1
Findings — Avana Plastic Surgery
avanaplasticsurgery.com · Feb 14 – May 14, 2026
GSC Clicks
62,500
GSC
Impressions
1.62M
GSC
Avg. CTR
3.9%
GSC
Avg. Position
14.4
GSC
Organic Sessions
115,997
GA4
Engagement Rate
52.13%
GA4
Avg. Engagement Time
1m 10s
GA4
Key Events (Organic)
8,143
GA4
Site Health
90%
Semrush
Authority Score
29/100
Semrush
Keywords Ranked
10,877
Semrush
Traffic Value
$59.3K/mo
Semrush
Organic Search is the #1 traffic driver — 47.96% of all sessions (115,997 out of 241,838 total). SEO is the most critical acquisition channel for this site.
Financing pages drive 41% of ALL organic key events (3,361 of 8,143 total). Users who convert organically are heavily motivated by financing options — a major strategic insight.
'lipo 360' ranks #1 with 33,100 monthly searches and Keyword Difficulty of only 21 — the single most valuable non-branded keyword the site owns.
Strong brand dominance — 'avana plastic surgery' ranks #1 with 19,800 clicks — but 90%+ of traffic is branded. Non-branded procedure keywords are severely underperforming.
High-value pages nearly invisible: BBL Miami (126,985 impressions, 0.97% CTR), Tummy Tuck Miami (48,210 impressions, 1.08% CTR).
741 pages not indexed (vs. 1,010 indexed) — including 212 returning 404 errors and 314 crawled-but-not-indexed. Critical technical issue affecting crawl budget and rankings.
1,243 internal links have nofollow attributes — actively blocking PageRank from flowing to procedure pages. Major ranking suppressor.
Referring domains declining from ~817 to ~521 over 12 months — link equity is eroding. Active link building campaign needed urgently.
TRACKING BUG: 'Contact Form Submitted' and 'contact_form_submitted' are the same event firing twice — duplicating conversion data across all channels. Must be fixed in GA4 immediately.
Channel Breakdown — All Traffic Sources
| Channel | Sessions | % Total | Engagement Rate | Key Events | Key Event Rate |
|---|---|---|---|---|---|
| Organic Search | 115,997 | 47.96% | 52.13% | 8,143 | 3.25% |
| Direct | 52,777 | 21.82% | 45.01% | 7,221 | 6.20% |
| Organic Social | 51,843 | 21.44% | 51.46% | 2,314 | 2.44% |
| Paid Search | 10,973 | 4.54% | 81.33% | 209 | 0.91% |
| 4,125 | 1.71% | 41.55% | 54 | 0.63% | |
| Referral | 649 | 0.27% | 64.71% | 30 | 2.00% |
| TOTAL | 241,838 | 100% | 50.72% | 18,137 | 3.51% |
Paid Search: highest engagement rate (81.33%) but only 209 conversions from 10,973 sessions (0.91% key event rate) — very low ROI compared to Organic Search.
Top Converting Pages — Organic Search
| Page | Views | Active Users | Key Events | % of Total KE |
|---|---|---|---|---|
| /financing-option/alphaeon-credit | 2,077 | 1,289 | 1,876 | 23.04% |
| /financing-option/medloanfinance | 1,653 | 1,073 | 1,214 | 14.91% |
| /contact | 2,341 | 1,506 | 999 | 12.27% |
| /dallas-texas | 15,420 | 6,005 | 395 | 4.85% |
| /specials | 20,299 | 10,006 | 363 | 4.46% |
| /financing-option/unitedcredit | 363 | 260 | 271 | 3.33% |
| / (Homepage) | 70,124 | 20,441 | 229 | 2.81% |
2
Opportunities — Avana Plastic Surgery
Quick wins and long-term growth opportunities
BBL Miami: 126,985 impressions but only 0.97% CTR — moving this page to top 3 is the single fastest traffic win on the site. Estimated potential: +1,000–3,000 additional clicks/mo.
Financing CTAs: Financing pages drive 41% of conversions. Adding financing CTAs to all procedure pages could significantly increase organic key events without new traffic.
"Lipo 360" is a high-demand topic that patients search in different ways, Expanding into 'lipo 360 before and after', 'lipo 360 cost', 'lipo 360 en hombres' can multiply this traffic.
Spanish market: /espanol/lipo-360-en-miami has 49,403 impressions — a large, underserved Spanish-speaking audience that is actively searching. Expanding the /espanol/ section is a major opportunity.
Tummy Tuck Miami: 48,210 impressions, 1.08% CTR — title/meta rewrite alone could double or triple clicks on this high-value page.
lymphatic drainage massage miami ranks position 7 with 1,600/mo searches — a natural post-surgery service with high relevance to Avana's patient audience. A push to top 3 adds significant volume.
'avana plastic surgery reviews': 8,706 impressions, 336 clicks (3.9% CTR) at position ~10. Adding Review schema and improving position to top 5 is a near-term win.
High-Priority Keyword Opportunities (by GSC Impressions)
| Keyword | Impressions | Current CTR | Est. Position | Opportunity |
|---|---|---|---|---|
| brazilian butt lift miami | 126,985 | 0.97% | ~15–20 | 🔴 Massive |
| tummy tuck miami | 48,210 | 1.08% | ~15–20 | 🔴 High |
| espanol/lipo-360-en-miami | 49,403 | 1.27% | ~15–20 | 🔴 High (Spanish) |
| mommy makeover miami | 43,888 | 2.68% | ~10–15 | 🟠 Medium |
| medical-staff / surgeons | 63,841 | 0.77% | ~20+ | 🟠 High |
| avana plastic surgery reviews | 8,706 | 3.86% | ~8–12 | 🟢 Quick Win |
Not Ranking — Content Gap Opportunities
| Keyword | Monthly Volume | Priority |
|---|---|---|
| body contouring procedures | 6,600 | Not ranking at all |
| cosmetic surgery for men | 5,400 | Not ranking at all |
| blepharoplasty miami | 390 | Eyelid surgery page needed |
| botox injections miami | 50 | Low — tracked but not ranking |
3
Technical Issues — Avana Plastic Surgery
GSC Coverage · Semrush Site Audit · Core Web Vitals
Technical Audit Critical
90% health · 8 errors · 1,763 warnings · 1,243 nofollow links · 212 broken pages · 1,010 indexed · 741 not indexed · 314 crawled-not-indexed · 70 mobile CLS issues · MedicalBusiness schema absent
✓ Good
90% site health outperforms competitors; desktop CWV passes (750 URLs); FAQ/Profile/Review schemas all valid.⚠ Needs Work
1,243 nofollow + 212 broken pages suppress site-wide PageRank; 314 crawled-not-indexed pages signal thin content; missing schema blocks all rich results.Site Health
90%
Semrush
Errors
8
Semrush
Warnings
1,763
Semrush
Crawlability
100%
Semrush
Pages Indexed
1,010
GSC
Pages NOT Indexed
741
GSC
404 Errors
212
GSC
Internal Linking Score
87%
Semrush
Semrush Errors — Fix Immediately
| Error | Pages Affected | Priority |
|---|---|---|
| Internal broken images | 2 | 🔴 Critical |
| Duplicate meta descriptions | 2 | 🔴 Critical |
| Invalid structured data items | 2 | 🔴 Critical |
| Page couldn't be crawled | 1 | 🔴 Critical |
| Incorrect page in sitemap.xml | 1 | 🔴 Critical |
Semrush Warnings — Address Within 30 Days
1,243 internal links with nofollow attributes — actively blocking PageRank flow. Internal links should almost never be nofollow. Immediate review required.
