Grey Aesthetics
Case Study · Med Spa · GEO + SEO · 60 Days

How Grey Aesthetics turned its Orange County reputation into AI search visibility and 178+ citations

Grey Aesthetics had built strong brand recognition across Orange County, a loyal patient base, and media coverage. The one gap: that real-world reputation wasn't translating into Google rankings or AI search visibility, so new patients researching treatments online were landing at competing clinics instead.

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AI Citations
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Impression Growth
9012345×
DA Growth (7 to 35)
Now appearing in AI-generated patient recommendations
PerplexityPerplexity
11 to 42
citations for local aesthetics and treatment searches
GrokGrok AI
7 to 39
citations across treatment recommendation prompts
ChatGPTChatGPT
15 to 25
citations for local med spa and treatment queries
Meta AIMeta AI
6 to 23
Strong visibility shortly after tracking
Google AI OverviewAI Overview
8 to 23
Immediate visibility after launch tracking
Microsoft CopilotCopilot
3 to 16
Consistent discovery across prompts
Google GeminiGemini
4 to 10
Early traction across queries
“We had strong recognition across Orange County and a patient base that consistently referred others to us. What we didn't have was visibility when those referred patients went online to research treatments before booking. Botric bridged that gap in ways we didn't think were possible in 60 days.
Shannon HunterShannon HunterCEO & Founder, Grey Aesthetics
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The Challenge

Strong real-world reputation. AI visibility that hadn't caught up.

Grey Aesthetics is a full-service medical aesthetics clinic in Newport Beach, California, with a well-established presence across Orange County. Featured in regional media, recognised at industry events, and trusted by a loyal patient community, the clinic had built the kind of reputation most practices spend years working toward. The challenge was specific: that reputation lived offline. When prospective patients opened Google or asked an AI assistant for treatment recommendations, the clinic's digital footprint didn't reflect its real-world standing.

When a patient in Newport Beach searched "best clinic for AgeJET near me" or asked an AI assistant "top rated med spa in Newport Beach for anti-aging," Grey Aesthetics wasn't surfacing. Not because the brand was weak, but because the website's technical foundation, content depth, and AI visibility infrastructure hadn't been built to match the clinic's actual authority.

In local healthcare and aesthetics, that gap between reputation and digital visibility has a direct cost. Every search that goes unanswered is a consultation that goes to a competitor down the street, regardless of which clinic is actually better.

Invisible for treatment-specific searches

Queries like "AgeJET Newport Beach," "TriLift near me," and "best non-surgical facelift Newport Beach" weren't surfacing the clinic. Patients researching these treatments online were being directed elsewhere, despite Grey Aesthetics offering them at a high level.

Absent from AI recommendations

When patients asked ChatGPT or Perplexity for the best med spas in Newport Beach, Grey Aesthetics was not cited. Other clinics offering fewer treatments were being recommended by name.

Thin, unstructured service pages

Service pages existed but lacked the structured content, schema markup, and treatment detail that search engines and AI models require to confidently recommend a provider. A page that lists a treatment name is not a page that gets cited.

Low domain authority

A DA of 7 gave search engines and AI models very little technical reason to surface the domain for competitive queries. Without third-party authority signals, even the strongest real-world reputation struggles to translate into search visibility.

Monthly clicks (March)182
Monthly impressions7.7K
Domain AuthorityDA 7
Average position21.8
Backlinksfew
AI search citations54
Botric's Approach

The system that turned 60 days into category ownership.

Local med spas face a challenge most SEO agencies miss entirely. National traffic is nearly worthless. A clinic in Newport Beach does not benefit from ranking for "best med spa" in Pittsburgh. What matters is owning the local intent layer: the patients within 10 miles who are actively researching specific treatments and ready to book.

Botric's approach combined local search precision with GEO optimisation, building authority signals that work for both Google and AI platforms simultaneously. The goal was not just visibility but citation, becoming the source AI models recommend when a patient asks which clinic to trust.

