Etna Interactive and Rosemont Media are two of the longest-running website and SEO firms that plastic surgeons shortlist.
Both build custom WordPress websites, both sell SEO with content and link building, and both run Google and social ads.
The differences are in how each is packaged: what they publish about price, what software they own, how the engagement is structured, and which kind of practice each one is built around.
This page lays those out side by side so you can pick the one that fits how your practice runs.
Etna Interactive vs Rosemont Media at a glance
Updated September 2026.
All facts are as of September 2026 and come only from each agency's own website.
| Agency | Founded / HQ | Focus | Website + SEO scope | Published price ranges | Own tools | Contract terms |
|---|---|---|---|---|---|---|
| Etna Interactive | 2002; fully remote, San Luis Obispo, CA | Plastic surgery first, plus facial plastics, med spa, dermatology, ophthalmology | WordPress sites on its own themes and plugins; SEO, AEO, content, links, ads, email, social, reputation, training | Retainer no; tools yes (Core $60/mo, Curator B&A $140/mo, Reputation Ally from $195/mo, plus install) | Core, Curator B&A, Reputation Ally, Call Tracking, SILO, Spotlight Photo+Video | Not published; starts with signed proposal and deposit |
| Rosemont Media | 2008; San Diego, CA | Plastic surgeons, cosmetic dentists, LASIK and eye care, other elective specialties | Custom WordPress sites built in-house; SEO, GEO, local and GBP, content, links, ads, social, reputation | Websites typically $10,000–$40,000; SEO typically $1,000–$3,000/mo | Review Generator, Review Rake, Review Sprinkler | Not published; one practice per market |
"Not published" means we couldn't find it on the agency's site, not that it doesn't exist; ask for it in writing.
What's the difference between Etna Interactive and Rosemont Media?
Etna Interactive
- Model: long-term, full-service partnership with semi-annual strategy meetings.
- Software: six own products, from lead tracking to on-site photo shoots.
- Extras: lead processing and consult-conversion training for your staff.
- Price: retainer not published; product prices listed.
- Fits: established practices that want one partner for everything.
Rosemont Media
- Model: custom website plus ongoing SEO from a boutique.
- Software: named review tools; no lead-management platform found.
- Extras: one practice per market, custom builds never outsourced.
- Price: website and SEO ranges published.
- Fits: surgeons whose main project is a new site that ranks.
The four differences that matter most for most practices:
Price transparency
Rosemont Media publishes typical ranges for websites and SEO; Etna Interactive publishes prices only for its add-on products.
Whose software holds your leads
Etna Interactive records each lead's referral source in Core, its own system; Rosemont Media offers call tracking through its consulting service and names no lead platform.
Exclusivity
Rosemont Media says it takes one practice per market; we found no exclusivity statement on Etna Interactive's site.
Staff training
Etna Interactive benchmarks your lead-to-consultation and consultation-to-service rates and trains your team; Rosemont Media publishes no equivalent.
What services do Etna Interactive and Rosemont Media offer?
Etna Interactive lists website design, SEO, answer engine optimization, search and social advertising, social media management, email, content, reputation management, local optimization, technology integration, and training and staff development.
Etna Interactive's site says plastic surgery is in its roots, and it also serves facial plastic surgery, med spa, dermatology and ophthalmology practices.
Etna Interactive's SEO page describes creating and refreshing website content, writing blog posts, building links from other high-value sites, and sharing metrics with clients monthly.
Rosemont Media lists website design, SEO, generative engine optimization, social media marketing, branding, creative services, pay per click, reputation and review management, and consulting.
Rosemont Media's about page says it serves elective healthcare practices, especially plastic surgeons, cosmetic dentists, and LASIK and eye-care providers.
Rosemont Media's plastic surgeon SEO page covers on-page optimization, content, local SEO and Google Business Profile work, backlink building, technical audits and reporting.
The same page says a new plastic surgery practice typically needs about six months to a year to see significant SEO results.
Both run paid ads: Etna Interactive lists Google and Bing search plus social advertising, and Rosemont Media lists Google Search, Local Service Ads, Facebook, Instagram and TikTok.
If you're weighing a full rebuild at all, read our plastic surgery website design guide first.
How much do Etna Interactive and Rosemont Media cost?
Rosemont Media is the more transparent of the two on its core services.
Rosemont Media's plastic surgery website page says custom website packages typically range from $10,000 to $40,000, with flexible payment options.
Rosemont Media's plastic surgeon SEO page says monthly SEO typically ranges from $1,000 to $3,000, scaled to your market's competitiveness.
