Med Spa Lead Follow-Up: Turning Consult Requests and Lapsed Clients Into Bookings

Med spas should follow up every consult request within the hour, follow up unconverted consults over the next two weeks, and check in with lapsed clients before they drift to another clinic. Short, warm texts that offer a time work best. The payoff is big because med spa revenue depends on repeat clients.
At a glance
- Average med spa revenue about $1.4M a year (AmSpa, 2024 report)
- $527 average revenue per patient visit; 245 visits a month
- 73% of patients are repeat patients
- 10,488 US med spa locations in 2023
Why does follow-up matter so much for med spas?
Because the model is repeat visits. AmSpa's 2024 State of the Industry report put the average med spa at about $1.4 million in annual revenue, $527 per patient visit and 245 visits a month, with 73% of patients being repeat patients. A consult request that never books loses the first visit and every visit after it.
Where do med spa leads get lost?
- Too many inboxes. DMs, texts, forms and calls, with no single owner
- Consults with no treatment. Clients leave to think and never hear back
- No rebooking. Clients who miss their usual interval aren't contacted
What should med spa follow-up texts say?
| Situation | Message |
|---|---|
| New consult request | Thanks for reaching out. Would [day] at [time] work for a consult? |
| Consult, no treatment | Any questions after your consult? Happy to find a time. |
| Lapsed client | It's been a little while. Would you like to book your next visit? |
Keep it warm, specific and free of exaggerated results or pressure. Respect TCPA quiet hours: 8am to 9pm federally, stricter in states such as Florida, Oklahoma and Texas (ActiveProspect). See our texting compliance guide.
Can AI handle med spa follow-up?
Yes. Setterly's AI texts consult requests, unconverted consults and lapsed clients, answers simple questions in wording you approve and books appointments with your team. Medical questions go to your providers. You pay per booked appointment. There is no setup fee and no retainer. CRM integration is optional for a one-off fee. See AI appointment setter for med spas.
Our published results are UK campaigns in other industries; every business that sells a considered purchase works the same way. Cloudy2Clear, a UK misted double glazing repair franchise, booked 673 appointments from 6,769 old leads. Past results, not a forecast.
Frequently asked questions
How fast should a med spa reply to a consult request?
Within the hour. Harvard Business Review research found firms that replied within an hour were nearly seven times more likely to qualify a lead.
What's the average med spa revenue?
AmSpa's 2024 report put it at about $1.4 million a year per location, with $527 per patient visit.
How do you rebook lapsed med spa clients?
A short, friendly check-in by text offering a time for their next visit, where they've consented to texts.
Sources
Works for: Med spas



