Opening day to a second location in five months
Dr. Inderpreet SangheraFounder & Medical Director, Lotus MDGranite Bay & Sacramento, CAPowered $52+ Million In Partner Revenue
More Appointments Without Hiring a Marketing Agency
We build acquisition systems that bring in new inquires and books them for you. Our systems are tailored to your business and our team manages it for you. It's like having your own in-house marketing department, without hiring one or paying a string of agencies.
Free, about 15 minutes. You leave knowing every lever in your business you can pull to grow revenue, before you spend a dollar on ads. The findings are yours either way.
5-Star RatedAward-Winning Team
Across every business on the system
$52M+
Tracked Partner Revenue
192K+
Appointments Booked
<30sec
Average Response Time
24/7
Every Inquiry Answered
In their own words
What changed for them
Dr. Inderpreet SangheraFounder & Medical Director, Lotus MDGranite Bay & Sacramento, CAMore new patients in two months than in the twelve before
Diana James, RNOwner, DNJ Medical AestheticsBrentwood, CA$800 in ads turned into $140,000 in jobs
Lilly TorresOwner, Outdoor Landscape InnovationsStockton, CA$184,000 in work in four months, with no ad spend
Jordan BlantonOwner, Jordan's Water SolutionsRichmond, VAThree problems. One team.
Every owner we talk to has the same three problems.
Here is what we install for each one, what you stop doing, and what you stop paying for.
Capture
Not enough new customers.
The work is good. The phone is too quiet. Not enough appointments are getting booked.
What we install
- A website built to rank and to book
- Found on Google, Maps and ChatGPT
- Ads that turn into booked appointments
What you stop doing
- Worrying about your marketing
- Paying multiple vendors with no results
Convert
Inquiries go cold with few bookings.
A 9pm text waits until morning. By then they booked elsewhere.
What we install
- Every call, text and DM answered
- Booked on your calendar with a deposit
- Follow-up until they book or say no
What you stop doing
- Chasing leads to get them to book
- Wasting money to get more appointments
What you stop paying for
- 24/7 AI sales agent
$700 - Custom booking software
$300 - SMS marketing
$250
Compound
You are wearing every hat.
Provider, receptionist, marketer. Nothing gets your full attention.
What we install
- Reviews asked for and answered for you
- Past customers brought back
- One dashboard with the real numbers
What you stop doing
- Juggling five vendors
- Checking six inboxes every night
What you stop paying for
- Marketing and sales tracking
$750 - Review software
$400 - Email marketing
$150
Receipts, not promises
Where they started, where they are now
Every one of these is a real client, and every number is tracked.
Aesthetics · Medspa
New practiceChatGPT's pick
ChatGPT Named One Medspa for XERF. A Patient Drove 2 Hours to Book It.
A woman in Reno asked ChatGPT who she should see for XERF. It named Dr. Sanghera at Lotus MD in Sacramento. She drove two hours to her consultation with her mind already made up.
- 2 hrs How far one patient drove after ChatGPT named Lotus MD
- #1 Google result for "xerf sacramento"
- First source Cited by Google's AI Overview for XERF in Sacramento
12:41Aesthetics · Medspa
$02 locations
Launching New Medspa From $0 to Second Location in 5 Months
A brand-new practice in Granite Bay opened with the whole patient acquisition system already running. Five months later: 172 prepaid bookings a month, a 94% show rate, and a second location.
- 172 Prepaid bookings per month
- 94% Show rate on booked consults
- 2 Locations inside five months
Aesthetics · Medspa
0% of the map64% top 10
Medspa Goes From Invisible on Google Maps to Top 10 Across Brentwood in 30 Days
On the first scan, DNJ Medical Aesthetics was not in the Map Pack at a single point in its service area. Thirty days later it ranked top 10 for laser hair removal across 64% of it, and September's appointments doubled August's.
- 64% Of the service area in the top 10 for laser hair removal, 30 days in
- 2x Appointments in a month, 51 to 104
- 2 mo Brought in more new patients than the 12 before
Aesthetics · Medspa
LaunchMaster Certified
New Medspa Earns XERF Master Certified 2026 From Cynosure Lutronic
Lotus MD opened with no patient base. Within its first year the company that makes XERF named Dr. Sanghera Master Certified and features the practice as a top provider.
