Background
Customer Story

Reclaiming the Top Spot: Dominating Local Search in 45 Days

How an Austin Dermatologist overcame competitor outranking and regained market dominance through strategic reputation management.

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Results Achieved

+1.0
Rating Improvement

Star rating increase

#1
Search Ranking

Reclaimed top spot

46
New Reviews

Added in 45 days

+$50k
Revenue

Monthly revenue restored

The Problem

Lost in the Noise

A leading dermatologist in Austin had a long-standing practice but was steadily losing market share to newer, more aggressive competitors. While their medical care was top-tier, their digital presence was stagnant.

Competitors were generating 10-15 new reviews per month, while this practice averaged 1-2. As a result, they slipped from position #1 to #6 in the Google Local Pack, causing a significant drop in new patient calls.

The Revenue Bleed

The drop in ranking directly correlated with a $45,000/month decrease in cosmetic procedure revenue. Patients were simply finding the competitors first.

Our Solution

The Velocity Strategy

We recognized that review velocity and recency were the missing factors. Google favors businesses that are actively discussed.

Sierra Reputation implemented a high-touch campaign that didn't just ask for a review, it guided patients to mention specific procedures. This Review Quality strategy helped the practice appear for high-intent searches like 'best dermatologist for fillers Austin'.

Our Strategy

The first 45 days

Day 1-10

Audit & Cleanup

Identified that competitors had higher review velocity. Responded to all neglected past reviews to signal activity to Google's algorithm.

Day 11-30

concierge Outreach

Launched a white-glove outreach campaign to the past 6 months of patients. Generated 30+ new reviews in 2 weeks.

Day 31-45

Content Guidance

Encouraged patients to mention specific positive experiences (e.g., 'acne scar removal', 'Botox') in their reviews to provide helpful context for future patients.

Platform Performance Recovery

Google

Google

Before
3.8
After
4.8
26% improvement
Healthgrades

Healthgrades

Before
3.2
After
4.6
44% improvement
RateMDs

RateMDs

Before
3.5
After
4.7
34% improvement
The Impact

Back on Top

Within 45 days, the practice reclaimed the #1 spot for Dermatologist Austin. The influx of fresh, detailed content from patients signaled to Google that this was the most relevant result.

Consultation volume returned to peak levels, and the practice saw a 20% increase in high-ticket cosmetic bookings compared to the previous year.

I didn't realize how much our silence was costing us. Sierra Reputation brought back trust in our practice.
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Don't Let Your Reputation
Cost You Patients

Every day without reputation management is revenue at risk. Schedule a free consultation today.