The Challenge

Dr. Ralph Garramone is a leading Southwest Florida plastic surgeon who specializes in all facets of plastic surgery including breast augmentation, Liposuction and tummy tucks, as well as nonsurgical procedures. The practice, located in Fort Myers has been the recipient of numerous awards, including Dr. Garramone being recognized as one of America’s Top Doctors in plastic surgery for ten years in a row by Castle Connolly Medical Ltd. For the past several years, Southwest Florida has seen an abundance of plastic surgeons and has witnessed an explosion of medispas opening in the region, signaling the field is continuing to grow more and more competitive. Garramone Plastic Surgery had been steadily leading the market and did not want to become commonplace. The practice was ready to evolve its brand to help them surpass the competition. In March 2017, they contacted the Agency to develop a campaign to increase their marketing presence and position the practice as the authority on breast augmentation, Liposuction and CoolSculpting®, as well as medical-grade aesthetic treatments. Garramone Plastic Surgery was open to taking risks in promoting their brand, but wanted to maintain the classiness they had established over the years.

The Solution

The Agency was very excited about taking on the challenge of evolving the Garramone Plastic Surgery brand. The Brand Architects™ kicked off the campaign with a unique creative strategy that included a modified logo and the development of a new positioning line. Staying true to the sophistication of the Garramone name, our design pros softened the appearance of the logo with font and styling, while incorporating a contemporary color scheme to create a representation that is elegant, timeless and classic.

Taking into consideration that people choose surgical enhancements for a variety of reasons and that procedures vary based on the desired result, the creative team developed a new positioning line that supported the concept of customization, in order to match how each individual feels and wants to feel. The positioning line that best fit this concept was: You. Designed for you.

Next, the Agency collaborated with the Client to create a schedule for the campaign rollout. Incorporating our creative strategy, we developed assets for use in e-Blasts, brochures, print ads, digital billboard ads and social media ads, as well as marketing support and materials for events.

The Agency implemented a social media strategy that targeted a custom Facebook audience including a lookalike audience. Through paid ads, the Agency set out to increase traffic to the Garramone Plastic Surgery website, as well as drive business to the practice. Ads were modeled after events, print ads and e-Blasts, as continuity and consistency is key to any successful marketing campaign. In conjunction with the Agency’s efforts, the Garramone team continued to post staff-related and business-related news and videos to increase reach and engage followers.

To round out our efforts, the Agency capitalized on digital and print paid media opportunities that reached a broad target audience with a goal of driving more clients to the practice. The digital platform included search engine marketing (SEM) ads and behavioral and retargeted banner ads. On the print side, ads ran on a consistent basis in Grandeur, Gulfshore Life, and Parent & Child, as well as in special editions such as The News-Press and Florida Weekly “Best Of” and Gulfshore Life’s Who’s Who in Health.

For campaign elements not fulfilled with paid media, e-Blasts and flyers, the Agency looked to earned media opportunities and developed a public relations strategy that included press releases and feature story pitches that promoted the Garramone Plastic Surgery brand. Topics ranged from new hires, awards and events to state-of-the-art equipment and procedures the practice performs. Media outlets were presented with opportunities to interview Dr. Garramone and his staff in person or via telephone, as well as given the opportunity to tour the practice.

On top of the public relations efforts, the Agency also provided marketing and promotional support for the many events held at Garramone Plastic Surgery, such as the annual “Cosmos & Consults” and the semiannual “Beauty & Bubbles” events.

Lastly, the Agency developed a long form video highlighting Garramone Plastic Surgery and the services they provide. The video is coming soon and will include interviews with Dr. Garramone and the practitioners, as well as patient testimonials. B-roll footage will include demonstrations of specific services being performed with an overview about each procedure and the benefits each provides. The long form video will also run on social media and the website to illustrate each service.

The RESULT

Spiro & Associates has successfully established an effective brand campaign that has generated tremendous results. Call volume and website visits have increased exponentially, with new patient visits to the practice increasing. Social media has performed well with Facebook followers increasing by 44.5%. Page likes have also increased by 40%, and since implementing the Facebook lookalike audience, the average click-through rate has increased 2.21%. Overall, paid ads have averaged a 1.56% click-through rate, performing well above the industry average.

e-Blasts have performed equally well, generating open rates ranging from 12 -18% per e-Blast, which is well above the industry average of 11%.

