Dr. Aden — you raised a fair and important question: with a RM100K running cost and roughly RM45–49K going into advertising, how does the clinic survive on only RM6K profit? It's exactly the right question to ask. This is a short, honest breakdown of what those numbers are actually telling you — because the answer changes the decision you make next.
Prepared for Dr. AdenNo optimism, no spin — these are your own figures for last month.
This looks like marketing is eating your profit. But there's one number in this table that isn't one number — and once we split it, the whole picture flips.
Your sales don't all come from the same place. They split into two — and only one of them is yours.
Organic (~RM30K): repeat patients, walk-ins and referrals the clinic generates on its own. Left alone today, the clinic produces roughly RM30K a month. Marketing-driven (~RM120K): new patients that advertising and follow-up brought through the door last month — the other 80% of your revenue.
The instinct is — "cut the RM45K, keep more profit." Let's actually run that P&L next to the one you have today.
Cutting marketing does not save you RM45K. It removes RM120K of sales while your RM100K fixed cost stays exactly the same — dropping you from +RM5K to –RM70K. That is a RM75K swing in the wrong direction.
"Advertising" is not one big agency fee. Here's the full breakdown of the RM45K.
| Where it goes | Amount |
|---|---|
| Meta ad mediaPaid to Meta — the fuel that reaches new patients | RM 33,000 |
| Appointment-setter teamStaff following up & booking your leads | RM 2,000 |
| Overbooked success feeOnly earned on sales above RM100K | RM 10,000 |
| Total | RM 45,000 |
Only RM10K of that is our fee — and we only earn it on sales above RM100K. The other RM35K is media and staff working directly to fill your clinic. Our incentive is your growth: if we don't push you past RM100K, we don't get paid.
What you put in, what came back, and what each side actually kept.
Being conservative: even if we assume a 10% cost on each new procedure (aesthetic treatments carry very low marginal cost — your rent and staff are already paid), the clinic still nets ~RM63K. Every way you count it, marketing put tens of thousands of ringgit of profit into the clinic last month, not out of it.
Marketing isn't draining the clinic — it's currently the only engine covering your RM100K fixed cost almost single-handedly. Profit feels thin because of two things that have nothing to do with advertising.
RM100K/month is heavy relative to current revenue — and it's the single biggest lever on your profit. Every RM10K taken out of fixed cost is RM10K straight to the bottom line, every month, permanently.
Most of your revenue is newly-acquired, not returning patients — which is why every month feels like starting from zero. A healthy clinic runs on repeat patients; that base makes profit predictable, but it can't be built overnight.
Three levers — in the order that will change your profit fastest.
Even a 10% reduction = +RM10K/month to profit, permanently. This is the fastest win available to you right now.
Turn one-time patients into returning ones — packages, recall, membership. This is the durable fix: it takes months, not days, but it's what eventually lets the clinic profit without leaning entirely on new ads.
Bring in higher-value, better-fit patients so each one is worth more. This is the part we run for you every day — and it's already working. Levers 1 and 2 are where your next real profit lives, and that's the conversation we'd love to have with you.
Removing it doesn't fix the math, it breaks it. Let's stop looking at the wrong line item and fix the two that will actually change your profit: your fixed cost and your retention. We're on the same side of the table — and we're ready to help you tackle both.