Citably.

Notebook ·  Ed. 06  ·  October 8, 2026

We measured every med spa in East Cobb.
Half are invisible to AI search.

There are 20 med spas with a street address in the East Cobb zips. On 8 October 2026 we ran four local queries a prospective patient would actually type and checked which of the 20 came back. Ten were surfaced by none of the four. The surprise was what did notexplain it: the robots.txt setting every “optimize for AI” checklist starts with was already handled across the entire market.

Finding 01

10 / 20

med spas were surfaced by none of the four local AI queries.

How many East Cobb med spas does AI search actually name?

About half. We ran four fixed local queries (“best med spa East Cobb GA”, “med spa near Marietta GA”, “botox East Cobb Marietta GA”, and “medical spa 30068”) through a web-answer surface and checked whether each business’s own domain came back in the sources. Ten of the 20 med spas were surfaced by none of the four. One, Atlanta MediSpa, came back on three. Not a single business came back on all four.

0 queries101 query42 queries53 queries14 queries0EAST COBB MED SPAS SURFACED, BY NUMBER OF QUERIES · N=20 · 8 OCT 2026
The tallest bar is zero. Half the market is not in the answer for any of the four local queries a prospective patient would actually type.

This is one surface on one day, so read the zeros as a floor, not a verdict. A business can be cited on a query we did not run, or on a day the index looked different. But a floor of half the market missing on the obvious queries is already the finding. The next two sections are about why, and the first candidate everyone reaches for turns out to be a dead end.

Finding 02

20 / 20

already allow the crawlers that fetch pages to cite them.

Is blocking the AI crawlers why these med spas are invisible?

No. Every one of the 20 already allows the crawlers that actually fetch pages to cite in answers. The “add the AI bots to your robots.txt” advice is aimed at the wrong bots. GPTBot and ClaudeBot are training crawlers. OpenAI’s own docs say GPTBot crawls “content that may be used in training,” while the bot that surfaces you in ChatGPT search is a different one, OAI-SearchBot. Blocking the training crawler does not remove you from the answer.

The same holds on Google’s side. Google’s crawler documentation states plainly that Google-Extended does not affect inclusion or ranking in Search, AI Overviews included. That runs on Googlebot. So the robots.txt checklist everyone starts with was already complete across the entire market, and it explains none of the invisibility in Finding 01.

Exactly one business in the index, DESSNA, blocks anything at all, and it blocks the right things. Its robots.txt disallows the training and bulk-scraper crawlers (GPTBot, ClaudeBot, CCBot, Bytespider) while explicitly allowing every answer-time citation bot: OAI-SearchBot, ChatGPT-User, Claude-User, PerplexityBot, Google-Extended, Googlebot. That is the most deliberate configuration in the set, not a mistake. Robots.txt is not the lever here. It is already pulled. It was not the lever for Georgia’s Fortune 500 headquarters either: none of the 13 robots.txt answers we could read blocks an AI crawler.

Finding 03

0

citations for the med spa with the cleanest structured data in the set.

If robots.txt is not the gap, what separated the surfaced from the invisible?

Being where the engines look, not perfect markup. OMNI Medspa publishes about the cleanest structured data in the set, a DaySpa and Organization block that resolves to its East Cobb address, and it was surfaced by none of the four queries. Meanwhile the businesses that did come back shared something simpler: they were present in the directories the answer surface leaned on, Yelp, the med-spa directories, and the local chamber listing, and they were a close match for the exact query. Clean schema makes an engine able to state a fact about you. It is not what makes the engine pick you over the clinic next door.

There is a floor underneath that, though, and it is the cheap thing to get wrong. An engine can only put you in a “med spa near me” answer if it can resolve you to a place. dermani MEDSPA’s site, for instance, never prints a street address on the page we reached, so the location has to be inferred from third-party directories rather than stated by the business itself. That lines up with what we found counting citations before: being in the source list is downstream of being the passage an answer actually leans on, and of the engine knowing a concrete fact about you to lean on in the first place. It is the same gap we kept hitting when we audited ten Southeast B2B SaaS sites and half were invisible to ChatGPT.

“Across 20 East Cobb med spas measured 8 Oct 2026, all 20 allowed the crawlers that fetch pages to cite, yet 10 were surfaced by none of four local queries. The gap was not robots.txt. It was being where the engines look.”

The Index

All 20, ranked
and linked.

Ranked on one measured signal: how many of the four fixed local queries surfaced the business’s own domain on 8 October 2026. The most any med spa reached was three of four; ten reached zero. Every business is linked. A zero means “not surfaced by these four queries on this surface that day,” not “never cited,” so if yours is here at zero, read it as the floor it is and the gap it points to.