Etna Interactive does not publish its retainer or website prices.
Etna Interactive does publish prices for its products: Core Lead Management $60/month, Call Tracking from $60/month per location, Curator B&A $140/month, Reputation Ally from $195/month per location, all with install fees not included.
Etna Interactive's Core page says Core is a standard feature in every Etna marketing plan.
Spotlight Photo+Video, Etna Interactive's on-site shoot, starts at $5,700 for the day plus transportation, lodging and meals for two.
Neither agency publishes a management fee for ads, so ask how ad spend is billed and whether it is marked up.
The plastic surgery marketing cost guide shows what typical line items look like across agencies.
What contract terms do Etna Interactive and Rosemont Media publish?
Neither agency publishes a minimum term, a notice period or an early-termination fee.
Etna Interactive's What to Expect page describes the process: a free assessment call of about an hour, a written proposal within a week, and work that starts after it receives your signed proposal and deposit.
The same page describes monthly reporting, a strategy meeting every six months and yearly goal setting, and says you may adjust your level of service or move to a different vendor.
Rosemont Media publishes no contract terms; its about page says it works with one practice per market and gives each client a single point of contact.
Do Etna Interactive and Rosemont Media sign a BAA?
Neither publishes Business Associate Agreement terms, as of September 2026.
Etna Interactive describes its Core lead management system and Reputation Ally review processing as HIPAA-compliant.
Rosemont Media's consulting page says compliance with HIPAA guidelines and FTC rules on testimonials and before-and-after images is built into its work.
That still leaves the question every practice should ask: tracking pixels on forms and procedure pages can send patient data to ad platforms, so read HIPAA and website tracking and ask either agency for a signed BAA before tracking goes live.
Who owns the website, data and tools?
Both agencies say you own your website.
Etna Interactive builds on WordPress with its own custom themes and plugins, and its website page says your WordPress website is entirely portable.
Etna Interactive's What to Expect page says that if you part ways, you own all your assets.
Etna Interactive's products (Core, Curator B&A, Reputation Ally, Call Tracking and the SILO for WordPress plugin) are its own software, and we found no published terms on exporting data from them.
Rosemont Media's plastic surgery website page says you retain full ownership of your website's code and content, with no leasing or hidden lock-ins.
Rosemont Media also offers WordPress-optimized cloud hosting and ongoing maintenance.
With either agency, ask in writing how you'd export your galleries, lead history and call-tracking numbers, and whose name the domain and ad accounts are in.
What results do Etna Interactive and Rosemont Media publish?
Etna Interactive publishes named client spotlights, all self-reported.
Karter Advanced Facial Plastic Surgery reported revenue from paid advertising at 5.2 times ad spend after 12 months, starting October 2024.
Camp Plastic Surgery reported revenue more than tripled and website traffic up 735% since 2016.
Rosemont Media publishes no quantified plastic surgery case study that we found.
Rosemont Media shows a portfolio of custom surgeon websites and says it keeps a client retention rate of over 90 percent (self-reported).
We haven't audited either agency's numbers.
Should you pick Etna Interactive or Rosemont Media?
Pick Etna Interactive if:
- You want one long-term partner for website, SEO, ads, email, reviews and reporting, and you plan to stay for years.
- You want lead tracking, gallery software and call tracking from the agency itself rather than separate vendors.
- Your front desk or coordinators need training on turning inquiries into consultations; see our lead management guide for what that covers.
Pick Rosemont Media if:
- Your main project is a new custom website with before-and-after galleries, followed by ongoing SEO.
- You want published price ranges before you get on a call.
- Market exclusivity matters to you, since Rosemont Media takes one practice per market.
Etna Interactive's own about page is candid that it may not be the right partner if low price is your main criterion or you see online marketing as a short-term pursuit.
A third option: More Booked Consults
More Booked Consults is a med spa and plastic surgery marketing agency focused on conversion (landing pages, CRO), local SEO and managed Meta ads.
It's run by Gabe Meierotto, LaserAway's in-house Director of CRO from 2018 to 2023, whose testing program took sitewide conversion from 3% to 11% across 2,600+ tested variations (documented in Intellimize's published case study; see results). Those are his results in a former in-house role, not agency client results.
More Booked Consults fits practices whose gap is converting the traffic they already have into booked consults, through consult-funnel CRO and local SEO on the site you own, or that want managed Meta ads sent to landing pages built and tested for them.
Prices are published on the pricing page: CRO or local SEO $2,500/month each on a 6-month minimum, and managed Meta ads $3,000/month plus a $2,500 setup on a 3-month minimum, with ad spend paid directly to Meta.
