Growth partner for med spas, cosmetic dentists & surgeons
Ascendaio isn’t another marketing agency. We work alongside your practice to find where patients and revenue are slipping away, then fix it with local SEO, Google and Meta ads, CRM and lead automation.
One practice per area. We never work with competing practices in the same local market. Once we partner with you, your area is yours.
Problems we solve
Most practices don’t have a lead problem. They have a follow-up, tracking and visibility problem. Here’s what we find in almost every practice we work with, and how we fix it.
A form comes in at 9pm. The front desk sees it at 10am. By then, the patient has booked with the practice that replied first.
Fix: instant text and email replies, missed-call text-back and a 24/7 AI chatbot that books consultations.
Competitors hold the Google map pack for your highest-value treatments, while your site only ranks for your own name.
Fix: local SEO, Google Business Profile optimization, treatment pages and review generation.
You’re paying for Google and Meta ads, but no one can say which campaign produced which booked, paying patient.
Fix: GA4, conversion and pixel tracking tied to your CRM, so every dollar is traced from click to revenue.
Instagram DMs, web forms, voicemail and spreadsheets. Nothing is in one place, so nothing is followed up consistently.
Fix: a CRM with one pipeline for every inquiry, automated nurture sequences and a clear owner for every lead.
Consultations are booked but patients don’t turn up, and last-minute gaps never get filled.
Fix: automated reminders, confirmations, deposits and a waitlist flow that backfills cancellations.
Years of inquiries and lapsed patients sit untouched in your system while you pay to acquire new ones.
Fix: reactivation campaigns by text and email that bring past leads and lapsed patients back.
Core services
From med spa SEO to Google Ads for cosmetic dentists, every channel is run by a dedicated specialist and coordinated by your growth strategist, so you get one plan, one report and one point of contact.
Rank in the map pack and organic results for your highest-value treatments.
Search and Performance Max campaigns built around high-intent treatment searches.
Facebook and Instagram campaigns with policy-compliant creative for aesthetic and dental treatments.
One pipeline for every inquiry, from first contact to booked consultation.
Instant replies, missed-call text-back, reminders and nurture sequences.
Treatment-specific pages and booking flows built to turn visitors into consultations.
Answers patient questions and books consultations around the clock.
GA4, conversion and pixel tracking tied to booked patients and revenue.
Text and email campaigns that bring past leads and lapsed patients back to book.
Demonstration work
Pick an example and click through it. These are demonstrations, not client results: the audit reviews a real practice’s public website with its name withheld, while the landing page, workflow and report use a fictional clinic and sample data.
Sample SEO audit
We reviewed a Texas med spa’s publicly visible website and Google presence, with its name and identifying details withheld. Every finding is ranked by priority and comes with a plain-English fix.
Filter by priority, then open any finding to see the detail.
A full audit covers
The profile’s primary category is Day spa, and no services are listed for injectables, filler or laser.
Google relies heavily on your primary category to decide which searches you appear in. Listed as a day spa, the practice competes for massages and facials, not Botox.
Switch the primary category to Medical spa, add relevant secondary categories, and list every treatment as a service with a short description.
In a ranking scan across the practice’s area, it appears in Google’s top three map results for its own name only, not for searches like “botox near me” or “lip filler near me”.
Patients searching for a treatment usually choose from the first few map results. If you’re not there, those calls go to competitors.
Optimize the Google Business Profile, post photos and updates weekly, fix local listings and build a steady flow of new reviews.
Botox, filler, laser and body treatments share one Services page, with a short paragraph each.
Google ranks individual pages, not whole websites. One shared page can’t rank for dozens of treatment searches or answer patients’ questions.
Build a page for each high-value treatment, with pricing guidance, FAQs, before-and-after photos and a booking button.
On a typical mobile connection, the homepage’s main content takes about 6 seconds to appear, mostly because of large, uncompressed images.
Google’s benchmark for a good experience is 2.5 seconds or less. Slow pages rank lower, and many visitors leave before the page appears.
Compress and resize images, load below-the-fold content later and remove unused scripts.
On phones, the only Book button sits inside a collapsed menu, and the phone number is in the footer.
Most visitors arrive on their phones. Every extra tap between interest and booking loses potential patients.
Add a sticky Book and Call bar on mobile, and a booking button in every section of each page.
An old suite number still appears on Yelp, Apple Maps and several smaller directories.
Conflicting details make Google less confident about your location, which can hold back map rankings and send patients to the wrong door.
Correct every listing so the name, address and phone number match exactly, then monitor them for changes.
None of the reviews from the last six months have a reply, including two negative ones.
Replies show future patients that you care, and a calm response to a negative review limits the damage.
Reply to every review within 48 hours, using HIPAA-safe wording that never confirms someone is a patient, and request reviews automatically after visits.
The title shown in Google search results is the practice name alone, with no treatments or city.
The page title is one of the strongest signals of what a page is about, and it’s the first line patients read in search results.
Rewrite the title and description of every page to include the treatment and city, for example “Botox & Lip Filler in [City] | [Practice]”.
Google Analytics is installed, but form submissions and phone calls aren’t recorded as conversions.
Without this, nobody can tell which channel or campaign produces patients, so budget decisions are guesswork.
Set up conversion tracking for forms, calls and bookings in Google Analytics, Google Ads and Meta.
Demo landing page
Fernhill Aesthetics isn’t a real clinic. This page shows how we build treatment pages that turn search and ad traffic into booked consultations.
Tap a numbered marker, or use the arrows, to see why each part of the page is there.
Built into every page we make
Subtle, balanced results from experienced injectors. Free 15-minute consultation.
