
pacificglow_96815 / sample2026
Pacific Glow MedSpa has a strong reputation (284 Google reviews, 4.9 stars) but is dramatically underperforming in search visibility. You appear in only 2 out of 10 Local Pack results for high-intent keywords despite having the second-highest review count in the Honolulu market. Patients searching for your exact services are finding competitors instead of you.
Your website has critical technical SEO issues: a mobile speed score of 45/100, failing Core Web Vitals, and missing schema markup. Your Google Business Profile is partially optimized — secondary categories are missing, your last post was 6 weeks ago, and you have zero Q&A answers. Meanwhile, your top competitor Island Dermatology posts weekly and maintains 67 photos.
The opportunity is significant. The Google Ads landscape has only 2 active advertisers (most mainland markets have 5-8). Your blog has 3 posts, while competitor content analysis reveals 12 high-value content gaps that could drive an estimated +200-400 organic visits per month. This report provides a prioritized 8-step action plan to close these gaps.
The Google Local Pack (top 3 map results) captures 42% of clicks for local service searches. Your outstanding reviews are being wasted because Google does not associate your profile with most high-intent service keywords. Island Dermatology appears in 7/10, LaserAway in 6/10.
| Keyword | Pack #1 | Pack #2 | Pack #3 | You |
|---|---|---|---|---|
| med spa honolulu | Island Derm | LaserAway | Skin Rejuv | Not in Pack |
| botox honolulu | Island Derm | Skin Rejuv | Ala Moana Aesthetics | Not in Pack |
| botox waikiki | LaserAway | Island Derm | Waikiki Skin Co | Not in Pack |
| filler honolulu | Island Derm | Pacific Glow | Skin Rejuv | #2 |
| laser hair removal honolulu | LaserAway | Island Derm | Hawaii Laser Clinic | Not in Pack |
| microneedling honolulu | Island Derm | LaserAway | Ala Moana Aesthetics | Not in Pack |
| hydrafacial honolulu | Island Derm | LaserAway | Pacific Glow | #3 |
| coolsculpting honolulu | LaserAway | Skin Rejuv | Island Derm | Not in Pack |
| med spa near me (Waikiki) | LaserAway | Waikiki Skin Co | Island Derm | Not in Pack |
| best med spa oahu | Island Derm | LaserAway | Skin Rejuv | Not in Pack |
Island Derm appears in the Pack for 7 of 10 tracked keywords, taking the #1 position in 5 of them. Their GBP optimization is the primary driver — they have 8 secondary categories, post weekly, and maintain 67 photos vs. your 23.
LaserAway appears in 6/10 packs despite having only 148 reviews (vs. your 284). Their corporate website authority (DA 52) and consistent NAP citations across 60+ directories give them an outsized Local Pack advantage. This is a structural gap you can close with targeted GBP and citation work.
When tourists or Waikiki residents search “med spa near me,” your Ala Moana location is 1.8 miles away — within range, but LaserAway’s Waikiki storefront and Waikiki Skin Co take priority due to proximity signals. Without strong category and review signals, Google deprioritizes your listing for this high-value query.
Brand searches perform well (position #1), but the vast majority of service keywords place you on page 2 or 3 — where fewer than 1% of searchers click. This represents an estimated 400+ missed patient visits per month.
| Keyword | Mo. Volume | You | Island Derm | LaserAway | Skin Rejuv |
|---|---|---|---|---|---|
| pacific glow medspa | 210 | #1 | — | — | — |
| pacific glow honolulu | 140 | #1 | — | — | — |
| hydrafacial honolulu | 480 | #8 | #2 | #4 | #11 |
| med spa honolulu | 1,300 | #14 | #1 | #3 | #7 |
| botox honolulu | 880 | #18 | #2 | #5 | #9 |
| botox waikiki | 390 | #22 | #3 | #1 | #15 |
| filler honolulu | 520 | #12 | #1 | #6 | #8 |
| laser hair removal honolulu | 720 | #24 | #3 | #1 | #11 |
| microneedling honolulu | 410 | #16 | #2 | #5 | #13 |
| coolsculpting honolulu | 350 | #28 | #4 | #1 | #6 |
| med spa near me oahu | 260 | #15 | #2 | #3 | #9 |
| best med spa oahu | 590 | #19 | #1 | #4 | #8 |
| lip filler honolulu | 310 | #13 | #2 | #7 | #10 |
| chemical peel honolulu | 190 | #17 | #3 | #9 | #5 |
| iv therapy honolulu | 270 | #31 | #6 | — | #4 |
You are currently capturing an estimated 3-5% of this traffic. Moving from page 2 to page 1 for just the top 5 volume keywords (med spa honolulu, botox honolulu, laser hair removal honolulu, best med spa oahu, filler honolulu) would increase organic traffic by an estimated 250-350 visits per month.
