Case Study: How We Turned This TMS Clinic Into A Local Authority (And Add At Least 5 New Patients Every Month)

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Brain Vision (https://brainvisionhk.com/), a TMS therapy clinic based in Hong Kong, approached us for help in early 2025.

Brain Vision logo

They had tried everything: Google Ads, SEO, Social Media ads, even creating weekly YouTube videos.

The results were unstable and unsatisfactory. For so much of the week, their TMS treatment chair sat empty:

Empty TMS chair

(an actual picture of their TMS chair!)

To make things worse, TMS is not covered by insurance in Hong Kong, so all patients are paying out-of-pocket, making marketing an uphill battle.

What's more, they were facing an imminent rent increase, and had to decide very soon whether to push on or downsize…

We quickly implemented our "hybrid content ads" strategy we call LocalStars. Within 30 days, their calendar started to look like this:

Booked calendar showing appointments

Not only are they getting new inquiries, consultations, and paying patients every week, but the results are consistent and reliable:

Inquiry messages translated from Chinese to English Inquiry messages translated from Chinese to English

(messages translated from Chinese to English)

The Problem

Here’s why regular marketing strategies don’t work for high-ticket medical services like TMS:

High-ticket services generally require high levels of trust and information. That's why these "one-size-fits-all" approaches are simply not enough.

The truth is, if someone has:

…It's very difficult to get them to even provide their contact info, let alone convince them to hand over thousands of dollars.

This is especially true for medical services.

Trust Gap illustration

What’s more, you're competing against hundreds of businesses doing the exact same thing:

Burning thousands of dollars on ads every week, trying to convince strangers to sign up or purchase something.

Our strategy flips the script completely.

How It Works

With LocalStars, customers already:

  • Know and trust you
  • Are familiar with your services
  • Understand how you can help them

...Before they even reach out to you!

Instead of trying to crank out low-quality leads and inquiries, we make "pre-sold" customers come to you.

We do this by first identifying the highest potential buyers in your local area, and rapidly building familiarity, trust, and confidence with "hybrid content ads":

Hybrid content ads demonstration

Unlike regular ads that interrupt users and try to convince them to sign up or purchase something, these ads blend in with regular social media content...

They are designed to educate, enlighten, and provide value to users...

And they are specifically designed to elicit trust and desire, so that these individuals chase YOU (and not the other way around).

Using Meta's advanced algorithms, our ad campaigns target the people most likely to become your patients on an ongoing basis.

LocalStars workflow

Within this audience, you will achieve borderline "celebrity status", and quickly become your city's #1 expert in your specific field.

These individuals not only come to trust you, but learn a lot about the problems they have, the solutions you provide, and will see you as the most reliable local authority in your field.

At this point, the leads, inquiries, and bookings become inevitable.

People reach out to you, instead of the other way around.

What’s more, by the time they reach out, they are already primed and convinced.

They already know how they can benefit from your services, and they already know and trust you.

That's how we get more patients through the door, on autopilot, every single month.

What's Included

LocalStars is a 100% Done-For-You service that integrates seamlessly with your clinic.

All you have to do is make sure your receptionist is there to handle calls, bookings, and inbound inquiries.

Here's what's included:

  • Meta ads account and campaign setup
  • Full LocalStars campaign structure implementation
  • Audience building and refined targeting
  • 12 constantly updated "hybrid content ads", with new ones added every month
  • A hyper-realistic AI avatar of you to be used in your videos (optional, but highly recommended)
  • Campaign performance monitoring
  • Built-in lead funnels that generate qualified leads for you
  • Ongoing optimization and retargeting
  • Monthly reports and check-ins
  • Month-to-month basis: Cancel anytime

Our Guarantee

LocalStars is a serious investment, and we do not take our clients lightly.

Here's how we ensure you are making a positive ROI with our service:

We guarantee at least 5,000 high-potential prospects within the first 90 days, or you get a full refund for all retainer fees paid up to that point.

These are highly engaged buyers in your local market who have shown with their own behavior to have strong interest and trust in your brand, marking them as prime candidates to become high-value patients.

Not only have they been identified by Meta as highly interested in your content, but they have revisited your content, and stayed highly engaged with your clinic by taking the time to watch an additional number of your videos more than 75% of the way through.

Even if you got 0.2% of these highly-engaged prospects to convert and begin treatment, you're already looking at 10 new patients for your high-ticket service at a minimum.

(The first 3 months represent a "ramp-up" period - Results typically continue to improve past this period.)

What's more, there are no long-term commitments. You can cancel and walk away at any time for any reason.