| Warning | Pages Affected | New Issues | Priority |
|---|---|---|---|
| Outgoing internal links with nofollow | 1,243 links | 49 new | 🟠 High |
| Pages with low text-to-HTML ratio | 311 pages | 21 new | 🟠 High |
| Title tags too long (>60 chars) | 209 pages | 1 new | 🟠 High |
GSC Index Coverage Issues
| Reason Not Indexed | Pages | Severity |
|---|---|---|
| Not found (404) | 212 | 🔴 Critical |
| Crawled — currently not indexed | 314 | 🟠 High |
| Duplicate, Google chose different canonical | 97 | 🟡 Medium |
| Page with redirect (failed validation) | 19 | 🔴 Critical |
| Alternate page with proper canonical tag | 79 | 🟡 Medium |
| Excluded by 'noindex' tag | 5 | 🟡 Review |
| Soft 404 | 4 | 🟠 High |
| Server error (5xx) | 1 | 🔴 Critical |
| Discovered — currently not indexed | 10 | 🟠 High |
Core Web Vitals
| Device | Good URLs | Need Improvement | Poor | Status |
|---|---|---|---|---|
| Desktop | 750 | 0 | 0 | ✅ PASS |
| Mobile | 680 | 70 (CLS) | 0 | ⚠ PARTIAL |
70 mobile URLs have a CLS (Cumulative Layout Shift) issue > 0.1. Fix: add explicit width/height to all images and iframes. Avoid injecting content above existing content.
Structured Data / Schema
| Schema Type | Valid | Invalid | Status |
|---|---|---|---|
| FAQ | 10 | 0 | ✅ Valid |
| Profile Page | 22 | 0 | ✅ Valid |
| Review Snippets | 8 | 0 | ✅ Valid |
| Videos | 112 | 0 | ⚠ Warnings (uploadDate) |
| MedicalBusiness / LocalBusiness | — | — | ❌ Missing |
| BreadcrumbList / MedicalProcedure | — | — | ❌ Missing |
4
Current Positioning — Avana Plastic Surgery
GSC · Semrush Organic Rankings · Authority Labs (186 keywords)
Current Rankings Needs Work
Avg. pos 14.4 · 40/186 tracked KWs pos 1–3 · 22 in pos 4–10 · 42 not ranking · 10,877 KWs total · $59K/mo value · AS 29 · 533 referring domains (declining from 817)
✓ Good
40 top-3 rankings; 'lipo 360' #1 at Keyword Difficulty 21; brand total at #1 (44.7% CTR); $59K/mo traffic value.⚠ Needs Work
BBL/tummy tuck/rhinoplasty off page 1; AS 29 vs competitors 40+; 62% informational KWs vs 21% transactional; backlinks declining.Total Keywords Ranked
10,877
Semrush
Est. Monthly Traffic
22,600
Semrush
Traffic Cost Value
$59,300/mo
Semrush
Also Ranked
CA: 277 keywords
MX: 245 keywords
MX: 245 keywords
Semrush
Keyword Intent Distribution
| Intent Type | % of Keywords | Assessment |
|---|---|---|
| Informational | 62% | High — users researching, not yet ready to convert |
| Transactional | 21% | Good — commercial/booking intent |
| Commercial | 10% | Medium — comparison/consideration stage |
| Navigational | 7% | Brand searches |
62% of ranked keywords are Informational — heavy research-stage rankings. Growing Transactional (21%) and Commercial (10%) keyword base should be the priority.
Authority Labs — Position Distribution (186 keywords tracked)
Positions 1–3 (Strong)
40
Authority Labs
Positions 4–10 (Quick Win)
22
Authority Labs
Positions 11–20 (Page 2)
29
Authority Labs
Not Ranking
42
Authority Labs
Positions 1–3 — Top Rankings
| Keyword | Position | Monthly Volume | CPC |
|---|---|---|---|
| avana plastic surgery | 1 | 14,800 | $4.64 |
| lipo 360 | 1 | 33,100 | — |
| mommy makeover miami | 2 | 1,600 | $8.46 |
| brazilian butt lift miami | 2 | 1,300 | $9.01 |
| bbl in miami | 3 | 1,300 | $9.00 |
| tummy tuck miami | 3 | 1,900 | $11.38 |
| lipo 360 miami | 2 | 1,000 | $8.94 |
| mommy makeover cost in miami | 1 | 320 | $7.02 |
| breast augmentation cost in miami | 3 | 320 | $6.51 |
| mommy makeover florida | 1 | 320 | $11.53 |
DISCREPANCY: Authority Labs shows 'brazilian butt lift miami' at position 2, but GSC shows only 0.97% CTR with 126,985 impressions — the ranking likely fluctuates significantly. True average position is much lower than 2.
