the audit (FAx) / sample scorecards / VIII

Specimen VIII, a New Orleans dermatology and facial plastics practice

A real audit of a real aesthetic practice, shown with identifying details removed. Visibility score 43 out of 100, which falls in the room for improvement range. 16 of 34 signals scored from public data.

43/100
Band
room for improvement
Signals scored
16/34
Collected
Q3 2026

What the audit found

Patients comparing New Orleans dermatology and facial plastics practices see a strong website but a thin Google presence, and your visibility scored 43 out of 100. That puts you in the room-for-improvement range, with your Google Business Profile the single weakest link between a search and a booked consult. Worth a closer look together.

What is working

  1. A clear booking button where patients look first. Your "Schedule Online" button sits at the top of the mobile screen and scored 3 out of 3. A patient ready to act finds the next step without scrolling, so you lose fewer of them at the moment of intent.
  2. Deep treatment pages. You have 40-plus dedicated pages for branded treatments like NeoGraft, SmartGraft, and CoolSculpting. A patient searching a specific procedure lands on a page built for it, which reads as depth and holds attention.
  3. Written patient stories. Eight named testimonials that mention specific services scored 2 out of 3. Named, procedure-specific stories carry more weight with a hesitant patient than a star rating alone.
  4. Named in AI search answers. In a scan of AI search (the answers ChatGPT and Google's AI give patients), your practice was named in about one in six answers and your site cited as a source. Scored 2 out of 4, this is real presence most practices lack.

Where consultations are going elsewhere

  1. No services listed on your Google profile. Your Google Business Profile shows Website and Directions buttons only, with no services section (0 out of 3). A patient scanning the map results sees less about what you do than practices that list procedures, so they tend to click those instead.
  2. Google reads you as a spa, not a specialist. After generic types are set aside, your profile leaves "spa" and "doctor" (1 out of 3). Google struggles to match you to dermatology and facial plastics searches, so you surface for fewer of the terms patients actually type.
  3. Empty questions section on Google. Your Google profile's Q&A section has zero entries (0 out of 3). Patients asking common questions there see silence, and an unanswered space reads as a practice that is not paying attention.
  4. Two different phone numbers on record. Your Google profile and your own notes list different phone numbers (1 out of 3). When a patient finds conflicting contact details, some hesitate to call, and search engines trust an inconsistent listing less.
  5. No distinct positioning. Your bios show strong credentials but no first-mover or innovation claim in your market (0 out of 3). A patient weighing several qualified practices sees no reason you stand apart, so the choice tilts on price or proximity.

Area by area

Local presence and Google 25%

This is your weakest area at 25 percent. Your Google Business Profile is claimed and lists hours and categories, but it carries no services menu and an empty questions section, and Google reads you closer to a spa than a specialist. A patient scanning the map results sees less than they see on competing profiles.

Website and booking 75%

Your strongest area at 74 percent. The booking button sits where patients look, your treatment pages are deep, and scheduling works. Mobile speed at 56 is middling, which slows some patients on phones. We will walk through financing visibility together, which the public pages alone did not settle.

Reputation and proof 34%

Both physicians are board-certified and eight named testimonials back you up. The credential is easy to miss beyond the bio pages, and nothing on the site signals what sets you apart. Review volume and your before-and-after gallery need a closer look than public data allowed.

Content and discoverability 47%

A real bright spot given the category: AI search names you in roughly one in six answers, and your code labels for search engines are largely in place. There is no indexed video or podcast content, and blog activity needs a look we could not complete from the public site.

Paid media 0%

No paid activity showed up. The Meta ad search returned nothing running, and Google Ads presence needs a paste-in we did not have. This is a coverage note, not a verdict; paid media is a choice, and we would talk through whether it fits you at all.

Social and community (not scored)

Your Instagram account is linked from the site, but no posting, engagement, or content data was available to score, so this whole area is unmeasured for now. We walk through it together in the review rather than guess from a single link.

Identity and listings 34%

Two phone numbers appear across your listings, which can make a patient hesitate to call. Your presence on aesthetic directories and any legacy listings need the closer look we do together, since public data covered only part of the picture.

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.

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