What the audit found
Patients asking ChatGPT and Google's AI about surgery in your market hear your name often, which is real strength. But your Google map profile is thin and your visibility overall scored 39 out of 100, leaving room for improvement. That gap between AI answers and everything else is what is most at stake.
What is working
- You show up strongly in AI search. In AI search (the answers ChatGPT and Google's AI give patients), your practice was named in over half of test answers and your site cited as a source in most. Patients researching you are more likely to find you.
- Clear booking button on mobile. On a phone, a Book Now button sits at the top of your homepage. A patient ready to act does not have to hunt for the next step, so you tend to hold interest at the moment it counts.
- Solid search-engine code labels. Your site carries the code labels that tell search engines what your business is (clinic, organization, services). This helps engines classify you correctly, though patient-review and FAQ labels are not yet present.
Where consultations are going elsewhere
- Your Google categories do not say what you do. Your Google profile lists only Doctor and generic types, with no plastic surgery or cosmetic category. When patients search for aesthetic work, Google is less likely to surface you, so those searches tend to reach competitors instead.
- No services listed on your Google profile. Your Google profile shows no services menu, only Website and Directions. Patients comparing options on the map see nothing about what you offer, so they are more likely to pick a profile that spells it out.
- Your site is slow on phones. Your mobile speed scored 20 out of 100. Most patients arrive on a phone, and a slow page tends to lose them before they read anything, sending them to a faster competitor's site.
- Empty questions section on Google. Your Google profile Q&A section has no questions or answers. Patients asking common questions there see silence, and an unanswered profile tends to read as less active than one that responds.
- Blog has gone quiet. Your most recent blog post is from 2025 with nothing in 2026. To a patient comparing practices, older content makes you look less active than a competitor publishing regularly.
Area by area
Local presence and Google 17%
Your Google map presence is the weakest area at 17 percent. The profile is claimed, but it lists only generic categories, no services, and an empty questions section. When patients search for aesthetic work locally, Google is less likely to surface you, so those searches tend to reach competitors. Several map items need a closer look together.
Website and booking 45%
Your site scored 44 percent. A clear Book Now button greets phone users at the top of the page, which holds ready patients. The drag is speed: a 20 out of 100 mobile score tends to lose patients before they read. Your booking path and treatment pages we walk through together.
Reputation and proof 34%
Dr. Jacome is presented as double board certified, though that credential currently sits only in a bio and is easy to miss. Most of this area, including review response, gallery depth, and patient stories, needs a closer review than public data alone allows, so we cover it in the walkthrough.
Content and discoverability 60%
Your strongest area at 60 percent. In AI search, the answers ChatGPT and Google's AI give patients, you are named and cited often. Your site code labels are solid too. The blog has gone quiet since 2025, which makes you look less active to patients comparing practices.
Paid media (not scored)
Paid media was not scored this pass. Whether you run Google or Meta ads, and how those pages align, is something we confirm together rather than guess at from public data.
Social and community (not scored)
Social and community activity was not scored. Your accounts are linked from the site, but posting cadence, engagement, and content mix need direct data we gather in the review before drawing any conclusion.
Identity and listings (not scored)
Directory and brand consistency was not scored. As a border destination clinic you appear across medical-tourism aggregators, Yelp, and Facebook, and whether your name, address, and phone number match everywhere is worth a close look 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.