You rank #1 for both brand name variations. This is expected and healthy. Your Google Business Profile, website, and Yelp page dominate the first page for branded queries, creating a solid experience when patients search for you by name.
These two keywords are your best candidates for quick organic gains. A dedicated service page with unique content, proper schema markup, and 2-3 backlinks could push these onto page 1 within 60-90 days.
Your Google Business Profile has critical gaps in secondary categories, posting frequency, photo count, and Q&A engagement. These signals directly impact Local Pack rankings. Closing these gaps is the fastest path to improved visibility.
| Fix | Priority | Effort | Impact |
|---|---|---|---|
| Add 3 missing secondary categories | High | 5 min | Direct Pack ranking boost |
| Add 5 missing services with descriptions | High | 30 min | Keyword signal expansion |
| Seed 15 Q&A with answers | High | 45 min | Trust signal + keyword coverage |
| Upload 20+ new photos (facility, results, team) | Med | 2 hours | Engagement + Pack impression share |
| Set weekly Google Post schedule | Med | 30 min/week | Activity signal (ongoing) |
| Complete all 9 attributes | Low | 10 min | Marginal ranking + filter signals |
| Add neighborhood terms to description | Low | 10 min | Proximity signal improvement |
Most mainland metro markets have 5-8 active advertisers bidding on med spa keywords. Honolulu’s low competition means lower CPCs and higher ad positions for less spend. This is a rare window — as the market matures, costs will increase.
LaserAway runs ads from their corporate account targeting “laser hair removal honolulu,” “coolsculpting honolulu,” and “med spa near me.” They also bid on competitor brand names (including yours). Estimated monthly spend: $4,200-6,800. Their ads run 7 days/week with dynamic location extensions.
Island Derm runs a focused local campaign on “botox honolulu,” “filler honolulu,” and “med spa honolulu.” They use call extensions and appointment booking links. Estimated monthly spend: $1,800-2,400. Ads run weekdays 7am-8pm only.
| Keyword | Est. CPC | Mo. Searches | Competition |
|---|---|---|---|
| botox honolulu | $8 – $12 | 880 | Low-Med |
| med spa honolulu | $6 – $10 | 1,300 | Low-Med |
| filler honolulu | $7 – $11 | 520 | Low |
| laser hair removal honolulu | $5 – $9 | 720 | Low-Med |
| coolsculpting honolulu | $10 – $15 | 350 | Low |
This would place you in the top 3 ad positions for the five highest-volume keywords above. At a 4-6% click-through rate and 8-12% booking rate, this translates to an estimated 8-15 new patient inquiries per month from paid search alone.
At an average patient lifetime value of $250 for a first-visit treatment (many return for additional services), you need 6-10 new patients per month to break even on a $2,000/month ad spend. With a conservative 8% booking rate on clicks, a $2,000 budget should generate 10-14 booked consultations — well above breakeven. Patients who return for follow-up treatments improve ROI further.
Google uses page speed as a ranking signal, and 68% of med spa searches happen on mobile. A score below 50 directly harms your organic rankings and causes patients to abandon your site. Every 1-second delay reduces conversions by 7%.
| Metric | Your Score | Threshold | Status |
|---|---|---|---|
| Largest Contentful Paint (LCP) | 4.2s | ≤ 2.5s | Fail |
| First Input Delay (FID) | 120ms | ≤ 100ms | Needs Work |
| Cumulative Layout Shift (CLS) | 0.18 | ≤ 0.1 | Fail |
| Interaction to Next Paint (INP) | 280ms | ≤ 200ms | Fail |
Tap targets too small: Your booking button and navigation links are 32px on mobile (minimum recommended: 48px). Text too small: Body text renders at 12px on mobile (recommended: 16px minimum). Viewport not set: The homepage does not include a proper viewport meta tag, causing horizontal scroll on some devices.
Your site has zero structured data markup. You are missing LocalBusiness, MedicalBusiness, and Service schemas. This means Google cannot parse your hours, services, price ranges, or location data from your website. Competitors with schema markup get rich snippets (star ratings, hours, price ranges) in search results, increasing click-through rates by 20-30%.
