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LOCAL SEO22 October 2026

Aesthetic Clinic Negative Reviews: How to Reply and Keep Patients

Aesthetic Clinic Negative Reviews: How to Reply and Keep Patients

The first one-star review I got at CoLaz arrived on a Sunday night. I read it on my phone, felt my face go hot, and typed a reply that would have done us real damage. Luckily I saved it as a draft and went to bed.

By Monday morning I could see the review for what it was: one unhappy patient, one bad afternoon, and a public test of how we behave when something goes wrong. Every future patient reading our profile was going to watch how we handled it.

Most clinic owners I speak to have a version of that Sunday night. Some reply angrily. Some never reply at all and hope it sinks. Both cost bookings.

Why one bad review matters more than you think

Somebody choosing a clinic for lip filler or anti-wrinkle treatment is nervous. They’re trusting a stranger with their face. So they read reviews more carefully than they would for a restaurant, and they go looking for the bad ones on purpose.

What they find there decides a lot. A one-star review with no reply looks like a clinic that doesn’t care. A one-star review with a defensive reply looks like a clinic that argues with patients. Either way, that reader quietly books with the clinic down the road and you never know they existed.

A calm, kind reply does the opposite. It shows the reader exactly what will happen if their own treatment isn’t perfect. In my experience that reassures people more than a profile with nothing but five stars, which can look too good to be true.

An ink stopwatch with a brand-green segment near the top beside a folded reply card

How to handle a negative review, step by step

This is the process we used across nine clinics. It isn’t complicated. The hard part is sticking to it when you’re annoyed.

1. Wait a few hours, but not a few weeks

Never reply in the first flush of feeling. Read it, step away, come back. But don’t leave it for a fortnight either. A reply within a day or two tells readers somebody is paying attention.

If you can, find out what actually happened before you write anything. Check the diary, speak to the practitioner or the front desk. Sometimes the complaint is fair. Sometimes it’s a misunderstanding about price or aftercare that one phone call would sort out.

2. Never confirm they were a patient

This is the one most clinic owners get wrong, and in our sector it matters. As a healthcare provider, whether somebody has had treatment with you is confidential. Your practitioners have professional duties of confidentiality, and UK data protection law applies too.

So a reply like “We’re sorry you weren’t happy with your tear trough filler on the 3rd” is a problem, even if the patient named the treatment themselves. You’ve confirmed their visit and their treatment in public. Keep every reply general. Talk about your standards and your process, not about them.

3. Use a short, calm shape

You don’t need a long reply. You need the right one. This shape works for almost every complaint:

  • Thank them for taking the time to leave feedback.
  • Acknowledge the feeling without admitting fault or arguing. “We’re sorry to hear this wasn’t the experience you expected.”
  • State your standard in one line. “We want everyone who contacts us to feel looked after.”
  • Move it offline. “Please call us on [number] and ask for [name] so we can talk this through properly.”

Four sentences. Signed with a real first name, not “The Management”. Then stop. No essays, no defending the practitioner’s training, no listing what the patient got wrong.

4. Fix the real problem behind it

Read your negative reviews as a group every few months. You’ll often find the same complaint in different words. In our early days, several bad reviews were really about the phone not being answered, or a call back that never came. Nothing to do with the treatment at all.

Those are the easiest reviews to stop at the source. If people are complaining about being ignored, the fix is making sure every call and enquiry gets a reply quickly, not writing better apologies.

5. Know when Google will take a review down

You can’t remove a review because you don’t like it. Google will only take reviews down that break its own rules. The main ones that come up for clinics:

  • Fake reviews from people who were never in contact with you
  • Reviews from a competitor or a former employee with an axe to grind
  • Abuse, hate speech or personal threats against named staff
  • Reviews that are clearly about a different business

For those, flag the review from your Google Business Profile and use Google’s review management tool to follow it up. Be patient, keep a record, and don’t hold your breath. Genuine bad experiences stay up, however unfair they feel. The answer to those is a good reply and plenty of fresh positive reviews around them.

6. Bury it the honest way

One bad review among twelve is a disaster. One bad review among three hundred is barely noticed. The only clean way to dilute a negative review is to collect many more genuine positive ones, steadily, from real patients.

That means asking every patient, every time, with a short message and a direct link. It does not mean buying reviews, writing them yourself, or only asking the patients you think will be pleased while quietly skipping the rest. Fake reviews are now illegal under UK consumer law, and the Competition and Markets Authority has made clear it’s watching. Offering a discount in exchange for a five-star rating is off the table too.

What not to write

Over the years I’ve seen clinic owners write replies that did more damage than the review itself. The repeat offenders:

  • “This person was never a patient here.” Even if you believe it, it reads as calling them a liar. Flag it with Google instead.
  • “Our practitioner has fifteen years of experience.” Nobody reading cares. It sounds like you’re pulling rank.
  • “As we explained at your appointment…” You’ve just confirmed the visit and started an argument in one line.
  • Copy and paste replies. The same sentence under every review tells readers nobody is really reading.
  • Silence. Leaving a bad review unanswered is a reply too. It says you didn’t notice or didn’t care.
A tall stack of star-rated speech bubbles, a green five-star card on top and one low card slipping out

What to do this week

In order of priority:

  1. Reply to any negative review on your profile that’s still unanswered. Use the four-sentence shape. No treatment details, no names of patients, a real first name at the end.
  2. Write your own template with the clinic’s phone number and the name of the person who handles complaints, so nobody has to improvise on a Sunday night.
  3. Look for the pattern. Read your last ten negative reviews together. If missed calls or slow replies keep coming up, that’s the thing to fix first.
  4. Start asking every patient for a review. A short text after each appointment with a link. That’s what turns one bad review into a footnote.

A bad review feels personal, and sometimes it is. But handled well, it’s one of the few places where a future patient gets to see exactly how you treat people when things go wrong. That’s worth getting right.


Surinder Ahitan grew CoLaz from one aesthetic clinic to nine across the UK between 2016 and 2022, and still runs its website today.

A lot of the reviews I see are really about calls nobody answered or enquiries nobody followed up. I build and run websites for UK aesthetic clinics for £297 a month, with missed-call text-back, a review request after every visit and follow-up for every enquiry included, no build fee and no minimum term. If that sounds useful, book a 30-minute call and I’ll tell you straight whether it fits your clinic.