Banner advertising produced 1,095,661 impressions, 1,064 clicks and 7,758 website visits, while SEM delivered 110,925 impressions, a click-through rate of 3.53% and generated 242 total calls.

Special events supported by the Agency, such as “Beauty & Bubbles” generated an overwhelming response and brought in a substantial volume in new business to the practice.

While client confidentiality doesn’t allow us to reveal specific numbers, we can say this with complete agreement from Garramone Plastic Surgery: The overall result of the campaign has elevated the brand, with a uptick in business by a generous

percentage.

Savannah Phillips

Account Executive

This fifth-generation Floridian was raised in Ocala, Florida, the horse capital of the world. But then, the sunshine capital of the world beckoned and off to South Florida she went, graduating Cum Laude from FGCU in Communications in the process.

She soon acquired knowledge and experience in the building and real estate industries—both of which are key specialties of this agency. So, like the opportunists we are, we lured her away from her previous position to lead up some of our related accounts.

Here, as an Account Executive, Savannah leads overall account management, strategic initiatives, and marketing programs for a number of select agency accounts. She also manages new business efforts which means we have someone to blame if a particular pitch falls short! We jest, of course.

In her spare time, Savannah enjoys fishing and boating with her fiancé and friends, and spending time with her 2 dogs, Koda and Ava, and cat named Manny. She also has a very cute nephew, named Jett, she loves to hang out with when visiting her family back in Ocala. We suspect that boy gets whatever he wants when Aunt Savannah is in town.

Len Eckert

Senior Art Director

Hailing from ‘The Burgh’ (Pittsburg), this Steel Town native isn’t like most art-side creative folk. Len is an extrovert and has never been shy about getting involved in professional and civic organizations.

Len was a Board Member of the Bonita Springs Area Chamber of Commerce and currently sits on the Board of the Rotary Club of Bonita Springs. Len believes in getting involved and making a contribution to organizations like these, helping grow area businesses and helping people with professional development.

Professionally, Len brings over 20 years of art direction, graphic design, and brand development experience to our creative team as a Senior Art Director. His experience in the construction and hospitality industries was of particular interest to us. Plus, with brands like Heinz, 7-Eleven, and Tabasco under his belt, he’s no stranger to the taste level and collaborative efforts it takes to make an impact at the national and international level.

Unity Culbertson

Social Media Marketing Specialist

Where most marketing agencies promise to bring unity to their efforts on your behalf, we deliver on that pledge, literally! Evidence; Unity Culbertson, our Social Media Marketing Specialist.

A transplanted Ohio State Buckeye, Unity brings experience on the Certified Angus Beef brand, as an emerging influencer/vlogger, and much more to our team of marketing mavericks. In fact, her eclectic array of experience in the field fit our ‘We’re Not Normal’ requirement to a T.

Unity’s proactive mindset is no accident, either. As a ‘dyed in the wool’ product of the 4-H organization growing up, she raised over 100 show lambs each year, served as president of both her 4-H AND Future Farmers of America chapters, and was named Miss Ohio Agriculture United States in 2020.

Free time? Well, what little there is gets spent with her fiancé and puppy, ‘Lady Mae’.

TOM HAYDEN

Writer

Tom Hayden worked 41 years as a journalist, serving newspapers and digital sites in Indiana, Pittsburgh and Fort Myers, Fla. He started his career as a reporter with the Muncie (Ind.) Evening Press in 1978, moving to the Marion (Ind.) Chronicle-Tribune as a sports reporter and sports editor from 1981-1992. He moved to Pittsburgh as assistant sports editor and eventually sports editor at the North Hills News Record from 1992-1996. He became sports editor of the Fort Myers News-Press in 1996, holding those responsibilities until 2001 when he became Cape Coral editor of The News-Press. In 2012, he accepted the position as the main editorial writer for The News-Press and remained in that role until March of 2019 when he retired from the newspaper. He was elected to the Cape Coral City Council, representing District 3, in 2020. He and his wife, Joanne, have five children and stepchildren, as well as eight grandchildren. Tom is a graduate of Ball State University in Muncie with a Bachelor of Science degree in journalism.

