Beverly Hills, Newport Beach, La Jolla, Palo Alto: California is the most visually judged aesthetic market in the country, and your website carries the whole consultation funnel. Maintena pairs round-the-clock monitoring with a vetted Priority Pro Success Manager, a real software specialist who keeps your before and after galleries fast, your consultation forms delivering and your search visibility measured, then quietly does the updates and edits for you.
Gallery & speed watch • Consultation forms checked • Updates handled for you • One predictable bill
Site health
westholmeaesthetics.com
Nothing for you to do today
Two plugins need a quick security update. Your Priority Pro Success Manager will handle it for you.
In plain English
All good this week. Your before and after gallery is loading fast on mobile, your certificate is valid and all nine consultation requests came through.
24/7
Gallery & uptime watch
Live
Security & SSL scanning
One
Team, one predictable bill
Plain
English, never jargon
Maintena is a managed website care service for aesthetic and plastic surgery practices: 24/7 uptime, security and SSL monitoring, page-speed and visual-change checks on your before-and-after galleries, keyword rank tracking, and plain-English reporting. On a managed engagement a vetted Priority Pro Success Manager does the updates, fixes and edits for you, so nobody at the practice has to own the website.
California is not one aesthetic market, it is several that between them set the global standard. Beverly Hills and the Los Angeles Westside are the shorthand: on Wilshire Boulevard the competition is measured in blocks rather than miles, and Rodeo Drive sets the expectation that a premium surgeon site looks and behaves like a fashion brand. Newport Beach and Orange County run on referral, body work and a heavy social following. La Jolla and San Diego pull travel patients from Arizona, Nevada and across the border. San Francisco and Silicon Valley patients research like engineers, read every source and open your site on the newest phones and fastest connections in the country, so nothing slow survives there. Santa Monica, Pasadena and Sacramento each hold their own loyal local search. Add the influencer overlap, the out-of-state consultation traffic and cosmetic clicks that cost more in California than almost anywhere in medicine, and the room for a stalling gallery or a form that quietly stops delivering disappears.
What your patients are typing
We track your real position on the terms that bring you consultations, with the search volume and difficulty behind each one, so you know where you actually stand.
But it is where your next patient meets you, judges you and decides whether to ask for a consultation. So when it slows down or breaks, the cost lands on you, and usually in silence.
Between operating days, consults and a practice to run, the site sits at the bottom of everyone's list. It stays there until the morning it breaks, and then it is the only thing that matters.
Before-and-after images are the most persuasive thing you own and the heaviest thing on your site. The page that wins you the consultation is the same page most likely to crawl, break after an update, or collapse on a phone.
Nobody walks in off the street for a rhinoplasty. They compare you against four other practices late at night, on a phone, and you never see any of it until a consultation request either arrives or quietly does not.
A prospective patient is about to type something personal about their body into your form. A browser warning, a broken layout or a certificate that lapsed last week is all it takes for them to close the tab.
An outage during clinic hours, a defaced page or a price that has been wrong for months reflects on your judgement, not on your web host. Patients rarely tell you what put them off, they simply choose elsewhere.
Cosmetic procedure terms are among the most expensive in paid search. When your landing page is slow or down, you are not just losing goodwill, you are paying premium rates to send people to a page that cannot convert.
Monitoring watches every signal around the clock and a vetted Priority Pro Success Manager turns it into plain-English action, so the website stops being your problem and starts being handled.
Uptime, speed, SSL, security and visual change are checked around the clock. Keeping an eye on the site stops being a job anyone at the practice has to remember.
Automatic captures across desktop, tablet and mobile flag it when a page changes, so a gallery that stops loading, a slider that broke after an update or a layout that collapsed on a phone never sits there unseen.
Performance monitoring tracks your site speed on mobile and desktop, because a site that technically works and takes eight seconds is still losing you the enquiry.
Every alert and report says what happened, why it matters and exactly what to do, in words a human understands. No acronyms, no dashboard you need a manual to read.
Monitoring does the round-the-clock watching. Your vetted Priority Pro Success Manager turns it into a plan, then does the updates, fixes and edits for you.
A surgical site, a med spa, an old campaign microsite nobody owns. Each sits under one view with its own health score, worst first, so nothing slips through the cracks.
Long before a patient sits down with you, they sit alone with your website. It shows them your work, answers the questions they are too self-conscious to ask out loud, and quietly decides whether they request a consultation with you or with somebody else.
A gallery that stalls or half loads
They were looking at your best work. Now they are looking at your competitor's.
A "Not Secure" warning on the enquiry form
Before they type a single detail about themselves, their trust in you is gone.
