45%
of consumers now ask AI for local recommendations
up from 6% a year earlier
Med Spas
AI visibility for med spas and aesthetics practices
Patient acquisition cost has doubled since 2023.
Meanwhile 45% of consumers now ask AI for local recommendations, up from 6% a year earlier. AI returns one to five names. There is no second page.
best botox 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
2×
increase in patient acquisition cost
since 2023
1–5
businesses named in a typical AI answer
there is no page two
4 services
What we do for med spas
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 →Written for med spas
Guides for this industry
Does ChatGPT recommend med spas?
Yes — and it names one to five specific businesses. Here is where those names come from, and why your practice may not be among them.
Read →Why isn't my practice showing up in ChatGPT
Six causes, ranked by how often they turn out to be the real one — and how to check each in under an hour.
Read →Meta ad policies for Botox and aesthetics
What Meta prohibits in cosmetic and injectable advertising, why most med spa creative breaks it, and the mistake that gets an account restricted.
Read →Citation sources we audit
Where your patients' recommendations come from
Each engine reads a different set of sources. These decide whether a med spa gets named in your category.
| Source | Primarily feeds |
|---|---|
| Google Business Profile | Gemini / AI Overviews |
| Bing Places | ChatGPT / Copilot |
| Foursquare | ChatGPT |
| Yelp | ChatGPT / Copilot |
| RealSelf | All engines |
| Perplexity | |
| Local editorial roundups | All engines |
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 botox in Austin
- where to get botox near me Austin
- most reviewed botox Austin
- top rated med spa 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 med spas ask
Do you work at treatment level or practice level?
Treatment level. "Botox near me" and "Morpheus8 [city]" resolve through different sources, and a practice can be named for one and invisible for the other. The prompt set covers your top treatments individually, and the scorecard reports each one separately.
Does RealSelf actually matter?
In aesthetics, yes — it is one of the few local categories with a dedicated review vertical that AI engines cite directly. A thin or unclaimed profile removes you from a set of answers that Business Profile work does not reach.
Our injectors have their own followings. Does that help?
It helps a great deal, and most practices leave it unused. Patients ask who does the best lip filler, not which clinic. Injectors with their own review history and structured presence get surfaced in answers where the practice name alone does not.
Can you use our before-and-after photos?
On your own site, usually — subject to your state's disclosure rules, which we will flag. On Meta, effectively no. That constraint shapes the whole creative approach rather than being a detail to work around later.
We are one location. Is this worth it?
Usually yes, because the competitive set in a single metro is small and the entry engagement is a fixed-price project rather than a retainer. If the measurement shows you are already named consistently, we will tell you and stop there.
How is this different from the reputation tool we already pay for?
Reputation tools collect and display reviews. They do not tell you whether an engine names you, which sources it cited, or who it named instead. That is a different measurement and it is the one that predicts whether patients find you.
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.
Prefer to message? WhatsApp +91 92174 40013