Evidence ledger · updated 2026-07-10

MedSpa marketing case studies, with the empty spaces left visible.

VitalSignal is new. It has original MedSpa field research and a documented operating system. It does not yet have a completed paid-client case study, so this page does not pretend that it does.

No paid-client case study is complete. No client result is claimed.

Evidence available now.

Field study · July 2026

24 selected MedSpas across 12 US metros

The dated cohort examined a narrow question: can strong public review signals coexist with local result positions outside the top three? All 24 selected examples appeared at positions 5 to 10. Median displayed rating was 5.0 and median review count was 169.

The cohort was deliberately selected to study a gap. It is not a random sample, prevalence estimate, causal study, or client engagement.

Method, metro ranges, and limitations
Client studies · current status

No result will be published early

A new payment is not a case study. Neither is a screenshot, a ranking fluctuation, or a good week. Paid-client studies will appear only after the stated scope has had a defined measurement window and the client has reviewed the factual record.

Required case-study record

Every published result must carry the denominator.

Baseline and intervention

  • Baseline date, market, services, and starting visibility
  • Exact monthly scope and what actually shipped
  • Elapsed time and channel spend
  • Material site, tracking, offer, or staffing changes

Outcomes and limits

  • Traffic and local visibility with source and date
  • Inquiries, booked consults, attendance, and paid clients where tracking allows
  • What could not be measured or attributed
  • No treatment or patient-health outcome data

What the ledger will not do.

01 · No invented proof

No composite client presented as real

Examples, demos, public cohorts, and paid-client results stay labeled as different evidence types.

02 · No missing spend

No percentage headline without inputs

A result needs the timeframe, baseline, spend, scope, and relevant operating changes. Otherwise it is not decision-grade evidence.

03 · No guarantees

One practice is not every practice

Market, offer, site history, reviews, staff follow-up, access, and competition differ. A case study documents what happened; it does not guarantee the next clinic's ranking or revenue.

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