Verticals
Real case: how Dra. Andressa Piccirilo went from R$ 30k to R$ 100k per month
Honest storytelling of Dra. Andressa Piccirilo's case: diagnosis, funnel, traffic and predictability, with a disclaimer that results vary.
This is a real case. Dra. Andressa Piccirilo, an aesthetics biomedical specialist, came to our agency invoicing around R$ 30k a month. After the quarter structured by our agency, the invoicing moved into a new order of magnitude. This piece tells the honest story, with a disclaimer.
Notice. This case is illustrative and depends on the clinic's specific context, market timing, investment, team and commitment to the process. Results vary. Our agency never promises future revenue.

The starting point
A small clinic, a calendar dependent on referrals, months of sharp drops and months packed to the ceiling. Paid traffic had been tried before with another company, without funnel structure. Andressa arrived after a period of frustration with marketing, skeptical, like any professional who has been burned before.
Initial diagnosis
What our agency saw in month one:
- Real authority (training, technique, local reference), barely explored in content.
- Beautiful Instagram, no funnel structure.
- WhatsApp answered, but with no qualification.
- No quiz, no remarketing configured, no procedure specific conversion page.
- Average ticket below potential: package incomplete, upgrade not suggested.
What we did, month by month
Month 1. Base
- Google Ads and Meta Ads accounts set up under the clinic's business entity.
- Pixel installation, conversion events and domain verification.
- Dedicated facial harmonization page with sober information and a short form.
- Qualification quiz before WhatsApp, in the pattern of our diagnosis.
- First batch of creative featuring Dra. Andressa's authority, respecting council rules.
Month 2. Implementation
- 70/30 strategy running: prospecting with new creative, remarketing plugged in, profile engagement.
- Standardized quotes and automated follow up.
- WhatsApp first response SLA set in minutes.
- Google Business Profile refreshed with services, real photos, weekly posts.
- Authorized testimonials started to be published.
Month 3. Scale
- Gradual media increase alongside more creative production.
- Internal cross sell: patients from one procedure offered complementary packages.
- Return program for former patients (repurchase).
- Monthly review with documented decisions.
What changed
By the end of the quarter, the operation was running with a predictability that did not exist before. Invoicing moved out of the R$ 30k range and into an order of magnitude close to R$ 100k per month, based on a combination of:
- Volume of qualified leads (the quiz filtering out the curious).
- Higher booking rate (WhatsApp with context).
- Higher average ticket (packages and repurchase).
- Consistency of a full calendar month over month, with controlled dips.
Dra. Andressa became not only a client, but also one of the references our agency shares with other professionals who arrive at the same stage.

Before and after the quarter
| Aspect | Before | After |
|---|---|---|
| Main patient source | Referral | Referral + paid traffic + remarketing |
| Calendar predictability | Low | High |
| Average ticket | Lower | Higher |
| Order of magnitude of invoicing | ~R$ 30k | ~R$ 100k |
| Confidence to invest more | Low | High |
What this case is not
- Not a guarantee for every clinic: context changes everything.
- Not magic: it came from method, discipline and the professional's commitment.
- Not the result of a single channel: it comes from the full funnel (read how aesthetics clinics fill the calendar without relying on referrals).
- Not an immediate result: it came after 3 months of building.
Next steps for those who recognize themselves
If you run an aesthetics clinic, are a biomedical specialist or a physician, and you are at a stage similar to Dra. Andressa's, the path starts here:
- Read how clinics keep a full calendar to understand the structure.
- Understand the method: the MADS method, a 3 month engagement structured around diagnosis, implementation and scale.
- Take the free diagnosis. It takes a few minutes and ends with a personalized plan.
Traffic is the means, the sale is the end. Dra. Andressa accepted the process, and the process gave back predictability. That is what our agency looks for in every clinic we take on.
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About the author
Mattias Custodio
CEO and founder of Mads Acelerador. Over 9 years running paid traffic, Google Partner since 2019. Personally leads the MADS methodology that accelerated more than 571 companies in Brazil, with Claude as the standard across the AI layer.
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