Positions 4–10 — Quick Win Opportunities
| Keyword | Position | Monthly Volume | CPC |
|---|---|---|---|
| lymphatic drainage massage miami | 7 | 1,600 | $2.24 |
| breast lift miami | 5 | 590 | $6.29 |
| lipo cost miami | 4 | 320 | $7.92 |
| liposuction miami cost | 4 | 320 | $7.92 |
| hourglass tummy tuck cost | 4 | 210 | $7.32 |
| cosmetic procedures miami | 6 | 170 | $10.18 |
Top GSC Queries by Clicks (3 months)
| Query | Clicks | Impressions | CTR | Avg Pos |
|---|---|---|---|---|
| avana plastic surgery | 19,800 | 44,317 | 44.7% | ~1 |
| avana plastic surgery dallas | 4,285 | 11,781 | 36.4% | ~1–3 |
| avana plastic surgery miami | 1,782 | 4,682 | 38.1% | ~1–3 |
| lipo 360 miami (espanol) | 625 | 49,403 | 1.27% | ~15–20 |
| brazilian butt lift miami | 1,234 | 126,985 | 0.97% | ~15–20 |
| tummy tuck miami | 522 | 48,210 | 1.08% | ~15–20 |
| mommy makeover miami | 187 | 4,933 | 3.8% | ~10–15 |
| avana plastic surgery reviews | 336 | 8,706 | 3.9% | ~8–12 |
The vast majority of top-click queries are BRANDED. Non-branded procedure keywords like 'mommy makeover miami' show very low CTR — indicating poor rankings for high-intent commercial keywords.
5
Competition — Avana Plastic Surgery
Semrush Organic Rankings — 4,017 total competitors identified
Competitive Landscape Critical
CGCosmetic 32,100 visits/mo ($76K value) · MiamiPlasticSurgery 20,400/mo · 4,017 organic competitors · Avana 533 vs competitors' 800–1,200+ referring domains · 817→521 declining over 12 months
✓ Good
Brand #1; 'lipo 360' #1 (Keyword Difficulty 21); 90% site health outperforms most competitors; high overlap = competitor playbooks are directly visible and replicable.⚠ Needs Work
CGCosmetic 2.5× Avana's traffic; referring domains dropped 817→521 while competitors grow; backlink gap directly caps the ranking ceiling.cgcosmetic.com generates an estimated 32,100 monthly visits vs Avana's has 25,200 monthly visits.
miamiplasticsurgery.com and therealdrmiami.com both generate 18,000–20,000 monthly visits with strong local keyword bases — primary Miami-market competitors.
thesecretplasticsurgery.com has the highest keyword overlap (38%, 507 common keywords) — the most direct competitor and best source for keyword gap analysis.
Top Organic Competitors
| Competitor | KW Overlap | Common KWs | SE Keywords | Est. Traffic | Traffic Cost |
|---|---|---|---|---|---|
| ⭐ avanaplasticsurgery.com (YOU) | — | — | 1,763 | 25,200 | $59,300 |
| thesecretplasticsurgery.com | 38% | 507 | 3,700 | 3,200 | $5,410 |
| iconcosmeticcenter.com | 32% | 386 | 3,100 | 7,900 | $20,740 |
| spectrum-aesthetics.com | 29% | 397 | 5,200 | 12,000 | $35,750 |
| cgcosmetic.com | 26% | 404 | 5,700 | 32,100 | $76,000 |
| pureplasticsurgery.com | 20% | 254 | 5,800 | 6,700 | $12,660 |
| drkmiamiplasticsurgery.com | 20% | 263 | 8,400 | 6,100 | $10,510 |
| therealdrmiami.com | 16% | 215 | 3,200 | 18,100 | $44,530 |
| miamiplasticsurgery.com | 14% | 297 | 9,100 | 20,400 | $46,420 |
Competitor Strengths to Address
- cgcosmetic.com — Dominates procedure volume keywords (BBL, tummy tuck, rhinoplasty) with 32K traffic. Content depth and topical authority appear significantly stronger.
- spectrum-aesthetics.com — 12K traffic, $35.7K cost value. Strong non-branded rankings with 5,200 SE keywords despite lower overlap.
- miamiplasticsurgery.com — 9,100 SE keywords, 20.4K traffic. Pure local market dominance — likely strong GBP, local citations, and Miami-specific content.
- therealdrmiami.com — 18.1K traffic, $44.5K cost value. High authority local competitor — likely strong E-E-A-T and doctor credibility signals.
Competitor Site Health Comparison
| Domain | Site Health | Errors | Warnings | Crawlability | HTTPS | Int. Linking |
|---|---|---|---|---|---|---|
| avanaplasticsurgery.com | 90% | 8 | 1,763 | 100% | 98% | 87% |
| iconcosmeticcenter.com | 83% | 65 | 450 | 93% | 98% | 84% |
| care4hairclinic.com | 91% | 8 | 280 | 96% | 98% | 85% |
| uniqueaestheticcenter.com | 86% | 2 | 1,387 | 100% | 18% | 97% |
| bodyaestheticcenter.com | 87% | 7 | 273 | 96% | 98% | 89% |
From a technical SEO perspective Avana is in good shape, scoring 90% site health.
6
Content — Avana Plastic Surgery
On-page analysis · E-E-A-T · Backlinks · Local SEO
Content & Authority Critical
1,010 indexed pages · AS 29 · 533 referring domains (declining 817→521) · no surgeon credentials displayed · no MedicalProcedure/LocalBusiness schema · financing CTAs absent · GBP unverified · RealSelf unclaimed
✓ Good
1,010 pages = wide ranking surface; financing content proven to convert at 41%; 531 direction events; FAQ/Review schemas valid.⚠ Needs Work
296 domains lost in 12 months — urgent link building; missing credentials suppress YMYL rankings; no schema = no stars/local pack; GBP and RealSelf untouched.Top Landing Pages by Clicks (GSC)
| Page URL | Clicks | Impressions | CTR |
|---|---|---|---|
| / (Homepage) | 26,573 | 235,001 | 11.3% |
| /dallas-texas | 8,560 | 89,935 | 9.5% |
| /dr-algird-mameniskis | 2,206 | 31,420 | 7.0% |
| /brazilian-butt-lift-miami | 1,234 | 126,985 | 0.97% |
| /mommy-makeover-miami | 1,176 | 43,888 | 2.7% |
| /tummy-tuck-miami | 522 | 48,210 | 1.08% |
| /out-of-town-patients | 511 | 57,318 | 0.89% |
| /espanol/lipo-360-en-miami | 625 | 49,403 | 1.27% |
On-Page Issues Identified
| Issue | Count | Priority |
|---|---|---|
| Duplicate title tags | 2 pages | 🔴 Critical |
| Duplicate meta descriptions | 2 pages | 🔴 Critical |
| Title tags too long (>60 chars) | 209 pages | 🟠 High |
| Pages with low text-to-HTML ratio | 311 pages | 🟠 High |
E-E-A-T (Experience, Expertise, Authoritativenes, Trustworthiness) Signals (Critical for YMYL Medical Site)
- Doctor bios with credentials present — confirm visibility on /medical-staff page
- Board certifications displayed per doctor — confirm
- Before & after galleries with consent disclaimers — /before-and-after has 1,220 clicks
- Patient reviews / testimonials with schema — Review Snippets schema active (8 valid items)
- 531 get_direction events — strong local intent signal from organic traffic
Medical sites are held to the highest E-E-A-T standards. All doctor pages must clearly show board certifications, training, and before/after work.
