# Fractional Aesthetics

> Fractional Aesthetics is an integrated growth strategy firm for aesthetic medicine practices (med spas, plastic surgery, and dermatology). It is run by one operator, Lazar LaLone, who works embedded with a practice month to month. Note: "fractional" here means a part-time, embedded growth leader; it is not a fractional laser or skin-resurfacing treatment.

## What it is
- Integrated growth strategy for aesthetic medicine practices, owned and run by Lazar LaLone.
- Engagements: a two-week Practice Diagnostic that ends in a written go or no-go, and a month-to-month Practice Partnership.
- Entry point: a complimentary practice audit that scores a practice's patient-facing signals (search, reviews, presence) the way a prospective patient encounters them.
- Who it serves: owner-led plastic surgery, med spa, and injectables practices.

## Key pages
- [Home](https://fractionalaesthetics.com/)
- [Practice audit, the FAx (start here)](https://fractionalaesthetics.com/#audit)
- [Sample audits, real practices examined and de-identified](https://fractionalaesthetics.com/sample-audit)
- [Founder, Lazar LaLone](https://fractionalaesthetics.com/lazar)
- [Original research, what AI search says about aesthetic practices (2,800 answers, four engines, 18 markets, July 2026)](https://fractionalaesthetics.com/articles/ai-search)

