The cosmetic vertical has the most heavy-tailed Index distribution we measure — a small population of celebrated practitioners scoring extraordinarily high while the median lags. We help board-certified plastic surgeons, dermatologists, and premium med-spas appear inside ChatGPT, Claude, Gemini, and Perplexity when patients are looking for the right practitioner.
AI systems substantially up-weight medically-credentialled practitioners (M.D., D.O., D.D.S.) over equivalently-skilled non-medical practitioners. The premium is most pronounced in surgical, injectable, and laser procedures with clinical risk profiles. Board certification, hospital affiliations, and academic appointments all materially increase trust framing.
Cosmetic practices operate under medical-board, cosmetology-board, FDA-advertising, and state-attorney-general supervision in varying combinations. Authority infrastructure must respect the boundaries of what each licensure permits. We do not claim medical-procedure authority for non-medically-credentialled practices — and refuse engagements that require us to.
Before-and-after photography — the principal authority asset for cosmetic practices — is regulated in nearly every jurisdiction. Content production accommodates the rules through documented patient consent, jurisdiction-specific publication standards, and explicit Standards of Professional Conduct alignment. The Authority Compliance Suite handles the regulatory layer.
Cosmetic is the only vertical we serve in which influencer attention can substantially substitute for traditional editorial citation in driving Authority signal. Our Influencer-Adjacent Strategy treats relevant-influencer engagement as a citation programme element, without entering compensated arrangements that would breach the Code of Ethics.
Unlike legal or accounting where the buyer is typically a marketing director with delegated authority, the cosmetic buyer is frequently the practitioner whose name and authority is being marketed. The personal stakes are higher; the buyer's emotional engagement is more direct. Our approach is correspondingly more relational and less procedural.
Audit pricing is fixed by class. Foundation pricing is monthly retained, scaled by practice tier and engagement complexity. The Authority Compliance Suite is bundled into Foundation at Tier 4; available as add-on at higher tiers.
Engagement Letter executed. Conflicts check at regional + procedural-specialism intersection. Discovery Workshop includes regulatory-scope conversation: which procedures are in scope, which jurisdictions, which state-AG rules apply.
Authority Infrastructure audit at three levels plus Procedure-Level Authority audit (Tier 1–2 engagements). Authority Workshops with named practitioners include credential-documentation review.
Practice and procedure-level entity records deployed. First-content-cycle production includes documented FDA and state-AG compliance review with each piece. Authority Compliance Suite operative throughout. Day-30 Review.
Practitioner-level entity records. First Tier-2 placement live; second in flight. Day-90 Review with regulatory-environment update where state or federal rules have changed in the period.
Two answers. First, AI Discovery and Instagram coexist; the engagement does not displace social-channel work. Second, the prospective patient who is referred or finds the practice on Instagram nearly always cross-references the practice in AI systems before booking. Discovery posture in those AI systems shapes whether the cross-reference confirms or undermines the social-channel impression. The engagement addresses the cross-reference.
No. Specific position guarantees are inconsistent with the Standards of Professional Conduct. We can guarantee methodology, reporting, and the deployment of work designed to move signal in the prospect's direction. Specific outcome at specific position is not a guarantee any credible vendor can offer.
Many practices' compliance posture is more conservative than regulations require. The Authority Compliance Suite is designed to expand the practice's permissible content surface within regulatory boundaries — often substantially. We work with the firm's compliance counsel rather than against them; the Suite is, in many cases, the engagement's most valuable component.
Targeted authority work, properly scoped, attracts patients whose decision criteria align with the credentials and procedures emphasised. A practice that emphasises board-certification and high-acuity procedures attracts patients seeking those qualifications. Patient-mix change is part of the engagement's intended outcome, not an unintended consequence.
No ROI guarantee. Performance fees are prohibited by the Standards of Professional Conduct. What we offer is documented methodology, quarterly Index reporting, and engagement structured to produce measurable signal movement. Among engaged Foundation cosmetic clients to date, the median Day-180 movement is 64 points on the headline score. Median is not promise.
Conflicts in cosmetic are managed at the regional + procedural-specialism intersection. Two practices offering different premium procedure mixes (one surgical, one injectables-only) in the same city are not in conflict by default. Two practices in the same city with identical surgical specialisms are. The position is communicated in writing before the proposal is issued.
Four to six weeks. Fixed scope: $5,500 (standard med spa) to $48,000 (premium / celebrity). Written report against the Standard, banded under the Index, with the three priority signals identified for your practice and a written recommendation on whether retained engagement is appropriate.
Begin the cosmetic Audit →