What the audit found
Patients researching injectors in Portland find your AI search answers and treatment pages, but almost nothing that proves your results or reputation. Your visibility scored 46 out of 100, which puts you in the room-for-improvement range. The proof gap is where consultations are quietly going elsewhere.
What is working
- You show up in AI search answers. Across 90 test answers, ChatGPT-style and Google AI tools named you 25 times and linked to your site 21 times. Patients asking AI who to see are already finding you, which is where more searches now start.
- Booking is easy to find on mobile. Your booking button sits at the top of the mobile screen, so a patient ready to book does not have to hunt for it. This is where most of your traffic lands.
- Real pages for your flagship treatments. You have dedicated pages for fillers, wrinkle relaxers, DiamondGlow, Sculptra, Sofwave, Kybella and more, so patients searching a specific treatment can land on a matching page rather than a competitor's.
- Named written testimonials on your site. Eight written patient reviews with names sit on your site, giving a researching patient words to trust beyond a star rating. This is genuine social proof most nearby studios do not put on the page.
Where consultations are going elsewhere
- No before-and-after gallery on your site. There is no results gallery on your homepage or navigation; results live only inside your Instagram feed. In aesthetics, patients decide on visible outcomes, so they tend to pick a studio whose results they can see on the page.
- Reviews go unanswered. Your review response rate is 0 percent. A patient comparing you to a practice that replies to every review reads silence as a practice that is less engaged, and is more likely to book the one that answers.
- No service menu on your Google listing. Your Google profile has no services section and no Q&A activity. A patient scanning the map results sees less than they do on competing listings, so you look thinner at the exact moment they are choosing who to call.
- Two different phone numbers listed for you. Your Google profile shows one phone number while directories show another. Mismatched contact details make search engines less confident about who you are, and a patient can reach a dead end trying to call.
- Search engines only half-understand your site. Your site carries basic Organization code labels but nothing marking you as a medical or aesthetic business or naming your providers. Search engines and AI tools have to guess what you are, which weakens how confidently they present you.
Area by area
Local presence and Google 34%
Your Google listing has hours, relevant categories and accessibility details filled in, which is a solid base. What is missing costs you: no services menu and no Q&A activity, so patients scanning the map results see less than they do on competing listings. Photo volume and map ranking need a closer look together.
Website and booking 75%
This is your strongest area. Booking sits at the top of the mobile screen, real treatment pages exist for your flagship services, and mobile speed is workable at 53. Scheduling lives on a separate booking subdomain rather than embedded on the site, a small friction point worth walking through.
Reputation and proof 16%
This is where you lose the most. There is no before-and-after gallery on your own site, no responses to reviews, and no innovation or first-mover story on the page. Your eight named testimonials help, but patients deciding on visible results tend to choose a studio that shows them.
Content and discoverability 72%
AI search is a real bright spot: tools like ChatGPT and Google's AI name you and link to you often. The drag is your site's code labels, which mark you only as a generic organization rather than a medical business, so search engines have to guess what you do.
Paid media (not scored)
We could not read your paid advertising this pass; the ad library check was blocked and search-ad terms were not supplied. This is a coverage gap, not a failing, and we walk through it together in the review rather than guess.
Social and community 65%
Your link-in-bio hub works and points to your locations, and Instagram is clearly active with 25,700 followers. Posting cadence, engagement and content mix were not measurable from public data alone, so this area needs a shared look before we draw conclusions.
Identity and listings 34%
The clearest issue is a phone number that differs between your Google profile and directories, which confuses both search engines and patients trying to call. Directory presence, any legacy naming, and cross-channel consistency were not fully visible and are best reviewed together.
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.