Creo Clinic: 49 plastic surgery leads a month at a £12.46 CPA

Creo Clinic is a boutique plastic surgery practice on Harley Street, led by Dr Omar Tillo. Its procedures, including fat transfer to the breast and gynaecomastia surgery, are technically demanding, carry a significant price tag, and are deeply personal decisions for the patient. Marketing surgery of this kind is a different discipline from marketing a quick aesthetic treatment. Prospective patients arrive with a long list of questions, the consideration window runs for weeks or months, and the procedures are self-funded at a premium price, so a high volume of enquiries counts for little if those patients cannot proceed.

We set out to build a paid acquisition programme that does two jobs at once. Bring in a steady, predictable flow of enquiries, and make sure those enquiries come from patients who understand the procedure and can afford it. Lead quality mattered as much as lead volume.

We run Google Ads and Meta Ads in parallel, each mapped to a different stage of patient intent, and support both with a rolling programme of new landing pages that we test against each other to keep lifting conversion quality.

49

A consistent, repeatable monthly volume of qualified enquiries from Meta Ads.

£12.46

An exceptionally low cost per lead for premium surgical procedures.

12%+

More than one in eight clicks becomes an enquiry, well above category norms.

Google Ads captures active demand. When someone searches for a specific procedure they are already in the consideration phase, so we focus that spend on high-intent queries and route every click to a procedure-specific landing page. Meta Ads builds and harvests demand, reaching patients who fit the clinic’s ideal profile before they have started actively searching, then bringing them into the funnel.

For procedures this involved, the landing page has to carry a consultation’s worth of reassurance. Each page answers the real questions a patient has before they will share their details: what the procedure involves in plain language, who it suits, what results and recovery look like, why Creo Clinic and Dr Tillo specifically, and a clear, low-friction way to enquire. That is what turns a curious visitor into a qualified enquiry.

We do not assume any single page is the best it can be. The programme runs continuous A/B and multivariate tests across new landing page builds, covering headlines, page structure, form length and placement, social proof, and calls to action. Each test feeds the next build, and over time that compounds into the conversion rates the account now produces.

Because affordability is part of lead quality, we weight targeting toward audiences with the financial profile to proceed. On Meta that means building around high net worth interest and behavioural signals; on Google it means query selection and bid strategy that favour serious, treatment-ready searchers. The result is fewer wasted enquiries and a higher proportion of leads who can actually book.

The landing page and Meta ad creative behind the results.

A paid media programme that turns considered, expensive decisions into qualified enquiries. 49 Meta leads a month at a £12.46 cost per acquisition, a Google Ads conversion rate above 12%, and a lead profile weighted toward patients who can actually book. The split-testing programme continues, with new landing page builds in the pipeline for further procedures.

TooPixels is a specialist marketing and lead generation agency that has been helping businesses grow online since 2016, with a dedicated focus on the medical and aesthetics sector. The team combines high-performance PPC and paid social, conversion-focused landing pages, continuous split testing, SEO and bespoke CRM-based lead management to attract and convert patients for clinics. For a surgical practice, that means a marketing partner genuinely invested in sustainable, measurable growth.