KELLY LAMAGNA

Public Relations Specialist

Kelly LaMagna brings a professional marketing and communication background, a passion for writing and strong knowledge of the area to Spiro & Associates as the brand architecture boutique’s new Public Relations Specialist.

She is responsible for public relations communications projects for assigned clients, from business meetings to news media pitches, press release development, and dissemination.

LaMagna is a 31-year resident of Cape Coral and a graduate of Mariner High School, Florida SouthWestern State College and Hodges University, receiving a degree in healthcare administration and Cardiopulmonary Sciences.

Inspired by some of the nation’s top minds, Tony Robbins, Robert Kiyosaki, Marshall Sylver and Russ Whitney, she landed key marketing, administration, and event planning positions for area orthopedic and senior living facilities, including Shell Point Retirement Community, as well as other physicians. Those positions allowed her to travel the world and focus on the words delivered by Robbins.

“He taught me to live life to its fullest, to be yourself and fulfill your needs,” LaMagna said.

That fulfilling lifestyle takes her to the water where she enjoys paddleboarding for about five hours each day, mostly along the Calusa Blueway. Those water journeys have taught her to appreciate what is around her, especially the wildlife. “It’s the solitude,” said LaMagna, who keeps a journey of her adventures. “It’s addicting.”

She is excited about her new challenges at Spiro & Associates. “I have always been interested in getting into marketing fulltime,” the Hampton Roads, Va. native said. “The main reason is I want to learn and grow.”

Added Spiro & Associates President and CEO Chris Spiro: “We welcome Kelly to our very talented team. Her experience in this industry and her other life experiences will be an asset not only to our company but also our clients.”

JEFFREY ABBOTT

Contracting Software Engineer & Website Developer

Jeffrey is a leader in software engineering with 20 years of experience in the analysis, design, development and implementation of high-performance technology solutions.

He gained all that knowledge working for International Business Machines for 12 years.

Jeffrey holds a Graduate Certificate in Creativity Studies and Change Leadership from Buffalo State University; a Master of Business Administration from Xavier University in Cincinnati; and a Bachelor of Applied Science in Systems Analysis from Miami University in Ohio.

When he’s not toiling away on technology solutions and websites since joining us in 2016, our nerd dad enjoys “kitchen chemistry,” engineering experiments, and building robots with his sons.

JESSE ROBINSON

Software Engineer & Website Developer

While most of us spent the eighth grade taking the SATs, playing videogames and running around with our friends, little Jesse Robinson was learning how to develop software. And while we spent our last year of high school driving to the mall and thinking about prom, he was preparing for his first software-developing freelance position. Today, the fruits of that labor can be seen on TheMakoGroup.com, WorkforceSolutions.com and WingsNY.com, just to name a few.

After obtaining an associate degree from Nassau Community College, Jesse took a walk on the wild side when he was accepted into South Carolina’s former Iron Yard — a six-month-long cram school where he earned a certificate in Ruby on Rails full-stack software development. This prompted a General Software Engineering position with an advertising and marketing agency on Long Island, New York. He then relocated to Fort Myers, took on a freelance position with Spiro & Associates, proved himself and the rest — as they say — is history.

Today, Jesse continues to create killer websites, enhance search engine optimization, develop apps and execute the e-mail campaigns that everyone knows and loves. But when he’s not working, you’ll find him jamming with his band or playing piano and solo singing during events at Lee Memorial Hospital, Hurricane Charley’s and 88 Keys. Yes, he’s pretty cool in a techie geek, musician-like sort of way!

GABE MIRANDA-SOUSA

Junior Account Executive and Content Production Specialist

Gabe Miranda-Sousa wears many hats at Spiro & Associates, often being called “utility knife” because he comes in handy for almost anything. As a junior account executive and a content production specialist, Gabe pretty much has his hands in all things Spiro.

During his time in college, he completed an internship in London for a full-service ad firm. He also worked as a worked as a copywriter and creative director for a student-run advertising agency at Boston University. After graduation, Gabe started at Spiro & Associates as an intern in the social media department before being recruited to stay with us full-time.

