Marketing Agencies for Plastic Surgeons: How to Choose One (And the #1 Reason “Good Leads” Don’t Book)

If you’ve ever searched “marketing agencies for plastic surgeons,” you’re probably in one of these spots:

• you want more consults, and marketing feels like the obvious lever

• you’re already paying an agency, but bookings don’t match the spend

• you’re tired of guessing who’s responsible when results dip

Here’s the truth most people miss:

A marketing agency can be doing their job and you can still lose a huge chunk of consults because of what happens after the lead reaches out.

This post shows you:

1. how to pick a solid agency

2. what “good” actually looks like

3. the intake issues that make practices think their agency is failing

What a marketing agency should be responsible for (in a plastic surgery practice)

A good agency should help with:

• getting the right traffic (search, ads, local visibility)

• tracking where leads come from (call tracking, forms, attribution)

• improving conversion at the page level (messaging, offers, landing pages)

That’s their lane.

But here’s what they usually can’t control:

• whether your phones get answered

• how fast your team replies to forms and DMs

• whether follow-up happens consistently

• whether a “maybe” lead gets nurtured into a booking

That’s not “marketing.” That’s intake operations.

The #1 reason “good leads” don’t book: slow response + weak follow-up

Most high-intent patients don’t wait.

A typical lost consult looks like:

• they call after work and hit voicemail

• they submit a form at night and get a reply the next day

• they get one follow-up attempt and then nothing

• they book with the practice that made the next step easiest

So the agency says “we’re sending leads.”
The clinic says “the leads aren’t good.”

Often, both are wrong.

The real problem is speed-to-lead and follow-up consistency.

How to choose a marketing agency for plastic surgeons (quick checklist)

1) Do they track calls and booked consults, not just clicks?

If an agency can’t tell you:

• how many calls came in

• how many were answered

• how many booked

…you’re flying blind.

2) Do they understand procedure-level intent?

A “rhinoplasty lead” is not the same as “Botox price shopper.”
You want campaigns and landing pages that match intent, not generic traffic.

3) Do they have a real plan for local search visibility?

Even if you run ads, most patients still Google you, read reviews, and compare.

4) Do they communicate like adults?

If reporting is vague, results will be vague.

Questions to ask before you hire a plastic surgery marketing agency

Copy/paste these in a call:

1. “How do you track calls, forms, and consult bookings?”

2. “What does your monthly reporting include?”

3. “How do you handle high-intent after-hours leads?”

4. “What’s your plan to improve conversion, not just traffic?”

5. “If we get more leads but bookings don’t move, what do you check first?”

If they don’t have clear answers, you’re about to pay for activity, not outcomes.

When you don’t need a new agency (you need intake fixed)

You probably have an intake problem if any of these are true:

• missed calls go to voicemail after hours

• forms/DMs often wait hours for a reply

• follow-up is inconsistent (depends on who’s working)

• you don’t know your response time

• you don’t have a clean way to re-engage old leads

• review requests are random, so ratings don’t grow steadily

In that case, switching agencies won’t solve it. You’ll just send the same leads into the same leaks.

Where Aristova fits (without replacing your agency)

Aristova isn’t a marketing agency. We don’t compete with them.

We install the intake infrastructure that makes their leads convert, like:

• after-hours and missed-call capture (so calls don’t die)

• web chat + form capture (so silent shoppers get a next step)

• reactivation campaigns (so old leads become bookings)

• SMS review requests (so trust keeps compounding)

Think of it like this:

• the agency pours water in the bucket

• Aristova patches the holes so you stop losing revenue

This is why we’re an “add-on,” not a replacement.

Bottom line

If you’re looking for a marketing agency for your plastic surgery practice, the best decision you can make is to separate the two problems:

1. traffic and lead generation (agency)

2. capture, speed-to-lead, and follow-up (intake system)

When both are handled, you stop guessing and start seeing consistent bookings.