Backlink & Domain Authority
Authority Score
29/100
Semrush
Referring Domains
533
Semrush
Total Backlinks
~1,200
Semrush
Trend (12 mo)
▼ 817→521
Semrush
Referring domains declining from ~817 to ~521 over 12 months — loss of nearly 300 linking domains. Active link building campaign needed urgently.
Authority Score flat at ~29 for 12 months. Competitors likely have AS 35–50+. A structured link building campaign is needed to close this gap.
Local SEO
| Local Keyword | GSC Clicks | Impressions | Opportunity |
|---|---|---|---|
| avana plastic surgery miami | 1,782 | 4,682 | Strong brand position |
| avana plastic surgery dallas | 4,285 | 11,781 | Strong brand position |
| tummy tuck miami | 522 | 48,210 | Non-brand — low CTR, major opp. |
| brazilian butt lift miami | 1,234 | 126,985 | Massive non-brand opportunity |
| mommy makeover miami | 187 | 4,933 | Needs improvement |
Priority local directories: RealSelf (critical for plastic surgery), Healthgrades, Zocdoc, WebMD, Yelp Miami + Dallas, Vitals.com, Castle Connolly.
7
Keywords — Avana Plastic Surgery
GSC Queries · Semrush Organic Rankings · Authority Labs (186 keywords)
Keyword Overview Needs Work
186 tracked · 40 pos 1–3 · 22 pos 4–10 · 42 not ranking · 10,877 total KWs · 90%+ branded · 62% informational · 21% transactional · 'lipo 360' #1 (33K/mo, Keyword Difficulty 21)
✓ Good
'Lipo 360' #1 (Keyword Difficulty 21); brand total at #1; 186 keywords tracked; $59K/mo traffic value; 21% transactional intent already captured.⚠ Needs Work
90%+ branded = no discovery traffic; BBL/tummy tuck off page 1; 42 tracked KWs not ranking; 300+ keyword tracking needed for full visibility.Keywords Ranked
10,877
Semrush
Positions 1–3
40
Authority Labs
Positions 4–10
22
Authority Labs
Not Ranking
42
Authority Labs
Top Semrush Rankings
| Keyword | Position | Volume/mo | Keyword Difficulty | Traffic % |
|---|---|---|---|---|
| avana plastic surgery | 1 | 9,900 | 40 | 34.98% |
| avana | 1 | 6,600 | 37 | 7.22% |
| lipo 360 | 1 | 33,100 | 21 | 1.75% |
| avana plastic surgery miami | 1 | 590 | 38 | 2.08% |
| avana plastic surgery photos | 1 | 590 | 26 | 2.08% |
| avana plastic surgery dallas | 1 | 320 | 11 | 1.13% |
MAJOR ASSET: 'lipo 360' ranks #1 with 33,100 monthly searches. It is the most valuable non-branded keyword the site owns — must be protected and expanded.
Page 2 Keywords — High Effort, High Reward
| Keyword | Position | Monthly Volume | CPC |
|---|---|---|---|
| best bbl in miami | 11 | 110 | $8.32 |
| ab etching miami | 12 | 70 | $8.03 |
| earlobe repair miami | 20 | 70 | $10.24 |
| vampire facelift miami | 18 | 40 | $5.63 |
| best bbl surgeon in miami | 11 | — | — |
| bbl surgeons in miami | 13 | — | — |
| skin cancer removal surgery in miami | 11 | — | — |
8
Recommendations — Avana Plastic Surgery
Prioritized action plan · High / Medium / Low
Action Plan Prioritized
HIGH: remove 1,243 nofollow links · rewrite BBL/Tummy Tuck metas · launch link building | MED (30 days): financing CTAs on all procedure pages · MedicalProcedure/LocalBusiness schema | LOW (90 days): GBP · RealSelf · expand tracking to 300+ KWs
✓ Impact
Nofollow removal = site-wide PageRank lift immediately; meta rewrite = +2K–5K clicks from existing impressions; 700+ referring domains raises AS and unlocks procedure rankings.⚠ Risk if Delayed
175K impressions at 1% CTR gifts clicks to competitors every day; referring domain gap widens monthly; financing CTAs absent = high-intent traffic converting elsewhere.| Area | Finding / Issue | Priority | Recommendation |
|---|---|---|---|
| Technical | 212 pages returning 404 errors | High | Audit all 404s; redirect relevant pages (301) to closest live equivalent. |
| Technical | 314 pages crawled but not indexed | High | Review for thin content, duplication, or low value. Consolidate, improve, or noindex. |
| Technical | 19 redirect pages failed validation | High | Fix redirect chains/loops. Ensure all redirects resolve in 1 hop. |
| Technical | 1 server error (5xx) | High | Identify and resolve the server-side error immediately. |
| Technical | 1,243 nofollow internal links | High | Audit all internal nofollow attributes and remove unless specifically intentional. |
| Technical | Mobile CLS issues on 70 URLs | Medium | Add explicit dimensions to all images/iframes. Reserve space for dynamic content. |
| Schema | Video uploadDate missing timezone (83 items) | Medium | Update all uploadDate values to ISO 8601 format with timezone offset. |
| Schema | Missing MedicalBusiness, LocalBusiness, BreadcrumbList schema | Medium | Implement across homepage, procedure pages, and location pages. |
| Keywords | ~90% brand-driven traffic; non-brand CTR extremely low | High | Build non-branded procedure + location keyword strategy. Optimize titles for BBL, tummy tuck, mommy makeover. |
| Keywords | BBL Miami: 126,985 impressions, 0.97% CTR | High | Rewrite title tag and meta description. Improve via on-page optimization + internal links. |
| Keywords | Tummy Tuck Miami: 48,210 impressions, 1.08% CTR | High | Title/meta rewrite + content expansion + schema. |
| Keywords | Spanish lipo-360: 49,403 impressions, 1.27% CTR | Medium | Expand Spanish-language content. Add hreflang tags. |