#Med spaZipCitesQueries
1Atlanta MediSpa & Surgery Center (East Cobb)atlantamedispa.com300683/4best, botox, 30068
2Aqua Medical Spaaquamedicalspa.com300672/4near, 30068
3dermani MEDSPA East Cobbdermanimedspa.com300682/4best, botox
4Misty Med Spa & Skin Rxmistymedspa.com300622/4best, near
5OVME East Cobbovme.com300682/4best, botox
6Pele Aestheticspeleaesthetics.com300682/4near, 30068
7DESSNA (Dermatology & Surgery Specialists of N. Atlanta)dessna.com300681/4botox
8Majspa Medspa & Aestheticsmajspa.io300621/4near
9SEV Laser / SEV SKIN East Cobbsevlaser.com300681/4best
10Skin 360 Medical Aestheticsskin360atl.com300681/4near
11Amada Med Spaamadamedspa.net300680/4none
12Amerejuve Medspaamerejuve.com300660/4none
13Dermatology Affiliates (East Cobb)dermatologyaffiliates.com300680/4none
14Goodman Dermatology (East Cobb)goodmandermatology.com300680/4none
15Nazra Aestheticsnazraaesthetics.com300620/4none
16New Journey Medical & Aestheticsnewjourneymedical.com300670/4none
17OMNI Medspatheomnispa.com300680/4none
18OPAL Aesthetics (East Cobb)opalatlanta.com300680/4none
19Pure Health & Wellnesspurehealthmedicine.org300620/4none
20Skinsationsskinsations.care300670/4none

Ties broken alphabetically. Queries: best = “best med spa East Cobb GA”, near = “med spa near Marietta GA”, botox = “botox East Cobb Marietta GA”, 30068 = “medical spa 30068.” Measured 8 Oct 2026.

What it means

The gap is
mostly plumbing.

If you run one of these med spas, what do you fix first?

Make yourself resolvable, then make something point at you. Put your real street address in plain text on the page and inside a LocalBusiness schema block so an engine can state where you are, and then claim and complete the directory and map listings the answer surfaces actually read, because those, not markup, were what the surfaced businesses had in common. None of this is a rewrite “for AI.” It is the same local-entity hygiene that has always decided “near me,” now read by a second kind of engine.

That is the measurement Citably runs as a service: we score your pages the way this index does, show you the specific missing facts, and hand back the shortest list that moves you. If you want the version applied to your own site rather than read about, the audit process and a sample report are both public, and the related AI Citation Index shows the same method at national scale.

Method

How we
measured this.

What exactly counted as an East Cobb med spa?

East Cobb is not a city. It is unincorporated Cobb County, the roughly 200,000 residents who hold a Marietta mailing address but live outside the city limits, across zips 30062, 30066, 30067, 30068, and the East Cobb part of 30075. A business is in scope only if its physical street address sits in one of those zips. We included clinics marketing medical-aesthetic or injectable services (Botox, fillers, laser, microneedling), which brings in a few cosmetic-dermatology practices (Goodman, Dermatology Affiliates, DESSNA) alongside the standalone med spas. For multi-office brands the row reflects the in-scope office and the brand’s shared website.

What was measured, and what was deliberately not.

Two things, both reproducible. For each business we ran the four fixed queries through a web-answer surface and counted whether its own domain appeared in that query’s returned sources; directory pages that surfaced (Yelp, med-spa directories, the chamber listing) were not counted as a business’s own citation. And we fetched each site’s /robots.txt, treating an AI crawler as blocked only when a matching user-agent group carried Disallow: /. The ranking is on citations alone, because that is the signal we could measure the same way for all 20.

The limits, plainly. This is one answer surface on one day, and the search engine pool behind it ran degraded during the session, so the census is a defensible floor of 20 confirmed med spas rather than a proven ceiling, and a zero citation count means “not surfaced by these four queries on this surface today,” not “never cited.” We deliberately did not publish a per-site structured-data score this edition: several of these sites render their schema with JavaScript, which a plain fetch cannot see, so scoring markup reliably needs a rendering crawl. That audit, plus directory and review signals, is what the next edition adds. Everything here is reproducible as published: the same four queries, the same robots check, run against the same 20 domains.

Is your med spa in the answer, or in the other half?

Free citability check.
24-hour turnaround.

We score your site the way this index does and hand back the specific missing facts keeping you out of local AI answers.

Filed by Jake Pereira · Founder, Citably · October 8, 2026 · Atlanta GA · ET

This is edition one of the East Cobb AI Visibility Index. The next edition adds a rendering-crawl schema audit and directory and review signals to the score, takes a second vertical, and re-runs the med spas on a healthy engine pool to see which of today’s zeros were the floor and which were real.