New patients show up with a price you never quoted.
They got it from an AI answer.
Before someone books a first Botox or filler appointment, they may ask ChatGPT who the best injector in town is, what a unit costs, and whether a nurse or a doctor does the work. The answer names two or three practices and states prices and credentials as fact. If you're missing, or described with last year's menu, that patient books somewhere else without ever seeing your Instagram.
Google AI Overviews and AI Mode: up to 6 priority questions on paid scans. Results may be reused for up to 7 days; availability varies by question.
Who does the most natural-looking lip filler in Charlotte?
Lindenfield Aesthetics
described as "physician-led," with a per-syringe price and no date
Quarry Row Med Spa
regional chain, several Charlotte locations, membership pricing
Solenne Skin & Laser
nurse injector practice, named for a conservative approach
Your result is not known yet
Run your own scan to see whether your med spa is named in the completed answers.
See what AI tells your future patients
Sound familiar?
What med spa owners, medical directors, and marketing leads are seeing
Patients quote prices you don't charge
New patients ask for a per-unit price or a package you retired a year ago, or one from a different practice. Your front desk spends the first five minutes of the consult resetting expectations.
The chain down the road gets named first
Franchise and regional chains show up when people ask for options, even when patients who find you stay for years because of your injectors.
Your best injector's reputation travels without you
Patients follow injectors, not logos. When one leaves, answers can keep listing that injector at your practice, or start crediting their new practice with work they did at yours.
Consults open with "I've narrowed it down"
People arrive having compared you with two other practices. You won this one. You don't see the patients who never reached your booking page.
The common thread: the shortlist now forms inside an AI answer, before anyone visits your site, calls, or fills in a form. Your name is either in that answer or it is not.
What you're already paying for, and where it stops
None of this is wasted. Each one does its job. None of them was built to put your name in an AI answer.
Instagram, before-and-after posts, and local creators
It builds trust with people who already follow you. AI assistants mostly work from text they can read on the open web, and a photo grid behind an app doesn't tell them your treatments, prices, or who does the injecting.
Paid search and paid social for "Botox near me"
Ads reach people clicking through results or scrolling a feed. They don't put your practice inside a written AI answer, and the spend stops working the day you pause it.
Review sites and a booking marketplace profile
Worth keeping current. But those profiles are a few inputs among many, and when they disagree with your own site about prices or services, AI can repeat whichever is oldest.
Intro deals on discount sites
Deals fill chairs for a week. The expired offer can stay online long after, and patients arrive expecting a price that ended months ago.
An SEO agency writing treatment blog posts
Good pages help. But a keyword report won't tell you whether ChatGPT or Gemini names you for "best lip filler in my city," or what it says about your credentials when it does.
What a missed decision is worth
A patient who never hears your name does not show up in any report. Put your own numbers in to size what that costs over the years they would have stayed.
Example numbers. Replace them with yours.
Lifetime revenue from one year of missed patients
$129,600
per patient per year × years they stay × missed per year
Divide last year's treatment revenue from returning patients by the number of patients who booked at least twice, and use your own retention for the years.
What patients ask AI before they book
Examples written for Charlotte. We track the questions your future patients ask in each market you serve. Daily priority checks on ChatGPT and Gemini, plus a weekly sweep across all four assistant families.
See the full methodology →- →Who is the best Botox injector in Charlotte?
- →Which med spa in Charlotte does the most natural-looking lip filler?
- →How much does Botox cost per unit in Charlotte?
- →Which med spas in Charlotte have a doctor or nurse practitioner doing the injections?
- →Where should I get laser hair removal in Charlotte if I have darker skin?
- →Should I go to a med spa or a dermatologist in Charlotte for laser resurfacing?
- →Which med spas in Charlotte offer medically supervised weight loss?
- →What should I ask at a filler consultation to know the injector is qualified?
What to check whether AI says about your practice
Things to check in the answers about you. The evidence explorer keeps the full text of every answer, so your team can read exactly what was said.
