Most med spa email and text marketing follows the same self-defeating pattern: blast the entire list a discount every couple of weeks, watch the open rates and the bookings slowly decline, and conclude the channel doesn't work. The channel works fine. The strategy is broken, because a discount blast to your whole list is a tax on both your margin and your patients' attention — it trains them to ignore your routine messages and to wait for the next sale before they book. The practices that drive real repeat visits from email and SMS don't blast. They run lifecycle flows — relevant messages triggered by where each patient actually is in their relationship with you — and the difference in results is enormous.

Why blasts burn the channel