Plastic surgery marketing, by the rules.

It aims to bring a surgical practice booked consultations through search, ads, reviews and content, inside the rules that Google, Meta, TikTok, the FTC and state medical boards set. For us that means plastic surgery SEO and AI search, Google Search ads and Meta ads shown to adults 18 and older. Each ad points to the page that matches it, and every ad and photo is checked against those rules before it runs.

We have not published a ranking of plastic surgery SEO agencies, and we would not rank ourselves. To judge any agency, ask five things. Are its prices published? Do the ad and search accounts stay in your name? Can it quote Google's and Meta's cosmetic surgery rules from the source? How does it handle before-and-after photos under the FTC's endorsement guides? Does it promise rankings? No agency controls Google's rankings or AI answers, so a guaranteed position is a reason to keep looking.

Sometimes, and the platforms differ. Meta's Health and Wellness policy lists “General cosmetic products, procedures, surgeries depicting before and after transformation.” among the ads it allows when they target people 18 and older (our on-file read, rechecked September 27, 2026). On Google the photo itself is the issue: its sexual content policy strongly restricts nudity, with “Visible female breasts” as an example. And under the FTC's endorsement guides, a featured result reads as typical, so without proof that it is, “the advertisement should clearly and conspicuously disclose the generally expected performance in the depicted circumstances”. We run them only with the patient's written authorization, the practice's written approval and our compliance check.

Not with lists you build. Google's personalized advertising policy puts “Invasive medical procedures, including cosmetic surgery, surgical procedures, or injections” in its health category, and says “You can't use advertiser-curated audiences.” That rules out your data segments (remarketing lists), Customer Match and lookalike segments. Search keywords and predefined Google audiences are still allowed, so we build on what people search and on pages that answer the question. Read October 23, 2026.

On Instagram and Facebook, we read Meta's branded content rules at the source before any creator post runs, and any paid ad targets adults 18 and older. On TikTok, paid ads for cosmetic surgery in the United States may be allowed if advertisers “Comply with local laws and regulations” and “Restrict the ads to audiences aged 18 years or older”, but its Branded Content Policy, effective August 31, 2026, prohibits branded content for “Cosmetic clinics, cosmetic surgery and cosmetics making medicinal claims”, and a gifted service counts. The FTC says material connections can include free or discounted products given to an endorser, and its guides say agencies can be liable too. TikTok and FTC rules read October 23, 2026.

We don't promise a date or a ranking. Search engines decide when and where a page shows, and AI answers change often. Our terms build in a 60-day checkpoint where we review the numbers with you, and a three-month minimum, then month to month with 30 days notice. Paid search can start sending consult calls once the ads are approved, so we suggest running it alongside SEO.

Yes. PELORA is headquartered in Newport Beach, California, serves clients nationwide, and the work is delivered remotely. State medical board rules differ, so before the first ad runs we read your state's advertising rule at the source, the way this page quotes the Texas rule.