- 2026 XERF Master Certified, awarded by Cynosure Lutronic
- Top provider Featured by Cynosure Lutronic
- 2 Locations in the practice's first year
4:34Aesthetics · Medspa
$0$60K month
New Medspa Sells $60K of XERF in One Month
Lotus MD opened with no patient base and no marketing. Under five months later it runs two locations, and in one month it sold more XERF than any other provider in Sacramento.
- $60K+ XERF sold in a single month
- #1 XERF provider in Sacramento
- 2 Locations in under five months
1:02Aesthetics · Medspa
$1,50070+ patients
MedSpa Lands 70 New Patients in Less Than 24 Days
211 leads and more than 70 booked patients in under 24 days, from roughly $1,500 in ads. The ads were not the interesting part.
- 211 Leads in under 24 days
- 70+ New patients booked
- $1.5K Ad spend behind it
Aesthetics · Medspa
Launch43+ patients
Booked 43+ New Patients in Less Than 30 Days of Launching a New System
A website was never the problem. Lotus MD needed marketing, automation and patient experience joined up — and booked 43+ patients within 30 days of switching it on.
- 43+ Patients booked in 30 days
- 1 Connected system, not four vendors
How It Works
One system. Three growth engines
Each engine feeds the next. A stranger searches, becomes a booked appointment, then becomes the review that brings in the next one.
ENGINE 01
Capture. Get found first
Become the obvious choice across Google, Maps, referrals, and AI search, so the right customers find you first.
What we usually find
- A freelancer controls your Google profile and won't hand it over.
- A site that looks fine but doesn't rank or book.
- Reports full of rankings while the phone stays quiet.
The result: more qualified people discover your business every week.
ENGINE 02
Convert. Book every inquiry
Every inquiry gets captured, qualified, and booked automatically, even the ones that come in at 9pm on a Friday.
What we usually find
- Nobody can say what percentage of last month's inquiries booked.
- A 9pm text waits until morning.
- “Let me think about it” never gets a follow-up.
- Free consultations keep producing no-shows.
The result: more appointments, fewer missed opportunities.
ENGINE 03
Compound. One customer becomes many
Every customer becomes long-term growth. Reviews get asked for, referrals get nudged, and the whole machine gets tuned every month.
What we usually find
- Reviews only come in when you remember to ask.
- Past customers never hear from you again.
- Nobody can say which dollar brought in a client.
The result: compounding growth, reviews, and reputation month after month.
Inside the system
What we run for you.
Not sold separately. One team runs all of it for you, and each part has a page if you want the detail.
- WebsiteA custom site built to rank on Google and book clients. We host it and keep it current, so you never have to think about it.
- Google MapsWe manage your Business Profile and keep it up to date. Nearby clients see you on the map when they search for your services.
- Search (SEO & AEO)Get found on Google, ChatGPT and other AI search engines. We build the pages they trust for the services you sell the most.
- Paid adsFacebook and Instagram ads, filmed with you on camera when you want more clients. We track every one to booked appointments.
- Relations AIA fully custom CRM that answers every call, text, DM and form in seconds. Every conversation lands in one list that you own.
- AI booking systemAva, your 24/7 AI sales agent, books appointments right on your calendar. A deposit holds each spot, so you get fewer no-shows.
- ReviewsEvery client is asked for a review after their visit, and we answer each one for you. New clients see them before they call.
- Follow-upLeads who did not book keep hearing from you until they book or say no. Past clients get brought back for their next visit.
Real client · real numbers
From invisible to unmissable in 4 months
Jordan’s Water Garden Solutions, a pond contractor in Richmond. Four months, no ad spend. This is his Google Business Profile audit at the start and at month four.
Read the case study
Local visibility audit
Baseline to Month 4
Revenue generated in the first 4 months
$184,000
In Google’s top 3
5.7× more often
Baseline13%
Month 474.56%
Rank on Google Maps
Up 21 spots
Baseline#23
Month 4#2.43
Google Maps scan
169 points
Baseline
22 of 169
points in the top 3
Average rank #23
Month 4
126 of 169
points in the top 3
Average rank #2.43
Top 3 at baseline Added by month 4
Recent work
Not just pretty websites, 24/7 booking machines.