Prices, techniques or surgeons out of date
A procedure you no longer offer, or a fee that changed a year ago, reads as carelessness.
A gallery that loads fast, on any phone
Your work does the persuading, at full quality, at 11pm, on a five-year-old handset.
A valid certificate and a reassuring padlock
They share what they need to share, because nothing on the page gave them a reason to hesitate.
Pages that stay current
Your Success Manager keeps procedures, fees and surgeon profiles right for you.
Weeks of it. Privately, on a phone, usually late at night.
Yours against four others, side by side, in one sitting.
Fast, current and secure, or back to the search results.
Or they request one somewhere else. The site decides which.
Your heaviest asset and the one patients compare hardest. When a patient has already worked through half the Westside galleries before yours, a gallery that stalls on a phone at midnight loses the consultation without a word.
Wilshire and Santa Monica practices fight over a handful of the most expensive search terms in the country. A slow or broken landing page there spends real money to send a patient back to the results.
Newport Beach patients often arrive from social, on mobile, at night. Many practices also run a med spa site alongside the surgical one, so both need watching and both need someone to do the edits.
La Jolla, San Diego and San Francisco practices take enquiries from other states and abroad. Those patients only ever meet the website, so an insecure page or a form that fails ends the conversation there.
01
California patients arrive late at night, on mobile, having already seen your rivals. Whether the gallery renders instantly and the padlock is valid decides the consult before anyone reads your credentials.
02
Beverly Hills cosmetic clicks are among the priciest in medicine. Watching speed, uptime and visual change on the exact pages your ads point at means you stop paying premium rates to reach a broken page.
03
A block from Rodeo Drive, a stale price, a shifted layout or a half-loaded gallery reads as carelessness. Captures across desktop, tablet and mobile flag it before a prospective patient ever sees it.
Three ways to hand your website, or your whole group, to one accountable team, each run by vetted Priority Pro Success Managers. Engagements are bought by arrangement, so everything is scoped to you before you commit.
Up to 5 sites
For a single practice, or a surgical site alongside a med spa, handed to one accountable team so the website stops being anyone's spare-time job. A vetted Priority Pro Success Manager takes ownership, with everything listed here included as standard.
Everything included. No usage caps, no add-on invoices.
One predictable monthly fee, in place of a stack of vendors and retainers.
Everything in Tier One, at greater scale
Plus, for a multi-location practice
Up to 15 sites
Our most-chosen engagement, for a group of up to 15 sites under one team: surgical sites, med spas and campaign sites managed as one estate, with everything included.
Everything included. No usage caps, no add-on invoices.
16+ sites, bespoke
For multi-location aesthetic groups beyond 15 sites. The same Priority Pro coverage, scoped and quoted around your group, your rollout and the way you report.
Priced to your group. We build the proposal with you: one contract, one accountable team.
Everything in Tier Two, plus for bespoke groups
Cover a 15-site group on your own and the invoices arrive from every direction, each with its own add-ons. Here is the stack Maintena folds into one flat monthly fee.
Several vendors. Variable bills. No one accountable.
Premium hosting for gallery sites
from $1,600/mo
Hosting image-heavy sites that stay fast
Hidden: Bandwidth overages when a campaign lands
Image & media optimisation
from $450/mo
Keeping large galleries loading quickly
Hidden: Per-batch fees on every new gallery
Security monitoring & response
from $700/mo
Scanning, plus someone to act on it
Hidden: Per-incident clean-up billed separately
Uptime & speed monitoring
from $400/mo
Checks across every site, around the clock
Hidden: Overage charges as checks grow
SSL & domain management
from $250/mo
Certificates and renewals tracked by hand
Hidden: Emergency re-issue fees when one lapses
Visual change & defacement watch
from $350/mo
Knowing when a page changed, and how
Hidden: Per-capture pricing above the plan
Backups & restore
from $280/mo
Offsite backups you can actually restore
Hidden: Restore fees, right when you need them most
Content & surgeon-profile updates
from $1,300/mo
Fees, procedures and profiles kept current
Hidden: Per-piece rates for anything extra
Freelance developer
from $1,900/mo
Day-rate help for new pages and fixes
Hidden: "Out of scope" changes billed hourly
Vendor coordination
from $600/mo
Someone to chase hosting, dev and plugins
Hidden: The finger-pointing when something breaks
Before a single add-on
and still no single accountable team
$7,800+ /mo
One team. One contract. Everything above, included.
Maintena folds that entire stack into one predictable fee from USD 4,990 a month, delivered by your vetted Priority Pro Success Managers. No overages, no emergency callout fees, and no vendor to chase.
Figures are illustrative market typicals for a 15-site group; your exact mix will vary. The point is the shape: several vendors and variable add-ons, versus one predictable fee and one accountable team.
5 seconds
is about all a prospective patient gives your gallery before heading back to the California search results.
Built for the Beverly Hills standard, where a patient has already judged your rivals' galleries before yours and a slow page reads as a lack of care.
Directional, to make the point about how quickly a prospective patient decides, not audited research.
No two practices run the same way. We build the engagement around your site, your gallery, your enquiry setup and how you like to work: one contract, one accountable team.
Built for board-certified practices in California, and written with your state medical board and the FTC in mind. We look after the website. The clinical and regulatory side stays yours.
Built for you if…
Whatever the size and shape of your practice, we will put together a tailored offering. No slides, just your site and how we would look after it.
Custom builds are a Maintena offering. Through Build with Purpose, the same team can design and build your practice site and its before-and-after gallery from scratch, then hand it straight into monitored care with no gap.
Yes, that is the whole point. Everything is written in plain English, and you do not have to touch anything: a vetted Priority Pro Success Manager reads the dashboard for you and does the work, so you never have to learn the jargon.
Three engagements, all run by vetted Priority Pro Success Managers. Tier One covers up to 5 sites from USD 1,990 per month; Tier Two, our most chosen, covers up to 15 sites from USD 4,990 per month; and Custom is scoped and quoted for larger groups beyond 15 sites. Every tier includes everything: unlimited requests, plain-English reporting, and updates and builds handled for you, with no usage caps. Engagements are bought by arrangement, so we agree the detail on a call before you commit, rather than through self-serve checkout.
That is one of the main reasons practices come to us. Speed monitoring watches the pages that actually earn, galleries and consultation pages included, and visual change detection captures them across desktop, tablet and mobile so breakage is caught rather than discovered. On a managed engagement your Success Manager acts on what those checks find, rather than emailing you a graph.
That is exactly what these engagements are for. A dedicated Success Manager, a vetted software specialist, maintains, fixes and improves your site every month, so you can get back to your patients and stop thinking about the website.
Onboarding is gentle and quick. We connect your site with a lightweight plugin, run a full health check, and pick up the watch within minutes. From there your Success Manager works through anything that needs attention, in priority order.
Yes. Every site sits in one console with its own health score, while you keep a single view across all of them. Tier One covers up to 5 sites, Tier Two up to 15, and Custom is built around larger groups and multi-location rollouts.
By default, site health and metadata only: plugin and core versions, certificate status and performance signals, read over a secure connection. Two features change that, and only if you switch them on. Visual change detection stores image captures of the public pages you choose to watch. Form and lead visibility sends submissions from your website forms to Maintena so you can see what arrived, which means the sender's name and email address and the values they typed into that form. That is the point of the feature, and you can leave it switched off. Beyond those two, nothing on the site is read, and we never connect to your practice-management system, your clinical records or anything behind a patient login. To be explicit about the boundary: we make no claim to bring your site into compliance with HIPAA, or to secure clinical systems. If your web forms collect health information, treat Maintena as a processor of that form data and govern it with your own advisers.
Directly underneath the spend. California cosmetic clicks are some of the most expensive anywhere, so the page an ad lands on matters as much as the ad itself. We watch that page around the clock for downtime, slow loads, certificate problems and visual change. We track your organic positions alongside it, so you hear about a problem from us in minutes rather than from a quiet month of reporting. Your agency keeps running the campaigns. On a managed engagement, agreed on a call rather than bought through checkout, your Priority Pro Success Manager also fixes what we find, including the landing pages and the galleries themselves.
Yes, and it is the request we hear most from California practices. The gallery is the heaviest part of an aesthetic site and the part patients judge you on, so we monitor how those pages perform. Visual change detection captures them across desktop, tablet and mobile, so a broken grid or a missing set gets flagged rather than discovered. On a managed engagement your Success Manager then does the work: the speed fixes, the ongoing image and page edits, new procedure pages and the consultation or booking plugin behind them. Nobody at your front desk has to learn a plugin or chase a ticket.
Not your records, no, and we are deliberately plain about where the line actually falls. The agent reads site health and metadata by default: plugin and theme versions, certificate dates, uptime, speed and search data. If you switch on visual change detection we store image captures of the public pages you pick, and if you switch on lead visibility we receive your website form submissions, sender details and typed values included, because that is what the feature is for. Both are optional. Your practice-management system, your clinical records and anything behind a patient login are never connected to, and the advertising and medical-board questions that come with running a practice in California stay with you and your own advisers.
Tell us about your practice, whether that is one Westside site or a surgical site plus a med spa in Newport Beach. We will come back with a scoped proposal: your galleries, your consultation forms and exactly how we would look after them.