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No retainer. Only pay per qualified booked consult.

Click-to-DM ads.AI books consults.

We handle the ad creative and run Instagram and Facebook DM ads for one front-end offer. AI replies within 60 seconds to DMs from those ads and books consults. The rest of your inbox stays untouched.

Book a 20-minute audit
9:41
jenna_mActive 2m ago
Today 3:14 PM
Hi! I want to book the $89 Welcome Glow HydraFacial.
Message...
Integrations
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How it works

From paid impression to booked patient.

We handle the ad creative, campaign and booking flow. Your other inbox conversations stay untouched.

01 / 04

Meta ad

We create and run Instagram and Facebook ads for one front-end offer. The ad opens a DM, not a landing page.

02 / 04

Instagram DM

AI answers questions about that offer and helps the lead choose a time. It only handles DMs from our ads.

03 / 04

Booking sync

The lead chooses a date and time and adds a card on file. Your team gets a booked consult, not another lead to chase.

04 / 04

SMS reminders

Confirmation immediately. Reminders 24 hours and 2 hours before. Reply to cancel or reschedule.

Alex Ryder, founder of Ryder Scale
Who's behind this

Built by an operator, not an agency.

I'm Alex. I built Ryder Scale because every med spa owner I talked to said the same thing: they pay agencies $2,000 a month for posts that don't book, and watch DM leads die in the inbox overnight. The system here is the one I'd run myself if I owned a clinic. One channel, one offer, one person accountable.

We're looking for three pilot clinics. We handle the ad creative and campaign, and you pay per qualified booked consult. One front-end offer, booked consults, no monthly retainer.

Book a 20-minute audit
Frequently asked

Honest about what's hard.

Cash-pay specialty clinics: med spas, hormone therapy, hair restoration, semaglutide, IV therapy. Not insurance-based, not e-commerce, not SaaS. One offer per clinic at launch; we can add more once the first is producing.
The AI is built for one job: answering questions about your front-end offer and booking consults. It only handles DMs started through our ads. Your other conversations stay untouched, and questions outside that booking flow are handed to your team.
We use Zernio to connect the AI receptionist to Instagram and Facebook messaging. Ad approval and account restrictions are controlled by Meta; no agency can guarantee an account will never be flagged. We review creative and messaging rules before launch.
No monthly retainer. You only pay us per qualified booked consult, not per lead or message. That means a date and time chosen with a card on file. You can check the bookings in your calendar.
You can. We use Zernio for the messaging connection and build and manage the ad creative, offer-specific AI, booking integration and follow-up flow. You're paying us for qualified booked consults, not access to a software tool.
Yes. Confirmed appointments write to whichever of those you already use. We sync at onboarding; you don't change tools.
We geofence those states (plus EU traffic). Jenna identifies as an AI assistant on her first reply in regulated states. Everywhere else she goes by Jenna as a named persona, which is standard and legal. We update the geofence as new state laws pass.
DM-to-booking lands in the 5% to 30% range, driven by offer strength, qualifier flow, and ad creative. We model your specific funnel during the audit and tell you what we think you'll hit, with the assumptions written out. No single-number promise.
We handle the ad creative, campaign management and AI booking flow for one front-end offer. You keep your existing ads running if you want to. We'll walk through the per-consult fee and booking credits before you commit.
Medical spa marketing is how a med spa gets new patients to book. It can mean ads, social posts, email, SEO or a website. Ryder Scale does one part of it. We run Instagram and Facebook ads for one offer. Each ad opens a DM (a direct message), and an AI receptionist books the consult into your own booking system.
There is no single right number for every clinic. A better test is cost per booked consult. Add up your agency fee, ad spend and software for the month. Then divide by the consults booked that month. With us, there is no retainer and no setup fee. You pay Meta directly for the ads and pay us per qualified booked consult.
No. Our med spa marketing work is narrow on purpose, so it is easy to measure. We do not do SEO, build websites or landing pages, or post to your feed. We run ads for one front-end offer and book the consults that come from them. If you need help with those other jobs, a different kind of agency may fit better.
Yes. We work with med spas and other cash-pay clinics in the US and Canada. The setup is the same in both. You pay Meta directly for the ads. The AI books consults into your own booking system, such as Boulevard, Zenoti, Vagaro, Mindbody, Square or Fresha. Bring the name of your system to the audit, and we will check the fit.
Four things. First, one front-end offer, which is the first thing a new patient books. Second, open consult slots each week. Third, a rule for holding a slot, either a card on file or a deposit. Fourth, a person on your team who takes medical questions. We handle the ads, the AI setup and the link to your booking system.
The consult still counts as booked. Our fee is for a date and time held with a card on file or a deposit. It is not tied to the visit itself. The card or deposit backs up your own no-show policy, and your clinic sets that policy.
Book the audit

Stop losing another DM.

Pick a 20-minute slot. We'll walk through how your clinic gets bookings now, and I'll show you how Click-to-DM ads and the AI receptionist would run for your setup.

Prefer a direct link? Open the booking calendar directly