Born in Lima, Peru, Gabe is fluent in Spanish and intermediate in French. In his free time, he likes to practice his film photography and hang out with his two French bulldogs.

APRIL MELLOTT

Staff Accountant & Human Resources Officer

Not everyone can balance a checkbook, our misfit marketers, and a rare personality like our Chief Creative Officer’s, but for April, that’s just another day at the office. As a seasoned account-industry representative, she manages accounts payable/receivable for all clients, processes payroll for all employees, Human Resources and Compliance, and even finds time to bust our CCO’s chops about the ongoing LSU — Florida rivalry.

While April hails from Louisiana, she spent a decade in “The Volunteer State,” monitoring cash flow and maintaining books for local, regional, and national companies, such as Paschall Truck Lines and Land Solutions. Before joining Spiro & Associates, she worked as the Office Manager for Land Solutions Company, LLC. There, she led human resources, served as the right-hand man for the COO, and did many other tasks.

Naturally, April attended LSU. From there, she received a personal training degree — naming her a certified personal trainer — from the National Personal Training Institution in Georgia. When April is not in the office, you can find her cheering on her team, boating, paddle boarding, or spending time with her adorable nephews.

KRISTIN THOMAS

Social Media Marketing Specialist

Have you ever met someone who is a social media guru by day and a classically trained dancer by night? We have, and her name is Kristin Thomas! This social media marketing specialist significantly adds to our unstoppable digital department with killer content, highly curated Hootsuite scheduling and the very best campaigns this side of the Gulf Coast.

Adding to our list of Midwest-native Brand Architects, Kristin hails from Illinois but launched her academic and professional careers in North Carolina. She attended Appalachian University, while working as a social media manager for a national cleanup/restoration franchise, Servpro.

Kristin then turned things up a notch in 2016 when she moved to Southwest Florida. With a Bachelor of Arts in Communication Studies from Florida Gulf Coast University, she conducted a Golisano Children’s Hospital service-learning project that was ultimately showcased as a community partnership. But before that, she joined the social media team at G-Force Dance Company in Fort Myers where she currently teaches ballet, tap, jazz, hip-hop and contemporary.

When Kristin is not working, you’ll likely find her at the beach or exploring new sites with her sons, Sawyer and Onyx.

HEATHER DAUGHERTY

Senior Art Director

Heather Daugherty, affectionately called “New York Heather” at the Agency, is our creative and spunky Senior Art Director. Born and raised on the West Coast of Florida, Heather attended the University of Tampa where she studied photography and later transferred to the New England School of Art and Design at Suffolk University. After spending 20 years in New York working in the publishing industry for Harper Collins, Penguin, Random House Publishing, and most recently Scholastic Publishing, our resident Parrothead has returned home to Florida.

As an award winning Art Director and Designer, Heather is going to be working with her creative peers to bring the best concepts and designs to our Agency’s clients. Her love of branding and logo development coupled with her incredible graphic design skills makes her an asset to our team.

In addition to being a graphic design maven, Heather is a proud working mom, a design nerd, type geek, and only child. When she’s not surrounded by art at work, she is at home with her husband, an accomplished fine artist himself, her daughter, and two enormous (her words, not ours) cats.

TAMMY BIRCHFIELD

Account Executive

Account Executive Tammy Birchfield is a ray of sunshine at Spiro & Associates. As an Account Executive with over 30 years of versatile skills and experience, she is in charge of overseeing the workflow and creative development of projects for her assigned clients.

In addition to her years in customer service and office management, Tammy is a licensed esthetician. Her diverse background in the spa sector, healthcare, real estate, and construction industries makes her a well-rounded and dynamic team member for the Agency.

A self-described gym rat, Tammy loves spending her time working out and paddle-boarding, so don’t mess with her. When Tammy isn’t working out or working hard, she’s spending time with her beautiful grandchild. Also, if you want to know what CMO Chris Spiro was like in the ‘80s, ask Tammy, they go way back!

MARK HEIDEMAN

Senior Art Director

Mark’s design experience brings creative concepts and ideas to life for our clients’ campaigns — everything from online to print. His career prior to joining Spiro & Associates includes working for clients such as Kraft Foods, Adidas, American Heart Association and the Indiana Pacers, as well as writing and designing publications for major corporations such as Intel. Off duty, he is a zealous traveler, gym rat, runner, trail blazer and cyclist.

