From weak local visibility to measurable treatment enquiry growth.
How a Birmingham injectables clinic went from invisible in local search to growing tracked consultation enquiries — and what five years in a competitive market taught me about holding that position.
A 5-star clinic that couldn't rank in its own neighbourhood.
Dr Majid Shah Aesthetics had a strong reputation and a 5.0 rating. In local search, it was invisible.
When I ran the first Local Falcon scan in February 2021, centred on the clinic's King's Heath location, the picture was stark.
Across the surrounding grid the clinic sat mostly 11th to 14th. Even at its own front door it was 4th — just outside the local top three. Share of Local Voice: zero. It wasn't in the top three anywhere.
The clinical work was good and patients were happy. But someone searching "lip filler in Birmingham" simply couldn't find the clinic.
Local Falcon scan showing Dr Majid Shah Aesthetics ranking 11–14 across the King's Heath catchment area for "lip filler in birmingham" · February 2021
Aligning the website, treatment pages and Google Business Profile.
The Google Business Profile wasn't built for treatment-level searches. The website didn't send the local signals Google needs to rank a clinic. That's where I started.
Both, fixed together — and kept aligned from then on.
Position 31 to position 2. Position 25 to position 6.
Within the first month, the target keyword rankings moved hard.
Both movements are in my project tracking notes from February 2021. The foundation was working fast.
That speed says as much about the starting point as the work — the clinic had been badly under-optimised.
When a good clinic with happy patients is buried in local search, the gap between what it deserves and where it ranks closes quickly once the signals line up.
December 2021: ARP 1.42 · SoLV 92.59% · #1 in Birmingham market · 44 competitors
288 to 364 tracked consultation enquiries in six months.
Because tracking was set up by treatment, I could measure the growth properly — not just the total, but which treatments gained, and by how much.
The movement showed up across the core injectable treatments.
The treatment splits matter more than the headline number.
They show the visibility was working at the level that counts: the right patients reaching the right pages.
Not everything moved up. Hyperhidrosis enquiries fell to zero over the same period — tracking at treatment level means the declines show as clearly as the gains, which is what makes the reporting worth acting on.
Still 2nd in a 45-clinic market, four years later.
A Local Falcon scan in May 2026, again centred on King's Heath, shows the clinic holding 2nd position.
Five years on, the optimisation has held.
The scans across this period used different keyword variants and grid sizes, so the competitor counts aren't a like-for-like comparison — each figure is from the scan shown.
Across the May 2026 grid, the clinic averaged position 2.96 and captured 70.83% market share.
May 2026: ARP 2.96 · 70.83% market share · 2nd in 45-clinic Birmingham market
Strong local visibility. One clear remaining lever.
The clinic holds 2nd in a 45-clinic scan.
The clinic in 1st has a much bigger review count and a more central location. The gap between them isn't really about SEO structure, website quality or the profile.
The gap is reviews.
The clinic is punching well above its review count. Holding 2nd with 69 reviews against a competitor's 475 says the underlying work is strong.
But review velocity is now one of the strongest local ranking signals, and a gap like that compounds.
That's why asking patients for reviews is now a requirement for new clients, not a suggestion. A clinic that won't do it is fighting with one hand tied, while its competitors build that signal every week.
John has improved the strength and ranking of my Google My Business listing. He has also provided a very positive input towards the SEO of my website, which has also helped improve its organic ranking on Google. He has been consistently diligent, and clearly understands what a local business requires in order to grow.
When a good clinic is buried locally, the gap between its merit and its visibility often closes faster than you'd expect once the signals line up.
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