The client now holds the number one spot on Google for 20 keywords, and they aren't scattered across minor terms. They're concentrated almost entirely in the services that drive the business.
The Client
A med spa in Reno, Nevada, built around injectables and body contouring: Botox, dermal fillers, lip enhancement, CoolSculpting, and a broader menu of skin and wellness treatments.
Reno's aesthetics market is crowded, and the businesses that win are the ones showing up first for the treatments people actually book, not the ones with the biggest service menu on paper.
The Challenge
Injectables and body contouring are the most searched, most competitive corner of the med spa market.
Ranking well on a long list of unrelated services doesn't help if the handful of searches that actually drive appointments, Botox, lip fillers, CoolSculpting, are sitting on page two.
The Approach
The work concentrated on the money services first, then covered every way a patient might phrase the search.
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Build a dedicated page for each core service
Every injectable and body contouring treatment got its own optimized page, so Google had a clear, specific page to rank for each one rather than a single combined services page.
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Optimize around how Reno patients actually search
Focused on-page and local SEO work targeting the exact language patients use, rather than the clinical names a med spa uses internally.
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Cover both phrasings, treatment-first and city-first
People type "botox reno" and "reno botox" in roughly equal measure. We targeted both directions plus the common variations in between, so the business shows up no matter which way someone types it.
The Results
Twenty keywords hold the #1 position, covering Botox, dermal fillers, lip fillers and lip injections, CoolSculpting, Kybella, Xeomin, Restylane, microneedling, chemical peel, and body contouring.
That cluster represents roughly 1,500 combined monthly local searches, real patients actively looking for these exact treatments in Reno, not incidental traffic.
The rankings cover both directions a patient might search, the treatment-first phrasing (like "botox reno") and the city-first phrasing (like "reno botox"), so the business shows up no matter which way someone types it.
Every Keyword Holding the #1 Spot
The number one rankings aren't clustered around one lucky phrase. They span the client's core service lines, which is exactly why this cluster keeps producing bookings instead of depending on a single keyword holding its position.
Here is the full list of the 20 keywords currently holding the #1 spot on Google:
| Keyword | Position |
|---|---|
| AquaGold Reno | #1 |
| Best Botox in Reno | #1 |
| Body contouring Reno | #1 |
| Botox in Reno | #1 |
| Botox Reno | #1 |
| Chemical peel Reno | #1 |
| CoolSculpting Reno | #1 |
| Dermal fillers Reno | #1 |
| Kybella Reno | #1 |
| Lip enhancement Reno | #1 |
| Lip filler Reno | #1 |
| Lip fillers Reno | #1 |
| Lip injections Reno | #1 |
| Microneedling Reno | #1 |
| Reno Botox | #1 |
| Reno CoolSculpting | #1 |
| Reno lip injections | #1 |
| Restylane Reno | #1 |
| Skincare Reno | #1 |
| Xeomin Reno | #1 |
What This Looks Like in Real Traffic
Rankings only matter if they turn into visits, and Google's own Search Console data confirms they are. Over the trailing three months, the site has averaged:
| Metric | Monthly average | Three-month total |
|---|---|---|
| Organic clicks | ~2,500 | 7,510 |
| Search impressions | ~163,300 | 490,000 |
About 2,500 organic clicks a month, and roughly 163,300 monthly search impressions, meaning the site's listings are showing up in front of well over a hundred thousand local searchers every month.
Why It Matters
Patients rarely search for a med spa by name. They search by treatment.
"Botox reno." "Lip fillers reno." "Coolsculpting reno." Holding the number one spot across this many of those searches means the business shows up first at the exact moment someone is ready to book, in the specific services that drive its revenue.
That's a stronger result than ranking well on a hundred scattered keywords that don't move the needle.