More patients
from search.
Most of your new patient calls trace back to a Google search someone ran on their phone. If your practice doesn't show up, the patient picks the surgeon who did. We do the deep, technical work that gets your name to the top and keeps it there year after year. You do medicine. We grind the search engine work in the background so your phone keeps ringing.
Compounding work that becomes market dominance
Real search work is engineering, not gimmicks. We tune the site for speed, structure the content so search engines and AI can read it cleanly, build the medical directory presence that signals authority, and watch the rankings every single day. No magic bullets. No 30-day promises. Just the methodical, compounding work that puts your practice ahead of the surgeon down the street twelve months from now, and keeps you there.
Six layers of work
most agencies skip.
Most agencies pretend to do search engine optimization. They run an audit, change a few page titles, and send a report nobody reads. We actually do the work, at the engineering, content, and authority layers, every week, for as long as you're a client.
Site speed that wins on mobile
Seventy percent of your patients land on your site from a phone. We engineer the page to paint instantly, because slow sites lose rankings and lose patients before they ever see your work.
Structured data done right
We layer five to ten types of structured data on every service page so Google, ChatGPT, and Perplexity can read who you are, what you do, and why patients choose you, clearly enough to cite you.
The medical directory constellation
There are 200+ directories that matter for a plastic surgery practice: Healthgrades, Vitals, RealSelf, ASPS, vendor partner lists. We manage them so your information is consistent everywhere it appears.
Deep service pages, not thin ones
One thin page ranks for one search. One deep page ranks for fifty long-tail searches and gets cited by AI for dozens more. We build the depth your competitive market actually requires.
YouTube as a second search engine
YouTube is the world's second-largest search engine and a primary source AI engines feed from. We treat your video presence as a parallel ranking platform, not an afterthought.
Daily monitoring, not quarterly check-ins
Algorithm changes, ranking drops, indexing problems, competitor moves: we catch them in the data the day they happen, not in a quarterly review three months later when the damage is done.
We put practices on the map.
The map pack is what patients see first. Real local results we earned for real practices.
Top of the map pack for “best richmond plastic surgeons.”
From Richmond Surgical Arts →
#1 in the map pack for “kalamazoo facelift.”
From West Michigan Plastic Surgery →
Top of the map pack for “sarasota breast augmentation.”
From Sarasota Plastic Surgery →
A full Business Profile, panel and reviews, for Dr. Robert Jones.
From Toronto.Hair →We win the new search.
Patients ask AI and YouTube now, not just Google. Our clients show up there too.
Cited as the #1 source in Google’s AI Overview.
From Richmond Surgical Arts →
Named a top facelift surgeon in Google’s AI Mode.
From West Michigan Plastic Surgery →
Featured in Google’s AI answer for “bradenton plastic surgeon.”
From LA Plastic Surgery →
Her videos fill the entire “videos” tab in her market.
From LA Plastic Surgery →
Patient videos own the search carousel, 100K+ views.
From Sarasota Plastic Surgery →
One video: 44K views, +144 subscribers, 100% from search.
From LA Plastic Surgery →The proof, in the data.
Not vanity metrics, real rankings and real traffic that turn into booked patients.
16 months in Search Console: 1.17M impressions, 14.4K clicks, still climbing.
From Richmond Surgical Arts →
Dr. Lacerna owns the facelift results in her market.
From LA Plastic Surgery →
Owns the organic results and the panel for “sarasota plastic surgery.”
From Sarasota Plastic Surgery →
Owns the business panel for “best mommy makeover richmond va.”
From Richmond Surgical Arts →A 20-year discipline,
applied to your practice.
Two decades in elective-medicine search. Methodical, honest, and it compounds. Here's the first year.
Find what's broken and fix it fast
We run a full audit, then ship the quick wins in the first 60 days, the technical fixes and corrections that move rankings without waiting.
Build the depth your market requires
Months three through six: deep pages for every procedure, your listings cleaned up everywhere, and a site built to get found in Google and AI.
The work that pulls you ahead
Month six and beyond, it compounds. Fresh content, constant tuning, and ranking defense, so you pull further ahead every quarter.
Let's look at your rankings.
Send us your practice and we'll show you exactly where you stand against the top three competitors in your market: the rankings, the directory gaps, the speed scores, the AI citations. No pitch deck. No pressure. A 30-minute call where you see the data and decide if we're the right team to fix it.