The questions owners actually ask

Every service carries $100 per meeting that shows up — not per booking, per attendance.

The retainer buys the machine — list building, data acquisition, DNC and email verification, our CRM, our phone system, our email infrastructure, and reps we hired, trained, and manage. The $100 is the part that only gets paid when someone is physically in your chair. It is how you know we are not padding bookings.

Retainers are due at the start of each cycle, and your cycle runs from the day we started, not the first of the calendar month — if we start on the 12th, you are billed on the 12th.

Show fees are invoiced every two weeks in arrears. Included hours and included inquiries do not roll over.

Compare it to a hire, not to nothing. One in-house SDR runs $5,000–6,500 a month loaded, works one shift, and does not build lists, run email, or work LinkedIn.

You are buying a sales function, not a headcount. One location cannot justify a full-time SDR, a list builder, an email marketer and a seventeen-hour response window. It can afford a share of all four.

Tier 1 runs inside your CRM — you own the system and the reporting, we bring the rep. Tier 2 moves the whole operation into ours and adds email and LinkedIn on top, plus the multi-channel reporting that makes the channel provable. You are buying infrastructure and two more channels, not more dialing.

Inquiries over the allowance are $15 each — the $3,000 divided by the 200, straight pro-rata, no penalty rate. We count conversations, not messages, and each individual counts once per cycle no matter how many times they write.

One thing, on one product: the Workplace-Cluster Outbound 60-day pilot — $5,000, and 15 meetings that show up. If fewer than 15 show inside the 60 days, we keep working at no additional retainer until the fifteenth shows or 30 more days pass, whichever comes first. Show fees continue during that period. That is the entire remedy.

Nothing else we sell carries a guaranteed number. The full conditions are published →

Fifteen a month is what this channel should produce once it is running, and it does not run on day one. Building the employer map, sourcing and verifying contacts, warming sending infrastructure and getting a LinkedIn cadence moving takes weeks before the first meeting lands. We guarantee the steady-state monthly number across the ramp instead of pretending the ramp is not there.

A scheduled consultation the prospect attends — at all, for any length of time, whatever the outcome. No-shows, cancellations by either side, and appointments rescheduled and never attended do not count and are not billed. Rescheduled then attended counts once.

A meeting is ours if we contacted the person in any channel within 180 days before the appointment. Walk-ins we never contacted are not ours, and existing patients rebooking on their own are not ours.

Your booking system is the source of truth. We need read access or a standing export — appointment date, status, provider, name. Never clinical records. We reconcile monthly and report which meetings we claimed and how the count ties back to your system. If we request access and do not receive it within 10 business days, our count stands.

Social converts inbound — if your content and ad spend stop producing inquiries, any number we promised would be a number about your marketing, not our work.

Partnerships run on other people's calendars. An HR director deciding whether to host a lunch-and-learn moves on a timeline neither of us controls.

Revitalize is capped by your file. We will not guarantee a number against data we have not seen. In each case we publish what we commit to instead.

Social response is live 8am Eastern to 10pm Pacific, Monday through Friday — a seventeen-hour weekday window staffed from both coasts. Outside those hours automation acknowledges the inquiry and a person works it at the start of the next coverage day.

Weekends are a paid add-on: $1,000 for Saturday and Sunday, up to 200 inquiries across the two days, ordered three business days ahead so we can staff it. We are not going to tell you a human is reading your DMs at 2am.

It is a fair worry — aesthetic sales is intimate, and B2B cadence language repels this buyer. You get a named rep on your account, script samples and voice guidelines before we start, and reps who have spent careers on the phone with executives and high earners.

Every rep is in the United States. Anyone who calls, emails or messages on your behalf, or who can see your data, is U.S.-based. No offshore SDRs, ever, ours or through a staffing firm. Ask us to verify any time.

It goes to your clinical staff, in writing, every time — same day if anyone describes pain or a possible complication. Our reps cannot discuss candidacy, safety, aftercare or treatment plans. That is non-negotiable, and you name the clinical contact before we send a single message.

