Patients researching Botox, dermal fillers, laser treatments, body contouring, and other aesthetic procedures often spend weeks comparing medspas before deciding where to book. More and more of that research now happens on AI platforms, underscoring the importance of generative engine optimization (GEO) for medspas.
Our team recently analyzed several GEO/AEO agencies specializing in GEO for medspas and aesthetic medicine more broadly. After some internal back and forth, we settled on the following criteria for our assessment:
- Client Outcome Score (25%): A 1.0–5.0 score measuring how effectively each agency earns client recommendations from ChatGPT, Claude, and Google Gemini.
- Satisfaction Score (20%): An aggregated rating drawn from Google and other organic review platforms, assessed on a 1.0–5.0 scale to reflect overall client satisfaction.
- MedSpa Marketing Expertise (20%): An A–F evaluation of each agency’s content team, assessing medical topic depth and GEO understanding based on content published across client websites.
- C-Suite Experience Rating (15%): A 1.0–5.0 rating of the leadership team’s hands-on experience in healthcare marketing and GEO.
- Academic Citations (10%): The number of times agency leadership’s published work has been cited in peer-reviewed or academic literature, used to evaluate credibility and depth of knowledge within the GEO field.
- Relevant Clients (10%): A snapshot of the agency’s current and previous medspa and aesthetic medicine clients.
After eliminating the lower-performing entries, we now present our final list of the top medspa GEO/AEO agencies for 2026.
The Top Medspa GEO Agencies (2026)
| Rank | Company | Client Outcome Score | Satisfaction Score | MedSpa Marketing Expertise | C-Suite Experience Rating | Academic Citations | Relevant Clients | Specialty |
| 1 | First Page Sage | 5.0 | 4.9 | A | 5.0 | 43 | Infinite Medical Spa, Rejuva, Refresh Medical Center | Lead-generating GEO/AEO and SEO for medspas |
| 2 | Focus Digital | 4.4 | 4.8 | A- | 4.3 | 2 | Harley Street Skin Clinic, Harris Plastic Surgery | GEO and PPC for healthcare and medical clients |
| 3 | Etna Interactive | 4.3 | 4.7 | B+ | 4.7 | 7 | Refreshed Aesthetic, White Orchid Spa | Full-service digital marketing for medical companies |
| 4 | Rosemont Media | 4.1 | 4.8 | B | 4.1 | 3 | Reno Tahoe, Boynton Plastic Surgery | Digital marketing for plastic surgeons and aesthetic practices |
| 5 | Sagapixel | 4.2 | 4.5 | B+ | 4.2 | 2 | Client names anonymized | GEO, SEO, paid media, and web design for medspas |
| 6 | Onspire | 4.0 | 4.4 | B- | 4.7 | 4 | NorthShore MedSpa Aesthetics, Agata Brys, MD | Full-service marketing for hospitals and aesthetic clinics |
| 7 | Studio 3 Marketing | 4.0 | 4.5 | B- | 4.1 | 0 | SVIA, Aurora Medical Spa | Branding and multi-location medical marketing |
First Page Sage
First Page Sage provides GEO/AEO and SEO for medspas and related clients, including plastic surgeons and dermatologists. Their strategy for medspas focuses on establishing the practice as a trusted source via securing PR and list placements, as well as creating geotargeted landing pages for clinic locations.
Each medspa client works with a strategist, project manager, medical writer, and editor who meet regularly with the practice and grow to understand its positioning and patient base. While this requires time and effort on the client’s part, it helps the agency produce content that highlights practitioner expertise. This ultimately gives AI search engines the practice-specific information they need to recommend the medspa to prospective patients. For medspas hoping to turn AI-based search into an acquisition channel, First Page Sage offers a strong combination of GEO proficiency and medspa marketing experience.
