Grow Your Practice Predictably & Consistently

Patient Engine is a dedicated growth partner for medical aesthetics practices. We provide three core services: (1 ) battle-tested Meta advertising and lead generation, (2) a US-based appointment closing team that books patients with deposits on file, and (3) 1-on-1 growth coaching and sales training for practice owners and staff. We handle everything from ad creation to appointment booking so you can focus on treating patients.

We're not a marketing agency — we're a growth partner. Agencies send you leads and wish you luck. We guarantee booked appointments with deposits and credit cards on file. We also provide sales coaching, staff training, and strategic growth planning. Our founder owns and operates his own practices, so every strategy is battle-tested first.

It means exactly what it says. We contractually guarantee a specific number of booked appointments with deposits and/or credit cards on file every billing cycle. If we don't deliver, we make it right. This isn't a leads guarantee — it's a booked, committed patients guarantee.

No. Our US-based (human) appointment closing team, supported by AI workflows, handles all lead follow-up and appointment booking. Appointments appear on your calendar with deposits already collected. It's completely hands-off for you and your staff.

We work exclusively with medical aesthetics practices — body sculpting clinics, injectables providers (Botox, fillers, PDO threads), facial aesthetics practices, and multi-service med spas. This niche focus is what allows us to deliver such consistent results.

Most clients see booked appointments within the first 2-4 weeks of launching. Some clients, like Shelea, received 70+ appointments in their very first month. Results vary based on market, offer, and practice capacity, but our system is designed for speed.

We typically recommend a minimum monthly advertising spend of $3,000, but exact budget will be determined based on your location, offer, goals, seasonality, competition and saturation. Typically we recommend $3,000 – $5,000 per campaign. The cost per acquisition can vary between $75 – $200 per new client.

Every client receives a dedicated Client Success Manager, an Appointment Closer for lead conversion, and a Media Specialist for optimizing your Meta ad campaigns. You'll also have access to 7-figure client coaches for growth advisory.

You're not alone — many of our most successful clients came to us after losing money with other agencies. Dr. Crace lost $30,000+ with other agencies before Patient Engine helped him get 30 new patients per month. Denver tried 8 different agencies before finding us. Our guarantee and documented results exist specifically to address this concern.

Yes. Neal currently owns and operates 4 boutique body sculpting spas through iconicspa.com. Every strategy, campaign, and coaching framework we offer has been tested in his own practices first. He's big on the 'practice what you preach' principle.