Typical Results

Our clients usually see the following benefits within 90 days:

  • More Growth: Significantly more consultations and new patients every month
  • More Trust & Local Recognition: By the time customers pick up the phone to call you, they already trust your clinic, and have a degree of knowledge about TMS
  • Save Time and Effort: LocalStars takes care of all the marketing, and integrates seamlessly with your clinic, bringing a reliable and consistent stream of eager prospects to your door.
  • Future-Proof Yourself: Go beyond another medical service provider - Become a trusted authority in your local area.

Pricing

Our transparent pricing model for high-ticket medical service businesses is as follows:

  • Upon signing up, you pay a one-time setup fee of $1,250.
  • Once you are onboarded and the service begins, you will pay a monthly retainer of $4,000
  • You pay an additional ad spend of $1,200 per month (going directly to Meta).

Using TMS as an example, here's how the numbers work out for the first 3 months:

  • $200 per TMS treatment session (average CPT 90868 reimbursement)
  • Average of 30 treatment sessions per patient
  • 5,000 high-potential prospects × A very conservative 0.2% conversion rate
  • At least 10 new patients from our LocalStars service within 90 days

= $60,000 in revenue (against $16,850 in total costs)

Add $43,150 to your clinic in the first 90 days

Return on investment: 256%

These guarantee is based on conservative estimates. And even if we do fail to meet these guarantees, you can obtain a full refund for 100% of the retainer fees paid through the first 90 days.

Availability

To ensure our team is able to provide the best service to our clients, we only onboard 3 new clients per month.

We also work exclusively with one client per city for any given niche. Once a client has signed up in your city, we will not onboard a competitor in the same city.

The onboarding process goes like this:

  1. Sign up and pay the one-time setup fee (takes 3 minutes)
  2. Receive the onboarding checklist from our team via email (takes 10 minutes)
  3. Optional, but recommended: Recording the training clips for your AI avatar (takes 15 minutes)
  4. From there, it's completely hands-free and 100% done-for-you.

Next Steps

If you are ready to take action, schedule a free 30-minute discovery call with our founder here:

Frequently Asked Questions

How reliable are the guaranteed results?

Our guaranteed results are conservative estimates derived from past campaign performances. In most cases, you will exceed them.

The guarantee is included in the service agreement, so if we fall short of it at the end of the 3rd month, you can terminate the service and get a full refund for all retainer fees paid up to that point.

What happens if the guarantees aren't met?

You have the option to terminate the agreement and get a full refund for all retainer fees paid up to that point.

What is the quality of the patients acquired?

In short: Very high. LocalStars beats other marketing strategies because it "pre-sells" your customers.

By the time you receive an inquiry or call, they are already familiar with you, trust you, and are often eager and ready to start treatment with you.

Will this work for my business?

LocalStars works for all high-ticket service businesses, across various industries, no matter where they are based. We recommend it for businesses with a lifetime value of at least $6,000 per customer.

How is the service tailored to my business?

Your content ads will be tailored to your business's branding and message, as well as tastes and preferences of your locale.

Should you opt for the AI avatar option, your audience will come to recognize your face, quickly building trust and confidence on a personal level.

Do I get a say in what gets published?

Yes. Before the service commences, and the end of each month, you will have a chance to review the drafts of the content ads planned for the upcoming month.

Is this a long-term agreement? Am I locked into a contract?

LocalStars operate on a month-to-month basis. You are free to cancel at any time.

How is the target audience identified and refined?

We optimize ad targeting using the following key signals:

  • User engagement with video content ads
  • Users who perform key conversion actions (e.g. submit contact information, request more information etc.)
  • Monthly submission of new intakes from your team

What makes "hybrid content ads" different from standard social media ads?

Standard social media ads attempt to interrupt the user's behavior, and convince them to purchase or sign-up for something immediately.

They are highly disruptive, and in recent years, users have developed significant fatigue towards them.

What's more, they force businesses to trade ad spend for leads, making them reliant on paid advertising in the long-run.

In contrast, LocalStars hybrid content ads look like regular social media content. They are designed to be interesting, informative, and enjoyable.

By leveraging behavioral targeting, retargeting, and mass exposure, we focus on building trust and confidence within this defined audience, so that you become the "obvious choice" for them. This is crucial when it comes to high-ticket services.

What is the process for creating the AI avatar?

The easy instructions are included in our onboarding guide. In short, you simply have to read a short 2 minute script in front of your phone camera in a well lit environment. In most cases, you will repeat this process in different rooms or against different backdrops, so we can vary our video content. The entire process should take no longer than 15 minutes.

Is the AI avatar mandatory?

The AI avatar is an optional (but highly recommended) feature of LocalStars. By putting your face out there, you generate a higher level of trust and confidence with your local market.