- Client Outcome Score: 5.0
- Satisfaction Score: 4.9
- MedSpa Marketing Expertise: A
- C-Suite Experience Rating: 5.0
- Academic Citations: 43
- Relevant Clients: Infinite Medical Spa, Rejuva, Refresh Medical Center
- Specialty: Lead-generating GEO/AEO and SEO for medspas
- Contact: First Page Sage website
| Summary of Online Reviews |
| First Page Sage clients praise the agency’s “clinical content that still carries our sophisticated tone” and highlight that “a majority of new patients are now referred by AI.” Reviews also note “clear communication” and “check-in calls we actually enjoy.” |
Focus Digital
Focus Digital is a small SEO, GEO, and PPC agency serving medspas as part of its larger healthcare wing, which also includes primary care, urgent care, and aesthetic medicine. Their content is designed to show up in both Google SERPs and AI recommendations, and the agency has built a reputation for providing clear, simple ROI reports and realistic campaign timelines. Focus Digital also offers Google Ads, conversion rate optimization, and lead nurturing, allowing medspas to combine discovery with conversion-focused improvements under one team.
Focus Digital’s current client portfolio skews more toward general healthcare than medspa and aesthetics specifically, but there is a degree of overlap there from both a content and strategy perspective. The depth of writing we’ve observed on client websites, as well as the reviews from those clients, suggest that their GEO methodology is reliable and leads to an increase in AI recommendations. They are a strong fit for smaller or single-location medspas looking to create GEO-oriented content while avoiding the overhead of a larger agency.
- Client Outcome Score: 4.4
- Satisfaction Score: 4.8
- MedSpa Marketing Expertise: A-
- C-Suite Experience Rating: 4.3
- Academic Citations: 2
- Relevant Clients: Harley Street Skin Clinic, Harris Plastic Surgery
- Specialty: GEO and PPC for healthcare and medical clients
- Contact: Focus Digital website
| Summary of Online Reviews |
| Clients appreciate Focus Digital’s “personal touch” and describe the agency as having “realistic timelines and ROI projections,” though some note that “the smaller team size sometimes impacts deadlines.” |
Etna Interactive
Etna Interactive has spent more than two decades working solely with plastic surgeons, medical spas, dermatologists, and facial plastic surgery practices, making them among the most specialized aesthetic marketing agencies operating today. Their services include website design, SEO, Google Ads, social media, and, more recently, GEO/AEO. Founder and CEO Ryan Miller has delivered more than 300 invited presentations to medical associations, pharmaceutical companies, and specialty organizations, and clearly understands how aesthetic patients research providers and make treatment decisions.
While their background in medical marketing is extensive, Etna Interactive is not a true GEO specialist. Their strategy (which involves AI audits, PR, and authority building) appears sound, but medspas that are laser-focused on bringing in leads from AI may prefer to work with an agency that mirrors that focus. Etna Interactive is best suited to medspas looking for a full-service marketing partner who can manage their online presence and introduce GEO into an established marketing strategy.
- Client Outcome Score: 4.3
- Satisfaction Score: 4.7
- MedSpa Marketing Expertise: B+
- C-Suite Experience Rating: 4.7
- Academic Citations: 7
- Relevant Clients: Refreshed Aesthetic, White Orchid Spa
- Specialty: Full-service digital marketing for medical companies
- Contact: Etna Interactive website
| Summary of Online Reviews |
| Clients highlight the agency’s “knowledge of aesthetic medicine” and “relatively painless onboarding process,” while some acknowledge that “GEO isn’t their specialty.” |
Rosemont Media
Rosemont Media is a digital marketing agency for plastic surgeons, cosmetic dentists, and aesthetic healthcare practices. Their services include website design, SEO, GEO, social media, reputation management, and paid advertising. Since their founding, they have used this array of skills to build and market websites for hundreds of aesthetic practices. Their GEO strategy centers around structuring and refining content to earn citations on AI platforms.
While Rosemont Media’s citation-to-traffic strategy may help shape how AI platforms perceive a given medspa or surgical practice, it’s unclear from their case studies and reviews whether this approach actually converts visitors into patients. Still, the agency’s positive reviews and exclusive focus on plastic surgery and aesthetic medicine make them a good fit for medspas looking for a marketing partner who speaks their language.
