Case studies

Real numbers, real systems, kept running.

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Confidential · Medical Aesthetics Group · Multi-provider practice

From plateaued reach to 150+ booked consults in 90 days.

A multi-provider aesthetics practice with a strong clinical reputation but flat growth, rebuilt as a measurable, attributable growth system.

SEO · AIEO · GEO Programmatic location pages Schema markup Meta + Google ads Custom analytics
The headline number
150+
Booked consults in 90 days
Every one attributable back to the post, page, or ad that produced it.
+2,000%
Facebook reach
28-day window
+996.9%
Instagram reach
28-day window
+859%
Facebook views
99.4K total
+175.6%
Instagram views
127K total

01 · The situation

A respected practice. Growth was flat.

Strong clinical team. Quality content. Reach had not moved in a year. Underneath the surface, five compounding problems were quietly capping every channel.

01
Flat social reach

12+ months of stagnation. Posting decisions were made on instinct.

02
Legacy SEO debt

Multiple prior vendors had left orphaned pages, broken schema, and conflicting canonicals quietly suppressing rankings.

03
Untracked paid media

No one could trace a booked consult back to a specific post, page, or ad.

04
Spreadsheets and DMs

Warm leads slipped between the front desk and the providers.

05
Invisible to AI search

ChatGPT, Perplexity, Claude, and Google AI Overviews did not surface them.

02 · Our approach

We audited the bottlenecks. Designed the system. Built it.

Five parallel workstreams. Each produced a system the practice now runs on its own. By the end of the engagement, they had booked 150+ consults and the infrastructure that earned them.

03 · What we implemented

Five workstreams. One compounding system.

01

Data-backed social engine

A custom analytics layer pulled Instagram and Facebook performance daily, surfacing which formats, hooks, and topics were driving non-follower reach. Posting moved from instinct to weekly data-backed recommendations covering topic, format, hook, CTA, and post time. Audience targeting was re-aligned around the procedures with the highest lifetime value.

02

Discoverability: SEO, AIEO, GEO

We adapted the existing website. Working pages stayed. Legacy fragments holding the site back were removed surgically. Then we layered in the structure the engines reward.

  • Removed legacy SEO and GEO debt: orphaned pages, broken schema, conflicting redirects, stale fragments.
  • Added programmatic location pages for every neighborhood and metro they serve, dedicated service landing pages, and provider personal-brand pages that strengthen E-E-A-T signals.
  • Built an Ethos page covering credentials, accomplishments, awards, and press. An authority signal for Google and the generative engines.
  • Full schema markup: LocalBusiness, MedicalBusiness, Service, FAQPage, Person, Review, BreadcrumbList.
  • Optimized for “near me,” “best,” and comparison intent. Tuned on-page content for AI-engine citation: question-led H2s, definition blocks, and comparison formats that ChatGPT, Perplexity, and Google AI Overviews preferentially cite.
  • Shipped an articles and blog cadence aligned to a topical authority map, compounding ranking power across the cluster.
03

Paid media + online presence

Meta and Google ad targeting was built around the same high-LTV ICP the organic engine was tuned for, so paid and organic reinforced each other. In parallel, we built out the broader online-presence layer: provider thought leadership, press positioning, and a review-velocity playbook that kept social proof compounding.

04

Internal operations

We stripped out the spreadsheet-and-DM operating layer without forcing a CRM migration. The consult-to-treatment workflow was standardized across providers. Lead routing was automated, response-time SLAs were enforced, and reminder cadences were wired in so warm leads stopped slipping. Reporting was consolidated into a clean owner dashboard that replaced the ad-hoc spreadsheets the team had been maintaining by hand.

05

Conversion funnel

The booking flow on the existing site was re-architected to remove steps and friction. Conversion tracking and UTM hygiene were wired end-to-end. For the first time, every one of the 150+ booked consults could be traced back to the post, page, or ad that produced it. The practice could finally see the full path from marketing spend to consult to revenue.

04 · The results

Attributable to the systems we shipped.

150+
Booked consults in 3 months
75.3%
IG views from non-followers
+100%
Link clicks across channels
NDA
Client anonymous by choice
150+

The number that matters

150+ booked consults. 90 days. One integrated system.

Every consult traceable to the post, page, or ad that drove it. Every workstream still running on its own.

05 · Why it worked

Three things made the engagement compound.

01

Diagnosis before delivery

The work was sized by impact. Every workstream targeted a specific, measurable bottleneck.

02

Systems thinking

Each workstream produced something the practice could keep running on its own. The 150+ consults came from infrastructure we built once and kept running.

03

Attribution from day one

Every result above is auditable back to the post, page, or ad that produced it. No vanity metrics.

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