Derma Skin & Hair Solutions: 8.4x Peak ROAS Across 3 Locations

A 3-location dermatology practice in Delhi NCR. Full Meta Ads + Content management by ADSWORM. The result: a patient acquisition funnel that reliably delivers high-intent consultation leads — and peaked at 8.4x ROAS during optimised campaign periods.

8.4x
Peak ROAS
3
Locations Managed
Meta + Content
Full Stack
Active
Ongoing Client
The Client

Derma Skin & Hair Solutions — Who They Are

Derma Skin & Hair Solutions is a multi-location dermatology chain in Delhi NCR, offering a full range of clinical and cosmetic dermatology treatments: laser hair removal, PRP, acne management, chemical peels, skin lightening, and hair transplant consultation.

When ADSWORM onboarded Derma Skin & Hair, they had an active Instagram presence but no structured paid acquisition. Their content was inconsistent, their ad account had poor campaign architecture from a previous agency, and they were paying for leads that rarely converted into booked consultations.

The core problem: high cost per lead, low quality lead. The solution: restructure the entire funnel — starting with the pixel, then the landing pages, then the campaigns, then the creative cycle.

What We Changed

The Four Fixes That Drove 8.4x ROAS

Fix 01
Audience Segmentation
Previous agency used broad "beauty & skincare" interests. ADSWORM rebuilt audiences around income-proxy zip codes, clinic proximity radius (3km, 7km, 15km), and treatment-specific behavioural signals. Audience quality improved immediately.
Fix 02
Creative Format
Replaced stock imagery with real patient journey Reels. Before/after content, treatment walkthrough videos, and doctor-to-camera credibility clips. Mobile-first vertical format with silent-viewing captions. CTR increased 3x within 2 weeks of creative switch.
Fix 03
Lead Qualification
Added 2 qualifying questions to lead gen forms: "Which treatment are you interested in?" and "When are you looking to book?" Removed unqualified submissions from the front desk queue by 60%. Same lead volume, dramatically higher consultation rate.
Fix 04
Content × Paid Flywheel
ADSWORM runs both content and paid ads for Derma Skin & Hair. Organic Reels build warm Instagram audiences that get retargeted in paid campaigns. The content audience is the highest-ROAS paid segment — they already trust the clinic before seeing a paid ad.
Campaign Timeline

How the ROAS Built Over Time

ROAS doesn't peak in month 1. This is what the Derma Skin & Hair trajectory looked like:

Month 1–2
Foundation & Learning Phase

Pixel installed and firing correctly. Landing pages built per location and per treatment category. Campaign architecture set up fresh — no inherited bad data. Meta algorithm in learning phase — lower ROAS expected. Focus: data collection, not optimisation.

Month 3–4
Optimisation: Creative Testing & Audience Refinement

First creative test cycle completes — top-performing Reels identified and scaled. Audience zip codes refined based on lead quality data. Retargeting audiences large enough to run effectively. ROAS improving week-over-week as pixel data accumulates.

Month 5+
Peak Performance: 8.4x ROAS

Optimised audience stack, proven creative formats, and high-demand treatment season (pre-summer laser campaigns) combine to deliver 8.4x peak ROAS. Content × Paid flywheel fully operational — organic Reels warm the paid retargeting audience continuously.

"The shift wasn't one big thing. It was fixing 4 things that were each costing us 20–30% of our potential ROAS. Audience quality. Creative quality. Lead qualification. Content-paid integration. Fix all four and 8x becomes the floor, not the ceiling." — ADSWORM team on the Derma Skin & Hair engagement

FAQ

About the Derma Skin & Hair Case Study

What peak ROAS did Derma Skin & Hair Solutions achieve?
Derma Skin & Hair Solutions achieved 8.4x peak ROAS on Meta Ads campaigns managed by ADSWORM. This peak was reached during high-demand treatment periods with a fully optimised funnel, audience stack, and creative refresh cycle in place.
How did ADSWORM manage campaigns across 3 locations?
Each location had its own ad set with geo-targeted radius, location-specific landing page, and branch-level lead tracking. Budgets were rebalanced weekly based on lead quality and branch capacity. Top-performing creative was shared across locations with location name swapped in copy.
What made the creative so effective?
Real patient footage (not stock imagery), treatment-specific framing, and mobile-first vertical format with text overlays for silent viewing. Reels with authentic patient before/after journeys outperformed polished studio-style ads by 3–4x.
What treatments generated the highest ROAS?
Laser hair removal and PRP hair treatment campaigns generated the highest ROAS due to high average treatment ticket values and strong demand seasonality. Chemical peel and acne treatment campaigns had higher volume but lower per-campaign ROAS — they served as top-of-funnel entry points leading to upsell into higher-ticket treatments.
How long did it take to reach 8.4x ROAS?
The 8.4x peak was reached in months 4–5 of the engagement, after the pixel accumulated sufficient conversion data and the creative testing cycle identified the highest-performing formats. Month 1–2 ROAS was lower during the learning phase.
What is the content strategy alongside Meta Ads?
ADSWORM runs both Meta Ads and content management (Reels + posts) for Derma Skin & Hair. The content builds warm Instagram audiences for retargeting in paid campaigns and establishes clinical authority. The combined Meta Ads + Content retainer typically delivers better ROAS than paid alone.
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