The questions owners actually ask

Every service also costs $100 each time someone actually shows up. Not when they book. When they walk in.

The monthly fee pays for everything behind the scenes: building the list, buying and checking the data, screening it against the Do Not Call list, our software, our phones, our email systems, and the people we hired, trained and manage. The $100 is the part we only get paid when someone is actually sitting in your chair. That is how you know we are not booking people just to hit a number.

The monthly fee is due at the start of each cycle, and your cycle starts on the day we began, not the first of the month. If we start on the 12th, you are billed on the 12th.

The $100 show fees are billed every two weeks, after the fact. Unused hours and unused messages do not carry over to the next month.

Compare it to hiring someone, not to spending nothing. One salesperson on staff costs $5,000 to $6,500 a month once you count everything, works one shift, and does not build lists, run email or work LinkedIn.

You are hiring a job, not a person. One location cannot afford a full-time salesperson, plus someone building lists, plus someone running email, plus someone answering messages seventeen hours a day. It can afford part of all four.

Tier 1 runs inside your own software. You own the system and the reports, we bring the caller. Tier 2 moves everything into our system and adds email and LinkedIn, plus reporting that shows what each one produced. You are paying for the software and two extra channels, not for more phone calls.

Anything over 200 is $15 each. That is just $3,000 divided by 200 — the same rate, no penalty. We count people, not messages. One person counts once a month no matter how many times she writes.

One thing, on one service: the 60-day workplace trial. $5,000, and 15 people who show up. If fewer than 15 show up within 60 days, we keep working and you pay no more monthly fee, until the fifteenth person shows or 30 more days pass, whichever comes first. You still pay the $100 show fees during that time. That is the whole thing you get. There is no refund.

Nothing else we sell comes with a promised number. The full conditions are published →

Fifteen a month is what this should produce once it is up and running, and it is not up and running on day one. Finding the companies, getting and checking contact details, setting up email so it does not land in spam, and starting the LinkedIn outreach all take weeks before the first meeting happens. So we promise the normal monthly number, but give ourselves two months to get there, instead of pretending the start-up time does not exist.

A booked consultation the person turns up to. Any length of time, whatever comes of it. If she does not show, if either side cancels, or if it gets moved and never happens, it does not count and you are not charged. If it gets moved and she does come, it counts once.

A meeting counts as ours if we contacted that person — by phone, email, LinkedIn or message — at any point in the 180 days before the appointment. Walk-ins we never contacted do not count. Patients you already have who rebook on their own do not count.

Your booking system decides, not us. We need to be able to see it, or get a regular export: appointment date, whether they came, which provider, and the name. Never any medical records. Every month we check our count against yours and show you exactly which meetings we are claiming. If we ask for access and do not get it within 10 business days, our count is the one that stands.

Social follow-up works with people who contact you. If your posts and ads stop bringing people in, any number we promised would really be about your marketing, not our work.

Partnerships depend on other people's calendars. An HR director deciding whether to host a lunch talk moves at her own pace, and neither of us controls that.

Revitalize can only do as much as your patient list allows. We will not promise a number against records we have never seen. For each of these, we publish what we do promise instead.

Real people answer your social messages 8am Eastern to 10pm Pacific, Monday through Friday. That is seventeen hours a day, covered by staff on both coasts. Outside those hours an auto-reply goes out and a person picks it up first thing the next working day.

Weekends cost extra: $1,000 for Saturday and Sunday, up to 200 messages across both days. Order it three business days ahead so we can staff it. We are not going to tell you someone is reading your messages at 2am.

Fair question. This is a personal purchase, and stiff corporate sales language puts these buyers off fast. You get one person by name on your account, sample scripts and agreed wording before we start, and people who have spent their careers on the phone with executives and high earners.

Everyone on our team is in the United States. Anyone who calls, emails or messages in your name, or who can see your information, is based in the U.S. We never use overseas staff, our own or hired through an agency. Ask us to prove it any time.

It goes to your medical staff, in writing, every time. Same day if someone mentions pain or something going wrong. Our people are not allowed to talk about whether she is a good candidate, whether it is safe, what happens afterward, or what treatment she should get. That does not change, and you tell us who the medical contact is before we send a single message.

We handle: new messages from people who are not yet patients, asking about treatments, prices, availability or booking.

