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Med Spas & Aesthetic Practices

Before/after disputes, injector departures, and deepfake networks are reshaping your RealSelf SERP. We own it first.

Before-and-after authenticity disputes are now SERP-ranked. The work isn't removing legitimate reviews (we won't and can't); the work is anchoring your practice's methodology, provider credentials, and real patient outcomes with owned content that ranks above the noise.

Where the attacks come from

Five pressure points unique to med spas & aesthetic practices.

RealSelf SERP takeover

Competing before/after galleries and filtered reviews dominating branded search and procedure keywords.

Injector departure smear

Former associates posting negative reviews or starting competing practices with client-poaching claims.

Deepfake and synthetic media

AI-generated 'bad result' photos circulating on TikTok, Reddit, and Trustpilot impersonating your practice.

Google & Healthgrades review bombing

Coordinated negative campaigns during competitive bidding season or after insurance-denial disputes.

Fake-review network attacks

Competitor-seeded 1-star reviews with stock language and repeat reviewer profiles targeting procedure keywords.

67 synthetic images deepfake gallery removed from 3 platforms · booking inquiry recovery 34% in 8 weeks
Case study

Aesthetic practice reclaimed RealSelf and Google after coordinated synthetic-media campaign.

A 7-location med spa network was targeted with AI-generated 'poor result' before/after photos across TikTok, Reddit, and a copycat Trustpilot profile. The Aperture Protocol identified 67 synthetic images using forensic analysis and platform-specific takedown workflows. Authentic patient galleries re-ranked within 8 weeks; booking inquiries recovered 34% as real before/afters reclaimed top SERP positions.

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VIII · Closing Folio

The standing engagement opens with a private call.

A single conversation, signed under non-disclosure, with the principal who would own your matter. You leave with a printed posture assessment and the engagement letter, whether or not you retain us.