Only your homepage, About page, Botox page, and Fillers page have unique meta titles and descriptions. The remaining 8 service pages use the default site title (“Pacific Glow MedSpa”) with no meta description. Each page is a missed opportunity to rank for its target keyword.
| Issue | Page(s) | Priority | Est. Impact |
|---|---|---|---|
| Optimize hero image (2.4MB uncompressed) | Homepage | High | LCP improvement: -1.5s |
| Add lazy loading to below-fold images | All pages | High | LCP improvement: -0.8s |
| Add viewport meta tag | Homepage | High | Fix mobile rendering |
| Implement LocalBusiness + Service schema | All pages | High | Rich snippets, +20-30% CTR |
| Write unique meta titles/descriptions | 8 service pages | High | Keyword relevance per page |
| Fix CLS: set image dimensions | Services, Gallery | Med | CLS: 0.18 to <0.1 |
| Increase tap target sizes to 48px | Navigation, CTAs | Med | Mobile usability fix |
| Defer non-critical JavaScript | All pages | Med | FID: 120ms to <80ms |
| Enable text compression (gzip/brotli) | Server config | Low | ~30% smaller page size |
| Add canonical tags to prevent duplicate content | All pages | Low | Prevent index dilution |
Implementing the top 5 high-priority fixes above should raise your mobile score above 75 and desktop above 90 within 2-3 weeks. This alone can improve organic rankings by 1-3 positions for competitive keywords.
Your blog has only 3 articles (all general wellness topics). The last post was published 8 months ago. An inactive blog signals to Google that your site is stale. Each blog post is an opportunity to rank for a long-tail keyword and demonstrate expertise — a key E-E-A-T signal for medical content.
Island Dermatology publishes treatment comparison articles (“Botox vs Dysport: Which is Right for You?”), cost guides (“How Much Does CoolSculpting Cost in Honolulu?”), and patient education content. Their blog drives an estimated 800-1,200 organic visits per month. Skin Rejuvenation Clinic publishes monthly but with lower quality, shorter articles.
Publishing the top 6 articles (high and medium priority) within 90 days, with proper on-page SEO and internal linking, should capture an estimated 200-400 incremental organic visits per month within 4-6 months. These are high-intent visitors actively researching treatments — conversion rates for this content type average 3-5%.
Start with the top 4 high-priority topics, then alternate medium and low-priority topics. Each article should be 1,200-1,800 words, include original photos, and link to your relevant service page. This builds topical authority that benefits all your service keywords.
We evaluated Pacific Glow against your two closest organic competitors: Island Dermatology & Aesthetics (market leader) and Skin Rejuvenation Clinic (most improved over the past 12 months). Each dimension is rated Strong, Moderate, Weak, or Missing.
| Dimension | Pacific Glow | Island Derm | Skin Rejuv |
|---|---|---|---|
| Page Speed (Mobile) | Weak (45) | Strong (82) | Moderate (63) |
| Mobile UX | Weak | Strong | Moderate |
| Schema Markup | Missing | Strong | Moderate |
| Content Depth (Blog) | Weak (3 posts) | Strong (38 posts) | Moderate (12 posts) |
| Online Booking | Moderate | Strong | Strong |
| Live Chat / Chat Widget | Missing | Strong | Missing |
| Before/After Gallery | Moderate (14 sets) | Strong (52 sets) | Strong (31 sets) |
| Video Content | Missing | Moderate (4 videos) | Missing |
| Pricing Transparency | Missing | Moderate (ranges) | Missing |
Island Dermatology has invested heavily in their digital presence over the past 18 months. Their website redesign (launched ~10 months ago) included schema markup, a blog content strategy, live chat integration, and an extensive before/after gallery. This directly correlates with their Local Pack dominance. Skin Rejuvenation Clinic has been improving rapidly — they added online booking and expanded their gallery in the past 6 months.
Despite website weaknesses, your 4.9-star rating with 284 reviews is a powerful asset that neither competitor can quickly replicate. Once your technical and content gaps are closed, your review strength will amplify the impact of every SEO improvement. The combination of strong reviews + strong website is what drives top Local Pack positions.
“Cost of [treatment] in [city]” is one of the highest-volume search patterns for med spa services. By not publishing even general price ranges, you miss these searches entirely and force potential patients to call or look elsewhere. Island Derm publishes “starting from” ranges on each service page, which helps them rank for cost-related queries.
Before/after galleries are the #1 conversion driver on med spa websites. Patients spend more time on gallery pages than any other page type. With only 14 sets, your gallery appears thin. Aim for 30+ sets organized by treatment type, with patient consent and proper alt-text for SEO value.
Below is your prioritized action plan, ordered by expected ROI. Quick wins (high impact, low effort) are listed first. Each action includes estimated time, cost, and expected outcome. We recommend tackling actions 1-4 in the first 30 days.
By completing actions 1-4 (GBP optimization, page speed fixes, meta tags, schema markup) within 30 days, we estimate you can: gain 2-4 additional Local Pack keyword appearances, improve organic rankings by 1-3 positions for borderline keywords, and increase click-through rates by 15-25% from rich snippet implementation. Total estimated time: 10-15 hours. Total cost: $0-800.
Deep-dive reports to complement your Search Audit