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Paid Media Case Study: Scaling a Beauty Clinic to 8.54x ROAS

A resilient digital strategy means being able to pivot when the data demands it. For this Bangkok-based clinic, we recognised that a shift in channel focus was the only way to protect their ROI and salvage the relationship.

With our expertise as a Google Ads agency, we transitioned the clinic’s budget into search-led acquisition. This was a turning point for the partnership, transforming a potential nightmare into a high-growth success story.

About the client

Our partnership was at a point of high friction. A failed previous campaign on Facebook and delays in their website launch had left the client ready to cancel all services.

Our objective was to transition from speculative social ads to a high-intent paid media strategy that focused on users actively searching for specialised medical care. To secure the partnership, we moved to a results-based six-month trial, prioritising transparency and immediate accountability.

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The Challenge

The campaign’s starting point in March provided a stark reality check: a 0.00x ROAS. As an experienced AdWords agency, we recognised this as a necessary technical ramp-up period, but for a clinic already wary of digital marketing, the stakes were high!

The following months were defined by aggressive testing and keyword refinement:

  • March: 0.00x ROAS (Setup and data gathering).
  • April: 3.22x ROAS (Initial traction).
  • May: 2.29x ROAS (Keyword and creative testing).

 

The challenge was navigating this “learning phase” without losing the client’s trust. We had to prove that the initial lack of sales wasn’t a failure of the platform, but a prerequisite for identifying the high-intent search terms that would eventually drive tangible digital marketing results.

Our Strategy

We implemented a two-pronged strategy focused on channel efficiency and trust restoration:

  • Channel Re-alignment & Intent Focus
    • Eliminating Low-Intent Spend: We recommended a total cancellation of Facebook Ads. The platform was failing to capture patient intent, resulting in wasted budget.
    • Consolidating Resources: We redirected the budget exclusively into Google Ads services and SEO, positioning the clinic in front of users actively searching for medical solutions.
    • The Learning Phase: We maintained a “patience-first” approach, using early data to refine keyword bidding before scaling spend.

  • “Simplicity First” Management
    • Removing Technical Friction: We replaced technical jargon with transparent reporting focused on “leads” and “revenue.”
    • Active Listening: We held consultations to uncover business nuances, aligning our bidding strategy with the clinic’s most profitable services.
    • Value-Added Problem Solving: To rebuild trust, we prioritised fixing minor digital hurdles quickly and at no extra cost.
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฿200k monthly growth
250 %
Return on ad spend
1 x

The Results

To address these baseline challenges, our team developed a structured, long-term SEO strategy to increase search visibility, keyword rankings, and organic traffic. 

Here is what our approach included:

  • Optimising key website pages around relevant target keywords
  • Improving on-page SEO and existing content
  • Expanding visibility across relevant HR and HCM search topics
  • Identifying high-potential keywords with opportunities to move onto Page 1
  • Monitoring keyword rankings, traffic, and search visibility on an ongoing basis
  • Continuously refining the SEO strategy based on performance data

Our Continuing Work with Them

The campaign’s success has secured a long-term future for the partnership. To date, we have generated 1,068.5K in sales from a 297.7K spend (an overall ROAS of 3.59x).

The client has now renewed both their SEO and Google Ads contracts with an increased budget. This additional investment will allow us to scale their reach across multiple medical services, helping the clinic move ahead and dominate both paid and organic search results.

We believe in marketing that stands on its own merits, which is why we offer the performance of a Google Partner without the need for lock-in contracts. Our focus is purely on delivering the leads and appointments that move your business forward.

Are you ready to take a more strategic approach to your online growth? Contact Move Ahead Media today for your free consultation.

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