Ours: new inbound from a non-patient about services, pricing, availability or booking.

Routed to you, and not counted against your allowance: existing-patient service traffic like rescheduling and billing, clinical questions, vendor and influencer pitches, and spam. It keeps our reps out of appointment-changing work they are neither trained for nor paid for.

Two different clocks, and we report them separately. Social response shows results in the first weeks — the work is answering demand that already exists. Workplace outbound is a build, which is why the pilot is 60 days.

Response rates on workplace outreach run below B2B software norms. We are making a personal offer in a professional context, so it is a volume-and-tail channel, not a fast one.

Median response time, contact rate, lead to booked, booked to attended — and the monthly reconciliation of every meeting we claimed.

Where you give us the numbers we also report consult-to-treatment conversion by procedure and by staff member. That one is not our metric and it goes to the owner privately. It is process reporting, not a performance review we run on your people.

No — and we would refuse it. Your Instagram links to your Meta Business Portfolio, you add us as a partner, and you grant messages and insights permissions only — not ads, not content publishing. You can revoke it in two clicks without calling us. TikTok works the same way through Business Center.

Because LinkedIn has no partner-access system, and we are not going to pretend otherwise. We prospect from our own accounts, but the message that closes someone lands better coming from the practice than from a stranger, so we ask for your account and your Sales Navigator seat.

How we hold it: access-controlled password manager, never email or a spreadsheet. Only the U.S.-based people working your account can reach it. LinkedIn and nothing else. Destroyed within 5 business days of the engagement ending, certified in writing. Change the password when we are done, and do not reuse it anywhere while we are working.

What you are taking on: LinkedIn restricts account sharing and automation and can restrict any account at its own discretion. That risk is yours, it is written into the agreement, and you should know it before you sign. If you would rather not, we will build and run an account for you at $250/month — it just converts worse.

No, and deliberately not. We do not take protected health information. No diagnoses, no treatment records, no clinical notes, no photographs.

What we do work with: names, contact details, employer, title, location, service-category interest, and appointment status. That boundary is contractual — if clinical data reaches us by accident, our agreement requires prompt notification and deletion.

The employer map and the verified contact lists we build are yours to keep. If we host your CRM portal, export and handoff on termination are in the agreement, so nothing you paid us to build is stranded.

No new software and no IT project. The CRM, phones, email infrastructure and reporting are ours. You send an export from Boulevard, Zenoti, Vagaro or a CSV — and on Revitalize Tier 1 we work inside the CRM you already have.

Every record is screened against your opt-in list and the do-not-call registry, enriched and email-verified before anyone dials. Cold email goes out from our domains, never yours — your primary domain carries booking confirmations and reminders, and we keep it away from cold volume. Text messaging requires documented opt-in captured at booking.

One location, 60-day minimum on every service, then month to month — cancel any time on 30 days' written notice by email. Long enough for outbound to produce, short enough that you are not locked into something that is not working. A second location is a separate engagement.

We do not create your content or run your ads. Creative, offer and price decide who lands in your inbox, and that is upstream of us. If you post twice a month with no spend, we are a multiplier on very little.

We do not do the consult. If the treatment room does not close, our booked consults look like wasted money. We will measure it and tell you — we cannot perform it.

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

Usually yes if: you are a multi-location group or a single location with real content and ad volume, you have a mature patient file with usable contact data, and your booking software can export or connect.

Usually not if: you post twice a month with no ad spend, your file is too thin to cluster employers from, or you have no booking export at all — closed-loop attribution becomes impossible and neither of us can prove the work.

Because we are paid on attendance and we instrument the funnel. You will see cost per shown consult and, where you share the numbers, cost per treated patient — not impressions.

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

Two ways. Send your patient file and buy the employer cluster analysis as a standalone deliverable — a ranked map of where your patients work, by count and by lifetime value, plus the whitespace near your door. Yours to keep whether or not you run the outreach.

Or run the test on yourself first: DM your own account at 8pm on a Tuesday, then send a second message no automation could answer, and time the human response.

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.