Every one of these is live. Open them and look.
DNJ Medical AestheticsMedspa · Brentwood, CAOpen the live site
Lotus MDMedspa · Granite Bay & SacramentoOpen the live site
Beauty Lux MDMedspa · Granada Hills, CAOpen the live site
Benicia Medical AestheticsMedspa · Benicia, CAOpen the live site
Aesthetx HausMedspa · Walnut Creek, CAOpen the live site
Jordan's Water Garden SolutionsAquascaping · Richmond, VAOpen the live site
Epic IV Hydration & Med SpaMedspa · Anaheim Hills, CAOpen the live site
Radiance Wellness & AestheticsMedspa · Pleasanton, CAOpen the live site
Outdoor Landscape InnovationsLandscaping & hardscape · Stockton & SacramentoOpen the live siteSupport Day or Night. Always Ready to Help.
Real growth partners. Not vendors you have to chase for support
Sound familiar? You buy a service, you get a slick onboarding, and six weeks later you're chasing your account manager for a status update while the retainer keeps auto-charging. We've watched it happen to dozens of operators before they came to us. It's not how we work.
When you sign with Arcrel, you're signing for a partnership, and we treat it that way from day one.
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Monthly strategy sessions
Every month we go through what's working, what isn't, and what changes next. You see the numbers, we bring the diagnosis, and together we decide the next move.
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Ask at any hour. Get a real answer.
A new promotion to launch, a question about a lead, open spots to fill this week. Post it in your Slack channel and our team picks it up, day or night. Your ideas go live while they're still fresh, and you never chase anyone for an answer.
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A partner who's still there in year three
Our incentives are the same as yours. We win when you win, for as long as you keep growing. The strategy gets sharper, the trust compounds, and we stay in the trenches with you.
Never left on read
Real client channel · daily
Real client channel · daily
Questions
Fair questions, straight answers
How long does onboarding take?
Most systems are installed and connected within the first 14 to 21 days. Week one is discovery and an honest audit, then we build around your business while you keep running it. You don't pause anything to work with us.
Do I need to switch CRMs?
Not necessarily. We audit what you're using first. If your current setup works, we connect to it. If it's part of the leak, we'll show you exactly why and move you onto the platform with zero downtime and zero lost data.
Can this work with my existing staff?
Yes, and they'll feel it fast. The system catches the calls your team can't get to, handles after-hours inquiries, and books straight into your calendar. It also hands your team a prioritized call list each morning so nothing waits. Your people just show up to a fuller schedule.
How long before I see results?
The conversion side usually pays off first, often within the first 30 days, because answering and booking every lead is money you were already leaving on the table. Visibility compounds from there, month over month.
Do you guarantee rankings?
No, and you should be suspicious of anyone who does. Google doesn't sell guarantees, so neither do we. What we do guarantee is the work, clear reporting on what is and isn't working, and accountability to booked appointments and revenue rather than vanity metrics. Our case studies show how that plays out.
What industries do you work with?
Medspas and aesthetic practices first, then remodeling and home-service companies, and any local business that lives on a booked calendar: cryotherapy and wellness studios, dental practices, landscapers, roofers. If a booked appointment is worth real money to you, the system fits.
How involved do I need to be?
About an hour a month after launch. We need you most during week one, when we learn your business. After that, you review results on a monthly call and get back to running your company.
Do I still need my SEO agency, web designer or review software?
Usually not, and that is the point. The website, the search work, the Google profile, review requests, booking, follow-up and campaigns to your past customers all run inside one system that one team operates. Most clients cancel several subscriptions and let one or two vendors go in the first quarter. We map exactly what stays, what gets connected and what gets retired on the Growth Audit, before anything changes.
What do you not replace?
Your clinical or job-management system. For a medspa that means your EMR, charts and consent forms stay exactly where they are; we never touch them. We handle everything before the patient walks in and everything after they walk out. Your phone number, your staff and your Google profile ownership stay yours too.
Find Out What's Been Costing You Appointments
Free, about 15 minutes. You leave knowing every lever in your business you can pull to grow revenue, before you spend a dollar on ads. The findings are yours either way. No long-term contract. Your customer list, EMR, phone number and staff stay yours.
