One number in — your 6-month new-client lapse rate— one letter out: A through F, graded against industry benchmarks for California medical spas. Diagnostic only. No dollar figures, no prescriptions.
Of your new clients in the last 12 months, what percentage didn’t come back within 6 months? Your POS export can pull this in two clicks.
Industry data: 6-month new-client lapse rates for CA med spas typically run 50–70%. Boutique-injector-anchored spas retain best; facial-and-body-only spas retain worst.
You're where most CA med spas sit. Which is to say: leaking.
Industry surveys put 6-month new-client lapse rates between 50% and 70%. You're in that band. The good news: your dormant pool is large, which means the recovery upside is also large. The bad news: you're paying full CAC every month to replace clients you've already paid to acquire.
Your grade tells you whether you have a retention problem. The audit tells you which clients to start with, what to say, and what coming back is worth.
Book your Client Reactivation AuditThe honest answer is: better than the industry median, which sits around 40-50% of new clients returning within 6 months. A med spa retaining 70%+ of new clients within 6 months is in the top quartile — rare. A med spa retaining under 30% is in the bottom 10% and almost certainly has a structural problem (service mix, follow-up cadence, or front-desk handoff) that's larger than 'we need more ads.'
Pull every new client from your POS in a 12-month window ending 6 months ago. Count how many of those clients have a visit recorded in the 6 months since. The rest are your lapse number. (New clients ÷ all new clients in that window) = your 6-month lapse rate. Most modern PMS systems (Boulevard, Zenoti, Vagaro) have this as a pre-built report.
Three structural reasons. (1) Med spa services don't have an insurance-renewal forcing function the way a primary care visit does — patients can defer indefinitely without consequence. (2) The buying decision is consumer-discretionary, so it competes with vacations and clothes, not other medical providers. (3) Many med spas haven't built treatment-cycle rebooking into checkout the way orthodontics or dermatology have. The fix isn't 'be more medical' — it's 'be more architected.'
A C grade (46-60% lapse) is the industry median — you're leaking like everyone else. A D grade (61-75%) is structurally below average — you're losing clients faster than your peers, which usually means a fixable architecture problem rather than a marketing one. The dollar impact compounds: at a D grade, more than half of every dollar you spend on patient acquisition produces a single-visit client.
Significantly. Botox-anchored spas retain best — the 3-4 month treatment cycle does most of the rebooking work automatically. Hydrafacial-and-skincare spas retain second-best when paired with a membership model. Body contouring and laser-only spas retain worst because the treatment cycle is longer and less self-reminding. None of this is destiny — it's a design problem.
It pulls your POS export, runs your real lapse rate (not the estimate from this tool), names the specific dormant clients worth reactivating first, builds the per-client messaging based on their last service, and shows you your real recoverable revenue from your actual list. 30 minutes, no slide deck, no fee. The audit is yours to keep whether or not you hire The Comeback afterward.
This tool runs on industry averages. The Client Reactivation Audit runs on your spa’s actual data — your POS export, your real numbers, your specific clients. 30 minutes on a call, no slide deck, no fee, no pitch unless our solutions actually fit your problem. You keep the audit either way.
Our solutions only fit a narrow band of problems — by design. If we audit and they don’t fit yours, you keep the diagnosis anda pointer at whatever does — even if it’s not us. If they do fit but it’s not the right time, we stay friends — you know the problem and the solution for whenever it lands. The point is you walk away with a real read, not a sales feeling.