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Plastic surgery · Google Ads · SEO · AI Search

Plastic surgery marketing that ends in a booked consultation.

Cosmetic surgery is a high-ticket, high-consideration purchase — and most plastic surgery marketing treats it like e-commerce. I build acquisition for established practices around consultations that actually happen, verified against your practice management system, with ad copy that survives Google's health policy review.

Healthcare · policy-compliant

−78%cost per admitted patient
~9×approved patients / mo
~2×ad spend, profitably
~6.4×organic traffic · 6 mo
600+AI citations from zero

Luxury US healthcare clinic · results verified in the client's Salesforce CRM · absolute figures under NDA, shared on a discovery call.

The consultation problem

Leads that never sit down are not marketing results.

Every surgeon has seen it: the ad account reports a great month, the front desk reports no-shows and price shoppers. The disconnect is structural — campaigns optimized on form submissions recruit exactly the people most likely to fill forms and least likely to book. I wrote about the mechanics in Why plastic surgery ads produce consultations that never book; the short version is that the fix lives in what the bidding algorithm is told counts.

My build ties the ad click to the consultation record: booked, showed, converted to surgery. That outcome flows back into Google Ads, so the account learns to find people who behave like your best patients — not your cheapest leads.

What the engagement covers

  • Google Ads and Performance Max structured by procedure line — rhinoplasty, breast, body, facial — each with its own economics and landing pages, not one blended bucket.
  • Policy navigation. Cosmetic procedure ads get disapproved constantly — before/after imagery, body-image language, personalization rules. I resolve disapprovals and appeals weekly on live healthcare accounts; see the disapprovals playbook.
  • SEO and AI Search. Procedure-intent content plus AI Overview and LLM visibility, where prospective patients now research surgeons before ever clicking an ad.
  • CRM-verified reporting. Cost per consultation and cost per surgery — real numbers from your system, not platform estimates.

Who this is for

Established US practices with a working consultation process and a serious budget — typically surgeons who have outgrown a generalist agency and want a senior specialist who runs the account personally. If you're pre-launch or testing with a few hundred dollars a month, I'm not the right fit, and I'll tell you that on the call.

AD CLICKGCLID capturedCRM RECORDlead → admittedVERIFIEDclosed revenueBIDDINGoptimizes on itOFFLINE CONVERSION IMPORT — BIDDING LEARNS FROM VERIFIED REVENUE ONLY
The verification loop: every click traced to an admitted patient, then fed back to bidding.
WHAT BIDDING OPTIMIZES ON — SAME BUDGET, DIFFERENT OUTCOMEMANYFORM FILLSFEW→ SHOWED CONSULTSFEWERVERIFIED SIGNALMOST→ SHOWED CONSULTS
Illustrative: accounts optimized on form fills recruit form-fillers; accounts fed verified consultations recruit patients.
Procedure lines are different businesses
Procedure lineConsideration windowCampaign focus
Rhinoplasty / facialMonths, research-heavyEducation + surgeon credibility
BreastWeeks–monthsFinancing clarity, outcome galleries within policy
Body / lipoWeeksSeasonality windows, consult speed
Injectables (gateway)DaysVolume lane — feeds surgical lines via CRM

Questions owners ask

Straight answers

How much should a plastic surgery practice spend on marketing?

Enough to buy a statistically meaningful flow of consultations for your priority procedures — for most established practices that's a five-figure monthly budget. The honest answer comes from your own numbers: average case value, consult-to-surgery rate, and the cost per consultation your market allows. That math is the first thing we do.

Why do my ads get disapproved so often?

Cosmetic surgery sits inside Google's personalized-advertising and healthcare policies — before/after images, appearance-based language and remarketing all trigger reviews. Compliant structure and copy eliminates most of it; the rest is handled through appeals, which I run weekly.

Do you replace my current agency or work alongside them?

I replace the paid-search function. SEO, AI Search and tracking come with it as one system — split ownership between vendors is where attribution goes to die.

Can you prove ads produced surgeries, not just clicks?

Yes — that's the entire model. Click ID captured at inquiry, followed to consultation and surgery in your practice system, imported back to the ad platform. You verify every reported number in your own records.

Talk to the person who will actually run it.

A 30-minute call about your numbers — no pitch deck, no account managers. If I'm not the right fit, I'll say so.

Book a 30-minute call$500 audit + 90-day roadmap