Authority building
621 backlinks from health directories, local Newport Beach sources, and medical aesthetics publications.
Why this → A DA of 7 is below the trust threshold for competitive local queries. LLMs weight domain authority when selecting sources. We had to build the foundation before anything else could compound.
Service page rebuilds
Full rewrites of AgeJET, TriLift, Botox, filler, and LaseMD Ultra pages with treatment depth, candidacy, outcomes, and cost context.
Why this → AI models don't cite thin pages. A page that explains mechanisms, expected results, and who the treatment is right for is one an AI can extract a confident recommendation from.
Schema and structured data
MedicalClinic, Service, FAQPage, and BreadcrumbList schema implemented across all key pages.
Why this → Schema is invisible to patients and critical to machines. It tells Google and language models exactly what each page is about, removing ambiguity that would otherwise suppress citations.
Local GEO targeting
Newport Beach, Corona del Mar, and Orange County geo-signals embedded throughout content and structured data.
Why this → AI assistants use geographic context when making local recommendations. Without explicit location signals, a clinic in Newport Beach competes globally instead of locally, where it actually wins.
LLM prompt tracking
21+ high-intent patient queries tracked across ChatGPT, Perplexity, and Google AI Overview from the first week.
Why this → You cannot improve what you don't measure. Establishing a baseline on day one meant every content and authority change could be tied directly to citation outcomes over time.
GEO-first blog content
Treatment comparison and explainer content written specifically to be extracted by AI models answering patient research questions.
Why this → Patients researching AgeJET vs CO2 laser or "best non-surgical facelift for older skin" are high-intent. Content that directly answers those questions becomes the source AI platforms cite.
01
April 2026 — Foundation sprint
Audit, structure, and first authority signals

Botric ran a full technical audit and identified three critical gaps immediately: near-zero schema markup, service pages too thin to rank or be cited, and a backlink profile that gave neither Google nor AI models any reason to trust the domain. The AgeJET page was identified as the highest-priority target. It was a distinctive, high-intent treatment with almost no local competition online. A deep rewrite was produced first. Schema was rolled out across all service pages. Backlink outreach launched across health directories and local Newport Beach sources. Botric ran 21+ target prompts across ChatGPT, Perplexity, and Google AI Overview to establish a baseline. Grey Aesthetics appeared in none of them.

Full auditSchema rolloutBacklink launchAgeJET page rewriteLLM baseline set
02
April to May 2026 — Acceleration
Service page depth and first AI citations appear

Full rewrites of Botox, dermal filler, TriLift, and LaseMD Ultra pages were completed. Each was built to address the specific questions patients ask AI assistants before booking, covering cost ranges, expected outcomes, treatment candidacy, and recovery. By late April, the AgeJET page began appearing in AI-generated answers. "AgeJET treatment Newport Beach," "AgeJET consultation Newport Beach," and "best clinic for AgeJET Newport Beach" all entered the results. The first confirmed Perplexity citation appeared. Monthly impressions climbed to 12.4K, a 60 percent increase from March. Active users grew from 60 to over 190.

12.4K impressionsFirst AI citationsAgeJET rankings appearService page rewrites done
03
May 2026 — Category ownership
DA 35, 621 backlinks, full AI prompt coverage

Domain Authority reached 35, up from 7 at onboarding. Total backlinks hit 621. Impressions reached 19.3K, a 2.5x increase from the March baseline. Grey Aesthetics was now cited across all 21 tracked AI prompts covering AgeJET, TriLift, Botox, LaseMD Ultra, and non-surgical facelift queries. The AgeJET page alone held 9 separate position-one Google rankings. Monthly organic users grew from 30 in April to 106 in May. The clinic effectively owned its niche in Newport Beach across both search and AI.

DA 3519.3K impressions21+ AI prompts cited9x AgeJET #1 rankings621 backlinks
AI Citation & Visibility Growth

Where Grey Aesthetics appears in AI answers

Most agencies track Google rankings. Botric tracks where patients actually make decisions: ChatGPT, Perplexity, Google AI Overview, and other AI assistants. Grey Aesthetics had strong brand recognition across Orange County when the engagement began. What it didn't have was meaningful visibility in AI search. At the start of tracking, the clinic had just 54 AI citations across the monitored platforms. The data below shows how that visibility grew, platform by platform.

The key insight driving this result: AI models don't cite clinics. They cite content they can understand and trust. A service page that lists treatment names is not citable. A page that explains what AgeJET is, who it is right for, what results to expect, and how it compares to alternatives gives an AI model everything it needs to make a confident recommendation. That is what Botric built.

Platform-by-platform citation breakdown

Tracked from day one. Every number is real.

