An Open Letter to Cosmetic Surgeons
We Want to Build Your Entire Patient Acquisition System — And We Won't Charge You a Dime
Dear Doctor,
If you're reading this, one of two things is true: either your marketing is underperforming and you know it, or your marketing is "fine" but you suspect there's a level of growth you haven't been able to unlock.
Either way, I want to be direct with you. I'm not going to waste your time with vague promises or marketing jargon. I'm going to tell you exactly what we do, exactly how it works, and exactly why we're willing to do it for free.
My name is Brenton Garen. I'm the founder of The Garen Group, a digital marketing company that works exclusively with medical and aesthetic practices. We've helped over 300 practices nationwide grow their patient volume, and in 2025, we were ranked #295 on the Inc. 5000 list of the fastest-growing private companies in America.
I'm writing to you because we're launching something new — and I think it could fundamentally change the way you think about marketing your practice.
Takes less than 2 minutes. No obligation.
The Problem No One Talks About
Here's what I've learned after working with hundreds of practices: the problem isn't that you don't have leads. The problem is that your marketing is a collection of disconnected parts pretending to be a system.
You've got a Google campaign running. Maybe some Facebook ads. A website that looks professional but doesn't convert. A front desk team that's drowning in unqualified calls. And a follow-up process that consists of... hoping the patient calls back.
Meanwhile, your competitor down the road — the one who isn't a better surgeon than you — is booking more consultations, closing more cases, and growing faster. Not because his ads are prettier. Because he has a system.
A lead clicks your ad at 11 PM on a Sunday. There's no one to answer. By Monday morning, she's already booked with someone else.
Another lead fills out a form but isn't ready yet. Without a nurture system, they're gone in two weeks.
A third lead books a consultation but no-shows because no one confirmed or collected a deposit.
These aren't marketing failures. They're systems failures. And they're costing you hundreds of thousands of dollars a year in lost revenue.
"More leads doesn't mean more revenue. Better patients do."
Our Proposal: 90 Days. $0 Agency Fee. Full System Deployed.
We're inviting a small number of established cosmetic surgery practices to participate in our 90-Day Founding Partner Program.
The terms are simple: we will build and deploy our entire six-component revenue system in your practice for 90 days, and you will pay us $0 in agency fees.
We cover the cost of our account managers, our advertising team, and our software. We deploy the omnipresent ad campaigns, the 24/7 booking system, the lead qualification filters, the automated nurture sequences, and even a US-based appointment setting team to collect deposits on your behalf.
We will even send a professional photo and video crew to your practice to create a library of authentic content — provider portraits, patient testimonials, procedure explainers, facility tours — that builds the trust stock photos never can. You own all of it.
Your only investment is your ad spend. We cover everything else.
What We Build for You
Omnipresent Ad Campaigns
Total market coverage across Google Search, Local Service Ads, Facebook, Instagram, and programmatic networks — including geofencing your competitors' offices and luxury locations in your market. When a potential patient is online, they see you. Everywhere.
Custom Photo & Video Production
We schedule and pay for a professional 4-hour shoot at your practice. Provider portraits, patient testimonials, procedure explainers, facility tours, social media shorts, before/after B-roll, consultation scenes, and brand lifestyle content. Full rights included. You own every frame.
Qualifier Opt-In System
Every landing page includes an intelligent screening system that filters leads by motivation, medical history, financial readiness, and intent level. Your team only speaks with patients who are serious, qualified, and ready to proceed. The tire-kickers never reach your front desk.
24/7 Online Booking System
Patients can book themselves into your calendar at their moment of peak intent — 11 PM on a Sunday, 6 AM before work, whenever the decision clicks. No phone tag. No missed opportunities. No friction.
Automated Email & SMS Nurture
Five behavior-triggered sequences handle the heavy lifting: initial lead nurture, pre-consultation engagement, post-consult hesitation follow-up, no-show recovery, and feedback/objection discovery. Every lead is worked. Nothing falls through the cracks.
