Growth99 and Plastix Marketing both focus on aesthetic practices, both run SEO, websites and Google and Meta ads, and both automate follow-up.
The real difference is where your front office lives.
With Growth99, your CRM, texting, review requests, forms and AI front desk live in Growth99's own software.
With Plastix Marketing, an agency team runs the marketing and sets up a mainstream CRM (HubSpot, Keap or SharpSpring) that it connects to your website and reporting.
That choice drives most of the other differences: lock-in, what you keep if you leave, and how you'll work day to day.
Growth99 vs Plastix Marketing at a glance
As of September 2026, checked on each company's own website.
| Company | Model | Services | CRM / software | Published pricing | Contract terms | BAA published |
|---|---|---|---|---|---|---|
| Growth99 | Platform plus done-for-you marketing | Websites, SEO and GEO, Google and Meta ads, social graphics, reviews, email and SMS | Its own CRM, automation, chatbot and Gia AI front desk | Plan inclusions only; prices on request | 1 year, renews automatically for another year; 60 days' notice | Yes |
| Plastix Marketing | Aesthetics-only agency | SEO, AI search, content, websites, ads, social, video, branding, automation, sales enablement | Sets up HubSpot, Keap or SharpSpring | Not published | 6 or 12 months, then month-to-month; 30 days' notice | Yes (in its terms) |
"Not published" means we couldn't find it on the company's site, not that it doesn't exist; ask for it in writing.
Growth99
- Model: calls itself a med spa marketing platform, "not another agency."
- Software: its own CRM, email and SMS automation, review generator, forms, chatbot and Gia.
- Marketing: websites, SEO and GEO, Google and Meta ads as add-on tiers.
- Pricing: plan inclusions public, every price on request.
- Term: one year, auto-renewing unless you give 60 days' notice.
Plastix Marketing
- Model: a growth agency for plastic surgery practices and med spas, "exclusively aesthetics."
- Software: sets up and supports HubSpot, Keap or SharpSpring in every Growth Plan.
- Marketing: SEO, AI search, content, websites, ads, social, video and email from one team.
- Pricing: not published; starts with a 20-minute call.
- Term: 6 or 12 months, then month-to-month with 30 days' notice.
What do Growth99 and Plastix Marketing each offer?

Growth99 was founded in 2017 and says it began as a marketing agency and became a full platform for aesthetic and elective wellness practices.
Its industry list also includes dental practices and salons, and it says it supports 1,000+ practices (self-reported).
- Essentials plan: email and SMS automation, a patient self-assessment tool, an AI chatbot, a form builder and reporting.
- Accelerator plan: adds review requests, an in-app social media manager, a custom website of up to 15 pages with hosting and unlimited updates, and landing page templates inside its app.
- Elite plan: adds full SEO with generative search optimization, monthly backlinking, one blog post a month and a dedicated account manager.
- Paid media add-on: Google Ads and Meta in three tiers that manage up to $1,500, $3,500 or $8,000 a month in ad spend, with landing pages and call tracking.
- Gia: an AI front desk assistant, and its med spa page says its system texts new leads within 60 seconds.

Plastix Marketing describes itself as a growth agency for plastic surgery practices and medical spas, and also lists dermatology, cosmetic dentistry and orthodontics.
- Services: SEO, AI search optimization, content marketing, web design, digital advertising, social media, lead generation, branding, video, chatbots, marketing automation, consulting, sales enablement and hosting.
- CRM: a certified partner with HubSpot, Keap and SharpSpring that sets up, integrates and supports your CRM in every Growth Plan, including website, reporting and electronic health record API connections.
- How it works: one team runs every channel, with website, keyword tracking and content starting in the first 90 days.
- Who it says it isn't for: practices looking for the cheapest option, running Groupon-style promotions, or expecting ROI within 30 days.
What do Growth99 and Plastix Marketing cost?
Neither company publishes a price.
Growth99's pricing page lists every plan inclusion in detail, but every plan and add-on reads "Pricing available upon request."
Plastix Marketing has no pricing page; its Growth Plan page asks you to book a 20-minute call, and its form asks your monthly marketing budget (from under $5,000 to $20,000+ a month).
