Plastic Surgery Marketing Agency — Founder-Led, No Contract

This is for a plastic surgery or cosmetic surgery practice with a working operation and a marketing problem: consult requests are thin, the wrong procedures are coming through, or you are paying an agency and cannot tell what it bought you. This is not for a pre-launch practice with no reviews, no photo library and no front-desk capacity. It is also not for anyone who wants a patient-volume guarantee. I do not give those, and I will explain why below.

I am Mandeep Singh. I have run Sprout Sage Solutions since 2020, out of Chandigarh, India, working with US and international businesses. I lead every account personally, supported by a team of 17. Pricing is published on this page. There is no contract, you can cancel any month, and you keep everything I build.

Who this is for, and who it is not for

The practices I work well with usually look like this. One to three surgeons. An established procedure mix, even if it is lopsided. A website built by someone who has never watched a patient try to book a consult on a phone. Reviews that come in slowly. A busy front desk. And a suspicion that the money going into marketing is not being tracked back to anything.

I am a poor fit in four situations. If you have not performed a procedure yet and have no photo library or reviews, marketing is premature and I will say so rather than take your money. If your consult-to-surgery conversion is broken inside the consult room, more traffic makes that more expensive, not smaller. If you need someone to promise a specific number of new patients per month, I am the wrong vendor: that promise is not mine to make, and for a US medical business it creates real substantiation exposure. And if you want a five-figure-a-month partner with a named account team, a PR arm and quarterly on-site strategy days, buy that instead. It is a legitimate product. It is not what I sell.

What I actually do for a plastic surgery practice

Concrete list, not adjectives. Depending on which tier you are on, the work is drawn from this set:

• Procedure page architecture. One page per procedure you actually want more of, written for the person deciding between surgeons rather than the person deciding whether to have surgery at all. Rhinoplasty, breast augmentation, abdominoplasty, facelift, revision work — each gets its own page, its own photo set, its own pricing framing and its own consult path.
• Google Business Profile management. Categories, services, procedure-level attributes, photos, Q&A seeded with the questions your front desk answers on the phone every week, and post cadence.
• Local SEO for the city and the suburbs around it. Cosmetic surgery pulls patients from a wide radius, so the map-pack work and the organic work are two separate jobs and I run them separately.
• Consult-request rebuild. The form, the mobile call button, the financing mention, the response-time promise, and the confirmation sequence. This is usually where the fastest movement is.
• Google Ads management for procedures where the search demand is genuinely commercial, with negative keyword work aggressive enough to keep you out of “how much does” research traffic when you do not want it.
• Review generation workflow that asks at the right moment in the post-op timeline and does not create a privacy problem.
• Before-and-after gallery structure — the technical and consent side of it, which I cover in its own section below.
• Call and form tracking tied back to source, so you can see which procedure pages and which campaigns produced consult requests.
• Monthly reporting call with me, on the phone, going through what moved and what did not.
• Website builds when the existing site cannot carry the work. Quoted separately as a fixed-price project, never bundled into the retainer, because bundling hides what each side is paying for.

What I do not do: I do not write clinical claims about outcomes, I do not manage your PR, I do not run a call centre, and I do not touch anything that would put patient information into an ad platform.

The advertising rules I work inside before writing a single ad

Cosmetic surgery marketing sits under several overlapping sets of rules, and an agency that has only ever marketed plumbers will trip over all of them. I do not give legal advice and I am not your compliance counsel. What I do is write and build so that your counsel or your practice manager has very little to object to.

Four layers matter in practice. Your state medical board’s advertising regulations, which vary considerably and often govern how you may describe credentials, what disclaimers must accompany patient photographs, and whether certain superlatives are permitted at all. Board-certification language, where the specific board matters and vague phrasing invites complaints. FTC rules on endorsements and testimonials, covering disclosure of material connections, atypical results, and honest review solicitation. And the ad platforms’ own health policies, which are stricter than the law in some places and looser in others. Google and Meta both restrict how cosmetic procedures can be advertised and how ads may reference a person’s body or presumed health status. Meta has long restricted before-and-after style imagery and creative implying negative self-perception, and ads that ignore this get rejected, sometimes with account-level consequences.

My working rule is simple: the ad copy sells the consult and the surgeon, not the outcome. Outcome imagery lives on your site, inside a consented gallery, where you control the disclaimers. That single split solves most of the friction.