## Contact
- Email: lazar@fractionalaesthetics.com

## Sample audits (full text, no login, free to cite)
Real audits of real practices, published with identifying details removed. Every score and finding is what the audit produced. Each audit is read from patient-facing data; anything that data cannot show is covered in a manual review.
<!-- BEGIN GENERATED SAMPLES -->
- [Plastic surgery marketing audit example: Pittsburgh practice](https://fractionalaesthetics.com/sample-audit/specimen-i): a de-identified audit from patient-facing data
- [Facial plastic surgery marketing audit example: New York](https://fractionalaesthetics.com/sample-audit/specimen-ii): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Twin Cities](https://fractionalaesthetics.com/sample-audit/specimen-iii): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Chicago group](https://fractionalaesthetics.com/sample-audit/specimen-iv): a de-identified audit from patient-facing data
- [Med spa marketing audit example: Los Angeles](https://fractionalaesthetics.com/sample-audit/specimen-v): a de-identified audit from patient-facing data
- [Med spa marketing audit example: Dallas](https://fractionalaesthetics.com/sample-audit/specimen-vi): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Miami center](https://fractionalaesthetics.com/sample-audit/specimen-vii): a de-identified audit from patient-facing data
- [Dermatology marketing audit example: New Orleans practice](https://fractionalaesthetics.com/sample-audit/specimen-viii): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Nashville practice](https://fractionalaesthetics.com/sample-audit/specimen-ix): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Mexico City clinic](https://fractionalaesthetics.com/sample-audit/specimen-x): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Las Vegas practice](https://fractionalaesthetics.com/sample-audit/specimen-xi): a de-identified audit from patient-facing data
- [Injector studio marketing audit example: Portland](https://fractionalaesthetics.com/sample-audit/specimen-xii): a de-identified audit from patient-facing data
- [Dermatology marketing audit example: Scottsdale group](https://fractionalaesthetics.com/sample-audit/specimen-xiii): a de-identified audit from patient-facing data
- [Med spa marketing audit example: Toronto chain](https://fractionalaesthetics.com/sample-audit/specimen-xiv): a de-identified audit from patient-facing data
- [Laser clinic marketing audit example: Vancouver group](https://fractionalaesthetics.com/sample-audit/specimen-xv): a de-identified audit from patient-facing data
- [Plastic surgery marketing audit example: Mexican border](https://fractionalaesthetics.com/sample-audit/specimen-xvi): a de-identified audit from patient-facing data
<!-- END GENERATED SAMPLES -->
- [Market research for aesthetic practice owners](https://fractionalaesthetics.com/articles): reviews of the published evidence, with our own measurements where we have them. Index of every piece. [RSS feed](https://fractionalaesthetics.com/articles/feed.xml)
- [What Galderma buying ZO Skin Health could change for practices that sell it](https://fractionalaesthetics.com/articles/galderma-zo-retail-shelf): Galderma agreed to buy ZO Skin Health for $1.5 billion in cash.
- [How do new med spa patients split spending on laser and injectables?](https://fractionalaesthetics.com/articles/laser-new-patient-interest-vs-injectable-revenue): Laser and energy work is 13.3% of new patients' spending, 8.3% of returning patients'.
- [What medspa spending data says about weight-loss and wellness services](https://fractionalaesthetics.com/articles/wellness-mix-transaction-value): Qsight puts GLP-1 spending at aesthetic practices at $1.30 billion in 2024.
- [Can a practice reward patients for reviews under the FTC rule?](https://fractionalaesthetics.com/articles/ftc-review-rule-practices): The 2024 rule allows rewards for reviews only when they do not depend on a good rating.
- [What a fractional laser costs a practice, and what patients pay](https://fractionalaesthetics.com/articles/fractional-laser-economics): One equipment guide lists new fractional CO2 lasers from $70,000 for Alma's Pixel to $180,000 for the Lumenis UltraPulse.
- [What changes for a practice as more men book aesthetic care](https://fractionalaesthetics.com/articles/male-patients): Transaction data shows men get 10% to 15% more toxin units per visit than women, at the same price per unit.
- [Medspa revenue grew 17.4% in Q3 2026. New patient counts stayed flat.](https://fractionalaesthetics.com/articles/retention-over-acquisition-q3): Existing patients brought in about 82% of medspa revenue in Q3 2026, in vendor data.
- [Cosmetic surgery across borders: what the evidence says about attracting international patients... and losing them](https://fractionalaesthetics.com/articles/international-patients): We read the survey data on where cosmetic surgery patients travel, six hospital studies of patients who came home with complications, and the advertising rules in the US, the UK, Dubai and China.
- [What patients pay for Botox, and what is known about raising prices or retiring a service](https://fractionalaesthetics.com/articles/pricing-changes): Patients on RealSelf reported an average Botox bill of $550 in 2022 and $553 in 2023, and Guidepoint Qsight's practice transaction data put the average male neurotoxin visit at a record $529 in the third quarter of 2026.
- [GLP-1 patients are changing aesthetic menus. Body lifts and facial fat grafting are growing fastest.](https://fractionalaesthetics.com/articles/glp1-menu): More than four in five plastic surgeons fielded a GLP-1 consultation request in 2025, and facial fat grafting grew faster than any other cosmetic surgery that year.
- [Duplicate listings split a practice's reviews. Patients and AI tools both look at the count.](https://fractionalaesthetics.com/articles/duplicate-listings): Patients weigh how many reviews a practice has, and the AI engines they now ask say they weigh it too.
- [Organic reach is falling. Where patient attention went.](https://fractionalaesthetics.com/articles/organic-reach): Instagram's average organic reach fell 14% in a year, by one analytics vendor's count.
- [Patients in loyalty programs come back more often. No study in aesthetics shows the program is the reason.](https://fractionalaesthetics.com/articles/memberships-loyalty): In Guidepoint Qsight's sales data, 68% of patients on a manufacturer rewards program came back from 2024 to 2025, against 42% of patients who were not on one.
- [Google retired the question box on business profiles. Its AI answers from reviews instead.](https://fractionalaesthetics.com/articles/ask-maps-profile): Google switched off the Business Profile Q&A API on November 3, 2025, and told owners that patients would get an instant answer built from the business's answers and relevant reviews.
- [What the evidence says about AI before-and-afters](https://fractionalaesthetics.com/articles/ai-renders): . 16 products that generate a patient-specific outcome image, priced and checked against the peer-reviewed evidence. Simulation ranked third as a decision factor.
- [What the evidence says about patient financing](https://fractionalaesthetics.com/articles/patient-financing): . Government data on medical credit cards (CFPB) read next to the vendor claims from CareCredit, Cherry, PatientFi and Sunbit, and the one aesthetics survey that measures spending. The cost to the patient is well documented; the evidence that financing fills a surgeon's schedule comes from the companies that sell it.
- [What AI search says about aesthetic practices](https://fractionalaesthetics.com/articles/ai-search): . 2,800 patient questions put to Claude, ChatGPT, Gemini and Perplexity across 18 markets in July 2026. Practices with strong websites get read by the engines and then passed over; review presence decides the recommendation.