Specimen VI, a Dallas mall med spa

What the audit found

Patients comparing med spas in your market find no results gallery and no written patient stories on your site, only star counts. That absence, alongside a visibility score of 47 out of 100, puts you in the room-for-improvement range. The site is fast and easy to book on, so the foundation is there to build on.

What is working

1. Booking button sits front and center. A clear "Book Now" button shows above the fold on mobile and links straight to scheduling. A patient ready to act does not have to hunt, so you keep the ones who arrive intent to book.
2. Google categories cover your services well. Your Google listing carries five relevant business categories including skin care clinic and medical spa. This helps the right patients find you when they search for what you actually offer.
3. Every review gets a reply. You respond to 100% of Google reviews. Patients reading them see an engaged practice that pays attention, which builds trust before they ever call.
4. Deep treatment page coverage. More than 50 individual treatment pages cover your branded services, each on its own page. A patient researching a specific procedure finds a page built for it rather than one buried mention.

Where consultations are going elsewhere

1. No before-and-after gallery on the site. There is no results gallery anywhere on the site or navigation. In aesthetics, patients want to see outcomes before booking, so those comparing you to a practice that shows results are more likely to choose the one they can see.
2. No patient stories beyond star ratings. Your reviews section shows stars only, with no written or video testimonials tied to treatments. Patients weighing a procedure tend to trust specific stories, and without them you risk losing them to practices that show real voices.
3. No first-mover or differentiation signal. Nothing on your presence marks what sets you apart or what you offer first. A patient seeing this and a differentiated competitor side by side is more likely to pick the one that looks like a leader.
4. Missing from aesthetic directories. No listing found on the aesthetic-specific directories where patients research med spas. Patients who start their search there do not encounter you at all, so those visits go to listed competitors.
5. Thin presence in AI search. Across ChatGPT, Gemini, Claude, and Perplexity (the answers those tools give patients), you were named in only about 7% of relevant answers. As more patients ask AI first, you are absent from most of those conversations.

Area by area

Local presence and Google 56%

Your Google listing is claimed, with strong service categories and hours in place. The Q&A section sits empty, so common patient questions go unanswered where many read first. Several map and photo items need a closer look than public data allows; we walk through those together.

Website and booking 67%

This is your strongest area. The site loads at a solid mobile speed, a booking button sits above the fold, and scheduling works through your booking platform. Financing appears only on the homepage, so patients researching a specific treatment page may not see it when the cost question hits.

Reputation and proof 24%

Review responses are excellent at 100%. The costly gap is proof: no before-and-after gallery and no written patient stories, only stars. Patients choosing an aesthetic provider want to see outcomes and hear voices, and both are absent, which sends comparison shoppers to practices that show them. Certification visibility needs a closer look together.

Content and discoverability 52%

Your blog updates regularly and your site carries medical business code labels that tell search engines what you are. AI search visibility is thin: you appear in only about 7% of answers those tools give patients. As patients increasingly ask AI first, you are missing from most of those replies.

Paid media 0%

No paid advertising was found running under your identities. This is a coverage note, not a failure, since paid media is a choice. Two of the three items here need paste-in data we review together before drawing any conclusion about competitive ad terms.

Social and community 55%

Your Instagram presence is organized: a link hub in the bio and story highlights arranged by patient journey. Content mix leans on just two types, before-and-after and reviews, so the feed feels narrow. Posting cadence and engagement need data we gather before scoring.

Identity and listings 0%

You are absent from the aesthetic directories where patients research providers, so that search traffic never reaches you. Directory name consistency and any legacy listing fragmentation need a full audit across platforms, which we walk through together rather than guess from partial data.

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.