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So it is not raw review count. Three things showed up again and again.
1. Review freshness beats review count
A fresh review every week or two tells Google you are active and trusted right now. Five new reviews a month will out-signal a competitor sitting on 200 reviews that stopped in 2021.
2. Your primary category is probably wrong
Plenty of med spas are set to "Spa" or "Skin care clinic." Set your primary to "Medical spa," then add secondaries for what you offer. Five minutes, and it can move you more than a month of ad spend.
3. Complete the profile and make booking effortless
A Book button, real hours, recent photos, a description a human wrote. Every gap is a small reason for Google to trust a more complete profile over yours, and a reason for a ready client to bounce.
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