We pass to you, and do not count against your 200: current patients rescheduling or asking about a bill, medical questions, sales pitches and influencer offers, and spam. It keeps our people out of scheduling work they are not trained or paid to do.

Two different timelines, and we report them separately. Answering your social messages shows results in the first few weeks, because those people are already reaching out. Reaching people at work takes time to build, which is why the trial runs 60 days.

Fewer people reply to workplace outreach than to normal business outreach. We are making a personal offer in a work setting, so it takes volume and patience. It is not fast.

How fast we reply, how many people we reach, how many of those book, how many of those show up — and a monthly check of every meeting we claimed against your system.

If you give us the numbers, we also report how often consults turn into treatment, broken out by procedure and by staff member. That is not a measure of our work, and it goes to the owner privately. It is there to show you where the process leaks, not to grade your people.

No, and we would turn it down if you offered. You connect your Instagram to your Meta Business account, add us as a partner, and give us access to messages only. Not your ads. Not your posts. You can take it away in two clicks without calling us. TikTok works the same way.

Because LinkedIn has no way to give someone partner access, and we are not going to pretend otherwise. We do most of the outreach from our own accounts, but the message that actually gets a reply works better coming from your practice than from a stranger. So we ask for your account and your Sales Navigator seat.

How we keep it safe: in a locked password manager, never in an email or a spreadsheet. Only the U.S.-based people working on your account can get to it. We use it for LinkedIn and nothing else. We delete it within 5 business days of finishing, and confirm that in writing. Change the password when we are done, and do not use that password anywhere else while we are working.

The risk you are taking: LinkedIn's rules do not allow sharing accounts or automating them, and LinkedIn can restrict any account whenever it wants. That risk is yours, it is written into the contract, and you should know it before you sign. If you would rather not, we will set up and run a separate account for $250 a month. It just does not work as well.

No, on purpose. We do not take any protected health information. No diagnoses, no treatment records, no medical notes, no photos.

What we do work with: names, contact details, where someone works, their job title, their location, the type of service they are interested in, and whether they made their appointment. That line is written into our contract. If any medical information reaches us by accident, we are required to tell you right away and delete it.

Yes. The map of companies and the checked contact lists we build are yours. If your records live in our software, the contract says we export everything and hand it over when we finish, so nothing you paid for gets stuck with us.

No new software and nothing for an IT person to set up. The software, phones, email systems and reports are all ours. You send us a file from Boulevard, Zenoti, Vagaro or a plain spreadsheet. On Revitalize Tier 1 we work inside the software you already have.

Before anyone picks up the phone, every record is checked against the people who agreed to be contacted and against the national Do Not Call list, then updated and email-verified. Cold emails go out from our email addresses, never yours. Your own address needs to stay clean so your booking confirmations and reminders keep landing in inboxes. For texting, we need recorded permission from the person, captured when she books.

One location. Every service has a 60-day minimum, then it goes month to month. Cancel any time by giving 30 days' notice in writing, by email. Long enough for the work to start producing, short enough that you are not stuck with something that is not working. A second location is a separate agreement.

We do not make your content or run your ads. Your photos, your offer and your prices decide who ends up in your inbox, and all of that happens before we get involved. If you post twice a month and spend nothing, there is very little for us to work with.

We do not do the consult. If people show up and nobody books treatment, our work looks like wasted money. We will measure that and tell you. We cannot do it for you.

We do not give medical advice. Ever, in any channel.

Usually yes if: you have several locations, or one location that posts regularly and spends on ads. You have a patient list that has been building for a while, with usable contact details. And your booking software can export a file or connect to ours.

Usually not if: you post twice a month and spend nothing on ads, your patient list is too small to spot any companies in, or your booking system cannot export anything. Without that, nobody can tell which patients came from our work, and neither of us can prove anything.

Because we only get paid when someone shows up, and we measure every step. You will see what each person who showed up cost you, and if you share your numbers, what each treated patient cost you. Not how many people saw an ad.

And when it is not working, you hear it from us in week three instead of finding out in month six.

Two ways. Send us your patient list and buy the employer analysis on its own. You get a ranked map of where your patients work, by how many come from each company and what they spend, plus the nearby companies sending you nobody. It is yours to keep whether or not you ever hire us.

Or test yourself first. Message your own Instagram at 8pm on a Tuesday, then send a second message no robot could answer, and see how long a real person takes to reply.