Prices from an old menu
Check whether AI quotes a per-unit, per-syringe, or package price for your practice, and whether it matches what you charge today. Old menus, expired deals, and third-party listings can all outlive the price.
Who does the work
Check whether AI says your practice is physician-led when it isn't, or leaves out that it is, and whether it names injectors who have moved on. Patients weigh credentials heavily for injectables.
Treatments and devices you offer
Check whether AI lists a device you sold, a laser you never had, or leaves out the treatment a patient is searching for. A missing treatment quietly drops you from that shortlist.
Uses the FDA hasn't approved
FDA approves dermal fillers for specific uses and lists others, such as breast or buttock augmentation, as not approved. Check whether AI says your practice offers fillers for uses like these. A patient who reads that arrives expecting a treatment you don't provide.
Weight loss programs
Check whether AI describes your medical weight loss program accurately: which medications, whether a medical exam comes first, and who supervises it. This is where a wrong sentence matters most.
Your first 30 days
Steps your own team can take, in this order. Monitoring shows which of them moved the answer.
Ask the questions your patients ask
Run the eight questions above in ChatGPT, Claude, Gemini and Perplexity for your city. Note who is named, whether you are, and every statement about your prices, injectors, treatments, and credentials.
Publish your treatment menu as text
One page, in sentences and plain lists: each treatment, the device or product you use, a starting price if you publish prices, and who performs it. Not a menu image, a PDF, or a link to the booking app.
Name your people and your medical oversight
A team page with each injector's name, credential (RN, NP, PA, MD), and what they do, plus your medical director. Update it the week someone joins or leaves.
Make every profile say the same thing
Match your Google Business Profile, review site profiles, and booking marketplace listings to your website: treatments, hours, locations, and prices. Take down expired deals where you can.
Answer the questions patients are nervous about
Short, honest guides: what filler can and can't do, how to choose an injector, what a weight loss consult involves. Have your medical director review claims, keep before-and-after results typical or say what's typical, then re-run the questions after a few weeks and note what changed.
The plan that fits most med spas
Local
$99/mo
One location, 100 tracked questions.
Most med spas are one location in one city, and Local tracks the questions patients ask about you and the practices named instead. Groups with several locations or brands use Growth, which tracks up to 5 of them.
A mention is not a signed patient. We measure whether and how you are named in sampled AI answers, show who is named instead, and rank the fixes. We do not promise placements.
Questions med spa owners, medical directors, and marketing leads ask us
Instagram is where our patients find us.+
For people who already follow you, it is. A patient who doesn't know you yet may ask an AI assistant first, and that answer is built mostly from text on the open web. Your feed doesn't go away; your website just needs to say the same things in words.
We already show up in the map results for Botox near me.+
That's worth protecting. It isn't the same as being named in a written AI answer, and the two can disagree. A free scan shows whether the assistants name you for the questions on this page.
Can you get us recommended by ChatGPT?+
No one can honestly promise that. We measure whether and how your practice is named in sampled answers, show who is named instead, and give you a ranked list of fixes. A mention is not a booked appointment, and we don't treat it as one.
The chains outspend us. Does a single practice have a chance?+
Sometimes, yes. AI answers tend to draw on clear, consistent facts, and a practice that states its injectors, treatments, and prices plainly can be named next to a chain. Sometimes it won't be, and the evidence will show you that honestly.
Will you write reviews or before-and-after claims for us?+
No reviews, ever. We can draft educational articles, and they are drafts for your medical director to review. Results claims should be typical or say what's typical, and should match what your practice can support.
Do you see any patient information?+
No. We never ask for patient data or photos and have no connection to your systems. Monitoring uses general questions, like the ones on this page, and records public AI answers.
See what patients are told about your practice
Run a free scan and read what ChatGPT, Claude, Gemini and Perplexity say when someone asks for the best injector or med spa near you, including the prices they quote.
Check what AI says about us →