Cosmetic surgery has zero citations across all three cities. All three audited practices have genuinely exceptional credentials. None of this translates to AI citations because the credentials are not in MedicalOrganization structured schema. RealSelf directory absence and procedure-specific page absence are additional consistent gaps.
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Zero citations despite Harvard training, double board certification, and ASPS membership
Atlanta has a Harvard-trained surgeon with multiple board certifications. Chicago has double board certification and ASPS membership. Neither is cited by any AI engine. Real-world credentials do not produce AI citations unless structured in a format AI engines can verify and index.
MedicalOrg
MedicalOrganization schema with surgeon NPI is the primary missing signal
The cosmetic surgery-specific structured data AI engines look for is MedicalOrganization schema with: board certification numbers, surgeon NPI numbers, fellowship training, and ASPS/ASAPS membership. None of the three audited practices have this schema deployed. Without it, AI engines see a generic business website — not a verifiable board-certified surgical practice.
RealSelf
RealSelf is a key citation source for cosmetic surgery AI recommendations
RealSelf is the primary procedure-specific directory for cosmetic surgery that AI engines index — the equivalent of Healthgrades for chiropractic or SAMHSA for addiction treatment. None of the three audited practices have active, complete RealSelf profiles.
Procedure pages
Generic "services" pages prevent AI extraction — procedure-specific pages are required
AI engines cannot extract credibility signals from a single page listing 20+ procedures. Procedure-specific pages (rhinoplasty, breast augmentation, liposuction) allow AI engines to match specific queries to specific expertise. Generic services pages are a consistent AI extractability failure across all three city audits.