Be there when
patients start looking.

Different levers move at different speeds, which is a more useful answer than a single number. Technical fixes and a properly optimized Business Profile tend to move first — they mostly remove friction that was already costing you. Local citations and review velocity build over the months after that, as consistency and volume accumulate. Treatment and concern pages, backed by credentialed authorship, compound the slowest — and are also the hardest thing for a competitor to copy once you have them. We won’t promise a position by a date; what we will tell you honestly is which of those layers your site already has and which is missing.

Yes, in one way that matters: aesthetic and medical topics are held to a higher trust bar than a restaurant or a plumber. Google evaluates who is behind the advice, which makes credentialed authorship, real clinical detail, and legitimate local authority worth more than volume. It also makes cheap link schemes a penalty risk rather than a shortcut.

Not bought ones. For medical topics, paid link networks are a penalty waiting to happen, and recovering from one costs more than the rankings were worth. We build the durable kind: local citations that are actually consistent, pages authored against your clinical credentials, and coverage earned by being worth citing.

SEO is ranking in the results page. AEO — answer engine optimization, also called GEO — is being the source an AI answer quotes when a patient asks ChatGPT, Perplexity, or Google’s AI Overviews about a treatment near them. They are not competing disciplines: both run on the same structured foundation, and a site built properly for one is most of the way to the other.

Usually, yes — and we will tell you honestly on the first call if a rebuild would be cheaper than fixing what you have. Plenty of clinic sites are structurally fine and simply never had the technical work done. Some are built on a page-builder stack that fights every fix, and in that case SEO on top of it is money into a hole.