Plastix Marketing's terms say fees are set in each order: a monthly retainer, any paid-ads management fee, setup fees and add-ons.
Ask both for the fee, the setup cost, how ad spend is paid and the minimum term, in writing, on the same terms.
The med spa marketing cost guide shows what typical retainers cover.
What contract do Growth99 and Plastix Marketing require?
Both publish their contract terms, and they differ more than the services do.
Growth99: one year, auto-renews
Its terms set a one-year term that renews for another year unless either side gives notice at least 60 days before it ends.
Growth99: leaving early
No downgrades during the initial term, and a mutually agreed early exit makes 80% of the remaining service order fee due.
Plastix: 6 or 12 months
Its terms (last updated June 3, 2026) set a 6- or 12-month initial term, then month-to-month with 30 days' written notice.
Plastix: leaving early
Ending early for convenience costs 50% of the remaining monthly retainer fees for the initial term.
Growth99's terms also say cancellation notices must go to its accounting email address, not to individual team members.
Who owns your website, ad accounts and data?
This is where the platform-versus-agency split matters most.
Growth99's terms say it keeps ownership of its software tools, templates and reusable code, and that front-facing website deliverables named in your service order transfer to you once paid in full.
The landing pages in its plans are described as pre-designed templates inside the Growth99 application.
Its terms say it's your responsibility to download your content before termination, and that it keeps patient health information for at least 60 days afterwards.
Plastix Marketing's terms use a three-layer model: custom work made for you becomes yours on full payment, while its reusable templates and frameworks stay with Plastix under a license to you.
Its terms say you own your ad accounts unless the order says otherwise, and that accounts it builds inside its own business manager stay with it, with your campaign data exported on request.
Because the CRM Plastix Marketing sets up is HubSpot, Keap or SharpSpring, your contact records sit in a mainstream tool rather than in an agency's own software.
If Plastix Marketing hosts your site, its terms give you 48 hours after cancelling hosting to move it.
Do Growth99 and Plastix Marketing sign a BAA?
Yes, both publish BAA terms.
Growth99 publishes a full Business Associate Agreement, and its service agreement references it.
Plastix Marketing's terms say it acts as a Business Associate when its work needs access to a practice system containing patient health information, and that a BAA is signed before that access is given.
A BAA covers how a vendor handles patient data, not whether your tracking pixels send health data to ad platforms.
Read HIPAA and website tracking before either company installs tracking on your site.
What results do they publish?
Both publish case studies; the numbers below are self-reported and we haven't audited them.
- Growth99: GFace MD in Wellesley, Massachusetts, a client since 2021, reached #1 organic rankings in its market.
- Plastix Marketing: Buckhead Plastic Surgery and LUX Med Spa, a 164% lead increase and 3,500+ new leads in 18 months; Plastix Marketing also says its average client stays 3.2 years.
Should you pick Growth99 or Plastix Marketing?
Pick Growth99 if:
- You want your CRM, texting, review requests, forms and an AI front desk in one vendor's software, under one login.
- You'd rather choose from published plan inclusions and add-on tiers than scope a custom plan.
- A one-year term that renews automatically is fine for you, and you'll calendar the 60-day notice date.
Pick Plastix Marketing if:
- You want one aesthetics-only team running SEO, content, ads, social, video and email as one connected plan.
- You want a mainstream CRM (HubSpot, Keap or SharpSpring) set up and wired to your website and health records.
- You can commit to 6 or 12 months and aren't shopping on price, which Plastix Marketing itself says isn't its fit.
- What is the total monthly fee, setup fee and ad-spend arrangement, in writing?
- What is the minimum term, renewal rule, notice period and early-exit cost?
- Which website, landing pages and automations do I keep if I leave?
- Are the ad accounts, domain and Google Business Profile in my name today?
- Can I export my contacts and lead history, and in what format?
- Will you sign a BAA before touching patient data, and how does your tracking avoid sending it to ad platforms?
