The best marketing agency for most dermatology practices is Etna Interactive: nearly two decades in aesthetic medicine, a Google Premier Partner in the top 3% of agencies, 4.61 out of 5 from 71 published reviews, and its own before-and-after gallery tool built for exactly this specialty. Sagapixel is the better fit if you want Meta ads on month-to-month terms, and O360 if a strong site with no long-term contract is the real need. Be warned: not one agency here publishes a price. All eight were verified against their own live sites in September 2026.
Full disclosure
No agency paid for placement on this list, and there are no affiliate links or referral fees on this page. Karbon Agency publishes this list and appears on it; we are placed by the same score as everyone else, and on several of our lists that means we are not first.
The ranking, side by side
Ranked by the score below, which is explained in full under “How we ranked these”. The pricing and lock-in columns are the reason this page exists — almost no other list in this category will tell you what these agencies charge.
#
Agency
Score
Best for
Pricing
Lock-in
1
Etna Interactive
63/100
cosmetic-heavy practices that live or die on their before-and-after gallery and consultation volume
Pricing not published — quoted after a call
Not published
2
Sagapixel
62/100
practices that want Meta and Google ads run on month-to-month terms with a real cost-per-lead target
Pricing not published — quoted after a call
Month-to-month, stated on site
3
O360 (Optimized360)
61/100
practices whose real problem is an old website, and who refuse to be tied into anything
Model published (design fee + monthly), figures not published
No long-term contract, stated on site
4
Karbon Agency *
60/100
practices that want cosmetic-service lead generation on Google and Meta with a dashboard tying spend to booked consultations
Published: intro tiers from $500/month
None — month-to-month
5
Cardinal Digital Marketing
54/100
multi-location dermatology groups and PE-backed platforms that need provider-level attribution
Pricing not published — quoted after a call
Not published
6
Intrepy Healthcare Marketing
52/100
practices with many providers, where being found by physician name is as valuable as being found by procedure
Pricing not published — quoted after a call
Not published
7
Practis
51/100
medical-dermatology practices that need HIPAA-compliant forms, chat and bill pay as part of the website
Pricing not published — quoted after a call
Not published
8
Healthcare Success
50/100
multilocation dermatology groups balancing a medical service line against a cosmetic one
Pricing not published — quoted after a call
Not published
9
Focus Digital
36/100
practices that want search and AI-search visibility only, with the freedom to cancel any month
Pricing not published — quoted after a call
Month-to-month, cancel any time
* Karbon Agency publishes this list — see the disclosure above. All other rows are based on each agency’s own published materials as of September 14, 2026.
Best for: cosmetic-heavy practices that live or die on their before-and-after gallery and consultation volume
Strengths
Aesthetic medicine is the whole business — plastic surgery, facial plastics, medical spa, dermatology and ophthalmology, with dedicated service lines for each
The best-documented proof here: Google Premier Partner (its site states the top 3% of agencies), a 4.61/5 rating from 71 reviews, and a 10:1 average first-year ROI it describes as audited
Six proprietary tools, including Curator B&A for before-and-after gallery optimisation and its own call tracking, lead management and reputation software
Considerations
Neither pricing nor contract terms appear anywhere on the site
Weighted toward cosmetic dermatology — a medical-dermatology practice chasing Mohs, acne and psoriasis volume is not the archetype this agency is built around
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: practices that want Meta and Google ads run on month-to-month terms with a real cost-per-lead target
Strengths
"Month-to-month contracts" stated plainly — one of only three agencies here that publishes any term at all
Healthcare-only, with dermatologists named directly alongside medical spas, plastic surgeons and medical weight loss
Publishes eight case studies with actual cost-per-lead figures between $12.67 and $81, and holds both Google Premier Partner and Semrush Agency Partner status
Considerations
No pricing is published — the contact form asks for your monthly budget band (under $1,000, $1,000–$5,000, $5,000–$15,000, $15,000+) instead
No founding year, client count or review count appears on the site, so the proof is case studies rather than firmographics
Pricing: Pricing not published — quoted after a call · Lock-in: Month-to-month, stated on site
Best for: practices whose real problem is an old website, and who refuse to be tied into anything
Strengths
The clearest terms in medical marketing: "one design fee and a low monthly for hosting and support, with no long-term contract"
The strongest published track record here — founded 2003, 3,100+ websites built, 434+ five-star Google reviews and a 94% client retention rate, under founder Dr. Sean Fahimi, a practicing dentist
HIPAA-compliant hosting and email included, which most website vendors leave to you
Considerations
It publishes the pricing model but not the number — "Tell us about your practice and we will send an exact, no-pressure number"
Spread across 41 healthcare specialties, so dermatology gets a template and a team, not a dedicated practice group
Pricing: Model published (design fee + monthly), figures not published · Lock-in: No long-term contract, stated on site
Best for: practices that want cosmetic-service lead generation on Google and Meta with a dashboard tying spend to booked consultations
Strengths
AI-driven reporting — a live dashboard shows what every ad dollar did, down to the lead
No lock-in: month-to-month terms, cancel anytime
Published intro tiers starting at $500/month, so you know the cost before the first call
Considerations
Small, newer team — we don't have a decade-deep case-study library yet
Not a dermatology or aesthetics specialist — we do not run before-and-after gallery optimisation or physician-listing management, and the aesthetic-medicine shops above know the cosmetic patient journey far better than we do
Best for: practices that want search and AI-search visibility only, with the freedom to cancel any month
Strengths
"Month to month, cancel any time" — the least restrictive terms on this list
Deliberately narrow service scope: "Google and AI search only: SEO, GEO, paid search," including generative-engine optimisation and ChatGPT ads
Publishes its staffing model — five named roles on each account: strategist, writer, peer reviewer, managing editor and web developer
Considerations
A generalist across 20+ industries, not a dermatology specialist — it scores lowest here on specialization for that reason
No Meta or Instagram advertising, and no pricing, client count, founding year or review count is published
Pricing: Pricing not published — quoted after a call · Lock-in: Month-to-month, cancel any time
How we ranked these
Every agency is scored out of 100 across five weighted dimensions. The weights are fixed across every list on this site, so a 78 here means the same thing as a 78 on any other niche.
