Home / How We Work
We Run Your Marketing.
You See What It Earned.
Google Ads, Meta ads, SEO, your website, follow-up, tracking and staff coaching, run as one system by a small senior team. You approve the offers. We do the rest.
See If We're a FitWhy One Team
Four Vendors Means
Nobody Owns the Result.
The ads company says the leads are fine. The web team says the site is fine. The social person says engagement is up. And your consult calendar hasn't moved, because each of them owns one piece and nobody owns the patient from the first click to the paid procedure.
We own the whole path. When a campaign brings in inquiries that don't book, we see it, because we're also running the follow-up and tracking the bookings. When the site loses people, we fix the site. There's nobody else for us to point at.
Sound Familiar?
Your Agency Gets These Wrong.
Here's What We Do.
Feeling like just a number
Your Patients Never Feel Like a Number. Your Agency Forgot Your Name.
With us: We take a handful of practices at a time, so the person running your account knows yours.
See If We're a Fit
Reports that never say how many patients booked
Your Agency's Report Runs Twelve Pages. Not One Line Says How Many Patients Booked.
With us: If we can connect to your CRM, or you use ours, reports count booked consults and the revenue they bring in.
See If We're a Fit
A new account rep every few months
Your Patients Always Know Who to Call. So Why Are You on Your Third Account Rep?
With us: One dedicated person runs your account and stays on it.
See If We're a FitWhat We Run
We Run Everything From the Search
to the Paid Procedure.
Every engagement uses some mix of these, in the order your practice needs them. The first weeks tell us which order that is.
- Google Ads
- Campaigns built procedure by procedure, in your own account, with every call and form traced back to the search that produced it. When a campaign stops paying, you hear it from us first.
- Meta and Instagram ads
- Paid social aimed at the patient who is ready to book. Posting builds your reputation. Ads build your schedule, and you decide how many people see them.
- SEO
- Plastic surgery SEO and med spa SEO for the procedures that pay, in the areas your patients actually come from. Slow to start, and it compounds. Toronto Cosmetic Clinic owned its city's searches for six years.
- Websites
- Need a new site? We build it in the first months of an engagement, and it launches with the ads already pointed at it. It's built to book consults, it loads fast and it stays up.
- Follow-up and CRM
- Fast text replies to new inquiries, and follow-up for the ones who didn't book today. A patient considering surgery can research for months. Somebody has to still be in touch when she's ready.
- Call and revenue tracking
- Every call, form and booking tied to the money it brought in, and that revenue sent back to Google and Meta so the ads learn from real patients. This is how you get the number.
- Offers and specials
- A special is a tool. Priced right, with a plan for what she buys next, an $87 offer can turn into a $3,000 sale. Priced wrong, it loses money on every patient. We build the first kind.
- Staff coaching with Echo
- Echo, our AI sales coach, calls your team and drills them on the objections your patients raise until the answers stick. Larger groups can add in-clinic training with an expert trainer.
The Formula
Find It. Fix It. Then Grow.
01
Find
The first weeks go into the path a new patient takes. We measure where inquiries come from and what each one costs, how fast someone answers, what happens to the ones who don't book, how many consults turn into procedures, and what your fees and reviews tell her before she calls. Most owners come in sure they need more traffic. Many are losing the patients they already have.
02
Fix
We fix the leaks first, biggest first, because they're patients you've already paid for. That means tracking on every call and form, follow-up that runs on its own, offers priced to make money and a site that books. Echo coaches your team, so the phone gets answered the way you'd answer it yourself.
03
Grow
Then we turn up the ads and keep turning them up as long as the numbers hold. You'll know what a booked consult costs and what it brought in. We keep pushing until you're the practice the others in your city get compared to.
Working With Us
You Approve the Offers.
We Run Everything Else.
We stay small so every client gets senior people. Changes go out in days, not seasons. Nick reads your numbers himself and goes through them with you at scheduled reviews.
Your reviews cover the four numbers that pay the bills: inquiries, booked consults, procedures and revenue.
We do need you for a few things. Approve the offers. Make sure someone answers the patients we send. Show up for the consults. Our best clients do that and let us run, and some go months without needing a meeting because the calendar is full.
Who We Work With
We've Worked With Aesthetic
Practices Since 2001.
Plastic surgeons, med spas and aesthetic clinics doing roughly $500,000 to $30 million a year, ready to invest in growth for at least a year. That's where the track record is, going back to 2001.
Plastic Surgery
Plastic Surgeons
72 to 125 surgical consults a month
A plastic surgeon on Avenue Road in Toronto went from 72 to 125 consults a month in a recession, with Allergan's own numbers showing BOTOX up 83% and JUVEDERM up 1,200%. His ads weren't the problem. His fees had nothing behind them on the website, so every call came down to price.
Read more →Med Spa
Med Spas and Aesthetic Clinics
#4 to #1 Botox provider in the country
Skin Vitality had 4 clinics and print ads that still worked when they called us. Within two years they had 8 clinics and were the #1 Botox provider in the country on Allergan's list. Revery, a newer clinic in Windsor, took in 2.4 times the revenue a year after we started.
Read more →Advisory
Advisory for Private Equity and Multi-Location Operators
Diagnosis before you write the next check
You bought the practice, or three of them, and growth stalled. We find what the seller's marketing was hiding and what's holding revenue back now, then stay on monthly to fix it.
Read more →Questions
What Owners Ask First.
Can you just build our website?
We build websites for the practices we're growing, as part of an engagement. A new site with nobody running the traffic behind it is a nicer-looking version of the same problem, so we launch the site with the ads and the tracking already in place.
Do you run our social media?
We run paid social: the ads on Instagram and Facebook. We don't post your day-to-day content, because that comes from inside your clinic. We're behind the scenes, not front-facing.
How much should we budget for ads?
Most practices we work with put $6,000 to $30,000 a month into media, on top of our fee, depending on whether you're surgical or non-surgical. The media stays in your own accounts, under your name. We've run campaigns from $100 a day to $60,000 a day.
Is there a long-term contract?
No. The first engagement runs three months, which is long enough to see whether it's working. After that we earn every month the same way.
Do you guarantee results?
No, and be careful of anyone who does. The result depends on both of us. We'll do our part quickly and well. You approve the offers, answer the patients and show up for the consults we book.
How much of my time does this take?
Very little. We need your approval on offers and anything that speaks for your practice. Beyond that we run it. You and Nick go through the numbers at scheduled reviews. Eleanor Welsh, who founded Skin Vitality, put it this way: "They take the business owner right out of the equation."
Is Your Practice a Fit?
We take on a handful of practices at a time. Tell us where yours is and what's in the way. If it's a fit, we'll set a time for you to meet Nick Dumitru, our founder, who has worked with plastic surgeons and aesthetic clinics since 2001.
See If We're a Fit