The Aggregated Advantage: Premium Inventory Access Without the Premium Price Tag

High-performing programmatic media, the kind that lives in platforms like The Trade Desk or directly connects with premium publishers, is usually gated behind steep monthly minimums. We're talking $20,000–$30,000 per month per advertiser.

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That's not realistic for a single-location dermatology or aesthetic clinic. Which is exactly how these practices get priced out of the good stuff and pushed toward bloated vendor packages filled with low-quality inventory, markups, or templated ad creative that treats Botox like a Groupon deal and cheapens what is otherwise a highly respected practice's brand.

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But what if they didn’t have to choose between overpaying or opting out?

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That’s where we came in.

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The Challenge

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We were working with a group of independently owned aesthetic medical practices, each successful in their own right, but too small (individually) to clear the spend thresholds required for high-end programmatic campaigns.

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They were tired of:

• Wasting budget on vendor-run display ads with no transparency.

• Getting locked into overpriced “all-in-one” marketing packages with no clear value.

• Having no insight into where their ads were running or why they weren’t performing.

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They wanted access to real media, the kind used by private equity and major conglomerates, without losing local control or burning six figures.

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What We Did

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We flipped the model.

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Instead of treating each practice as a solo buyer, we helped them pool their media dollars, but only on the backend. This wasn’t a co-op campaign with shared branding or generic creative.

 

Each practice kept its own:

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• Geo-targeting

• Messaging

• Creative assets

• Landing pages

• Budget flexibility

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But together, their aggregated media spend unlocked:

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• Access to enterprise-grade DSPs like The Trade Desk and DV360

• Deal IDs with curated inventory

• Preferred pricing with vetted media partners

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We centralized media operations, performance tracking, and creative review cycles, not to create bureaucracy, but to eliminate waste and bring transparency to every dollar spent.

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The Outcome

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• Practices that were previously stuck with display-only vendor packages are now running campaigns across premium native, video, and display inventory.

• They’re reaching higher-intent audiences without diluting their brand voice or overextending their budgets.

• They’re seeing better traffic, clearer insights, and for the first time, a direct connection between ad spend and patient inquiries.

• And they did it without signing 12-month contracts or paying for agency overhead they don’t need.

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Why It Worked

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• No fluff: We don’t do upsells, bundled platforms, or cookie-cutter campaigns.

• No black box: Clients get access to custom dashboards and plain-English explanations of what’s working.

• No bait-and-switch: We’re not an agency trying to scale retainers, we’re a strategic layer helping practices market smarter.

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The Takeaway

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Independent practices don’t lack ambition or expertise,  they’ve just been boxed out of marketing systems built for institutions, not individuals. By removing spend minimums as a barrier to entry, we gave these clinics access to the same high-quality media their hospital-affiliated competitors have used for years.

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Our role wasn’t to replace their instincts or take control, it was to build the infrastructure that let them stay agile while gaining the scale needed to compete. We helped translate their budgets into real reach, their goals into media plans, and their questions into actionable data.

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Not every solution needs to be built in-house to be custom. Sometimes, the smartest thing an independent can do is stop going it alone, without giving up what makes them independent in the first place.