The Contraindication

Elly Makinson

In medical aesthetics, it’s easy to feel like you’re guessing - what actually works, what’s changing, and what no one’s saying out loud. The Contraindication brings you the conversations most people keep behind closed doors. Real insight into the business, marketing, and culture of the UK aesthetics industry - without the fluff, and without the filter. Whether you’re trying to grow, stand out, or simply keep up, this is where you get clarity.

Episodes

  1. 3D AGO

    Google Just Dropped Something HUGE: What It Means for Your Clinic

    Google just dropped something HUGE and I believe it’s going to change how aesthetic clinics show up online for years to come. In this episode of The Contraindication, I break down Google’s new official guidance on AI search and what it really means for visibility, trust, and patient acquisition in aesthetics. What You’ll Discover - The Scale of the Shift: AI Overviews now appear in up to 48% of searches, with massive drops in traditional click-through rates but much higher quality traffic for the sites that do get clicked. - What Google Actually Wants Now: The move from generic educational content to original, expert-led, non-commodity content rooted in real clinical experience and judgment. - Practical Steps You Can Take Immediately: How to audit your content, write from clinical perspective, use before/afters differently, and strengthen reviews and your Google profile in the AI era. This update isn’t about chasing more tricks - it’s a return to substance. Google is explicitly rewarding clinics that demonstrate genuine expertise, specific observations, and real-world clinical thinking. For experienced practitioners who’ve been treating patients for years, this is a massive opportunity. The polished but generic era is ending. The clinics that win will be the ones willing to share their actual judgment and point of view. Learn more at theaestheticsmarketer.co.uk and on Instagram. The Contraindication is produced by Urban Podcasts.

    34 min
  2. MAY 10

    Marketing Monday: When Did You Last Check Your Google Profile?

    This week I’m staying with Google because your reviews only work properly when the rest of your profile is pulling its weight. In this Marketing Monday episode of The Contraindication, I talk about why so many beautiful, premium aesthetic clinics are quietly losing patients at the final decision point - their Google Business Profile. I walk through the common signs of neglect and exactly what to refresh in 15–30 minutes to rebuild trust and improve conversions. What You’ll Discover - Why Your Google Profile Is the Make-or-Break Moment: Patients may find you on Instagram or through a recommendation, but they Google you before they book and they’re looking for reassurance, not inspiration. - The Most Common Trust-Killers I See: Outdated photos, vague descriptions, missing services, no review responses, and photos that don’t match your premium positioning. - The Quick Refresh That Makes a Real Difference: Check your basics, update your description, refresh photos, list key services clearly, respond to reviews, and add a recent post. In aesthetics, where trust and safety matter so much, your profile isn’t just a listing - it’s the final checkpoint before someone hands you their face. Your simple action this week: Spend 15–30 minutes checking and refreshing your Google Business Profile. Treat it like the important first impression it is. Learn more at theaestheticsmarketer.co.uk and on Instagram. The Contraindication is produced by Urban Podcasts.

    8 min
  3. MAY 3

    Marketing Mondays 4: Dealing With Bad Reviews

    I know this is something every clinic worries about because it feels personal when it happens. In this episode, I talk about bad reviews and how easy it is to let them knock your confidence or trigger an emotional response. But here’s the shift I want you to hold onto. It’s not the review itself that matters most, it’s how you respond to it. And when you get that right, you can actually build more trust, not lose it. What You’ll Discover - Bad Reviews Don’t Break Trust: A small number of negative reviews can actually make your business feel more real and credible. - The 3-Step Response Framework: Acknowledge, reassure, and take it offline to handle reviews with professionalism and control. - What Not to Do Publicly: Avoid arguing, over-explaining, dismissing, or ignoring, as these damage trust far more than the review itself. What really matters here is how your response is perceived by the people who are watching, not just the person who left the review. Future patients aren’t looking for perfection, they’re looking for professionalism. When they see a calm, measured, and thoughtful reply, it signals maturity, accountability, and care. And that builds far more confidence than a perfect five-star rating ever could. This episode is a simple but powerful reminder to prepare before you need to react. Having a clear response template ready means you can handle these moments with clarity instead of emotion. And that one small shift can change how your entire brand is perceived. If this helps you feel a bit more in control the next time a difficult review comes in, share it with someone who might need it too. Thanks for listening, and I’ll see you next Monday. Learn more at theaestheticsmarketer.co.uk and on Instagram. The Contraindication is produced by Urban Podcasts.

    5 min

About

In medical aesthetics, it’s easy to feel like you’re guessing - what actually works, what’s changing, and what no one’s saying out loud. The Contraindication brings you the conversations most people keep behind closed doors. Real insight into the business, marketing, and culture of the UK aesthetics industry - without the fluff, and without the filter. Whether you’re trying to grow, stand out, or simply keep up, this is where you get clarity.