Niche specialization30 points
How much of the agency's actual business is this one industry. A shop that works only in this niche scores full marks; a generalist that lists it among twenty verticals scores about half.
Pricing transparency20 points
Does it publish what it charges on its own website. Full marks for real numbers you can read before a sales call, partial for a published budget framework or starting-at figure, zero for "contact us".
Proof and reviews20 points
Verifiable evidence on its own site: years in business, client counts, named case studies, third-party review counts, Google/Meta partner badges. Unsourced hype counts for nothing.
Service fit20 points
Whether the service mix matches what this industry actually needs to get customers, rather than what is easiest to sell.
Contract flexibility10 points
Month-to-month terms and client ownership of the website, ad accounts and data score highest; undisclosed or multi-year terms score lowest.
Every agency here was checked against its own live website. Pricing, contract terms, client counts and review counts are only stated where the agency publishes them — everything else is recorded as "not published" rather than guessed at. Scores are ours, they are subjective, and the rubric above is published so you can disagree with them.
Last reviewed by Seva Kogan, Founder. We refresh these lists when something real changes — a price, a contract term, an agency going dark — not on a schedule.
Frequently asked questions
What does dermatology marketing cost?
Not one of the eight agencies verified here publishes a price, which makes dermatology the least transparent niche we have scored — dental has three agencies publishing full rate cards, and physical therapy has two. The closest anyone comes is O360, which publishes the model ("one design fee and a low monthly for hosting and support") without the number, and Sagapixel, whose contact form sorts prospects into budget bands of under $1,000, $1,000–$5,000, $5,000–$15,000 and $15,000+ per month. What dermatology marketing costs →
Can a dermatology practice run before-and-after photos in Meta ads?
Yes, more often than agencies claim — but the limits are specific. Meta's health and wellness advertising standards permit before-and-after transformation imagery for cosmetic procedures when the ad is targeted to adults 18 and over, to "illustrate people using the product or the service, and its impact." What that same policy prohibits is separate: "statements of inferiority about physical appearance," sensational or exaggerated claims, and zoomed-in body imagery such as a "close up on specific body area by pinching fat." Most rejected dermatology creative fails on the inferiority rule or on the crop, not on the before-and-after concept. Patient images also need written HIPAA authorisation — that is your obligation, not Meta's.
Why do dermatology ads get rejected for personal attributes?
Because skin conditions are health conditions. Meta's Advertising Standards on privacy violations and personal attributes state that ads "must not contain content that asserts or implies personal attributes," and the list includes "physical or mental health (including medical conditions)." Copy addressed at the reader — "Struggling with cystic acne?", "Your psoriasis doesn't have to win" — asserts knowledge of the reader's condition and is the single most common rejection in dermatology. Rewrite in the third person and describe the treatment rather than the reader.
Do Meta's health rules apply to cosmetic dermatology as well as medical?
Yes, and the age gate is the part practices miss. Meta's health and wellness standards require that ads "promoting or marketing dietary, health, or weight loss or weight gain products and services must be targeted to people at least 18 years or older." That covers cosmetic injectables, body contouring and weight-related services as squarely as it covers medical dermatology. It also prohibits claims that a service can cure, heal or eliminate an incurable disease, while allowing claims about treating or managing symptoms — a useful line for eczema and psoriasis copy.
Which dermatology agencies will let you leave month-to-month?
Three of the eight publish terms: Sagapixel ("month-to-month contracts"), Focus Digital ("month to month, cancel any time") and O360 ("no long-term contract" on its website plan). Etna Interactive, Cardinal, Intrepy, Practis and Healthcare Success publish no term at all — which is not evidence of a long contract, only that you will have to ask for it in writing before you sign.
Should a dermatology practice market its medical or cosmetic side?
They need separate funnels, and this is the split most agencies get wrong. Medical dermatology is insurance-driven, referral-influenced and largely search-captured — someone with a suspicious mole searches, they do not browse. Cosmetic dermatology is discretionary, price-sensitive and genuinely responsive to Meta and Instagram, which is where before-and-after creative and consultation offers earn their keep. Healthcare Success is the only agency here that explicitly names balancing the two as the problem it solves; Etna Interactive is built around the cosmetic half.
Is a healthcare-only agency better than an aesthetics specialist for dermatology?
It depends which half of your revenue you are trying to grow. For a medical-led practice with multiple providers, a healthcare-only agency wins on the unglamorous things — physician listings, provider-name search, HIPAA-compliant forms — which is where Intrepy and Practis are strong. For a cosmetic-led practice, an aesthetics specialist such as Etna Interactive understands gallery optimisation and consultation conversion in a way a general healthcare agency does not. Agencies covering 40-plus specialties, like O360, are website vendors with marketing attached rather than the reverse.
Should a practice hire an agency or an in-house marketer?
A single-location dermatology practice rarely has enough work for a senior full-time marketer, so in-house hires skew junior — and juniors cannot run paid social, SEO and before-and-after creative equally well. Agencies spread senior specialists across the account. In-house begins to make sense at the multi-location scale Cardinal and Healthcare Success are built for. We wrote out the full math. Agency vs. hiring in-house →
Want the honest version for your business?
Talk to us and we’ll tell you plainly whether we’re the right fit — and if one of the agencies above suits you better, we’ll say so.