| Content | 311 pages with thin content (low text-HTML ratio) | High | Audit each crawled-not-indexed page. Expand content to 600+ words or consolidate. |
| E-E-A-T | Doctor credentials visibility (YMYL site) | High | Each doctor page must show board certifications, training, and before/after work. |
| Local SEO | Multi-location GBP needs full optimization (Miami + Dallas) | High | Verify GBP for both locations. Add posts, photos, Q&A. Ensure NAP consistency. |
| Local SEO | RealSelf presence critical for plastic surgery | High | Claim/optimize RealSelf profiles for each surgeon. Actively collect reviews. |
| Tracking | Duplicate GA4 event (capital vs lowercase) | High | Fix 'Contact Form Submitted' / 'contact_form_submitted' duplicate event immediately. |
8700 W Flagler St STE 250, Miami, FL 33174
4.4 stars -> 3,314 reviews
1645 SW 107th Ave SUITE 114 C, Miami, FL 33165
4.6 stars -> 110 reviews
7802 NW 103rd St suite 106, Hialeah, FL 33016
4.9 stars -> 326 reviews
7150 Greenville Ave #400, Dallas, TX 75231
4.0 stars -> 86 reviews
1
Findings — Avana Wellness Plus
avanawellnessplus.com · Feb 14 – May 14, 2026
Findings Snapshot Critical
558 clicks · 72K impressions · 0.8% CTR · avg. pos 17.7 · 772 organic sessions · 0 key events configured · 61 indexed pages · 150× less traffic than Avana Plastic Surgery · Semrush expired
✓ Good
72K impressions — Google serves the site to searchers; 51% engagement rate; organic is #1 channel (63%); Spanish pages outperform English 5:1.⚠ Needs Work
0 conversions tracked; 61 pages can't build authority in any category; 0.8% CTR = 99% of appearances unclicked; Semrush expired blocks all deep analysis.GSC Clicks
558
GSC
Impressions
72,000
GSC
Avg. CTR
0.8%
GSC
Avg. Position
17.7
GSC
Organic Sessions
772
GA4
Engagement Rate
51.42%
GA4
Avg. Engagement Time
54s
GA4
Key Events
0
GA4 — NOT configured
Total Site Pages
~61
GSC
Pages Indexed
~51
GSC
404 Errors
8 (13%)
GSC
Only 558 GSC clicks vs Plastic Surgery's 62,500 — a 150x traffic gap. This is the single biggest growth opportunity in the portfolio.
Zero conversion tracking configured in GA4. No Key Events — no visibility into lead generation. Must be fixed before any SEO results can be measured.
Only ~61 total pages indexed — critically underdeveloped for a medical wellness clinic. Content expansion is the single highest-leverage action.
We need to fix the speed (2.94 seconds) — and every other SEO improvement we make will work significantly better and faster.
Almost ALL top queries are branded. Every service keyword — botox miami, lip filler miami, iv therapy miami, keloid removal miami — shows 0–1 clicks or extremely poor positions (32–51).
Spanish-language pages outperform English equivalents: Spanish wart removal (54 clicks) vs English (10 clicks). Spanish-first content strategy recommended.
Organic Search dominates at 62.8% of all sessions — SEO is already the #1 acquisition channel even at small scale.
Semrush subscription payment failed — renewal required before full technical audit, backlink analysis, and keyword tracking can be completed.
Channel Breakdown — All Traffic
| Channel | Sessions | Engagement Rate | Avg. Time | Key Events |
|---|---|---|---|---|
| Organic Search | 772 | 51.42% | 54s | 0 |
| Direct | 394 | 37.56% | 35s | 0 |
| Unassigned | 46 | 60.87% | 1m 47s | 0 |
| Referral | 15 | 46.67% | 59s | 0 |
| Organic Social | 3 | 100% | 47s | 0 |
| TOTAL | 1,230 | ~47.4% | ~54s | 0 (not configured) |
Device Performance
| Device | Clicks | Impressions | CTR | Avg. Position |
|---|---|---|---|---|
| Mobile | 440 (79%) | 37,997 | 1.16% | 10.83 |
| Desktop | 114 | 33,503 | 0.34% | 25.67 |
| Tablet | 4 | 518 | 0.77% | 11.39 |
Desktop avg position 25.67 — the site barely appears on page 2 for desktop searches. Desktop visibility is critically poor.
2
Opportunities — Avana Wellness Plus
Quick wins and long-term growth opportunities
Top Opportunities Critical
72K impressions · 0.8% CTR · 0 key events configured · 61 pages (competitors at 300–800+) · keloid removal near page 1 (pos 9–11) · immigration exam niche · Spanish outperforms English 5:1 · GBP unactivated
✓ Good
Keloid/immigration near page 1 — 3 quick wins possible immediately; Spanish content validated; 72K impressions = visibility foundation exists.⚠ Needs Work
99% of impressions go unclicked; GA4 untracked = unreportable SEO; Authority Labs not set up; Semrush expired blocks all deep analysis.Keloid removal — #1 quick win: 3 related queries all hovering at position 9–11, all just outside page 1. One focused optimization push could move all three simultaneously.
Immigration medical exam — low-competition niche with strong local intent. 'uscis medical exam near me' at position 11, 'immigration doctor near me' at position 9. Unique opportunity to dominate a high-value vertical.
Spanish-first strategy: Spanish pages consistently outperform English equivalents. Expanding the /espanol section across all service pages could double organic traffic quickly.
IV therapy miami: 4,916 impressions but 0.14% CTR at position 32 — a high-value wellness service nearly invisible. A complete page rewrite could capture significant traffic.
Content expansion: Growing from 61 to 150+ pages (services, FAQs, blog, Spanish) is the single highest-leverage long-term action.
