SF Plastic Surgeon
SF Plastic, a plastic surgery company, partnered with ROILift to turn organic search into qualified sales conversations. We built
the technical foundation, sharpened the pages buyers actually compare, and created content around the terms their
customers search, with transparent pricing and the projected return agreed before any work began.
Sector: Single-surgeon cosmetic and reconstructive plastic surgery practice
Market: San Francisco Bay Area, USA | Reporting period: 26 June to 25 July 2026
10+
AI Citations
25+
Keywords in Top 10
80.7%
Organic Traffic
99%
Engagement on Lead Pages
81.9%
Organic Engagement

Amplifying Digital Presence in Local Market
Plastic surgery in San Francisco is one of the most competitive and expensive local search categories in the United States, contested by large multi-surgeon groups with vastly bigger content and link footprints.
- The practice arrived with domain authority of 20, page authority of 39, and 303 indexed pages.
- One hundred and twenty keywords were tracked across procedure, cost, and location intent, and every single one started outside the top 100 results.
- ROILift partnered with the practice on a strategy that would not open by competing for "plastic surgery San Francisco."
The plan went after the specific procedures the practice genuinely leads on, where positions 1 through 5 were winnable inside a reporting cycle.
Objective
- Establish organic search as the primary acquisition channel for the practice.
- Rank for procedure-specific queries where a single surgeon can beat larger groups.
- Convert search traffic to consultation requests, phone calls, and live chat conversations.
- Build AI search visibility on procedure queries alongside the largest Bay Area surgical groups.
Our Approach
- Procedure-level content targeting specific winnable queries rather than head terms.
- Cost and location intent content aligned to the exact decision moments buyers reach. With consultation-flow optimisation to convert high-intent organic traffic.
- AI search visibility work on procedure queries the practice actually delivers
- Month-on-month tracking to catch compounding movement (position 33 to position 2 in two cycles).

Results and Impact
-
80.7% of users from organic search
Organic became the dominant acquisition channel, 4,893 organic users out of 6,064 total. -
81.62% organic engagement rate
Precise search-intent-to-page-content matching, not accidental traffic. -
37 consultation form submissions
Plus 31 completed form submissions from 37 form starts, a rare form-completion rate for the category. -
31 live chat conversations opened
Third conversion surface delivering qualified inbound.


Prominent Metrics Overview
AI Citation
We ensure that the business seems credible and trusted, as our following efforts fell into the right place with AI citations over different keywords.


Recognized Business in San Francisco
SF Plastic got recognized as the trusted “bicep implants San Francisco, CA.” A keyword that holds high traffic.
Events and Session
Gained the majority of users and engagement on prominent pages that serve as a testament to quality leads and conversion.

Metrics That Stand as Prominent Milestones for Our Efforts
01
99.93% engagement on lead procedure page
Two procedure pages delivered more than 14,000 views at engagement rates above 99%.
02
22,739 page views at 8.78 events per user
Deep engagement per session, not shallow bounce-and-leave traffic.
03
Position 33 to position 2 in two cycles
“Hip dip augmentation” compounded across consecutive monthly checkpoints.
04
Above larger surgical groups in AI answers
For “cosmetic hip implants San Francisco,” “bicep implants San Francisco,” and “best hip augmentation surgeon.”
05
12 keywords in AI results
The practice named inside Google AI results alongside and in several cases above the largest Bay Area surgical groups. Few of the examples are shown below.
Final Outcome
of the Journey
This wasn't about winning "plastic surgery San Francisco."
It was about identifying the specific procedures where a single surgeon can beat multi-surgeon groups, ranking those pages first, and letting the head terms follow behind the earned authority. Four out of every five users now arrive through organic search, and the practice generated 37 consultation requests, 17 calls, and 31 chat conversations in a single 30-day window. Two procedure pages alone delivered more than 14,000 views at engagement rates above 99 percent.
In one of the most competitive local search categories in the United States, a single-surgeon practice outranked and out-cited multi-surgeon groups on the procedures that matter most to its revenue.

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