Protect the Reputation of Your Practice.
We manage your online reputation so patient reviews don't impact your revenue or risk your practice. Claim your complimentary reputation audit today.
GoogleDr. Chen transformed my confidence. The results exceeded my expectations and the entire team was incredibly professional.
GoogleThe attention to detail and care I received was exceptional. Best decision I ever made.
YelpProfessional, caring, and skilled. Could not be happier with my results.
RealSelfWorth every penny! Natural-looking results and minimal downtime. Dr. and staff are amazing.
RealSelfLife-changing experience. The before/after speaks volumes. Truly grateful.
RateMDsTop notch care and stunning results. Already referred a couple friends.
GoogleDr. Chen transformed my confidence. The results exceeded my expectations and the entire team was incredibly professional.
GoogleThe attention to detail and care I received was exceptional. Best decision I ever made.
YelpProfessional, caring, and skilled. Could not be happier with my results.
RealSelfWorth every penny! Natural-looking results and minimal downtime. Dr. and staff are amazing.
RealSelfLife-changing experience. The before/after speaks volumes. Truly grateful.
RateMDsTop notch care and stunning results. Already referred a couple friends.
Trusted by Plastic & Cosmetic Surgeons
Across North America.
Hear from other practices who rely on us.
"Sierra removed several negative reviews that had been hurting my practice for years. My Google rating went from 3.4 to 4.6 in under four months."
Plastic Surgery Clinic
British Columbia
"The professionalism of Sierra's team is unmatched. They handle every patient interaction with care, and I never have to worry about reviews."
Cosmetic Surgery Center
Ontario
"Our online rating increased from 3.8 to 4.5 stars within six months. Sierra's forensic audit found violations I never knew existed."
MedSpa & Aesthetics
Alberta
"I was skeptical at first, but Sierra delivered. They removed a defamatory review that had been live for two years."
Facial Plastic Surgery
Quebec
"The team at Sierra understands medical reputation. Their responses are professional, compliant, and actually resolve concerns."
Dermatology & Cosmetics
British Columbia
"Sierra's monthly reports give me complete visibility. I can see exactly what they've accomplished each month."
Plastic Surgery Practice
Ontario
"After partnering with Sierra, we saw a 40% increase in consultation bookings. The ROI speaks for itself."
Breast Augmentation Center
Alberta
"They handled a competitor's fake review campaign with precision. Within weeks, all fraudulent reviews were removed."
Rhinoplasty Specialist
Ontario
"The peace of mind is worth every penny. I focus on surgery knowing my reputation is in expert hands."
Body Contouring Clinic
British Columbia
"Sierra caught a HIPAA violation in a patient's review that could have exposed us to liability. Invaluable service."
Cosmetic Surgery Group
Manitoba
"Our RealSelf rating improved dramatically. Patients now see us as the premier choice in our region."
Facelift & Neck Surgery
Quebec
"The response templates they created for our team are professional and on-brand. Consistently excellent work."
Laser & Skin Center
Saskatchewan
The Cost of
Negative Reviews.
Unmanaged reviews create real professional risk and impact revenue.
of patients check reviews as their first step.
avoid practices with negative ratings.
$37,500 per month
Don't Leave Your Reputation to Chance
Response Time
Review Replies
Crisis Resolution
Patient Trust
The difference between a 3.9 and a 4.9 rating is often hundreds of thousands of dollars in lost revenue.
The Sierra Impact
We don't just manage reviews. We transform your digital reputation from average to exceptional across every platform that matters.
Without Sierra
GoogleInconsistent reviews and low visibility.
With Sierra
GoogleTrust and visibility established.
Prestige Defense
Our proactive approach to protect and elevate your cosmetic practice's online reputation.
Manual Forensic Audit
We manually audit every single existing and incoming negative review. We build detailed cases based on platform Terms of Service violations, including: conflict of interest, off-topic content, repetitive content, defamation, and more.
Persistent Escalation
We manage persistent escalation with platform support, filing reports and following up until resolved.
Human Review Response
We write professional, on-brand responses to all reviews within 24 hours, moving important conversations privately offline.
Human Triage & Resolution
We personally check in with patients post-op to ensure satisfaction, resolve concerns, and encourage reviews.
Compliant Review Generation
We manage platform compliant processes to increase authentic reviews from satisfied patients.
Crisis Communications
We provide you with a dedicated account manager available to manage any new review fires that come up.
Legal Coordination
For false and defamatory reviews, we create evidence packages and liaison with legal counsel to obtain court orders for removal.
Monthly Reputation Report
We share a summary report detailing key metrics, including star rating improvements, reviews removed, and issues resolved.
A World-Class Reputation Department
Fully managed • Executed by experts • Tailored to you
Tailored to Your Practice
The complete reputation shield for premier cosmetic practices. Book a call to receive your custom strategy and quote.
Everything you need, including:
- White-Glove Review Responses
- Increased Review Volume
- Negative Content Suppression & Removal
- Dedicated Reputation Expert
- Monthly ROI Reporting
Guaranteed Results: We align our incentives with yours. If we don't deliver, we work for free.
If we don't increase your review volume and improve your star rating trend within the first 90 days, we work for free until we do.
The Sierra Reputation Team
Common Questions
We specialize in complex reputation cases. If your situation is unique, reach out directly.
Contact SierraYour staff are trained in patient care, not crisis management or platform litigation. When a clinic staff member replies to a negative review under pressure, it's common to sound defensive or they simply lack the needed specialized experience to handle patient experience on public review platforms. Defensive or inexperienced review replies signal to researching patients that your clinic is unprofessional. And the reality is that reviews often sit unanswered for weeks because your team is busy running the clinic (understandably normal). Sierra Reputation gives you a layer of professional separation, making sure every response is calm, strategic, and compliant, so you never have to worry about saying the wrong thing again.
Your Reputation Took Decades to Build.
Don't Lose it in Minutes.
Stop letting unmanaged reviews risk your practice.