Quick Win Keywords — Near Page 1
| Keyword | Position | Impressions | CTR | Action Needed |
|---|---|---|---|---|
| keloid removal cost | 10.34 | 350 | 1.14% | Optimize page — just off page 1 |
| how much is keloid removal surgery | 9.09 | 104 | 1.92% | Add pricing content + FAQ schema |
| keloid removal near me | 10.54 | 196 | 0.51% | Strengthen local SEO signals |
| dr golio miami | 6.78 | 199 | 1.01% | Improve doctor page content |
| botox miami price | 9.85 | 212 | 0.47% | Add pricing section to botox page |
| botox miami cost | 10.80 | 59 | 1.69% | Merge intent — same page |
| immigration doctor near me | 9.06 | 31 | — | Strengthen local signals |
High-Volume Keywords — Currently Invisible
| Keyword | Impressions | CTR | Position | Gap |
|---|---|---|---|---|
| iv therapy miami | 4,916 | 0.14% | 32.71 | Page 3+ — full rewrite needed |
| lip augmentation miami | 4,470 | 0.09% | 41.87 | Page 4+ — nearly invisible |
| wart removal miami (English) | 4,353 | 0.23% | 17.18 | Page 2 — needs optimization |
| keloid removal miami | 7,793 | 0.32% | 13.05 | Page 2 — #1 priority page |
| botox miami | 2,793 | 0.32% | 26.83 | Page 3 — major work needed |
| lip filler miami | 267 | 0.37% | 51.97 | Page 5+ — not competitive |
3
Technical Issues — Avana Wellness Plus
GSC Coverage · Core Web Vitals (May 15, 2026)
Technical Audit Critical
51 of 61 pages indexed · 8 broken pages (13%) · no CWV data (traffic too low) · Semrush audit blocked · no schema detected · GSC indexation gap unresolved
✓ Good
84% indexation rate is clean; no server errors; GSC shows every issue clearly; doctor pages ready for schema.⚠ Needs Work
8/61 pages broken (13% of site — every page matters here); no Semrush = full audit blocked; no schema = ineligible for local pack and rich results.Pages Indexed
~51
GSC
Pages NOT Indexed
10–11
GSC
Total Site Size
~61 pages
GSC
Semrush Site Health
Pending
Plan renewal needed
Only ~61 total pages — Plastic Surgery has 1,751. The content volume gap is enormous and directly explains the 150x traffic gap.
Semrush Site Audit not available — plan renewal needed. Run full audit for avanawellnessplus.com as first priority after payment.
GSC Index Coverage Issues
| Reason Not Indexed | Pages | Severity |
|---|---|---|
| Not found (404) | 8 | 🔴 Critical (13% of site) |
| Crawled — currently not indexed | 2 | 🟠 High |
| Discovered — currently not indexed | 1 | 🟠 High |
8 of 61 pages (13%) return 404 errors — on a small site every page counts. All must be redirected or restored.
Indexed page count flat at 49–51 pages throughout the entire 3-month period — no content growth detected.
Core Web Vitals
| Device | Status | Notes |
|---|---|---|
| Mobile | ⚠ No Data | Not enough Chrome UX Report data — site traffic too low |
| Desktop | ⚠ No Data | Not enough Chrome UX Report data — site traffic too low |
CWV data unavailable — site traffic is too low for Google's Chrome UX Report. Run PageSpeed Insights manually on: homepage, /keloid-removal-miami, /iv-therapy-miami, /lip-augmentation-miami, and top Spanish pages.
Structured Data / Schema
Schema markup is likely minimal or absent. Priority schema to implement: LocalBusiness, MedicalBusiness, FAQPage, Person (Dr. Golio & Dr. Bentancor), and Service pages. GSC Enhancements section should be confirmed after Semrush renewal.
4
Current Positioning — Avana Wellness Plus
GSC Queries export (May 15, 2026) · Semrush pending
Current Rankings Critical
Avg. pos 17.7 · 0.8% CTR · 558 clicks · 72K impressions · 95%+ branded · non-branded = 1–4 clicks/quarter · AS unknown (est. 1–10) · no Authority Labs · no Semrush · goal: avg. pos ≤10 across all targets in 6–12 months
✓ Good
Branded queries hit 30–40% CTR; keloid removal near page 1 (pos 9–11); GSC covers 200+ queries to start prioritization now.⚠ Needs Work
Pos 17.7 = page 2 for almost every keyword; non-branded clicks in single digits; keyword difficulty/volume blocked; Authority Labs not configured.Total GSC Queries
~200+
GSC
Queries with Clicks
~50
GSC
Branded Queries
~95%
GSC
Non-Branded Queries
~5%
GSC
The site ranks for very few non-branded keywords. Almost all clicks come from people already searching for 'avana wellness' or 'dr golio' by name. Building non-branded rankings is the core SEO challenge.
Top Queries by Clicks — GSC (3 months)
| Query | Clicks | Impressions | CTR | Avg Pos |
|---|---|---|---|---|
| avana wellness plus | 34 | 109 | 31.19% | 2.73 |
| avana wellness | 23 | 58 | 39.66% | 1.93 |
| avana wellness center | 7 | 65 | 10.77% | 11.32 |
| keloid removal cost | 4 | 350 | 1.14% | 10.34 |
| dr golio avana | 3 | 81 | 3.70% | 2.68 |
| how much is keloid removal surgery | 2 | 104 | 1.92% | 9.09 |
| botox miami price | 1 | 212 | 0.47% | 9.85 |
| keloid removal near me | 1 | 196 | 0.51% | 10.54 |
| iv therapy miami | 1 | 4,916 | 0.14% | 32.71 |
| lip augmentation miami | 1 | 4,470 | 0.09% | 41.87 |
| lip filler miami | 1 | 267 | 0.37% | 51.97 |
Top Landing Pages by Clicks
| Page URL | Clicks | Impressions | CTR | Avg Pos |
|---|---|---|---|---|
| / (Homepage) | 119 | 3,989 | 2.98% | 7.33 |
| /espanol/eliminacion-verruga-en-miami | 54 | 4,290 | 1.26% | 6.70 |
| /espanol/aumento-labios-en-miami | 47 | 7,408 | 0.63% | 8.55 |
| /espanol/examenes-medicos-de-inmigracion-miami | 35 | 3,967 | 0.88% | 13.94 |
| /espanol/terapia-intravenosa-miami | 34 | 2,722 | 1.25% | 9.69 |
| /dr-dominick-golio | 31 | 2,804 | 1.11% | 7.01 |
| /immigration-medical-exam-miami | 29 | 3,064 | 0.95% | 18.85 |
| /keloid-removal-miami | 25 | 7,793 | 0.32% | 13.05 |
| /iv-therapy-miami | 7 | 4,916 | 0.14% | 32.71 |
| /wart-removal-miami | 10 | 4,353 | 0.23% | 17.18 |
| /lip-augmentation-miami | 4 | 4,470 | 0.09% | 41.87 |
| /botox-miami | 9 | 2,793 | 0.32% | 26.83 |
Spanish pages dominate: /espanol/eliminacion-verruga (54 clicks) vs /wart-removal-miami (10 clicks). The Spanish-speaking Miami market is far more engaged with this site than English speakers.
