Background
Customer Story

From Invisible to Irresistible: 0 to 42 Reviews in 60 Days

How a Seattle MedSpa went from zero online presence to a trusted local authority using a managed reputation strategy.

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Results Achieved

4.9
Average Rating

Across 3 platforms

+42
Review Velocity

New reviews in 60 days

+300%
Organic Traffic

Increase in local search visits

15x
ROI

From organic bookings

The Problem

The Silent Brand

A newly established MedSpa in the competitive Seattle market had zero online footprint. Despite investing heavily in a modern facility and hiring top-tier staff, their appointment book remained empty.

Potential clients were researching them, finding no reviews, and assuming the business was either brand new (risky) or closed.

The Cost of Invisibility

  • 0% Conversion Rate on website traffic from organic search (because they didn't appear).
  • Competitors with 50+ reviews were capturing 90% of local search intent.
  • Paid ads had a high CPC but low conversion because there was no social proof to back up the ad copy.
Our Solution

Building Trust from Scratch

Sierra Reputation implemented a review first strategy. We knew that before we could run ads or focus on visibility, we needed a baseline of trust.

We implemented a white-glove feedback loop that caught patients at their point of highest satisfaction, right after their treatment. By removing the friction of asking manually, we ensured every happy patient was invited to share their experience.

Our Strategy

The first 60 days

Day 1-7

Profile Optimization

Claimed and verified profiles on Google, RealSelf and Healthgrades. Optimized descriptions with high-trust terms like Botox Seattle and Laser Hair Removal.

Day 8-30

Concierge Outreach

Implemented Sierra's patient feedback system, integrating with their workflow to send personalized requests at the peak of patient satisfaction.

Day 31-60

Momentum Building

Response rates stabilized at 18%. The steady stream of reviews began triggering the new label on Google Maps.

Platform Performance Recovery

Google

Google

Before
0.0
After
4.9
RealSelf

RealSelf

Before
0.0
After
4.8
Healthgrades

Healthgrades

Before
0.0
After
5.0
The Impact

The Result

In just 60 days, the MedSpa became a visible contender in the local market. The influx of 40+ reviews signaled to Google that this was an active, relevant business, propelling them into the algorithm for key search terms.

Most importantly, their organic booking rate increased by 300% as trust was established.

We went from feeling like we had to beg for reviews to having a steady stream of real patient experiences. It completely improved how many new patients we get each month.
Protect Your Practice

Don't Let Your Reputation
Cost You Patients

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