Specifically, the part of your practice that turns inbound leads into booked surgical cases. The part your agency has never been allowed to touch.
If you run a plastic surgery practice and your surgical schedule has soft weeks you can’t explain, this page is for you.
The agency report shows strong lead numbers. Your surgical schedule shows fewer booked cases than those leads should produce.
Somewhere between the form submission and the deposit, money is walking out the door every single week.
It’s not the ads. The ads are working.
The breakdown is happening inside your walls, in the handoff between the inbound lead and the patient on your OR schedule. And nobody you’ve hired so far has been allowed to touch that part of your business.
If your average case is $18,000 and you’re losing four leads a month that should have closed, that’s $72,000 a month. $864,000 a year.
Walking across town to the surgeon who is not better than you, but whose operation booked the patient before yours did.
If you’re a higher-ticket practice, the math is worse. A breast aug practice at $12K average bleeds slower. A mommy makeover or revision practice at $25-40K bleeds catastrophically. Either way, the leak isn’t a marketing inefficiency. It’s a seven-figure problem hiding inside your operation.
And every month you don’t fix it, the surgeon across town gets stronger. He’s not better than you. He just booked the patient first.
She found you on Instagram on a Tuesday night. She’d been thinking about a mommy makeover for two years. She filled out the form at 7:42 PM.
She got a generic auto-response. She didn’t reply.
Wednesday morning, your front desk called her between checking in a post-op and arguing with an insurance rep. The voicemail was rushed. She didn’t call back.
Friday afternoon, your coordinator finally got her on the phone. Warm conversation. She booked a consult three weeks out.
Two of those three weeks went by. She started reading reviews of three other surgeons. Two of them got her on the phone within twenty minutes of her inquiry. One of them booked her for a consult that same week.
She no-showed your appointment.
You never knew she existed.
She would have been a $32,000 case. And here’s the part that should keep you up at night: you didn’t lose her because you’re a bad surgeon. You lost her because your operation isn’t built to catch her.
The agency runs the ads. The ads work. The leads come in.
Everything that happens after the lead lives inside your practice. The speed-to-response. The setter. The consult booking. The follow-up cadence. The closer’s script. The deposit conversion. The agency has no access, no authority, and no incentive to walk through your front door.
So they optimize the one thing they control (ad spend) and ignore the seven things that actually book cases. You get cleaner dashboards and the same soft weeks.
You don’t need a better agency. You need an operator inside your business.
I don’t run ads from a desk three states away and send you a PDF.
I go inside your practice and rebuild the revenue operation. I run the paid media. I install the CRM and the call tracking and the automations that make sure no lead is ever dropped, ever, on any night, on any holiday. I put a dedicated pre-consult setter into your business, a separate person whose only job is to respond to inbound leads in minutes and get qualified patients onto your coordinator’s calendar before she cools off.
Then I coach your coordinator. Every week. In her numbers. On her calls. Because close rate is a skill, not a personality trait.
And every Friday, you get one email from me. Three numbers. Leads in. Consults completed. Cases booked. No charts. No fluff. The truth.
This is not a service you can buy from anyone else. Agencies won’t do it because it doesn’t scale. Consultants won’t do it because it requires owning the result. Your front desk can’t do it because they’re already drowning.
There is one operator who does all of it under one roof. That’s the entire offer.
An NYC plastic surgery practice doubled booked surgical cases in six months. Same surgeon. Same OR days. Same coordinator. What changed was the system underneath them.
A Phoenix clinic tripled high-value surgical consults in seventy-five days. Not filler procedures. The cases that move the P&L.
A New Jersey practice runs at a 56% consult-to-case close rate, up from 25% before I came in. They went from underperforming the industry benchmark to running at the top of it, with no new staff and no new surgeon.
For a practice doing $3M a year, the difference between a 25% close rate and a 56% close rate is roughly $1.5M in additional surgical revenue per year. That math is why I exist.
Plastic surgery practice owners who:
Want more booked cases without adding a second surgeon, a second location, or a second of your own time.
Have a coordinator who’s good and want her to be great.
Are done with agency relationships that send reports and never touch your operation.
Want one email every Friday with three numbers and the truth.
You want the cheapest ad agency on the market.
You want a vendor you check in with monthly.
You’re not willing to give an outside operator real access to your practice.
One practice per market. Once I’m engaged in your geography, that territory is closed to your competitors for as long as the engagement runs.
That includes the surgeon across town you’ve been losing patients to.
In twenty minutes on the phone, you will leave with three things:
An honest diagnosis of where your operation is leaking. Not a pitch. Not a sales script. A clinical read on what’s actually broken between your lead form and your OR schedule.
A real dollar figure on what that leak is costing you this year. Based on your actual numbers, not industry averages.
A clear yes or no on whether what I do fits what you’re trying to build. If it doesn’t, you walk away with a sharper picture of your own operation. If it does, we talk about the engagement on a second call.
I take every one of these personally. No setter. No funnel. No assistant.
– Brian Giardino