Keloid removal page has 7,793 impressions (highest of any page) but only 0.32% CTR at position 13 — moving from position 13 to 3 could increase clicks by 10x.
5
Competition — Avana Wellness Plus
Market analysis based on GSC data · Semrush pending plan renewal
Competitive Analysis Critical
All competitor data blocked — no keyword overlap, no backlink comparison, no traffic benchmarks until Semrush renews · established local clinics hold years of authority and content depth
✓ Good
Immigration exam is low-competition (pos 11) — a winnable niche before Semrush renews; GSC shows which categories competitors dominate as a starting point.⚠ Needs Work
Full competitor analysis completely blocked; established clinics have years of authority; Semrush renewal is the prerequisite for all competitive strategy.Full competitor data via Semrush is pending subscription renewal. The following analysis is based on market context and GSC evidence.
Likely Key Competitors — Miami Wellness & Dermatology Market
| Competitor Type | Why They Compete |
|---|---|
| Medical spas / aesthetics clinics | Botox, lip filler, facial treatments |
| Miami dermatology practices | Keloid, wart, keratosis, lipoma removal |
| IV therapy centers | IV vitamin therapy, wellness drips |
| Civil surgeon practices in Miami | USCIS medical exams (immigration) |
| avanaplasticsurgery.com | Shared brand, some service overlap |
"Immigration medical exam" and "uscis medical exam near me" appears near position 11. This is a unique service with strong local demand and less competition than cosmetic services.
Pages ranking 17–51 for high-intent terms like 'iv therapy miami', 'lip augmentation miami', and 'botox miami' indicate strong competition from dedicated medspa and dermatology sites with more content depth and authority.
Local Keyword Performance vs Competition
| Local Keyword | Clicks | Impressions | Position | Opportunity |
|---|---|---|---|---|
| keloid removal near me | 1 | 196 | 10.54 | 🟠 Near page 1 — local intent |
| immigration doctor near me | 1 | 31 | 9.06 | 🟠 Near page 1 — low competition |
| examen médico inmigración cerca de mi | 2 | 146 | 15.09 | 🟠 Spanish local intent |
| dr golio miami | 2 | 199 | 6.78 | 🟢 Good — doctor local search |
| botox miami price | 1 | 212 | 9.85 | 🟠 Near page 1 — high value |
6
Content — Avana Wellness Plus
On-page analysis · E-E-A-T · Content gaps
Content & Authority Critical
61 pages · no blog · E-E-A-T gaps · no schema · keloid 7,793 impr · 0.32% CTR · IV therapy 4,916 impr · 0.14% CTR · lip augmentation 4,470 impr · 0.09% CTR · goal: 200+ pages in 6 months
✓ Good
Spanish pages outperform English 5:1 — bilingual expansion validated; doctor bio pages exist; 200+ pages achievable in 6 months.⚠ Needs Work
61 pages can't build authority in any category; missing credentials suppress YMYL rankings; all high-impression pages have near-zero CTR — audit and rewrite all before expanding.Most pages have very high impressions but extremely low CTR — Google is finding the pages but users are not clicking. Points to weak title tags, poor meta descriptions, and thin content not matching search intent.
Content Priority by Page
| Page | Impressions | CTR | Content Priority |
|---|---|---|---|
| /keloid-removal-miami | 7,793 | 0.32% | 🔴 Full rewrite — highest impression page |
| /espanol/aumento-labios-en-miami | 7,408 | 0.63% | 🔴 Expand — strong Spanish demand |
| /iv-therapy-miami | 4,916 | 0.14% | 🔴 Complete rewrite — nearly invisible |
| /wart-removal-miami | 4,353 | 0.23% | 🔴 Expand — very low CTR |
| /lip-augmentation-miami | 4,470 | 0.09% | 🔴 Rewrite — lowest CTR on site |
| /immigration-medical-exam-miami | 3,064 | 0.95% | 🟠 Optimize — good intent signal |
| /espanol/eliminacion-verruga-en-miami | 4,290 | 1.26% | 🟠 Improve — top Spanish performer |
| /botox-miami | 2,793 | 0.32% | 🔴 Rewrite — high value, near invisible |
Content Gap — Missing Service Pages
- Botox miami cost / botox miami price — high intent cost queries with no dedicated pricing page
- Under eye filler cost — 76 impressions, ranking position 40
- Lipoma removal miami — 62 impressions, only 1 click
- Immigration doctor near me — local intent, 31 impressions
- IV vitamin therapy — multiple Spanish queries showing demand
- Dermatologist services — wart, keratosis, sebaceous cyst removal all have separate demand
Target: grow from ~61 pages to 150+ pages covering all services, FAQs, blog posts, Spanish versions, and location-specific pages.
E-E-A-T Signals (Critical for Medical / Wellness Site)
- Dr. Dominick Golio page exists — confirm board certifications, specialties, and credentials clearly listed
- Dr. Silvia Bentancor page exists — same review needed
- Immigration medical exam pages must clearly show USCIS authorization and civil surgeon designation
- Medical disclaimers on all procedure pages — confirm
- Patient testimonials / reviews integrated — confirm
Medical sites are held to the highest E-E-A-T (Experience, Expertise, Authoritativenes, Trustworthiness) standards. All doctor pages must clearly show board certifications, training, and before/after work.