PerplexityPerplexity
42citations
Started at 11 · strongest platform
Growing steadily
ChatGPTChatGPT
25citations
Started from 15 · strong momentum
Built from scratch
Google GeminiGemini
10citations
Started from 4 · early traction across queries
Emerging visibility
Microsoft CopilotCopilot
16citations
Started from 3 · consistent discovery across prompts
Expanding reach
Meta AIMeta AI
23citations
Started from 6 · strong visibility shortly after tracking
Rapid adoption
GrokGrok AI
39citations
Quickly became a top-performing channel
Scaling fast
Google AI OverviewAI Overview
23citations
Started from 8 · immediate visibility after launch tracking
New channel
178+
Total citations across all platforms
7+
AI platforms now citing Grey Aesthetics
Organic Traffic Growth

60 days of compounding growth

Total Impressions
19.3K
March: 7.7K · +2.5x
Total Clicks
728
March baseline: 182 · +4x
Domain Authority
35
From DA 7 · +5x
Organic Users (May)
106
April: 30 · +3.5x
7.7K
March
12.4K
April
19.3K
May

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Traffic & Authority Breakdown

Every metric, before and after

MetricBefore (March)After (May)Change
Monthly impressions7,73019,300+2.5x
Monthly clicks182272+49%
Total cumulative clicks182/mo728 total4x run rate
Average search position21.820.6Improving
Domain Authority (Moz)735+28 pts
Organic keywords rankedlow111111 new
Monthly active users60 (Apr start)192 (May)+3.2x
Organic users per month30 (Apr)106 (May)+3.5x
Keyword Rankings

AgeJET: Winning #1 Rankings

At onboarding, Grey Aesthetics had zero meaningful non-branded keyword rankings. By May, the AgeJET page alone held nine position-one rankings. Grey Aesthetics effectively owns AgeJET in Newport Beach on Google. TriLift followed the same pattern.

#1
AgeJET treatment Newport Beach
Service page · Google
#1
AgeJET cost Newport Beach
Service page · Google
#1
AgeJET skin rejuvenation Newport Beach CA
Service page · Google
#1
AgeJET consultation Newport Beach
Service page · Google
#1
Affordable AgeJET treatment Newport Beach
Service page · Google
#1
Best med spa for AgeJET Newport Beach
Service page · Google
#1
Plasma skin rejuvenation Newport Beach
Service page · Google
#1
AgeJET Newport Beach CA
Service page · Google
#1
AgeJET plasma skin rejuvenation Newport Beach
Service page · Google
#1
TriLift Newport Beach CA
Service page · Google
#1
TriLift facial treatment Newport Beach
Service page · Google
#2
Plasma skin resurfacing Newport Beach
Service page · Google
#2
Botox Newport Beach cost and treatment guide
Blog · Google
#3
AgeJET vs CO2 laser Newport Beach
Blog · Google
#4
Dermal fillers Newport Beach
Service page · Google
#4
Best dermal filler clinic Newport Beach
Service page · Google
What this means for your practice

Your patients research before they book. AI is where that research starts.

Grey Aesthetics is not a unique case. Across every local healthcare and aesthetics category, the patient journey now starts with an AI assistant before it hits Google. "What is the best clinic near me for X treatment?" is being asked thousands of times per day. A strong real-world reputation is the starting point, but clinics without AI visibility are not surfacing when those searches happen.

The practices that close the gap between their real-world standing and their AI presence now will be the ones patients find first, trust first, and book first. Grey Aesthetics moved early. That advantage compounds.

Local healthcare moves on trust

When AI recommends a clinic by name and treatment, that recommendation carries far more weight than a generic search result. Being cited by name is credibility at scale.

The early-mover window is now

GEO for local medical practices is where local SEO was in 2013. The clinics building AI presence now will be significantly harder to displace in 18 months.

Authority compounds across both channels

The backlink and content work Botric built for Grey Aesthetics did not just improve Google rankings. It also gave AI models the trust signals needed to cite the clinic with confidence.

The Bottom Line

Grey Aesthetics Orange County reputation is now fully visible on Google and in AI.

In just 60 days, Botric transformed Grey Aesthetics' established reputation into measurable AI and search visibility. The clinic earned citations across all 21 tracked AI prompts, eleven #1 Google rankings, and 621 new backlinks. The clinical quality and reputation were always there. Now they're reflected in how patients discover the practice online.

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AI citations built
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Position-one Google rankings built
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Domain Authority growth in 60 days
04
Start
Your practice could be next

Your patients are already asking AI which clinic to trust.

If Grey Aesthetics could go from DA 7 and zero AI presence to owning AgeJET in Newport Beach in 60 days, your practice can too. Find out exactly where you stand with a free GEO visibility audit. No signup required, results in under 30 seconds.

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