We are not going to suggest this happened in a quarter. First page rankings on individual condition terms landed within weeks of those pages going up. Owning a full treatment list across four cities took years of steady publishing, and we are still publishing. Both halves of that are true and you should plan around both. The ranking list is now long enough that we audit it by sampling rather than by reading it.
The test we ran on this account, and why we ran it that way
To check whether a campaign is genuinely broad or just looks broad, we do not pick the keywords ourselves. We ask ChatGPT what the best keywords for a practice like this would be, take whatever list it produces, and check every one of them live in incognito.
That removes our own bias. We cannot quietly choose the easy terms. Checked live and logged out in October 2026, from a search location inside the practice's city. Each term below is the term plus the city name.
- dermatologist, their city: number one, organic and map pack
- cosmetic dermatologist, their city: number one
- pediatric dermatologist, their city: number one
- skin doctor: number one
- dermatology clinic: number one
- medical dermatologist: number one
- acne dermatologist: number one
- acne treatment: number one
- psoriasis: number one
- skin cancer: number one
- mole check: number one
- mole removal: number one
- wart removal: number one
- cyst removal: number one
- rash dermatologist: number one
- hair loss: number one
- dermal fillers: number one
- laser hair removal: number one
- chemical peel: number one
- laser skin treatment: number one
- eczema dermatologist: number two
- eczema treatment: number two
- rosacea: number two
- Botox: number three
- best dermatologist, their city: number three
- skin tag removal: number five
Twenty number ones out of twenty six keywords we did not choose. Count them yourself, that is the point of running the audit this way.
The six that came back below number one stay on the list: number two for the eczema and rosacea terms, number three for Botox and for "best dermatologist" in its own city, and number five for "skin tag removal." The last two are terms we want and do not have yet, and we would rather you see them than discover later that we trimmed the list.
The page we are proudest of is the one that tells patients when to go somewhere else
"Pediatric dermatologist" is a high intent search in this area, and the nearest fellowship trained pediatric dermatologists are outside the practice's city. Most practices see that and move on.
We built a page for the search anyway. It does not claim the practice has a pediatric dermatologist, because that would be a lie and it would also hurt them when the patient arrives. It explains what the practice does treat in children, who it is right for, and what to do if a true pediatric specialist is needed.
That page holds the number one spot. A patient searching a term the practice technically does not match still finds a clear, honest answer and a nearby office that can help. This is the single most underused idea in medical SEO: you can rank for a search you are adjacent to, as long as the page tells the truth about what you do.
It works on AI search too. We asked ChatGPT, logged out with no account, who the best pediatric dermatologist near this city is. It returned three options: a major children's hospital's pediatric dermatology department, a fellowship trained pediatric dermatologist, and our client, third, described accurately as a board certified dermatologist with the training the model could verify. A page that is honest about the practice's scope, including when a child should see a fellowship trained specialist, is still the page ChatGPT offers as one of three answers. Checked in October 2026, logged out, with no account. AI answers shift from week to week, so we recheck and date every one of these.
Why the keyword count matters more than any single ranking
Nobody gets 100 patients a month from ranking first for "dermatologist." That term is prestigious and it is one term. The volume comes from the long tail of conditions and procedures, because patients search what is wrong with them, not what specialty treats it.
Acne, eczema, psoriasis, rosacea, melasma, hyperpigmentation, vitiligo, excessive sweating, skin cancer screening, mole removal, cyst and lipoma removal, wart removal, hair loss, Botox, fillers, laser resurfacing, laser hair removal, chemical peels, microneedling, skin tightening, spider veins, body contouring. Each one is a page. The acne page gets fewer searches in a month than "dermatologist" gets in a week, and it books more appointments, because nobody types "acne" unless they have acne.
Someone searching "cyst removal" who lands on a page about cyst removal books at a far higher rate than someone who lands on a general services page and has to go hunting.
Why we also build the same pages for the neighboring suburbs
This practice has pages for its home city and for three neighboring suburbs, with the condition and procedure set repeated in each. A patient two towns over searches with their own town's name attached, and a page that names their town wins it.
That is why the page count runs into the hundreds for an account like this. It is the condition list multiplied by the city list, built out steadily over years rather than all at once.
Where competitive terms sit, and why we do not hide them
Botox sits at number three. That category is contested by med spas that spend heavily on marketing, and we are competing with businesses whose entire model is that one service.
We were told not to bother with Botox. The practice is number three for it now, behind two med spas whose entire business is that one service, and number three on Botox brings in consults that then come back for medical dermatology. A dermatology practice can hold top three for Botox and top five for cosmetic terms outside its core, and those placements bring in patients who then come back for medical dermatology.
How long an account like this takes
Years. This is one of our longest running relationships, and the ranking breadth you see above is the product of continuous publishing rather than a campaign that ended. New pages still go up every month.
What arrives early is the first page rankings on specific, low competition condition terms. Those can land within weeks. What takes years is owning an entire treatment list across four cities.
What practices ask us about this account
What does this cost and what do I have to do?
The $97 test covers one keyword and four pages, so you can see the work before you commit to anything. Ongoing work is a monthly retainer starting at $495 and we quote it after we look at your market, because one city costs less than a cluster of them. Your side of it is approving the keyword list and correcting us when we get something clinical wrong. We write the pages, build them and publish them.
Why ask ChatGPT for the keyword list?
So we cannot pick easy terms. Asking a third party for the list and then checking every result, including the ones we lose, is the only version of this audit that means anything.
Is it legitimate to rank for a service you do not offer?
Only if the page is honest about it. Our pediatric dermatology page does not claim a specialist the practice does not have. It explains what they do treat and who should go elsewhere. Ranking for an adjacent search is fine. Misrepresenting your services is not.
Could a newer practice get these results?
Not this breadth, not quickly. A newer practice starts with less authority and fewer reviews, which is why we pair early pages with backlinks and a review system. The structure is identical, the timeline is longer.
Which practice is this?
The practice asked us not to. They are the top organic result for most of their treatment list in their own city and they would rather their competitors kept guessing how. It is a dermatology practice in the northwest suburbs of Chicago, Illinois.
See what this looks like on your own practice
Pick a treatment you do not rank for. We will do to it what we did to the pediatric dermatology page.
- You pick one keyword your practice does not rank for today.
- We build four pages designed to rank for it and publish them.
- Within 10 days you are on page one of Google for that keyword or recommended by ChatGPT for it.
- If we miss, you get your money back plus $500 in SEO credits.
It costs $97. If you would rather see the full picture first, book a call and we will run the same audit on your practice live: a keyword list we did not pick, checked one by one, wins and losses included.
[BUTTON: Test it for $97 → https://animalhousemarketing.com/rank-fast/]
[BUTTON: Book a ranking strategy session → https://calendly.com/jan-animalhousemarketing/ranking-strategy-session]