This is a sample. A real audit of a real practice, shown with identifying details removed.

The audit is the scorecard itself. The review is the thirty minutes we spend going through it together.

FAx

VISIBILITY
SCORECARD

Specimen X, a Mexico City plastic surgery clinic
specimen-x.example.com · July 28, 2026 · Tier 1 audit · Rubric v1.1
10
signals measured
Sample scorecard
More once we complete the manual review together.
Executive summary

A 533,000-follower Instagram sits above a website that most AI search tools and Google barely recognize. Your visibility, which places you in the room-for-improvement range. The audience exists; the discoverable proof that converts it into consultations does not, and that gap is what patients feel first.

What the audit found

Strengths

+Live online booking is in placeWebsite and booking

Patients can schedule through a third-party scheduler linked from repeated booking buttons across the site. A patient ready to act can act, which is the moment most practices lose.

+Mobile page speed is workableWebsite and booking

Your mobile performance score is 57, in the middle range. Since most aesthetic patients browse on phones, a page that loads at usable speed keeps them from bouncing before they read anything.

+Google Business Profile has a foundationLocal presence and Google

Your listing shows hours, categories, and accessibility details. That base gives Google something to display, though it is not yet built out enough to distinguish you as an aesthetic practice.

Costliest gaps

Search engines cannot read what your site isContent and discoverability

A direct check found zero of the code labels that tell search engines what your business is. Google is left guessing what you offer, so you surface less often when patients search.

No before-and-after gallery on the siteReputation and proof

Checked directly, your homepage has no results gallery; proof lives only in video and social. Patients comparing surgeons expect to see outcomes on the site, and are more likely to pick a practice that shows them.

Nearly invisible in AI searchContent and discoverability

Across 90 AI answers (the responses ChatGPT and Google's AI give patients), your practice was named twice. As more patients ask AI for a surgeon, you tend to be left out of the shortlist entirely.

Empty questions section on GoogleLocal presence and Google

Your Google listing has zero questions or answers. Common patient questions go unanswered at the moment of decision, and an unattended listing reads as less active than competitors'.

Directory listing points to the wrong areaIdentity and listings

Your Doctoralia Mexico profile lists you under Miguel Hidalgo rather than your Benito Juarez address. A wrong location and an uncorrected profile make patients hesitate about whether the details they see are current.

The path forward

Discuss the findings

Let's talk through what the audit found and what it means for your practice. The conversation turns a large audience and a working booking flow into patients who actually find you and choose you.

Lazar preps before the call: search engines cannot read what your site is, and no before-and-after gallery on the site, both mapped in advance, plus every item marked In your review, ready to walk through together.

Book your 30-minute review →

Lazar LaLone · lazar@fractionalaesthetics.com · (412) 944-5506

Methodology

The goal: a diagnostic read of what a patient, or a referring doctor, sees from the outside, working only from what is openly on display and never from the practice's own dashboards or private analytics. It intentionally does not prescribe fixes, because effective solutions need further conversation and analysis to get right.

Rubric
Aesthetic Practice Visibility Scorecard v1.1, 100-point composite
Two kinds of number
Scores of 0 to 3 are ours, applied from this rubric. Figures such as Google's PageSpeed result, your star rating, review counts and follower counts are third-party measurements we read and report, not numbers we assign
This audit
Tier 1, the complimentary read. Every one of the 34 signals is drawn from patient-facing data. Tier 2 adds paid-media spend analysis, and only when you choose to share your ad data.
Signals
10 measured from patient-facing data so far; the rest walked through together in your review
Review items
Excluded from both earned and maximum points; they never count against the practice, and we look at them together in your review
Generated
July 28, 2026
Category breakdown
IN YOUR REVIEW = these signals need a closer look than patient-facing data alone allows, so we walk through them together in your review. They are excluded from the score entirely and never count against the practice.
1Local Search Visibility
34%
Your Google Business Profile has the basics: hours, categories, accessibility. What is missing costs you. The questions section is empty, so common patient questions go unanswered right at the decision point. Several parts of the listing were not visible to this audit and are worth walking through together.
1.1 GBP Claim & Completeness 2 / 3
1.2 GBP Categories In your review
1.3 Service Menu on GBP In your review
1.4 GBP Photo Volume & Recency In your review
1.5 GBP Posts Frequency In your review
1.6 Local Pack Presence (Primary Terms) In your review
1.7 Q&A Section Activation 0 / 3
2Website & Infrastructure
67%
This is your strongest area. Live online booking works and mobile speed is usable, so a ready patient can act. The main booking button above the fold does not carry a booking word, so the clearest prompt to schedule sits lower down where fewer patients reach it.
2.1 Mobile Speed Score 2 / 3
2.2 Above-the-Fold Booking CTA 2 / 3
2.3 Online Scheduling Integration 2 / 3
2.4 Branded Treatment Page Coverage In your review
2.5 Financing Surfacing In your review
3Reputation, Trust & Innovation
15%
The costliest gap sits here: no before-and-after gallery on your site. Patients comparing surgeons expect to see outcomes, and without them they tend to move to a practice that shows results. Review volume, response habits, and other trust signals need a closer look than public data alone allowed.
3.1 Google Review Volume (Market-Relative) In your review
3.2 Review Response Discipline In your review
3.3 Before/After Gallery Depth & Consent 0 / 3
3.4 Board Certification & Society Visibility 1 / 3
3.5 Patient Evidence Beyond Stars In your review
3.6 Innovation Leadership & First-Mover Evidence In your review
4Content & Discoverability (incl. AEO)
19%
Your site carries none of the code labels that tell search engines what your business is, so Google guesses. In AI search, the answers ChatGPT and Google's AI give, you were named in 2 of 90 responses. As patients increasingly ask AI for a surgeon, you are largely absent.
4.1 Blog Recency & Topical Depth In your review
4.2 Visibility in AI search 1 / 3
4.3 Schema Markup Completeness 0 / 3
4.4 Podcast/Video Content Indexing In your review
5Paid Media Presence
n/a
Paid media was not scored in this pass; no ad-platform data was available to review. Whether competitors are bidding on the terms your patients search is one of the questions we walk through together, since paid visibility often shapes who gets the first click.
5.1 Meta Ad Activity & Creative Variety In your review
5.2 Google Ads Presence (Competitive Terms) In your review
5.3 Landing Page Alignment In your review
6Social & Community
n/a
Your Instagram following of 533,000 is a real asset most practices never build. This audit could not measure posting cadence, engagement, or how the profile routes followers to booking, so the size of the audience is clear but its conversion into consultations is what we examine next.
6.1 Instagram Posting Cadence In your review
6.2 Engagement Rate In your review
6.3 Content Mix Diversity In your review
6.4 Link-in-Bio Strategy In your review
6.5 Story Highlights Organization In your review
7Identity & Citation Consistency
34%
Your Doctoralia Mexico profile lists you in the wrong borough, Miguel Hidalgo instead of Benito Juarez, which makes patients question whether your details are current. Consistency across other directories and any legacy naming were not fully visible here and belong in the review.
7.1 NAP Consistency Across Directories In your review
7.2 Aesthetic-Directory Presence 1 / 3
7.3 One consistent identity online In your review
7.4 Cross-Channel Brand Consistency In your review
Fractional Aesthetics

That is the whole read: 10 signals measured from what a patient can see. The rest we go through together.

Prepared for Specimen X, a Mexico City plastic surgery clinic · July 28, 2026 · Rubric v1.1

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