Before & after
Pricing guide
Book your free consultation
Request my consultationSomeone who searched “lip filler Dallas” lands on a page about exactly that, not on your homepage. The headline mirrors the ad or search they clicked, so they know straight away they’re in the right place.
Booking a free consultation is the main action, with tap-to-call beside it. There’s no menu and no unrelated links pulling visitors away.
The star rating and review count sit next to the booking button, at the exact moment a patient is deciding whether to book.
A before-and-after gallery answers the biggest question: what will I look like? We only use patient photos with written consent.
“From” prices remove the guesswork. Patients book knowing roughly what to expect, and your team spends less time on price-only calls.
Short forms get finished. Each inquiry goes straight into your CRM and starts the automated follow-up.
Example workflow
What happens, minute by minute, after a new inquiry arrives. Every lead gets a fast, personal reply, and nobody slips through the cracks.
Choose a scenario, then open any step to see the exact message. Or press Play.
How it works
Sarah fills in the lip filler form on the clinic’s website at 9:12 pm on a Tuesday, after the front desk has gone home.
Hi Sarah, thanks for contacting Fernhill Aesthetics about lip filler! Pick a time for your free consultation here: fernhill.example/book. Questions? Just reply to this text. Reply STOP to opt out.
Hi Sarah, here’s what most people want to know before their first visit:
Hi Sarah, just checking in. Would you like us to hold a consultation spot for you this week? Reply YES and we’ll call you to find a time.
Meet your injector, talk through your goals and leave with a personal plan and a clear price. No pressure, no obligation.
Choose a timeYou’re booked, Sarah! Free lip filler consultation on Thursday at 4:30 pm at Fernhill Aesthetics, 100 Example Ave, Dallas. Reply C to confirm or R to reschedule.
Please complete your health questionnaire before your visit. It takes about three minutes, so your consultation can focus on you.
Complete my formSee you at 4:30 pm today, Sarah! Free parking is behind the building. Running late? Just reply here.
We missed you today, Sarah. No problem, it happens! Pick a new time here: fernhill.example/book
The front desk also gets a call task.
Thanks for visiting Fernhill Aesthetics, Sarah! If you have a minute, we’d love to hear how it went: fernhill.example/review
Stop rule: the moment Sarah books, every remaining follow-up is cancelled automatically, so she never gets a “still interested?” text after booking.
Sample report
A one-page report that follows every inquiry through to a booked, paying patient, then sets out what we’ll change next month. The clinic and numbers are made up for this example.
Select a number to see what it measures, why it matters and what we do if it slips.
Every report includes
Every new form, call, text and DM, counted once and grouped by where it came from.
It shows whether marketing is creating demand, and which channels are pulling their weight.
We check rankings, ad delivery and tracking first, then adjust targeting or budget.
How long a new inquiry waits for its first reply, by text, email or phone.
Patients often contact several practices at once. The first to reply usually wins the consultation.
We review the automations and how front-desk tasks are handled, the same week.
Inquiries that turned into a consultation on your calendar.
Inquiries only count if they book. This shows how well follow-up and your front desk turn interest into appointments.
We review follow-up messages and call handling, then refine scripts and sequences.
Total ad spend divided by new patients treated. This month: $6,200 ÷ 44 patients = $141.
It’s the clearest test of whether marketing pays off, measured against what a new patient is worth to you.
We move budget toward the channels and campaigns with the lowest cost per patient.
Where inquiries came from
From inquiry to patient
Next month’s priorities
Want to see the full versions? We’ll walk you through them on your free strategy call.
How working with us works
We start with a free strategy call and a growth plan. Then we run all four stages as one system, so every stage feeds the next.
Local SEO, Google Ads and Meta ads put your practice in front of patients searching for your treatments.
Treatment landing pages, a 24/7 AI chatbot and one CRM pipeline turn visits into tracked inquiries.
Instant replies, missed-call text-back and reminders get consultations booked, and kept.
New reviews, past-patient campaigns and monthly reporting make every month stronger than the last.
Results feed back into the plan, every month
Tracked from first click to closed dollar.
How we start
We get to know your practice, your goals and what’s holding growth back.
We find the weakest stage in your loop and agree clear priorities, so you know exactly what we’ll do and why.
We agree what we’ll measure on day one, then review progress together on day 45.
About Ascendaio
Ascendaio helps med spas, cosmetic dentists and cosmetic surgeons attract the right patients and turn more inquiries into booked consultations.
We’re based in Dallas, Texas, and work remotely with healthcare businesses across the US. Every channel is handled by a specialist, and your growth strategist brings it all together in one plan.
What we stand for
We start with the problems holding your practice back and stay in the work until they’re solved.
We never work with competing practices in the same local market. Once we partner with you, your area is yours.
We report inquiries, booked consultations and cost per patient, not vanity metrics, and we never overpromise.
Med spas and cosmetic dental practices are our core focus, and we’re opening a limited number of spots for cosmetic and plastic surgery practices. We work remotely with practices across the US and partner with only one practice per local area, so we never work with your direct competitors.
Local SEO and Google Business Profile, Google Ads, Meta ads, CRM setup, lead follow-up automation, landing pages, AI chatbots, tracking and reporting, and database reactivation. We only recommend what your practice actually needs. See all services.
Every practice is different, so we quote after your free strategy call, once we understand your goals, locations and the services you need. Ad budgets are paid directly to Google and Meta, separate from our fees. Every partnership starts with a 45-day trial.
No. Nobody can honestly guarantee Google rankings, leads or patient numbers. Rankings are controlled by Google, and results depend on your market, your competition and how inquiries are handled at your practice.
What we do commit to is a clear plan, careful work and transparent monthly reporting, so you always know what’s working and what we’re changing.
Contact
Tell us about your practice and your main goal. We’ll get back to you to arrange a free, no-obligation call.