Plastic surgery SEO services for multi-office practices and aesthetic groups

What our plastic surgery SEO services include

Every office gets its own listing, office and procedure pages, a compliant gallery, a review flow and a monthly count of which AI engines name it. Cosmetic surgery is health content that Google holds to its strictest standard: its rater guidelines of September 2025 say "Trust is the most important member of the E-E-A-T family", so each deliverable is built to survive a credential or consent check. It is our multi-location SEO method, adapted to surgery.

• Office and surgeon pages. Each office page lists the surgeons who operate there, the procedures offered at that address, hours and consultation options. Surgeon pages name the certifying board. ASPS notes that "There is no ABMS recognized certifying board with 'cosmetic surgery' in its name" on its member qualifications page, and Florida and California limit who may advertise as board certified.
• Procedure pages per office. Pages for each procedure an office performs, with candidacy, recovery, the operating surgeons and prices where you publish them. In a July 2026 Wax Plum test of 477 AI answers, Google's AI cited practices' own "[procedure] cost in [city]" pages on cost questions, yet Brown Bear found only 16% of top-ranking breast augmentation pages publish actual prices.
• Compliant before and after galleries. Full-face photos are HIPAA identifiers, and marketing use needs written authorization under 45 CFR 164.508(a)(3). The ASPS Code of Ethics, updated January 2025, treats misleading photos as grounds for discipline. Washington State's $5 million decree against Allure Esthetic in July 2024 required it to stop altering photos.
• Surgeon and office listings. One Business Profile per office. A surgeon gets a practitioner profile only if public-facing and reachable at that office during its hours, and every profile links to its own office page, as Google's business links policy requires for multi-location brands.
• A review flow within HIPAA and FTC rules. Every patient gets the same request. No incentive depends on sentiment, which the FTC review rule bans with penalties up to $53,088 per violation. Replies never confirm someone is a patient, as AMA guidance updated in August 2025 advises.
• Structured data. MedicalClinic markup per office with address, hours and geo, IndividualPhysician pages linked to offices through practicesAt, MedicalProcedure on procedure pages. Google says AI Overviews need no special schema, so we use markup for accuracy, not as a shortcut.
• AI answer tracking per office and procedure. A fixed set of patient questions per city and procedure, run on ChatGPT, Perplexity, Google AI Overviews and Gemini on Essential, plus Claude and Copilot on Complete. We count names, not only links: in a 480-answer Wax Plum study from August 2026, ChatGPT named 42 practices and 28 of them had no citation.

How search engine optimization for plastic surgeons works with us

We start with a free check, then a 10-day baseline, then fixes in the order that moves results fastest. Your team spends about 2 hours on onboarding and 2 to 3 hours a month after that, plus surgeon review time for new pages and photo consent checks. A developer needs 6 to 10 hours once, in the first six weeks.

1. Free check 3 offices on one AI engine, reply in one business day, no call
2. Audit, 10 days every office on every engine, procedures and cities agreed in writing
3. Weeks 3 to 6 listings, practitioner cleanup, markup, gallery consent audit
4. Weeks 5 to 12 office, surgeon and cost pages through surgeon review, reviews, media, monthly report

What it costs per office

Pricing is a published formula: a monthly network fee plus a per-office rate that drops as the network grows. Month to month, no lock-in, and deliverables stay with you.

The audit fee is credited in full to your first month. Complete adds Claude and Copilot, neighborhood content, local media placements, a review pipeline and an experiment log. Competitors who publish prices mostly quote per practice, and Percepture quotes multi-location work as custom.

Which surgery groups this fits, and which it doesn't

This fits plastic and cosmetic surgery groups, dermatology groups that offer cosmetic surgery, and aesthetic chains that run surgery alongside med spa services, with 5 to 150 offices. You need access to each office's profile and pages, surgeons who review clinical copy, and written consent for every published photo. As a plastic surgery SEO company, we say no when these are missing.

It fits:

• Multi-office surgery groups and PE-backed aesthetic platforms adding offices every year.
• Dermatology and cosmetic groups with surgeons operating across several cities; our medical SEO services cover the wider clinic network.
• Groups in the US first, and also in the UK, Canada, Australia, Ireland, New Zealand and Singapore, where we check local advertising rules first.
• Marketing teams that want visibility and consultations measured per office, not as one brand average.

It doesn't fit:

• Solo surgeons with one office. A local specialist will serve you better for less.
• Practices that cannot show surgeon credentials or document consent for their photos.
• Anyone who wants a guaranteed ranking position or a promised number of consultations.
• Groups that want reviews filtered, steered or bought, or photos edited.

What plastic surgery website SEO should measure and when results land

We report per office, per engine and per procedure query, and we expect listing fixes to show within 3 to 6 weeks and AI answer share to move over 3 to 4 months. Both are our planning estimates, not promises.

Each month, every office gets these numbers:

• Answer share. In how many of its fixed queries each engine names the office or its surgeons, counted as names and as links. Answers vary between runs, so we report counts, not screenshots.
• 3-pack presence. Whether the office appears in Google's local pack for its core procedure queries.
• Review position. Total reviews, average rating, reviews from the last 90 days and the gap to the brand median.
• Listing and gallery health. Whether each profile links to its own page, has the right category, has no duplicate surgeon listings, and whether every published photo has consent on file.
• Actions. Calls, consultation requests, direction requests and booking clicks from each profile and office page.

Across 100 sites with 145 million sessions, Marie Haynes found in October 2026 that ChatGPT sent 0.62% as many sessions as Google organic, and Google drove 27 times more conversions than all AI tools combined.

We also mark Google core updates on the report. Google ran five between March 2025 and May 2026, so a dip in an update window means something different from a dip after our changes.

What our study of 89 chains means for cosmetic surgery practices

ChatGPT named the chain in 4 of 18 local questions we tested, and 40% of chains with location pages send at least one listing to the homepage. Dedicated plastic surgery groups with 5 or more offices are rare, so we studied the closest comparable segment: 89 chains, made up of 44 dermatology groups, many offering cosmetic surgery, and 45 med spa and aesthetic clinic chains, from our study of 562 multi-location chains collected in September and October 2026.

Two samples are small: the markup figure rests on 27 pages and the ChatGPT figure on 18 answers, which change between runs. Read them as direction, not as rates. When we ran the markup check, we read JSON-LD only, so microdata pages count as missing. For the ChatGPT test we turned web search on and set the user location to each chain's city.

Ratings rarely separate one aesthetic group from another, with a median of 4.8. The weakest office does: when it has a fifth of the reviews of its strongest sibling, that city is where a competitor wins. Crawler access is never the problem, since none of the 89 block those crawlers.

Outside studies show how few practices AI names. In a DeepContour study of Perplexity answers in Houston, 79 of 117 verified practices were never named and RealSelf was cited in all 36 answers. A RecoSignal benchmark in Dallas found practice websites behind 73% of 1,153 citations, yet 61% of practices never appeared. Each engine leans on different sources, as the chart below shows, so each needs its own count.

Questions surgery groups ask us