Spanish Content Strategy
Spanish pages consistently outperform English equivalents in clicks and engagement. A Spanish-first content strategy for key services could rapidly increase overall organic traffic.
| Spanish Page | Clicks | English Equivalent | English Clicks |
|---|---|---|---|
| /espanol/eliminacion-verruga-en-miami | 54 | /wart-removal-miami | 10 |
| /espanol/aumento-labios-en-miami | 47 | /lip-augmentation-miami | 4 |
| /espanol/terapia-intravenosa-miami | 34 | /iv-therapy-miami | 7 |
7
Keywords — Avana Wellness Plus
GSC Queries export · Semrush & Authority Labs pending setup
Keyword Overview Critical
~200 GSC queries · 72K impressions · 0.8% CTR · no Authority Labs · no Semrush · 95%+ branded traffic · keloid/immigration near page 1 · target mix: 40% informational · 40% local transactional · 20% branded
✓ Good
GSC covers top 50 priorities now; keloid and immigration already show transactional intent; top 3 actions (renew Semrush, add Authority Labs, identify targets) all start this week.⚠ Needs Work
No tracking tool active; difficulty/competitor rankings unknown; no keyword strategy exists; 95% branded = no service category discovery at all.Semrush and Authority Labs are NOT configured for avanawellnessplus.com. All keyword data is based solely on GSC export.
Keyword Setup Required — Authority Labs Recommendations
- keloid removal miami / keloid removal cost
- botox miami / botox miami cost / botox miami price
- lip filler miami / lip augmentation miami
- iv therapy miami / iv vitamin therapy miami
- immigration medical exam miami / civil surgeon miami
- wart removal miami / wart removal near me
- avana wellness plus / avana wellness / dr golio miami
All GSC Keywords with Significant Impressions
| Keyword | Clicks | Impressions | CTR | Avg Pos |
|---|---|---|---|---|
| iv therapy miami | 1 | 4,916 | 0.14% | 32.71 |
| lip augmentation miami | 1 | 4,470 | 0.09% | 41.87 |
| espanol/eliminacion-verruga (page) | 54 | 4,290 | 1.26% | 6.70 |
| wart removal miami | 10 | 4,353 | 0.23% | 17.18 |
| espanol/aumento-labios (page) | 47 | 7,408 | 0.63% | 8.55 |
| keloid removal miami | 1 | 157 | 0.64% | 13.46 |
| keloid removal cost | 4 | 350 | 1.14% | 10.34 |
| botox miami | 9 | 2,793 | 0.32% | 26.83 |
| lip filler miami | 1 | 267 | 0.37% | 51.97 |
| botox miami price | 1 | 212 | 0.47% | 9.85 |
| keloid removal near me | 1 | 196 | 0.51% | 10.54 |
8
Recommendations — Avana Wellness Plus
Prioritized action plan · High / Medium / Low
Action Plan Prioritized
HIGH (do now): GA4 key events · Semrush renewal · Authority Labs setup · rewrite all 61 metas | MED (30 days): fix 8 broken pages · MedicalBusiness/LocalBusiness schema · GBP optimization | LONG (6 months): grow to 200+ pages · bilingual content · practitioner credentials
✓ Impact
GA4 setup = measurable ROI immediately; meta rewrite = 3–5× clicks from 72K existing impressions; Semrush renewal unblocks all strategy in one action.⚠ Risk if Delayed
0 key events = SEO value completely invisible; 0.8% CTR loses 99% of impressions every week; thin YMYL content without credentials cannot rank no matter how much traffic grows.| Area | Finding / Issue | Priority | Recommendation |
|---|---|---|---|
| Analytics | Zero Key Events / conversions configured in GA4 | High | Set up GA4 Key Events: contact_form_submitted, phone_call_click, appointment_request, direction_click. Cannot measure SEO success without this. |
| Technical | 8 of 61 pages (13%) returning 404 errors | High | Audit all 404 pages. Redirect to relevant live pages or restore. Every page matters on a 61-page site. |
| Technical | Semrush Site Audit not available — plan renewal needed | High | Renew Semrush and run full site audit for avanawellnessplus.com as first priority after payment. |
| Technical | CWV data unavailable — traffic too low | Medium | Run PageSpeed Insights on top 5 pages. Fix any LCP or CLS issues found. |
| Content | Only ~61 pages — critically underdeveloped | High | Content expansion is the #1 long-term priority. Target: 150+ pages — all services, FAQs, blog, Spanish versions, and location pages. |
| Content | IV therapy miami: 4,916 impressions, 0.14% CTR, position 32 | High | Complete page rewrite — expand to 1,000+ words, add pricing, benefits, FAQ schema, and strong title tag. |
| Content | Lip augmentation miami: 4,470 impressions, 0.09% CTR, position 41 | High | Full page rewrite — nearly invisible for highest-value aesthetic keyword. |
| Content | Botox miami: 2,793 impressions, 0.32% CTR, position 26 | High | Rewrite with comprehensive content — pricing, before/after, FAQ, doctor credentials. |
| Keywords | 95%+ of traffic is branded — zero non-branded visibility | High | Build non-branded keyword strategy: keloid removal, botox, IV therapy, lip filler, immigration exam. |
| Keywords | Keloid removal queries hovering at position 9–11 | Medium | Focus optimization on keloid removal page — quickest path to page 1 rankings. |
| Local SEO | Immigration medical exam — near page 1 for local queries | Medium | Strengthen local signals: GBP posts, USCIS directory listing, patient reviews, location-specific content. |
| Local SEO | GBP status unconfirmed | High | Verify GBP is claimed, verified, and fully optimized. Add photos, posts, Q&A for all services. |
| E-E-A-T | Doctor profile pages exist but need credential strengthening | High | Add board certifications, education, years of experience, and specialties to Dr. Golio and Dr. Bentancor pages. |
| Schema | No structured data detected in GSC Enhancements | Medium | Implement: LocalBusiness, MedicalBusiness, Person (doctors), FAQPage, Service schema across all key pages. |
| Tracking | Authority Labs not configured for Wellness Plus | Medium | Add avanawellnessplus.com to Authority Labs. Track top 20 target keywords from day one. |
| Spanish | Spanish pages consistently outperform English equivalents | Medium | Expand Spanish content section. Add hreflang tags. Consider Spanish-first strategy for key services. |
1645 SW 107th Ave Suite 114F, Miami, FL 33165
5.0 stars -> 11 reviews