Before-and-after imagery: the part agencies get wrong

Patient photographs are protected health information. Using them in marketing needs a signed, specific, written authorization covering that use, and it needs to be retrievable years later when someone asks. That is the part that goes wrong. Practices inherit galleries from a previous vendor with no record of which photo maps to which consent form, and no process for a patient who later withdraws permission.

So before I build a gallery I ask for the consent process, not the photos. If it does not exist, building it is the first deliverable. Then the gallery gets structured so a single photo set can be pulled cleanly, disclaimers sit adjacent to images rather than buried in a footer, and nothing in the surrounding copy implies a typical or guaranteed result. Metadata gets stripped. Faces are handled according to what the authorization actually permits, which is often narrower than the practice assumed. If you want the gallery feeding social too, that is a separate authorization and a separate platform-policy question, and I will raise it rather than quietly cross-post.

Reviews and patient stories without a privacy problem

The most common privacy mistake I see in cosmetic practices is not a data breach. It is a reply to a Google review. A public response that confirms someone was a patient, references their procedure, or corrects their account of their care is a disclosure, and the fact that the patient posted first does not change that.

So I build review responses from templates that thank, invite offline contact, and confirm nothing. For solicitation, the ask goes out at a point in the post-op timeline that you choose clinically, through a channel the patient has already consented to, with no incentive attached, and with no filtering of who gets asked based on predicted sentiment. Gating requests to happy patients is both an FTC problem and a Google policy problem, and it is not worth the short-term rating bump.

Search: two very different buyers, one website

Someone searching “is rhinoplasty worth it” and someone searching “rhinoplasty surgeon near me reviews” are at opposite ends of a decision. Most practice websites treat them identically, which means the research content and the hiring content compete with each other and neither wins.

I separate them. Procedure pages target the choosing-a-surgeon query and are written to survive a comparison against three other practices open in adjacent browser tabs: surgeon credentials, case framing that is accurate for you, recovery expectations, price framing, financing, and a consult path that works with one thumb. Educational content targets the earlier query, builds topical depth, and catches people months before they book, with a light-touch route into the procedure page. Two jobs, two page types, measured separately.

The piece on how to get more plastic surgery patients ranks the acquisition channels by what they cost and how long each takes to produce anything. My medspa marketing hub covers the same thinking on the non-surgical side, and medspa marketing pricing shows how I scope aesthetics retainers.

Paid ads when the decision cycle is months long

Cosmetic surgery has a long, quiet consideration period. People research for months, save for the procedure, talk to one partner and no one else, then book three consults in a week. Ads measured on last click inside a 30-day window look wrong for this business and get cut for the wrong reasons.

Practically: a longer attribution window, a real distinction in reporting between a consult request and a booked surgery, and campaign structure built around the procedures with the best margin rather than the cheapest clicks. It also means brand-defence search, because when someone finally decides to book you by name, a competitor bidding on your surgeon’s name is the cheapest patient they will ever buy.

Ad spend is paid by you, directly to the platform. I never mark it up and I never take a percentage of it, because a percentage fee rewards me for spending more of your money.

The consult request is where most practices leak

I have audited practice sites where the consult form asked for date of birth, insurance details and a description of the concern before a stranger had any reason to trust the practice. Long forms filter, and on a cosmetic procedure the people they filter out disproportionately are the ones who were nervous, which is most of them.

The rebuild is unglamorous. Fewer fields on first contact. A phone number that is tappable and visible on mobile without scrolling. Financing mentioned before the form, not after. A stated response time that the front desk can actually meet. An automatic confirmation that tells the patient what happens next and when. Then a follow-up sequence for the requests that go quiet, which is a large share of them.

The form rebuild case study covers this pattern in detail on a professional-services site: a nine-field form, no sticky mobile call button, no trust signals near the form. Different industry, same failure mode. Read it for the method, not as a forecast for your practice.

Tracking that survives a privacy review

Regulators and courts have gone back and forth on what tracking technology is permitted on healthcare websites, and the guidance has shifted more than once. I am not going to pretend the picture is settled. My operating rule does not depend on it: no protected health information goes into an ad platform, ever. No procedure-specific identifiers in URL parameters that get passed to a pixel. No pixels on anything behind a patient login. Conversion events report that a consult request happened, with no detail about who or for what.

