Patients search by procedure , not by practice. Most med spa sites are built the other way around.
"Botox Scottsdale" and "lip filler Chandler" are decision-stage searches from people who already picked the treatment and are now picking the provider. "Med spa near me" is a browsing query. Phoenix metro is one of the most competitive aesthetics markets in the country, and the practices winning it built a page per procedure per city while everyone else built a services menu.
Where med spas lose the map pack .
Procedure searches are the decision-stage queries, and a services menu doesn't rank for them
Botox, lip filler, laser hair removal, CoolSculpting, and microneedling each carry their own search volume in each city you serve. A single page listing every treatment competes for none of them well. The practices holding those positions built a page per procedure, and they capture the patient who has already decided what they want and is only choosing where to go.
Scottsdale's review bar is the highest of any local category in the metro
Top-3 in Scottsdale aesthetics runs 150–350 reviews with 15–20 new per month — a pace that takes 18 to 30 months to build from a low base. Practices that don't know the number underinvest for a year, then conclude local search doesn't work for them. Knowing the actual threshold in your city is the difference between a funded plan and a stalled one.
Before/after galleries are the highest-converting asset and the easiest one to get wrong
Aesthetics is a visual purchase, and galleries convert well above text-only pages — but they carry consent, HIPAA, and YMYL exposure, and most are published as unindexable image dumps with no alt text, no procedure association, and no schema. The result is a practice's best conversion asset contributing nothing to search.
What it takes, market by market .
Typical observed review-count ranges for top-3 map pack positions — the entry bar, not a guarantee. The full breakdown, including citation sources and content strategy for med spas, is in SEO for Med Spas and Aesthetics Practices: How to Rank in Phoenix's Booming Beauty Market.
What the audit checks for a med spa.
- Your map pack and organic position for the procedure searches actually typed in your cities — Botox, filler, laser, body contouring — tracked per procedure, not rolled up
- Your review count and velocity against the three practices holding your map pack, and how many months of your current pace it takes to close the gap
- GBP primary category, procedure-level service menu, and medical-director attributes against what top-ranked aesthetics practices configure
- Whether procedure landing pages exist for the queries with real volume, or those patients are defaulting to competitors who built them
- Before/after gallery indexability — alt text, procedure association, schema, and whether the gallery is discoverable at all
- Medical director and injector credential display — the YMYL layer Google checks before ranking aesthetics content
- Citation presence and NAP consistency across 24+ directories including the aesthetics-specific ones, with claim links for every miss
Delivered in 14 days as a written report, a working spreadsheet, and a prioritized plan — with a money-back guarantee. It's the same audit that anchors every retainer engagement.
Not ready to spend $197? Run the free 60-second grade — live map pack checks for your searches, the review gap to your market's leaders, and your website basics. No card, no account.
Quick answers .
How long does local SEO take for a med spa?
Is the $197 audit specific to medical aesthetics?
Do before/after photos help or hurt SEO?
Find out why the med spas above you are above you.
The $197 audit maps your rankings, reviews, citations, and competitors — and tells you exactly what to fix first.