How we work

Is MedAd the right fit for you?

A clinic that’s honest with a customer says who a treatment suits, who it doesn’t, how long it takes to show, what the risks are and what the total will be. We hold ourselves to the same standard, and this page is our version of that conversation.

Who we work well with

You’re likely to get good value from us if most of these are true.

  • You run an Australian health practice whose advertising is regulated, or a business that serves one, and being found when a customer is choosing — on the map, in search, in an AI answer — matters to your growth.
  • You want to know where you actually stand before spending money, and you can live with a number you may not like.
  • Someone on your side — a practitioner, a practice manager, an owner — can give a few hours a month to review content, answer questions and approve what goes out under your name.
  • You’re prepared to build authority the slow way: qualifications, publications, memberships and plain explanations of treatment, rather than reviews and before-and-afters.
  • You’d rather have a report that separates what we did from what moved than one that adds them together.
  • You can think in quarters.

Who we’re not the right fit for

We’d rather say this now than three months in.

  • You want a guarantee. We don’t promise rankings, citations or enquiries, and we won’t sign a contract that pretends otherwise.
  • You want reviews and testimonials to do the work. For an AHPRA-regulated practice we don’t request, incentivise or manage customer reviews, and we don’t write around the rules on testimonials or before-and-after photos.
  • Nobody on your side has time. Every page goes out under your name and needs your approval. If that approval can’t happen, the work stalls and the fee is wasted.
  • The site is the constraint and rebuilding it is off the table. Where the review finds that a search engine or an AI assistant can’t get through your pages, no amount of content will fix it. If a rebuild isn’t an option, the review will still be useful, but the program won’t be.
  • You need results this month. Paid advertising can move in weeks; we don’t run it. Our work builds over quarters.
  • You want a menu with a fixed price per item. We don’t sell one. What we do at each level comes out of your review, so no two proposals look the same.
  • The advertising rules don’t apply to you, and your customers don’t research before they choose. Our whole method is built on those two things. If neither is true, a general agency will serve you better, and we’ll say so.

How long before anything moves

For most businesses the first measurable movement takes three to six months. It varies a lot: with your starting point, your area, how quickly changes get approved and published, and what your competitors do over the same period. Some businesses see movement in the map results within a quarter. Being named in AI answers usually takes longer, and it’s less steady when it arrives.

Two things follow. First, a single month isn’t a trend in either direction, which is why we act on the measurements at the quarterly reset rather than month by month. Second, the work in the first quarter is mostly foundation — structure, the pages an assistant has to be able to read, the profile fields the rules don’t touch — and foundation doesn’t show up as a number straight away.

Risks and side effects

Every intervention has them. These are the ones we know about, in roughly the order you’re likely to meet them.

  • Movement isn’t steady. AI assistants don’t give the same answer twice. In our monthly tests, the same question can name a business one month and not the next, with nothing changed on the site. We measure against a fixed set of questions so the noise averages out, but you’ll still see it in the report.
  • The ground shifts under the work. Search engines change how they rank, and AI assistants change models and sources. Work that was right in one quarter can need revising in the next. That’s what the quarterly reset is for, and it’s why we plan the work over a year but don’t promise what it will produce a year out.
  • Restructuring can dip before it lifts. Changing site structure, moving pages or rebuilding the site can cost visibility for a while before it improves. We tell you when a change carries that risk, and we don’t make it without your approval.
  • Some of the sources aren’t yours. An AI assistant draws on directories, professional bodies, publications and other sites as well as yours. We can strengthen what they can find and verify about you; we can’t control what they publish.
  • It costs your time, not only your money. Reviewing content, answering our questions, approving pages. If that time isn’t available, the work slows and the fee buys less.
  • Competitors are doing this too. Your position is relative. You can do everything right and lose ground because a competitor did more, or started earlier.
  • The rules can change, and so can their interpretation. We write from the rules as they stand and recommend independent legal review for pages that are really advertisements. If you decline that review on a page, we record it and you sign off on publication. The exposure on that page is then yours.
  • The review may not say what you hoped. It may say your site has issues, or that a treatment you want to grow is one where you’re a long way behind. We don’t soften findings to sell you the next step.

There’s also the risk of doing nothing. AI answers are increasingly where a customer’s shortlist gets formed, and a business that’s absent from them isn’t seen to be absent — it’s simply not on the list. We say this once, here, and don’t build a sales case on it.