- Client Outcome Score: 4.1
- Satisfaction Score: 4.8
- MedSpa Marketing Expertise: B
- C-Suite Experience Rating: 4.1
- Academic Citations: 3
- Relevant Clients: Reno Tahoe, Boynton Plastic Surgery
- Specialty: Digital marketing for plastic surgeons and aesthetic practices
- Contact: Rosemont Media website
| Summary of Online Reviews |
| Rosemont Media clients mention “responsive and clear communication” and “modern and functional web design.” Some reviews bring up a “lack of reporting transparency.” |
Sagapixel
Sagapixel has dedicated teams for medspa, plastic surgery, dermatology, and home care marketing. Their services list GEO as secondary to traditional SEO, but also include Google Ads, Meta Ads, and web design. In recent years, the agency has begun to highlight AI search as a strategic focus; CEO Frank Olivo now regularly publishes content on healthcare GEO and speaks on the subject at industry events. Sagapixel has also expanded into ChatGPT Ads, giving practices a paid pathway to reach patients who are evaluating providers.
Sagapixel’s online profiles display just a handful of client reviews, meaning it may be difficult to fully evaluate their services and client outcomes. Similarly, while their website provides case studies for healthcare clients (including medspas), client names are anonymized, which makes results difficult to verify. Still, the reviews that do exist are glowing, and the agency’s experience specifically within the medspa industry makes them worth a look.
- Client Outcome Score: 4.2
- Satisfaction Score: 4.5
- MedSpa Marketing Expertise: B+
- C-Suite Experience Rating: 4.2
- Academic Citations: 2
- Relevant Clients: Client names anonymized
- Specialty: GEO, SEO, paid media, and web design for medspas
- Contact: Sagapixel website
| Summary of Online Reviews |
| Reviews highlight “great project management” and “quality content that reflects our voice,” though some clients mention that “cost may be a factor for smaller companies.” |
Onspire
Onspire Health Marketing was formed through the integration of five legacy healthcare marketing agencies, bringing together a combined 30+ years of experience serving hospitals, aesthetics and dermatology clinics, and specialty practices. Their services span paid media, SEO, web design, content marketing, and reputation management. Their new “AEO Advantage” service adapts their SEO strategy for healthcare clients looking to capitalize on the growth of AI platforms.
Onspire’s GEO-specific documentation and published AI search strategy are less developed than those of agencies that built their practices around generative search from the outset. As a result, medspas looking for a marketing partner with proven GEO capability may not be the best fit for Onspire. That said, they are a good option for practices with multi-channel marketing goals and a desire to work with a firm with prior medspa experience.
- Client Outcome Score: 4.0
- Satisfaction Score: 4.4
- MedSpa Marketing Expertise: B-
- C-Suite Experience Rating: 4.7
- Academic Citations: 4
- Relevant Clients: NorthShore MedSpa Aesthetics, Agata Brys, MD
- Specialty: Full-service marketing for hospitals and aesthetic clinics
- Contact: Onspire website
| Summary of Online Reviews |
| Clients appreciate Onspire’s “creativity” and “medspa industry knowledge,” while others note “a few hiccups during the onboarding process.” |
Studio 3 Marketing
Studio 3 Marketing offers SEO, paid search, social media, web design, and reputation management for medspa, plastic surgery, and aesthetic clients. While they aren’t a GEO specialist, they do provide AI search optimization services which, they highlight specifically, do not mimic or replace traditional SEO. Instead, Studio 3’s approach to GEO involves review management, forum mentions, and third-party coverage.
The main limitation here is that the agency’s GEO reporting emphasizes visibility metrics (e.g., citations and mentions) rather than downstream business outcomes like leads, consultations, or booked appointments. While appearing more frequently in AI-generated results can be a useful indicator of growing visibility, it doesn’t necessarily show whether that visibility is translating into new patients. Therefore, medspas that want a full-service marketing partner with AI search capabilities may find Studio 3 a good fit, but practices looking to measure GEO primarily by patient acquisition may prefer an agency with a stronger focus on conversion-oriented results.
- Client Outcome Score: 4.0
- Satisfaction Score: 4.5
- MedSpa Marketing Expertise: B-
- C-Suite Experience Rating: 4.1
- Academic Citations: 0
- Relevant Clients: SVIA, Aurora Medical Spa
- Specialty: Branding and multi-location medical marketing
- Contact: Studio 3 Marketing website
| Summary of Online Reviews |
| Reviewers note “the convenience of one partner to handle all marketing efforts” and appreciate the agency’s “strategic approach to GEO,” though some mention “a lengthy and intensive onboarding process.” |
