the audit (FAx) / sample scorecards / I

Specimen I, a Pittsburgh surgical practice

A real audit of a real aesthetic practice, shown with identifying details removed. Visibility score 40 out of 100, which falls in the room for improvement range. 23 of 34 signals scored from public data.

40/100
Band
room for improvement
Signals scored
23/34
Collected
Q3 2026

What the audit found

Your practice has real assets a patient rarely sees clearly online. The visibility audit scored 40 out of 100, which puts you in the room-for-improvement range. The biggest issue is that your 2023 rebrand never fully took hold across the web, so patients and search engines still find your old name and old owner in several places. That fragmentation is what a conversation can address first.

What is working

  1. You have genuine innovation and academic standing. A first-mover claim in your market, a running clinical study, and a faculty appointment give you two documented forms of proof most competitors cannot match. Patients weighing expertise are more likely to trust this.
  2. Your before-and-after gallery is well organized. The gallery is sorted into 13 surgical categories, which helps a patient find work like their own. Organized proof of results tends to move a considering patient toward booking.
  3. Your Google categories are on target. Four aesthetic-relevant categories are set correctly, so the right searches can surface you. This is the foundation that lets patients find you for what you actually do.

Where consultations are going elsewhere

  1. Your old brand is still live in multiple places. Your former domain, , still carries roughly 700 backlinks, a separate Google listing under the former owner holds its own reviews, and old Yelp and LinkedIn entries persist. This splits your reputation and confuses patients comparing you.
  2. Your name, address, and details disagree across directories. Yelp shows duplicate listings, Healthgrades and WebMD carry the former name, and Healthgrades lists a retired physician as active. Patients who see conflicting information are more likely to doubt which listing is real.
  3. Your paid ads send patients to the wrong pages. Facelift and tummy tuck ads land on the homepage, and a body lift ad points to a misspelled, likely broken path. A patient who clicks an ad and lands on a generic page tends to leave before booking.
  4. Treatments you promote have no page on your site. Preserve by Motiva, Ver-ve Regen, and Sculptra are marketed by email but have no dedicated pages. Patients searching those names after hearing about you find nothing and are more likely to pick a clearer competitor.
  5. Your blog and podcast content is not working for search. Your newest post is about eight months old and many older posts carry your former name; your podcast has 50-plus yearly episodes but none are transcribed on the site, so that content stays invisible to search.

Area by area

Local presence and Google 52%

Your Google profile is claimed, verified, and correctly categorized, which is solid footing. The costliest gap is an empty Q&A section, where common patient questions sit unanswered. Several photo and post fields we could not score from public data are worth walking through together in the review.

Website and booking 49%

Your site loads at a middling mobile speed and offers scheduling, though booking sends patients off to a separate site. The sharper gap is that treatments you actively promote have no page here. A patient searching those names lands on nothing and tends to move on.

Reputation and proof 58%

This is your strongest area. Real innovation proof, an academic appointment, and an organized gallery all work in your favor. Your review count is genuine social proof, yet it trails the market leader, which is what this item measures. Several trust items need a closer look in the review.

Content and discoverability 34%

Your site carries the code labels that tell search engines what your business is, which helps. The blog has gone quiet for months and your podcast episodes are not transcribed, so that content does not surface in search. Your visibility in AI search still needs review together.

Paid media 17%

This is your weakest paid area. A single repeated video ad shows little variety, and your ads point patients to the homepage or a broken path rather than matching pages. A patient who clicks and lands somewhere generic is likely to leave.

Social and community 26%

You have a working link hub in your Instagram bio, which is a positive. Engagement sits at 0.11 percent, well below a healthy level, so posts are reaching few people. Posting cadence and content mix need paste-in data we review together.

Identity and listings 15%

This area costs you the most. Your 2023 rebrand never fully settled: the old domain, old directory listings, and duplicate profiles are still live and splitting your reputation. Patients comparing practices see conflicting names and details and are more likely to trust a cleaner competitor.

About this sample

This practice did not request the audit and has not seen it. Redaction bars mark where a practice name, address, phone number, or web address would appear. Every score and finding is what the audit produced.

Fractional Aesthetics is a growth strategy practice for aesthetic medical businesses. "Fractional" describes how the work is bought: senior strategic help on a part-time basis, without a full-time hire.

FAx is our audit: 34 scored items covering a practice's public presence, from Google and reviews to website, content, AI search, social, and listings. Every signal is publicly observable, so nothing is required from the practice to run one. The audit names what is working and what each gap costs. It does not prescribe fixes, because those need a conversation.

Download this scorecard (PDF) ↓ All sixteen samples →

Want yours?

Complimentary, no call required, and every scorecard is prepared and personally reviewed before it goes out. Leave your practice's website and yours is on its way.

Yes, audit me →