Guides

Med Spa CRM: Complete Guide

What a CRM should do in an aesthetic practice, and the retention metrics worth managing.

By Marcus ReyesReviewed by Priya Anand, RNPublished February 20, 2026Updated March 7, 202610 min read

Acquisition and retention are different jobs

Most CRM discussions in aesthetics focus on lead follow-up, but for an established practice retention produces more revenue for less spend. A good CRM has to do both, and vendors are rarely equally strong at each.

Treatment-interval recall is the core mechanic

Neurotoxin and filler patients run on predictable intervals. A CRM that can automatically identify patients approaching or past their interval, and route them into a specific message and booking path, is doing the most valuable work available in an aesthetic practice.

The metrics worth reporting monthly

Ask whether the platform can produce these without a spreadsheet.

  • Rebooking rate at the time of checkout
  • Share of patients past their expected treatment interval
  • Consultation to treatment conversion rate
  • Revenue per active patient over twelve months
  • Membership retention and churn

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