Winning page one on the keywords and owning the money terms that competitors pay the most for

CLIENT
Seattle Plastic Surgery
DISCIPLINE
Content architecture, digital PR
SECTOR
Cosmetic & Plastic Surgery
MARKET
Seattle, Washington
A practice with three surgeons was publishing like a blog with no editor.
Cosmetic surgery has some of the most expensive clicks in local search, and the terms that fill a surgical calendar are the hardest ones to win. Seattle Plastic Surgery had the procedure range and the surgeons to compete, but content that had been written page by page with nothing holding it together. We rebuilt the site into topical clusters, put each surgeon's own expertise on the pages, and pointed authority at the commercial terms rather than the blog.
The Challenge
The site had grown one page at a time, with no structure connecting any of it. Content was written wherever it seemed possible to rank, not where it needed to exist. Nothing pointed at the pages that actually booked consultations.
01 No consistent content structure across the site
02 No internal linking between related procedures
03 No parent pages anchoring the topical clusters
04 Authority spread across the blog, not the commercial pages
The Inspiration
Three board-certified surgeons work at this practice, each with a different specialism — facial, plastic and reconstructive, cosmetic. Google reads cosmetic surgery as a Your Money or Your Life topic, where demonstrated expertise decides who ranks. That expertise was sitting in consultation rooms rather than on the pages, while the site published the same general procedure copy as everyone else.
The Idea
We restructured the site into parent clusters — face, breast, body, skin — with every supporting page linked back to the commercial parent it belonged to. Each surgeon's technique, judgement, and case perspective went onto the procedure pages under their name, so a page on deep plane facelift read like the surgeon who performs it wrote it. Then we directed backlink acquisition at the commercial pages instead of the blog, so authority landed where the searches convert.
The Results
The practice's top organic keywords are now the ones surgeons compete hardest for — not informational traffic that never books.

4-6
Page-one positions on the head commercial terms
10/10
Top organic keywords carrying commercial intent
KD 57
Difficulty on terms now ranking, won organically
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