US-Based Appointment Setting Team
Real people — based in Dallas, Texas — who call your leads, confirm interest, collect consultation deposits on your behalf, and book directly into your calendar. This single component virtually eliminates no-shows and dramatically increases your close rate.
Takes less than 2 minutes. No obligation.
"Why Would You Do This for Free?"
It's the first question every surgeon asks. And it's the right question.
The honest answer: because our business model only works when our clients get results. We've engineered a system so reliable at generating high-value patients that we've eliminated the risk for new partners.
After 90 days of seeing your calendar fill with qualified, committed patients — after watching the deposits come in, the no-shows disappear, and the revenue compound — you'll see the undeniable ROI and choose to continue at a preferred Founding Partner rate.
If we don't deliver? You walk away with the professional photos, the videos, the landing pages, and all the strategic insights. No hard feelings. No strings attached.
We're not asking you to trust us. We're asking you to let us prove it — with our own capital on the line.
"The burden of proof should be on the marketing partner, not the surgeon."
What We Ask in Return
If — and only if — the results justify it, we ask for three things:
A video testimonial and case study recorded at your practice
Permission to share real metrics with future prospective clients
Two brief reference calls from future prospective clients
That's it. No hidden contracts. No surprise fees. No 12-month lock-ins. If we earn your business, you continue at a preferred Founding Partner rate with a simple 45-day cancellation notice. If we don't, you keep everything we built and we part ways.
Who This Is For (And Who It Isn't)
I want to be transparent: this program isn't for everyone. We're investing significant capital into each partner, so we need to be selective.
This is for you if:
You're an established cosmetic surgery practice doing 10+ procedures per month
You're committed to aggressive growth, not just maintaining current volume
You're the owner, partner, or decision-maker — not someone who needs to "check with the doctor"
You're prepared to invest in ad spend to fuel the system we build
You're tired of agencies that promise the world and deliver a spreadsheet
This is NOT for you if:
You're a startup practice still building your patient base from scratch
You're looking for a cheap marketing experiment with minimal commitment
You want to "test the waters" without investing in ad spend
Takes less than 2 minutes. No obligation.
Who We Are
The Garen Group is a family-run digital marketing company. I founded it in 2018 after moving to the U.S. from Australia. My father Frank joined as head of sales in 2021. My brothers Liam and Mitch, and my brother-in-law Mike Dean, now run our account management team.
We're a five-person company that runs on trust, loyalty, and relentless drive. Every family member is essentially a partner — which means they think like owners, care like owners, and hustle like owners. When you work with us, you're not dealing with a faceless agency or a virtual assistant in another country. You're working directly with a family member who is invested in your success like it's their own.
We've grown from $0 to $3.7 million in annual revenue. We've been recognized by Inc. Magazine as one of the fastest-growing companies in the country. And we've done it by doing one thing differently than every other agency: we prove our value before we ask for a dollar.

The Next Step
If what you've read resonates — if you're tired of unpredictable marketing, if you're ready for a system that compounds, and if you want to see what a real partnership looks like — the next step is simple.
Click the button below and answer a few short questions. It takes less than two minutes. These questions help us determine if your practice is the right fit for the program at this time.
If you qualify, a member of our team will reach out within 24 hours to schedule a brief discovery call. No pressure. No hard sell. Just a conversation about your practice, your goals, and whether this partnership makes sense for both of us.
Spots are limited. We can only onboard a handful of new Founding Partners at a time because each one requires significant upfront investment from our team.
Limited availability. $0 agency fee. Results first.
To your growth,
Brenton Garen
Founder, The Garen Group
Inc. 5000 #295 | 300+ Practices Nationwide
P.S. — If you're skeptical, good. You should be. Every agency you've ever worked with has promised you the world. The difference is, we're not asking you to pay us to find out if we can deliver. We're putting our own money where our mouth is. 90 days. $0 agency fee. If we can't prove our value with our own capital on the line, we don't deserve your business. It's that simple.