Specimen IX, a Nashville solo-brand surgical practice

What the audit found

Your practice scored 39 out of 100, which puts your visibility in the room-for-improvement range. Patients already find you in AI search, but the moment they land on your site there is no way to book in real time, so interest leaks out before it becomes a consultation. That gap is worth a conversation.

What is working

1. You show up in AI search answers. Across 90 AI answers, your practice was named in 30 percent and your site was cited with a link in 25 percent. When patients ask ChatGPT or Google's AI for a surgeon, you appear and get the click.
2. Real patient stories, not just star ratings. You have written testimonials tied to specific procedures like Morpheus8 and mommy makeover, plus video. This is the kind of proof patients read closely before choosing a surgeon, and yours is strong.
3. Dedicated pages for named procedures. You have individual pages for flagship treatments like facelift, rhinoplasty, and Botox rather than one buried list. This gives patients a clear answer for each procedure they are researching.
4. Award-level presence on an aesthetic directory. Your RealSelf profile is active and award-recognized (RealSelf 100, Hall of Fame). Patients who compare surgeons on aesthetic directories see a credible, managed presence.

Where consultations are going elsewhere

1. No real-time booking on your site. Your "Book Here" button routes to a contact form, not a live scheduler. Patients ready to commit have to wait for a callback, and some book with a practice that lets them pick a time now.
2. No services listed on your Google profile. Your Google Business Profile shows no services menu and no website link. Patients scanning the map see less about what you offer, so you are more likely to lose them to a fuller profile.
3. No financing information anywhere on the site. Cost is a common reason patients hesitate on elective procedures. With no payment-plan language visible, price-sensitive patients tend to drop off before booking a consultation.
4. Your blog has gone quiet. Your newest post is about seven months old across roughly 110 posts. Patients and AI search both read staleness as a less active practice, which can push them toward a competitor who looks current.
5. Slow mobile site. Your mobile speed score is 38 out of 100. Most patients research on their phones, and a slow load makes some leave before they see your work.

Area by area

Local presence and Google 23%

Your Google Business Profile is claimed and has hours, categories, and accessibility details. It is missing a services menu, a website link, and an active Q&A section. Patients comparing you on the map results (the map results on Google) see a thinner listing and are more likely to click a fuller one. Several items here need a closer look together.

Website and booking 40%

You have solid procedure pages, but the path to book breaks down. Your booking button goes to a contact form instead of a live scheduler, the mobile site scores 39 out of 100, and no financing appears anywhere. Ready-to-book patients hit friction and some leave for an easier path.

Reputation and proof 50%

This is a real strength. Your written and video patient testimonials, tied to specific procedures, are exactly what patients read before choosing a surgeon. The gap is innovation and first-mover positioning, which is absent, so you look similar to peers rather than distinct. Your review depth and gallery need a closer review together.

Content and discoverability 50%

You already appear in AI search answers, which most practices do not. The drag is a blog whose newest post is about seven months old and site code that labels you only as a generic organization, not a medical practice or physician. Both make you look less current to patients and to AI.

Paid media 0%

No paid advertising is running on Meta, and other paid channels could not be confirmed from public data. This is not a failure, but it means every patient you reach is finding you unpaid. We would walk through what paid presence your competitors are running when we talk.

Social and community (not scored)

You have an Instagram account, but posting cadence, engagement, and content could not be measured from public data alone. Social is a coverage gap in this diagnostic rather than a scored weakness, and it is one of the areas we would review together with your own numbers in hand.

Identity and listings 65%

Your RealSelf presence is award-level, which helps. Small inconsistencies show between your Google listing and your site (name punctuation, a missing floor detail), and several directories like Yelp and Healthgrades were not verified. Mismatched details across the web can quietly confuse patients and search engines.

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.