More Booked Consults does not fit practices that want a new website, Google Ads, social posting, email, review campaigns, photo shoots or staff training; Etna Interactive or Rosemont Media is the better choice there.
Questions to ask both before you sign
- What is the minimum term, the notice period and any early-termination fee?
- What will the website, the monthly retainer, setup and ad management each cost, in writing?
- Is ad spend billed through you, marked up, or charged as a percentage?
- Will you sign a BAA, and how does your tracking keep health data away from ad platforms?
- Who owns the domain, hosting, galleries, lead history, call-tracking numbers and ad accounts if I leave?
- Does the monthly report show booked consults and surgeries by channel, not just traffic and rankings?
Still building a shortlist?
The best plastic surgery marketing agencies page compares nine firms by fit, the best plastic surgery SEO companies page narrows it to SEO, and the Etna Interactive alternatives page compares Etna Interactive with five other options.
Frequently asked questions
Is Etna Interactive better than Rosemont Media?
Neither is better for every practice; they fit different buyers. Etna Interactive is the stronger fit if you want one long-term partner for the whole program (website, SEO, answer engine optimization, search and social ads, email, reputation and staff training) with its own software for lead tracking, before-and-after galleries, call tracking and reviews. Rosemont Media is the stronger fit if your main project is a new custom website plus ongoing SEO, you want to see price ranges before a call, and you value its one-practice-per-market policy. We haven't audited either agency's results.
Which is cheaper, Etna Interactive or Rosemont Media?
Only Rosemont Media publishes ranges for its main services, so there is no like-for-like answer until you have two written proposals. As of September 2026, Rosemont Media says custom plastic surgery websites typically run $10,000 to $40,000 and monthly SEO typically $1,000 to $3,000. Etna Interactive doesn't publish retainer or website prices, but it does list prices for its add-on products: Core Lead Management $60/month (and a standard feature in every Etna plan), Call Tracking from $60/month, Curator B&A $140/month, and Reputation Ally from $195/month, with install fees extra. Compare both quotes on the same line items: website, monthly retainer, setup, ad management, ad spend and minimum term.
Do Etna Interactive and Rosemont Media sign a BAA?
Neither publishes Business Associate Agreement terms on its site, as of September 2026, which doesn't mean either won't sign one. Etna Interactive describes its Core lead management system and Reputation Ally review processing as HIPAA-compliant. Rosemont Media says HIPAA and FTC compliance is built into its work. If an agency will handle lead forms, CRM records or call recordings with patient details, ask for a signed BAA and ask how its tracking avoids sending health data to ad platforms.
What contract do Etna Interactive and Rosemont Media require?
Neither publishes a minimum term or notice period, as of September 2026. Etna Interactive's What to Expect page says work begins after it receives your signed proposal and a deposit, and that you can later adjust your level of service or move to another vendor. Rosemont Media publishes no contract terms; its website page mentions flexible payment options for website packages. Ask both for the minimum term, the notice period and any early-termination fee in writing.
Do I own my website with Etna Interactive or Rosemont Media?
Both say you do. Etna Interactive builds on WordPress with its own custom themes and plugins, says your WordPress website is entirely portable, and says you own all your assets if you part ways. Rosemont Media builds custom WordPress websites in-house and says you retain full ownership of your website's code and content, with no leasing. Before you sign, confirm what else transfers: the domain, hosting, galleries, lead history, call-tracking numbers, Google Business Profile and ad accounts.
Which is better for plastic surgery SEO, Etna Interactive or Rosemont Media?
Both sell full SEO with content, link building and local optimization, so the difference is packaging. Rosemont Media publishes a typical SEO range of $1,000 to $3,000 a month and says a new plastic surgery practice typically needs about six months to a year for significant results. Etna Interactive bundles SEO with answer engine optimization, social posts, paid ads and its own gallery and lead-tracking software, and shares metrics monthly. If SEO is the only thing you're hiring for, compare more firms on our best plastic surgery SEO companies page.
Is there an alternative to both Etna Interactive and Rosemont Media?
Yes, if you don't need a new website or a full-service agency. More Booked Consults is a med spa and plastic surgery marketing agency focused on conversion (landing pages, CRO), local SEO and managed Meta ads, with published prices. It fits practices whose gap is converting the traffic they already have, or that want Meta ads sent to landing pages built and tested for them. It doesn't fit practices that want a website rebuild, Google Ads, social posting, email, review campaigns or staff training; for those, Etna Interactive or Rosemont Media is the better choice.