Healthcare and aesthetics / Med spas

    AI appointment setter for med spas: turn consult requests and lapsed clients into booked appointments

    Setterly is an AI appointment setter for med spas and aesthetic clinics. It texts consult requests that never booked, consults with no treatment and lapsed clients, and books them with your team. You pay per booked appointment, with no setup fee and no retainer.

    Updated October 22, 2026

    At a glance

    • What it does: texts your consult requests, unconverted consults and lapsed clients, answers questions and books consults into your calendar.

    • Lead sources we see in med spas: Instagram and Facebook, Google ads and your website, Groupon-style offers, Referrals, Past clients.

    • Price: pay per booked appointment. No setup fee, no retainer.

    • Proof: Cloudy2Clear: 673 appointments from 6,769 leads (UK campaign).

    • Compliance: TCPA quiet hours, state rules, opt-outs and 10DLC. See texting compliance.

    Why do med spas leads go cold?

    Leads across five inboxes. Inquiries arrive by DM, text, web form and phone. Many get one reply or none.

    Consults that don't convert. Clients come in, hear the options and leave to think about it. Nobody follows up.

    Lapsed clients drift away. Repeat clients drive med spa revenue, but clients who miss their next visit are rarely contacted.

    Why do follow-up and repeat visits matter so much for med spas?

    Because the business runs on repeat clients. 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, across 10,488 US locations in 2023 (AmSpa).

    Every consult request that never books and every client who misses their next visit is lost lifetime value, not just one appointment.

    What should a med spa follow-up say?

    Something warm and specific, with no pressure and no exaggerated results:

    Hi [First name], it's [Name] from [Med spa]. You asked about a consult with us a little while ago. Would you like to find a time this week? Reply STOP to opt out.

    Respect TCPA quiet hours and state rules (compliance). The AI books the consult and passes medical questions to your providers. See med spa lead follow-up.

    Results from live campaigns (UK)

    These are live Setterly campaigns for UK businesses, shown as reported (UK figures, in pounds). Every business that sells to homeowners or car buyers works the same way: leads go cold, the AI re-opens the conversation by two-way text and books the appointment.

    Cloudy2Clear

    A UK misted double glazing repair franchise

    Appointments booked
    673
    Leads worked
    6,769
    Reply rate
    64%
    Closed revenue
    £107,000+
    Read the case study

    A UK blinds and awnings company

    Appointments booked
    89
    Leads worked
    1,302
    Reply rate
    57%
    Pipeline
    £178,000

    A UK property and wealth education company

    Appointments booked
    297
    Leads worked
    3,131
    Reply rate
    35%
    Pipeline
    £296,109

    Pipeline = appointments booked x the client's average order value.

    All results

    How does Setterly book consults for med spas practices?

    1. You send your old leads. A CSV or CRM export of consult requests, unconverted consults and lapsed clients, with what each client asked about. We check source and consent with you first.
    2. The AI texts each client. The first message mentions their original request. When they reply, it answers questions, handles "not right now" and offers times.
    3. Consults land in your calendar. With notes from the conversation, so your team knows what was said.

    Messages come from a registered number in your business name, respect TCPA quiet hours and state rules, and every conversation is visible to you. See texting compliance. For practices and clinics, we agree how patient information is handled, including any HIPAA requirements, before anything is sent, and texts never include clinical details.

    Real conversations from UK campaigns

    Anonymized text threads from live Setterly campaigns, from the first message to a booked appointment or callback.

    09:415G
    S
    Setterly AI
    SMS Conversation
    Hi this is Claire from [Heating Co]. Is this James who made an enquiry about improving your home heating recently? Reply delete if you sorted it in the end.
    Yes can I book a home survey?
    Of course, I can help with that. Just before we book you in, can I ask, what were you hoping to improve about the heating in your home?
    I liked the look of your electric heaters
    They’re a popular choice, especially for people wanting more control room to room. Just to check, are you the homeowner?
    No I’m not
    No problem at all. Do you have your landlord’s permission to make changes to the heating?
    No I don’t
    Why do I need that?
    Fair question. Because the heating is a change to the property, we need the landlord’s permission before we can arrange a survey or do any work. If your landlord is interested, they can request a catalogue here: [link]
    Ok I just called him and he said it’s fine can I proceed with a home survey?
    That’s great news, thanks for checking with your landlord. Just one more thing, would you be the one making the investment in your new heating system, or would your landlord be handling that side?
    Yes I’m paying for it
    Let’s get you booked in for a free home survey with our team. I can do tomorrow at 10:00 am or 1:00 pm, would either of those work for you? It’s just to go over your enquiry and next steps in person.
    10am works
    Brilliant, your home survey is all booked in. If you need to cancel or reschedule your appointment please call us on [number]
    Appointment booked
    Home improvement (heating)

    Disqualified, got challenged, re-qualified after a landlord call, checked who was paying, then booked.

    How much does Setterly cost?

    You pay per booked appointment. There is no setup fee and no retainer. CRM integration is optional and carries a one-off fee, agreed with you before any work starts.

    See how pay per appointment works and how we handle texting compliance, or book a 30-minute call. US line: +1 363-203-5214.

    Frequently asked questions

    Can you rebook lapsed clients?

    Yes, where clients gave consent to be contacted. A simple check-in about their next visit is often enough.

    Do you promote specific injectables or discounts?

    Only offers you approve, and we avoid pressure tactics and exaggerated results.

    Do you handle DMs?

    Setterly works by text on leads you export with a phone number and consent. DMs without a number stay in your inbox.

    Are your results from med spas?

    Our published case studies are UK campaigns in other industries and are labeled that way.

    Is texting old med spas leads compliant?

    It can be when consent, quiet hours, state rules, opt-outs and A2P 10DLC registration are handled properly. Our compliance page explains the rules; it is general information, not legal advice.

    Sources

    1. AmSpa, 2024 Medical Spa State of the Industry executive report recap

    Setterly figures come from live client campaigns in the UK. Third-party figures belong to their publishers; vendor figures are marked as such. Compliance notes are general information, not legal advice.

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