For cosmetic dermatology

Elective demand, brutal no-show math.

Cosmetic derm runs on a premium, elective ticket, and loses up to ~30% of it to no-shows and slow follow-up. We plug those leaks first, then fill the chair.

Captured revenue before new ad spend.
Book a Growth Audit → See the proof ← All specializations
The opportunity

The cosmetic-derm opportunity is real, and mostly wasted.

Premium
elective ticket per treatment
~30%
no-show rate in dermatology
21×
qualify rate at a 5-minute response
~1 in 10
practices that market well
Where the money goes

Your revenue is leaking
before a single ad runs.

More marketing on a leaky derm practice just pays to lose patients faster. Each gap is money:

What's actually draining the chair:

The reality of cosmetic-derm acquisition
  1. No-shows run up to ~30%, at a premium ticket. On a high-value elective treatment, every empty chair is a serious revenue hit.
  2. Missed calls cost real money. Practices miss 15–30% of calls at peak. A front desk mid-consult is a patient who books elsewhere.
  3. Patients won't wait. 60% won't hold past a minute; 41% call a competitor when they can't reach you.
  4. Slow follow-up kills elective inquiries. Average response runs over two hours, yet inquiries reached within 5 minutes are 21× more likely to qualify.
  5. Spend without capture is waste. Average practice converts ~3% to patients; the best convert ~21%. The gap isn't traffic. It's the system.
How we fix it

Plug the leaks. Then fill the chair.

We don't start by buying you traffic. We start by capturing the revenue already walking out the door — then scale acquisition on top of a system that converts.

What we do
  1. Capture every call and inquiry. An AI phone agent and instant-response system so no patient hits a busy line while your front desk is mid-consult.
  2. Follow up in 5 minutes, not 2 hours. Automated, multi-channel follow-up on every laser, injectable, and elective inquiry, while they still want the appointment.
  3. Own intake through booking. We don't hand off "leads." We manage intake to a confirmed treatment on the calendar.
  4. Cut no-shows and protect the ticket. Reminder sequences, deposit and confirmation flows, and reputation systems that protect the premium revenue you've already earned.
  5. Then scale acquisition. Meta & Google lead-gen with offers built for cosmetic derm, running on a system that finally converts, tracked weekly in your CRM.
Who this is for

Owner-operated and multi-location cosmetic dermatology practices, from injectables to laser, skin, and elective procedures, that want a fuller, more predictable schedule and fewer empty premium slots.

What you get
Missed-call capture / AI agent
5-minute lead follow-up
Intake-to-booking funnel
No-show, confirmation & reputation systems
Paid acquisition + weekly KPIs
Proof: a clinic ARR pipeline of ~$640K built on a $0 ad budget. Pure systems, not budget burn.
The work speaks

Practices that stopped leaking revenue.

Clinic pipeline · Caesar Health

~$640K ARR pipeline on a $0 ad budget.

Built on systems, capture, follow-up, and a clean CRM, instead of paid traffic. The calendar filled because nothing leaked.

AI phone agent · Voxira

150+ qualified leads · 12 clinics signed.

Sharp ICP definition plus loss-aversion messaging took an AI phone agent from no pipeline to a waitlist of paying clinics.

Specialty groups · Multi-site

AI agents placed inside high-call-volume practices.

From ophthalmology to other specialty groups, we've put capture systems where the missed-call leak is biggest, so revenue stops walking out.

See the full case studies →
The systems we deploy

The mechanisms behind a full chair.

We assemble the right machines for your derm practice. Click any one for the full breakdown.

06

AI Sales / Follow-Up Agent

Capture every call and follow up in minutes. The #1 leak, fixed.

See how it works →
04

Paid Acquisition

A documented Meta lead-gen playbook with an offer that converts.

See how it works →
05

CRM Build & Migration

The revenue system everything runs on, architected and migrated clean.

See how it works →
01

Positioning & Messaging

Make your offer impossible to ignore in a crowded local market.

See how it works →
08

Marketplace & Niche GTM

Go-to-market built around the specialty groups your patients live in.

See how it works →
09

Sales Training & Enablement

Train your front desk so the bookings, and the reviews, last.

See how it works →
See all 12 mechanisms →