Start by figuring out whether you have a traffic problem or a conversion problem — they look identical from the owner's chair and have completely different fixes. Most practices with flat growth are getting enough inquiries and losing them between the inquiry and the booked appointment.

Run this before you spend another dollar on ads. Count last month's total inquiries — every DM, form fill, phone call and walk-in. Then count consults booked, consults attended, and patients treated. Four numbers.

If inquiries are low — under roughly 50 a month at a single location — you have a demand problem. Local search and Google Business Profile first, then paid social. Both take 60–90 days to produce reliably.

If inquiries are healthy but bookings are not, adding traffic makes the leak bigger, not the revenue. The usual causes, in order of how often they are the actual cause:

If consults get booked but do not show, the lever is a card on file or a deposit, plus a real human confirmation call rather than an automated reminder.

If consults attend but do not convert, you have a consult-room problem, and the only way to see it is a required loss-reason field on every consult that closes without treatment. Six months of that data is a diagnosis. Anecdotes are not — the anecdote is always "price," and it usually is not.

Test your own funnel before hiring anyone to fix it: message your own Instagram at 8pm on a Saturday, then send a second message no automation could handle — "I had filler two years ago and I think it migrated." Time the human reply.

The offer determines who responds. A deep first-visit discount is most attractive to people shopping on price, who will be equally attracted to the next practice's discount in three months. Replace the price cut with a value-add and you change who walks in.

Discounting works — that is the trap. It fills the schedule fast, which makes it hard to see that it is also filling the schedule with people who will not return at full price. The downstream damage is worse than the margin hit:

Value-add rather than price cut. A product, an add-on service, a membership month included. Same perceived value, no anchor set on a lower price.

Entry treatments priced normally. Put a genuinely accessible service on the menu at its real price rather than discounting a premium one. A first-time patient starting on a $300 treatment at full price is worth more than one starting on a $600 treatment at half off.

Convenience as the offer. For cash-pay aesthetics, where insurance plays no role in provider choice, convenience carries more weight than it does in medicine generally. Evening availability, fifteen-minute appointments and proximity to where someone works cost you nothing in margin.

Referral, which is free and better. Referred customers show higher retention and higher margins than customers acquired through paid channels (Schmitt, Skiera & Van den Bulte, Journal of Marketing, 2011) — and word of mouth is still the most trusted source people use to pick a provider.

If your history is discount-heavy, segment your file by acquisition offer before judging your retention numbers. You will usually find two very different populations averaged into one misleading figure.

Work your existing patient file by phone before you touch the ad budget. A lapsed patient costs nothing to reach, has already paid your prices once, and can be back on the schedule in two weeks — a timeline no acquisition campaign can match.

Paid acquisition has a 30–60 day ramp. If you are looking at a soft calendar three weeks out, ads will not fix it in time. Your file will.

Segment first. "Everyone who has not visited in six months" is a spreadsheet, not a list. The segments that respond:

Call, do not email. Your booking software already sends an automated "we miss you" that nobody opens — a broadcast from a no-reply address with no specific ask. A call from a named person with a real opening — "Dana has Thursday at 2:15, should I hold it?" — is a different transaction entirely.

Have a reason that is not a discount. An outcome check-in, a treatment relevant to what they had before, a provider now taking appointments, a genuine schedule opening. Discounting your own file trains it to wait for discounts.

Know the limits. Under roughly 600 patient records there is not enough there to build a program around. And it is finite — you can work a file hard once or twice a year, not monthly. It is a recovery channel, not a growth engine.

Then plan the seasonality. Most practices know their slow months and are still surprised by them. Injectables soften in late summer; body and laser services shift the opposite direction. Build the recall campaign four to six weeks ahead of the dip instead of during it.

Four levers, ranked by return: reactivate your existing file, fix inquiry-to-consult conversion, systematize rebooking, and build referral. All four work on traffic you have already paid for, and most practices have never touched any of them.

More ad spend is the most expensive way to grow and usually not the binding constraint. Work these in order.

A fifth, if you want new patients without new ad spend: look at where your existing patients work. Tox is a fifteen-minute appointment that gets done at lunch or on the way home, so proximity to an office often matters more than proximity to a home. Most intake forms do not capture employer, but it can frequently be inferred from patient email domains. Once you can see which employers already produce patients, comparable employers nearby with none are addressable — and almost nobody in aesthetics is working that channel.

None of this is free in labor. It is free in media spend, which is the constraint most owners are actually feeling.