Online reputation management for a med spa means systematically generating reviews, responding to them professionally, and maintaining the recency signals that drive both patient trust and local search rankings.
The average cosmetic patient reads 7 reviews before booking. Med spas with fewer than 15 Google reviews lose a measurable percentage of potential patients to competitors with more. Review count, recency, and your response rate all signal to both patients and Google how active and trustworthy your practice is.
Text message requests sent within 48 to 72 hours of a positive appointment produce far higher response rates than any automated email sequence. Keep the message short and include a direct link to your Google review page. Practices that systematize this generate 10 to 20 new reviews per month.
Respond to every negative review within 24 hours. Acknowledge the concern without admitting fault or discussing clinical details. Offer to resolve the issue offline. Future patients read your responses more carefully than the original review, and a professional empathetic response often converts a damaging review into a trust signal.
Google is primary for local search impact. Yelp matters particularly in California. RealSelf is important for device treatments and surgical aesthetics. Healthgrades matters for physician-led practices. Prioritize Google above all others because it directly drives map pack rankings.