That costs a little targeting precision. It removes an entire category of risk, and I would rather explain a slightly less granular report than explain a disclosure.

What it costs

Starter — $800 per month, flat. One location. Google Business Profile management, local SEO, the core procedure pages and their ongoing improvement, the consult-request rebuild and continued conversion work on it, call and form tracking, and a monthly reporting call with me. This tier suits a single-surgeon practice that mainly needs its local presence and its booking path to stop losing people.

Core — $1,500 per month, flat. Everything in Starter, plus ongoing content production across procedure and educational pages, Google Ads management, the review generation workflow, and the lead-response automation that follows up on consult requests. This tier suits a practice actively trying to shift its procedure mix or grow into a second service line.

Both tiers are flat monthly fees. Ad spend is separate and paid directly to Google or Meta. Website builds are quoted separately as fixed-price projects. Exact scope is written down before the first invoice, so there is no argument later about what was included.

If you want the wider market context before you decide, I wrote a breakdown of what plastic surgery marketing actually costs across agency types, and a comparison of plastic surgery marketing agencies that includes the ones I lose to.

How the first 30, 60 and 90 days run

Days 1 to 30. I audit what exists: site, Google Business Profile, tracking, current campaigns, consult path, review position, and your competitors’ procedure pages. I ask for your procedure mix and margins, because I want to market the procedures that are worth your operating room time rather than the ones with the most search volume. Tracking gets fixed first, since everything after this is measured against it. Then the consult path, because it is usually the fastest thing to improve. You get the audit findings in writing, and the parts you should fix internally are listed separately from the parts I am doing.

Days 31 to 60. Procedure pages get built or rewritten. Google Business Profile work goes live and starts accumulating. Review workflow starts running. If you are on Core, ad campaigns launch with a deliberately narrow initial scope so the early spend teaches us something instead of just producing volume. First real reporting call lands at the end of this window, and it will include things that did not work.

Days 61 to 90. Local and organic pages start showing movement. To be plain: this is the window where SEO work becomes visible, not the window where it finishes. Ad campaigns get restructured on the first 30 days of real data. Content expands into the second tier of procedures. By day 90 you should be able to answer, from your own dashboard, which channel produced which consult request.

Anyone promising you the top of the map pack in a fixed number of days is selling something they cannot control. Timelines depend on your competition, your review position, your existing authority and the size of your market.

Who does the work

I lead every account personally, supported by a team of 17. That means I do the audit, I set the strategy, I write or approve the pages that carry your credentials, and I am on your monthly call. Production work — build, technical implementation, ongoing page work, reporting assembly — is done by my team, under my direction, from Chandigarh.

I want to be exact about this because a lot of small agencies imply solo delivery and then quietly hand you to someone else. I have a team. I am telling you that up front. What you get is that the person who quoted you does not disappear after the sale, and there is no account-manager layer between you and the person making decisions about your account.

Sprout Sage Solutions is a proprietorship registered under Udyam UDYAM-HR-01-0000214, founded in 2020. My team has shipped 450+ websites and has 224 jobs delivered on Upwork with a 96% Job Success score and 17 Google reviews.

Proof: what I can show you and what I will not claim

I have three written case studies with the working shown. None of them are plastic surgery practices, and I am not going to dress them up as though they were.

• The medspa AI automation case study covers a Phoenix-area medspa where the work targeted the operational layer — no-shows, after-hours booking, rebooking prompts, review velocity and a membership offer. It is the closest thing I have to your industry, and it is aesthetics rather than surgery.
• The form rebuild case study is a regional law firm with mobile-heavy traffic and a nine-field lead form. It is the clearest example of how much a consult path costs a high-value service business.
• The local SEO map pack case study is a dental practice with seven competitors inside a two-mile radius, measured with grid scans at the start and at week twelve. It shows the method I would use on your city.

All three are on the case studies hub. Read them for method. Their numbers belong to those businesses in those markets, and treating them as a prediction for a surgical practice would be dishonest.

Objections worth raising before you hire me

Why not hire a healthcare-specialist agency?

Sometimes you should. If you want an agency whose entire book is plastic surgery, that has a compliance officer on staff, that already knows your state board’s advertising rules cold, and you have the budget for it, that is a genuinely good purchase. What you are buying is pattern recognition inside one vertical and someone else carrying part of the risk. What you are also buying, usually, is a longer contract, a higher retainer, and a playbook applied to you the same way it was applied to the last eleven practices.