If you choose to opt out, we will create your videos with an actor or actress, without your likeliness. Service delivery and guarantees remain the same.

Is creating the AI avatar safe?

Rest assured, your AI avatar is safely and securely processed and stored by HeyGen, a well-established and SOC 2 compliant American generative AI provider.

Use of your AI avatar is strictly restricted to the purpose of creating video content as part of your LocalStars service. Should you cancel your subscription with us, your AI avatar will be permanently deleted.

How do you address the “Information Gap” and “Trust Gap”?

Rest assured, your AI avatar is safely and securely processed and stored by HeyGen, a well-established, SOC 2 compliant generative AI provider based in the USA.

Is the pricing model flexible?

No. Our pricing model is fixed and transparent. We realize this may be a significant investment for some clinics, but it is a service for serious businesses, with performance guarantees to ensure a positive ROI.

How does the ROI compare to other marketing strategies?

Great question. By the end of the 3rd month, LocalStars far surpasses conventional marketing methods, including PPC search ads and traditional social media advertising. This is because we are marketing to a warm audience that is already familiar with your clinic, and already has a high degree of trust and familiarity for you.

More importantly, we are targeting qualified audiences that could benefit greatly from TMS therapy, but don’t know that they do yet. These are high-potential customers that most clinics and advertisers are neglecting.

When you become the helpful, trustworthy source of information for their condition and treatment options, you quickly become their 1st choice treatment provider.

Are there hidden costs?

No. You pay a one-time setup fee, and from there, your retainer fee and ad spend is clearly defined and fixed. Some of our clients will choose to increase ad spend as time goes on, but any cost changes are thoroughly discussed and agreed upon before they are implemented.

How much time and effort is required from my staff?

Here is what your staff needs to do on a monthly basis:

  • Be ready and prepared to handle an increased number of calls, emails, bookings, and inquiries in general.
  • Send a list/spreadsheet containing the basic details of new customers at the end of each month.

Detailed instructions are included with the onboarding guide.

How does the service integrate with my existing systems?

LocalStars does not require any integration with your existing CRM or booking systems. It simply drives engaged and eager customers to your door, week-after-week, in a reliable fashion.

It also makes your sales process easier by “pre-selling” these customers. By the time they pick up the phone to call you, they would already have a high level of trust in your clinic, as well as a degree of knowledge about TMS therapy, saving your team time and effort.

What is the onboarding timeline?

Your onboarding guide is sent immediately after you sign up. The campaigns will be setup and ready to go within 2 weeks, and you will get regular updates throughout the entire process. You can also contact our support team at any time.

How are inquiries and bookings managed?

LocalStars does not handle inquiries or bookings. Instead, it relies on your existing team to receive and make bookings.

What LocalStars focuses on is driving eager, qualified, and “pre-sold” customers to your clinic. Once again, by the time these customers pick up the phone to call you, they would already have a high level of trust in your clinic, as well as a degree of knowledge about TMS therapy, saving your team time and effort.

What are the risks of relying on Meta’s ad algorithm?

LocalStars is a much more reliable, much less risky way of advertising on Meta. Unlike traditional Meta advertising, almost all optimization signals occur “on-platform”, meaning it does not rely on signals from external websites or platforms.

Because we are not chasing clicks, leads, or conversions, we are not subject to the same risks as traditional Meta advertising.

What happens if I cancel the service?

Should you choose to terminate the service, our team will disconnect from your Meta profiles. If you opted for an AI avatar, it will be permanently deleted.

How do you ensure compliance with local regulations for medical businesses?

Since LocalStars does not integrate with your clinical practice or CRM, we are 100% compliant with HIPAA, PHIPA, and most major medical regulatory frameworks.

The end-of-month intake spreadsheet excludes all health and payment information. Only basic details like name, date of birth, and contact information are required. This spreadsheet is securely passed onto Meta for processing, and then discarded.

Can the service scale as my business grows?

Absolutely. The retainer fee stays fixed, and you can request an increase in monthly ad spend to reach more customers.

What is your company’s background?

Zucc Digital is a young and dynamic digital marketing agency based in Hong Kong, with teams in North America and Europe. We provide full-service digital marketing solutions to small businesses worldwide.

LocalStars represents our most innovative and successful digital marketing offering so far. With a focus on true brand-building and audience cultivation, it is perfect for high-ticket service businesses like TMS clinics.

How do you handle language barriers?

If you wish to market to a demographic that speaks a different language, we will be happy to accommodate. Content can be tailored and created in a different language, and we can adapt our ad targeting for these demographics.

Still have questions?

If you have any more questions, schedule a free 30-minute video call with our founder here: