Houston, Dallas, Fort Worth, Austin and San Antonio behave like separate markets, not one state, and your next consultation request is being decided at 11pm on a phone in one of them. Maintena watches your site around the clock, uptime, speed, security, SSL and your before-and-after galleries, while a vetted Priority Pro Success Manager does the updates, edits and fixes for you.
Gallery & speed watch • Consultation forms checked • Updates handled for you • One predictable bill
Site health
lonestar-aesthetics-tx.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
Your gallery is loading fast on mobile and every consultation request this week arrived, including the two that came in at 11pm.
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.
Texas is not one aesthetic market, it is five, and they do not behave alike. Houston carries the gravity of the Texas Medical Center and one of the deepest benches of board-certified surgeons anywhere, so a patient in River Oaks, Memorial or Sugar Land is weighing up a dozen credible practices before anyone picks up a phone. Dallas is the brand-led end: Highland Park, Preston Hollow and Uptown patients arrive already comparing feeds and expect the site to feel like the practice they were shown. Plano, Frisco, Southlake and McKinney are still filling in, new practices keep opening, and a suburb term is genuinely winnable while Houston and Dallas head terms cost a small fortune per click. Austin skews younger and more practical, and San Antonio and Fort Worth reward the practice that owns its own city instead of chasing the metroplex. Because the state is so big, patients search by suburb and then drive, so your gallery has to load on a phone at 11pm in Katy or Allen and still hold them long enough to send a consultation request.
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.
Plano, Frisco, Katy and Sugar Land are full of exactly this patient, and they compare four practices on a phone after the house goes quiet. A slow gallery is the whole decision.
Houston's Medical Center reputation means facial patients research credentials for weeks before they enquire. Your surgeon pages and gallery have to be fast, current and visibly secure every time.
Most Texas practices now run an injectables arm on the same site, with pricing and booking pages that change constantly. Every edit is another chance for a page to break unnoticed.
A Dallas practice with satellite offices in Plano or Southlake often ends up with several sites and one person minding all of them. Each needs its own local visibility and its own watch.
01
A Frisco or Sugar Land term is winnable this year. We track your real positions plus the search volume and difficulty behind each one, so budget goes where it can actually move.
02
Before-and-after galleries are the heaviest, most fragile pages on a Texas aesthetic site and the ones patients spend longest on. We watch their speed and capture them, so a broken grid never sits there unseen.
03
Cosmetic terms in Houston and Dallas are among the priciest in search. Every minute a landing page is slow, down or flagged Not Secure, you are paying full price for traffic that leaves.
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 the time a patient in Houston or Dallas gives your site before deciding whether it looks like a practice they would trust.
Built for Texas, where the patient searches by suburb, drives across the metro and decides in seconds whether your practice looks worth the drive.
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 Texas, 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.
Yes, and that is the normal shape of a Texas practice. Satellite offices in The Woodlands, Sugar Land or Katy usually mean more than one site, each with its own local search terms and its own quiet problems. Every site sits in one console with its own health score and its own rank tracking, so you can see which location is slipping before it costs you consultations. The managed engagement covers up to five sites at the entry level and up to fifteen above it, agreed on a call rather than bought through self-serve checkout.
That gap is exactly the work worth doing. We track your real positions on the suburb terms your patients actually type, with the search volume and difficulty behind each, so you can see which Plano, Frisco, Southlake or McKinney terms are within reach and which Dallas head terms are only worth buying. Then we keep the pages behind them fast, current and watched, because a suburb ranking you win is easy to lose to a slow gallery or an outage nobody noticed for two days.
By default the agent reads site health and metadata: plugin, theme and core versions, uptime, certificate expiry and page speed. Nothing behind a login, and no connection to your practice-management system. Two features go further if you enable them, and a vendor review should know this plainly: visual change detection stores image captures of the public pages you choose, and lead visibility sends your website form submissions to Maintena, sender name and email and typed values included. That last one is how a Houston or Austin consultation request stops going missing between your site and your patient coordinator, but it does mean form data reaches us, so treat us as a processor of it and leave it switched off if you would rather not.
Tell us about your practice, one site or five across Houston, Dallas and the suburbs, and we will come back with a scoped proposal: what we would watch, what we would fix first and who would own it.