My honest position: I am not a plastic-surgery-only agency. I work across service businesses, with aesthetics as my deepest vertical. That means I bring conversion and local search patterns from outside your industry, which is often where the unexploited ideas are, and it means I read your board’s rules for your state rather than assuming. If specialist depth is the single most important thing to you, hire the specialist.

Why not hire a big agency?

A big agency gives you bench depth, redundancy if someone leaves, and a brand name your partners will recognise. Those are real. The trade is that the senior person who impressed you in the pitch is usually a salesperson, the work goes to a pooled team, and your monthly call becomes a slide review. You also pay for the account-management layer whether or not it does anything for you.

With me you get direct access and no layer. The honest cost is capacity: I take a limited number of accounts, and if I am full, I will say so rather than take you and stretch. A large agency can absorb a client on a Monday. I cannot.

What if it does not work?

Then you cancel. There is no contract, no notice period buried in a clause, and no termination fee. You keep the website, the pages, the tracking setup, the ad accounts, the Google Business Profile and the review workflow, all in your name.

I will also tell you before you cancel. If I look at month two and think the problem is your consult conversion rather than your traffic, I would rather say that and lose the retainer than keep billing you for the wrong work. There is no refund guarantee attached to this, because a refund promise on marketing is usually a way of hiding a long contract behind a hard-to-claim clause. The month-to-month structure is the guarantee.

What you keep if you leave

Everything, in your name from day one. The domain, the hosting, the website and every page on it, the Google Business Profile, the Google Ads and Meta accounts, the analytics property, the tracking configuration, the call-tracking numbers, the review workflow, the content and the photo assets. No agency-owned landing page platform. No campaign structure trapped in an account I control. No content licence that expires when the retainer does.

The only thing that stops when you stop paying is my time. Nothing turns off, nothing gets held, and your next agency inherits a working setup instead of a hostage situation.

Questions plastic surgery practices ask me

Do you understand cosmetic surgery specifically, or just healthcare generally?

Aesthetics is my deepest vertical — medspa work is where most of my clinical-adjacent experience sits. Surgery is different from injectables in decision cycle, ticket size and regulatory weight, and I treat it as different. I will not claim a surgical specialisation I do not have.

Will you write my clinical content?

I write the marketing content. Anything making a clinical claim goes to you or your medical director for review before it publishes, and I build that review step into the workflow rather than treating it as optional. It slows publishing down by a few days. It is worth it.

Can you run ads for a procedure Google or Meta keeps rejecting?

Often, yes, once the copy and the landing page stop triggering the policy. Most rejections I see come from outcome-focused language, body-focused imagery, or a landing page that contradicts the ad. Sometimes the answer is that the procedure genuinely cannot be advertised the way you want on that platform, and I will say so instead of billing you to keep resubmitting.

Do I need a new website?

Usually not. Most practice sites can carry the work with structural fixes. I audit it on the first call and tell you honestly. If a rebuild is genuinely the blocker, I quote it separately as a project, and I will tell you if it can wait a quarter.

How do you handle our patient photos?

I do not take custody of raw photo libraries. I work with the gallery your practice controls, I ask to see your consent process before anything gets published, and if there is no process I help build one. Metadata gets stripped and disclaimers sit with the images.

What happens on the free call?

Thirty minutes. I look at your site, your Google Business Profile and your consult path live while we talk, and you leave with specific fixes you can hand to whoever maintains your site, whether or not you hire me. No deck.

You are in India. How does that work across time zones?

I run calls in US morning hours. Day-to-day communication is by email and WhatsApp, and I answer my own phone. If you need someone physically in your city for photo shoots or events, I am the wrong fit and will say so.

How long before I see something?

Conversion and consult-path fixes show up fastest because they change the behaviour of traffic you already have. Local and organic search take longer and depend on your market’s competitiveness. I will not attach a number to your practice before I have looked at your competitors, and I will not promise a patient count at all.

Book a free 30-minute call

If you want a second opinion on where your marketing is losing consults, take the free call. I will review your site, your Google Business Profile and your consult path while we are on the phone, and tell you what I would do first. If the answer is that you do not need an agency right now, that is what I will say.

Book the free 30-minute call or call me directly at +91 97297 12388.

No contract. Cancel any month. Keep everything I build.