a real client’s account?
- Who answers my phones at night and on weekends?
- Which clients left you last year, and why?
Skip an agency that
- Keeps your ad accounts when you leave.
- Counts results in Google rankings, not consults.
- Can’t show its booking connection on a real client’s account.
- Only keeps a list of calls and books nothing.
How we ranked these agencies
How we built this list. We picked the names that show up most on other “best” lists. If an agency hides a number, we say Not published. Our own numbers come from about 25 plastic surgery practices we help.
What we checked that other lists don’t
- The contract. How long you are stuck, and who keeps your website and ads if you leave.
- If they really work with your scheduling software. Many say they do. Only one other agency names the software.
- The fine print on “promises.” We explain what each one really means.
- Reviews from many sites. We kept the bad reviews in.
Agencies you’ll see on every other list — and why they’re not in our top 9
Each of these has a catch.
- Thrive Internet Marketing Agency — a big general agency with no plastic surgery page.
- Cardinal Digital Marketing — built for big groups with many offices.
- Intrepy Healthcare Marketing — well reviewed, but reported to start at $10,000 a month.
- Nuvolum — no named plastic surgery clients.
- Brenton Way — ranks itself first on its own list, with no plastic surgery clients named.
- First Page Sage — built for big chains, and ranks itself #1 on its own list.
- NKP Medical Marketing — mixed reviews, including complaints about canceling.
Frequently asked questions
What does a plastic surgery marketing agency cost per month?
Most agencies in this field do not post prices. Other sites say cosmetic-only agencies charge about $2,000 to $10,000 a month. Ads cost extra.
What should a new patient call or booking cost from Google ads?
For surgeons, the usual cost is about $103 each. Big cities cost much more.
Should I hire a cosmetic-only agency or a health care agency?
Cosmetic-only agencies know the surgeries very well. Health care agencies like us build tools, like booking into your schedule and AI phone answering. Pick based on where you lose patients.
How long until I see results?
Google ads can bring calls in the first few weeks. Surgeries come later, often a few months after the first call.
Why is PilotPractice #1 on its own list?
Because we wrote it. We showed where we fall short and named who to pick instead. Use the table, not the order.
See your own numbers before you pick anyone
We’ll show you what surgeons in your city pay for new patients. It’s free.
Sources: agency websites, review sites, LocaliQ, First Page Sage and our clients’ Google ads. Spot a mistake? Email [email protected] and we’ll fix it.