A third option: More Booked Consults
More Booked Consults is a med spa and plastic surgery marketing agency focused on conversion (landing pages, CRO), local SEO and managed Meta ads.
It's run by Gabe Meierotto, LaserAway's in-house Director of CRO from 2018 to 2023, whose testing program took sitewide conversion from 3% to 11% across 2,600+ tested variations (documented in Intellimize's published case study; see results). Those are his results in a former in-house role, not agency client results.
It fits practices that already get traffic and inquiries but don't book enough of them, and want conversion rate optimization and local SEO at published prices ($2,500/month each, $5,000/month for both, on a 6-month minimum).
It also fits practices that want managed Meta ads ($3,000/month plus a $2,500 setup, 3-month minimum) sent to landing pages it builds and tests, with ad spend paid directly to Meta.
It's the wrong fit if you want Google Ads, a website rebuild, social posting, email and SMS, or a CRM set up: Growth99 or Plastix Marketing covers those and More Booked Consults doesn't.
Our own prices and terms are on the pricing page.
If you're weighing more than these two, the Growth99 alternatives and Plastix Marketing alternatives comparisons each cover five options.
For the full field of ten agencies, see the best med spa marketing agencies.
Frequently asked questions
Is Growth99 better than Plastix Marketing?
Neither is better for every practice; they're built differently. Growth99 is a marketing platform: its own CRM, email and SMS automation, review generator, forms, chatbot and Gia AI front desk, with done-for-you websites, SEO and Google and Meta ads on top. Plastix Marketing is an aesthetics-only agency that runs SEO, content, ads, websites and automation, and sets up a CRM from HubSpot, Keap or SharpSpring as part of every Growth Plan. Pick Growth99 if you want one vendor's software to run your front office; pick Plastix Marketing if you want an agency team working on a mainstream CRM.
Which is cheaper, Growth99 or Plastix Marketing?
Neither publishes prices, so there's no honest answer from their websites. As of September 2026, every Growth99 plan and add-on reads "Pricing available upon request," and Plastix Marketing asks you to book a 20-minute call, with a form that asks your monthly marketing budget (ranges from under $5,000 to $20,000+ a month). Get both quotes in writing on the same terms: monthly fee, setup, ad-spend handling and minimum term.
Do Growth99 and Plastix Marketing sign a BAA?
Both publish BAA terms. Growth99 publishes a full Business Associate Agreement on its site, and its service agreement references it. Plastix Marketing's Master Terms of Service say it acts as a Business Associate when its work requires access to a practice system containing patient health information, and that a BAA is signed before that access is given.
What contract does Growth99 require compared with Plastix Marketing?
Growth99's published terms describe a one-year term that renews automatically for another year unless either side gives notice at least 60 days before the term ends; a mutually agreed early exit makes 80% of the remaining service order fee due. Plastix Marketing's terms (last updated June 3, 2026) set a 6- or 12-month initial term (12 if the order doesn't say), then month-to-month with 30 days' written notice; ending early for convenience costs 50% of the remaining monthly retainer fees.
What happens to my website and data if I leave Growth99 or Plastix Marketing?
Both transfer custom work to you once it's paid in full and keep their reusable templates and code. Growth99's terms limit that transfer to front-facing website deliverables named in your service order, and say it's your responsibility to download your content before termination. Plastix Marketing's terms say you own your ad accounts unless the order says otherwise, and give you 48 hours after cancelling its hosting to move your site. Confirm what you'll keep, in writing, before you sign.
Is Growth99 an agency or a software platform?
Both, by its own description. Growth99 says it began as a marketing agency and has become a full platform, and its med spa page calls it a med spa marketing platform, not another agency. In practice you get its software (CRM, automation, reviews, Gia) plus done-for-you marketing from its team.
What's a third option if neither Growth99 nor Plastix Marketing fits?
More Booked Consults, a med spa and plastic surgery marketing agency focused on conversion (landing pages, CRO), local SEO and managed Meta ads, fits practices that already have a CRM and booking software they like and need more of their existing traffic to book. It publishes its prices and doesn't offer Google Ads, website rebuilds, social posting, email and SMS, or CRM setup.