45%
of consumers now ask AI for local recommendations
up from 6% a year earlier
Plastic & Cosmetic Surgeons
AI visibility for plastic and cosmetic surgery practices
Nobody picks a surgeon from an ad.
They research for weeks — and that research now starts with an assistant rather than a search box. The engine returns a shortlist of one to five names, and being absent from it costs more here than in any other category, because a single case is worth what a med spa earns in a quarter. Worse, the sources that decide this are almost entirely outside your control: RealSelf, board directories, Reddit threads and review platforms, not the site you paid to redesign.
best rhinoplasty surgeon 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
6.5×
more likely to be cited via third-party sources than your own site
your website is not the lever
1–5
surgeons named in a typical AI answer
there is no page two
4 services
What we do for plastic & cosmetic surgeons
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 plastic & cosmetic surgeons
Guides for this industry
Citation sources we audit
Where your patients' recommendations come from
Each engine reads a different set of sources. These decide whether a plastic surgery practice gets named in your category.
| Source | Primarily feeds |
|---|---|
| RealSelf | All engines |
| Google Business Profile | Gemini / AI Overviews |
| Bing Places | ChatGPT / Copilot |
| Board certification directories | All engines |
| Healthgrades | 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 rhinoplasty surgeon in Austin
- top rated rhinoplasty Austin
- how much does rhinoplasty cost in Austin
- board certified plastic surgeon 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 plastic & cosmetic surgeons ask
Should we optimise the practice or the surgeon?
The surgeon. Patients ask who the best rhinoplasty surgeon in a city is, and engines resolve that to a named individual with certification, review history and RealSelf presence. A practice listing does not answer the question that was asked.
How much does RealSelf matter here?
More than anywhere else we work. For surgeon-level recommendations the engines lean on it heavily, and a thin profile keeps a surgeon out of answers regardless of how strong the practice site is.
Is board certification a ranking signal?
It is a verifiable one, which is rarer and more useful. "Board certified" gets checked against certification directories rather than taken on trust, so accurate and specific certification data is among the few unambiguous trust signals in the category.
Patients research for months. Does AI visibility help that early?
It is where the research now starts. Being named in the first answer puts you in a consideration set that gets narrowed for weeks afterward — and being absent means never entering it, whatever your site does later.
Can we advertise procedures on Meta?
With heavy constraints. Cosmetic surgery is a restricted category, targeting on body or appearance attributes is prohibited, and before-and-after imagery is effectively unusable. Surgeon-led explanation and consultation content is what survives review.
We charge for consultations. Does that change the approach?
Yes, and for the better. The paid consultation is the real conversion event, so campaigns get optimised toward it rather than toward form fills — which is the single most common reason surgery accounts underperform.
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