673K
monthly searches for “acne treatment” alone
Semrush, US, 2026 — larger than the whole category
Dermatology Practices
AI visibility for medical and cosmetic dermatology
Your patients search the condition, not the dermatologist.
This is the widest gap between what a practice optimises for and what patients actually type. 'Acne treatment', 'eczema treatment' and 'psoriasis treatment' each draw 673,000 searches a month; 'dermatologist near me' draws 368,000. The condition queries are larger, earlier, and almost entirely unclaimed by practices — they are answered by WebMD, Healthline and the AAD, and increasingly by an assistant summarising all three. The second complication is that you are running two businesses: medical dermatology is insurance-gated and referral-driven, cosmetic is cash-pay and elective, and an engine that cannot tell which one you do will answer the wrong question about you.
best acne treatment in Austin
Here are some well-reviewed options:
- 1 Skin Society
- 2 Ageless Aesthetics
- 3 Radiance Group
- 4 Viva Wellness
- 5 Bella Vita
Your practice Not mentioned
368K
monthly searches for “dermatologist near me”
Semrush, US, 2026 — now answered with a shortlist
1–5
practices named in a typical AI answer
there is no page two
4 services
What we do for dermatology practices
AI Visibility
Get named by ChatGPT, Gemini, Perplexity and Copilot — and measure it monthly.
Read more →SEO
Local and organic search built to feed both Google and the AI engines reading it.
Read more →Google Ads
Paid search managed against booked appointments, not clicks.
Read more →Facebook Ads
Demand generation on Instagram and Facebook, feeding the searches that follow.
Read more →Citation sources we audit
Where your patients' recommendations come from
Each engine reads a different set of sources. These decide whether a dermatology practice gets named in your category.
| Source | Primarily feeds |
|---|---|
| Google Business Profile | Gemini / AI Overviews |
| Bing Places | ChatGPT / Copilot |
| AAD Find a Dermatologist | All engines |
| Healthgrades | All engines |
| Zocdoc | All engines |
| Vitals | All engines |
| Perplexity |
6 services × your markets
The prompts we test
Drawn from how patients actually ask, not from keyword tools. A full engagement tracks fifty per market across 4 engines.
- best acne treatment in Austin
- acne treatment near me Austin
- dermatologist that takes my insurance Austin
- top rated dermatologist Austin
How it starts
Three steps, and the first one is free to look at.
-
Baseline
We run fifty real customer prompts across ChatGPT, Gemini, Perplexity and Copilot for your markets, and show you exactly who gets named instead of you.
-
Build
We fix the sources those engines actually read — listings, structured data, review velocity, third-party and community presence — in the order that moves your score fastest.
-
Compound
Every month the score is re-measured and reported, with the citation source behind each mention. You watch the number move and you know what moved it.
Before you ask
The four things people say first.
"You cannot actually measure this."
We measure it every month
Fifty prompts, four engines, three runs each — logged with the source every engine cited. The number is reproducible and you get the raw log, not just a summary.
"We already have an SEO agency."
Keep them
The work barely overlaps. Theirs happens on your website. Around four fifths of ours happens off it — directories, review platforms, community and editorial. We will tell you plainly if we think you are paying twice.
"This is too new to spend on."
The shift already happened
Forty-five percent of consumers now ask AI for local recommendations, up from six percent a year earlier. The question is not whether it arrives, it is whether you are named when it does.
"Show us it works first."
That is exactly how we start
Every engagement opens with an audit. You see your score, your competitors’ scores, and the gaps — before committing to a retainer. If the number is already good, we will say so.
Comparison
What a traditional SEO retainer does not cover
Not a criticism of SEO — it still matters. These are simply different jobs, and most operators are only buying one of them.
| Traditional SEO agency | First Five | |
|---|---|---|
| Engines covered | ChatGPT, Gemini, Perplexity, Copilot | |
| Where the work happens | Almost entirely on your website | Roughly four fifths off it, where citations come from |
| What success looks like | A position on page one | Being named in a list of five |
| Primary data source | Google Search Console | Business Profile, Bing Places, Foursquare, Yelp, review platforms |
| How reviews are treated | Reputation management | A primary input to whether you get named |
| Monthly deliverable | A traffic report | A score, a per-engine breakdown, and a citation source map |
| When you are not cited | No visibility into why | The exact source that produced a competitor mention instead |
| What compounds | Rankings reset with each core update | Presence in the sources engines read |
Every row above is checkable. If your current agency covers a row we have marked, tell us and we will correct it.
Already working with someone?
How this compares to what you have.
Each comparison names the situations where the other option is the better one. If your current provider already covers this, the audit will show it and you should keep them.
A traditional SEO agency
What an SEO retainer covers, what it structurally cannot, and why the two jobs share almost no inputs.
Read the comparison →Brenton Way
A full-service growth marketing agency working across beauty, ecommerce, healthcare and med spas, SaaS, dental and several other c…
Read the comparison →Cardinal Digital Marketing
Cardinal is an Atlanta-based healthcare marketing agency with an established SEO and paid media practice. Aesthetics is one of sev…
Read the comparison →Growth99
Growth99 is a platform-plus-agency hybrid built specifically for aesthetics practices. It combines a CRM, marketing automation, on…
Read the comparison →9 questions
Questions dermatology practices ask
Which query matters most for a dermatology practice?
The condition, not the category. 'Acne treatment', 'eczema treatment' and 'psoriasis treatment' each draw around 673,000 searches a month in the US, against 368,000 for 'dermatologist near me'. The condition searches come earlier and are far less contested by practices, because almost every practice optimises for the second one.
We do both medical and cosmetic. Does that confuse things?
It does, and fixing it is usually the first thing we do. Published as a single flat service list, the two lines collapse and engines answer the wrong question — offering a skin-cancer patient your laser pricing. Separated properly in structured data, each line becomes answerable on its own terms.
Do the engines know which insurance we accept?
Usually not, because most practices have never published it in a machine-readable form. It is the first question after a recommendation for anything medical, and an engine that cannot answer it for you will answer it for a competitor who did publish.
Can we really compete with WebMD on condition searches?
Not on breadth, and we will not pretend otherwise. You compete on two things they cannot fake: locality, and being a named physician with verifiable credentials. On 'eczema treatment' you will not win. On 'eczema treatment' plus a city, and inside an AI answer that needs to name a real doctor, you can.
What about before and after photos?
They are your strongest creative and your biggest compliance exposure, because Meta's rules and your state medical board's rules are different and both apply. We write and crop to the stricter of the two rather than submitting and appealing.
Is one location too small for this?
No. Physician-owned practices of one to three locations are exactly what this is built for, and the entry engagement is a fixed-price project rather than a retainer. If your baseline comes back strong already, we will tell you that instead of selling you a programme.
How long before the score moves?
Directory claims and structured data can register within two to four weeks. Review velocity and third-party presence compound over three to six months. We report monthly either way, so you see progress before it is complete.
Can you guarantee we get recommended by ChatGPT?
No, and you should be sceptical of anyone who does. No AI platform publishes how it selects sources. We work from measured output and correlations documented across the industry, we report honestly, and we re-baseline the source map quarterly because these systems change fast.
Is there a minimum term?
No. The monthly plans are cancel any time and the entry engagement is a one-time project with a fixed price. We would rather earn the next month than hold you to a contract. One caveat worth stating plainly: review velocity and third-party coverage compound over three to six months, so leaving at month two means paying for work you never saw finish.
Starts with an audit, not a contract
Be the one AI gets named
Fifty prompts, four engines, your markets. You will see your score and exactly who is being named instead — before you commit to anything.
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