What it costs, in total

We quote every engagement rather than publish a price list, because what we do comes out of your review, and no two reviews find the same things. What we can set out in advance is what the total is made of, so that no part of it comes as a surprise.

  1. 01The visibility review — a fixed fee, quoted before we start. It stands on its own. If you sign an engagement letter within thirty days of us delivering your review, the review fee comes back to you through the program fee: we divide it by six and take that amount off each of your first six monthly invoices. After that, it is not credited. The reason is that the measurements age — after about a month your starting point has moved enough that we would have to measure it again before the work could be planned from it. It is a reduction in future fees, not a refund. The credit finishes at the six-month mark, the same point at which either of us can end the engagement, so reaching that decision does not cost you any of it.
  2. 02The program fee — monthly, at whichever of the three levels you choose. The levels differ by how much of the work we take on. The direction of the work is reset every quarter; the fee itself is set for six months at a time.
  3. 03What’s quoted separately — a new site build and ongoing maintenance at the Standard level (they’re included at Premium and not part of Lite); independent legal review by a lawyer, which you engage directly (built into the Premium level).
  4. 04Your own time — a few hours a month from a practitioner or manager. It isn’t on our invoice, but it’s part of the cost, and it’s the part most often underestimated.

The program runs on a twelve-month term, because that is how long the work usually takes to show properly — three to six months for the first movement, six to twelve for it to settle. But we do not think a year should be a locked door. At the six-month mark we re-measure and sit down with you: if the measurements say the work is not the right use of your money, either of us can end the engagement there on thirty days’ notice, and nothing beyond that is owed. The fee is set six months at a time and reviewed at the mid-point of the term.

Before you commit we give you one figure: the review, plus the first six months of the program at the level you’re considering, plus anything we already know will be quoted separately. That’s the number to judge us against — not the monthly fee on its own.

How we differ

We’re a boutique consultancy that works only with regulated health practices and the businesses around them. That narrowness is the point.

  • Twenty-two years inside the sector, not alongside it. Our managing director spent twenty-two years in aesthetic medicine on the industry side — sales and marketing leadership across Australia, New Zealand and Japan with energy-based device companies (Candela, Lumenis, Clairderm) and injectables companies. We know how a treatment is delivered, sold and regulated because that was the job. That experience is in aesthetics; in other regulated fields what carries across is the method, not the clinical familiarity, and we say which is which.
  • Two years of first-hand AI-visibility measurement. Since 2024 we’ve been measuring how AI assistants answer questions about aesthetic treatments and clinics, first with Japanese clinics and now in Australia. The criteria we score you against, and the observations we quote on this site, come from that work — not from a tool vendor’s white paper.
  • The rules are the starting point, not a checklist at the end. We build authority from what a regulated health service is allowed to show — qualifications, publications, memberships, plain explanations of treatment — rather than writing general marketing and then stripping out what isn’t allowed.
  • AI answers are measured separately, every month, against a fixed question set.Search, map and AI results are produced by different systems, so we score and report them apart. Most agencies don’t measure AI visibility at all, and the ones that do rarely publish how.
  • We keep the client list short. The managing director is on every engagement, and we take on as many clients as that allows and no more. If we can’t start when you’re ready, we’ll say so and give you a date.
  • We say what we don’t do, and what can go wrong, in writing. This page is one example. The engagement letter is another.

Common questions

Do you only work with clinics?
Clinics and practices are most of our work, but we also work with the businesses that serve them. What matters is that the advertising rules for a regulated health service shape what you can say, and that your customers research before they choose.
Three to six months feels long. Can it be faster?
Sometimes — particularly in the map results, and particularly if the site is already in good shape and approvals move quickly. We’d rather you planned on the range and were pleasantly surprised.
What if we go three months and nothing has moved?
That’s exactly what the quarterly reset is for. We re-measure, compare you with other businesses in your area again, and then either change direction, change level or agree that the work isn’t the right use of your money. All three are honest outcomes.
Will you tell us if you think we shouldn’t hire you?
Yes. Some of the best first conversations we have end with us suggesting you do something else first — fix the site, sort out the business profile, or take the review in-house — and come back later, or not at all.

Where to go next

If this reads like a fit, the review is the way in. If you’re still comparing firms, the other half of this page is the list of questions to take to them.

How to choose a consultantAsk for a visibility reviewOr just talk to us first