GAIL GUBELMAN

Senior Art Director

For Gail, affectionately called GG, all roads seem to always lead to Spiro & Associates. Sure, she may have taken a six-year hiatus to pursue her own design studio out of Cape Coral, but she’s back and ready to take on more outstanding concepts, filled with depth and imagination.

Gail’s journey to agency life started in Singapore, her native country, which she left for California at the age of 18 — for ambitious reasons, of course. She graduated from the University of San Francisco/Academy of Art College with a Bachelor of Fine Arts in advertising design. This degree opened the door to art director jobs in Southwest Florida like those at WCI Communities and the former AdWorks, Inc.

But it was in 2007 that Gail first graced us with her presence at what was then Spiro & Waites. Ultimately, her ambition inspired her to launch Gohman Design, a boutique shop serving companies of all sizes — even to this day.

Thankfully, though, she returned to good ol’ Spiro & Associates in 2018, transitioning into a Brand Architect™ and continuing to become an integral part of our growing design team.

DON GROSS

Media Director

Don has come full circle back into the media profession that he loves, which actually started out while in high school and followed up in Florida State University, where he graduated with a degree in mass media communications. He’s also a former commercial real estate professional, specializing in retail, negotiating large acquisitions for big investors, locating tenants for shopping centers and the like. And of that wasn’t enough, he also was a financial advisor for several years dealing with private wealth management. Additionally, Don is one of the only guys we know who has worked radio, broadcast TV and cable TV in Southwest Florida in terms of media and sales. With that kind of background, our clients get a lot of insights, media buying and negotiating power that is more like investing, and finding the right media for the client to get the best possible return.

THOMAS CALABRESE

Creative Direction

Tom is takes the lead in our Creative Department bringing nearly 30 years of strategic and creative experience to the team at Spiro & Associates. A native Wisconsinite, he started his career as a copywriter and account executive, giving him a combination of strategic and creative thinking that is rare among agency creative leaders today. Tom’s category experience is quite varied—including marine products, healthcare, homebuilding/development, retail, financial, automotive, hospitality, tourism, sports management and many others. He has also been involved in planning dozens of large-scale business meetings, trade shows, and other branded events. Understanding how to dovetail these into a brand’s overall marketing efforts, he has successfully themed, written, and produced all aspects of them.

Throughout his career, Tom has earned a reputation as a strong conceptual and strategic thinker and has won dozens of awards for his creative work as a copywriter. Beyond creative discipline, Tom’s background in the business gives him a unique, broad perspective when working to solve clients’ marketing and brand-building challenges. A believer in examining a brand’s challenges from all angles prior to putting any finished ideas on paper, Tom often likens doing anything on a knee jerk to malpractice–and with his Italian last name, legal entanglements are something he tries to avoid.

KENDALL CARSON

Senior Account Executive

It’s been said — and, around here, proven — that senior account executives save the day by managing new business initiatives, interacting with clients, overseeing operations and more. And with Kendall’s previous manager and administrator experience, as well as take-it-in-stride attitude, she’s pretty much superwoman!

In any Bull Gator’s mind, this heroic persona was formed at the University of Florida where Kendall earned a Bachelor of Science degree in food and resource economics. Not to mention, a concentration on business management and marketing strategies — music to our CEO’s ears.

From there, Kendall worked in health care management for nearly two decades, most recently at Avidity Home Health. But her expertise doesn’t stop at ensuring compliance with state and federal regulations. She also has a diverse background in event planning and contract administration — and that suits us just as well!

When Kendall is not working, she’s tailgating and attending UF football games. Perhaps you’ve seen her cheering on her beloved team — much to our LSU-Tiger-loving bookkeeper’s chagrin.

CHRISTOPHER SPIRO

President, CEO & Chief Creative Officer

Chris launched his advertising career as an art director 30 years ago and furthered his expertise as a designer and creative director, and then set up this shop as The Spiro Group Inc. in 1989. His experience spans many industries, including hospitality, real estate developments, home building, automotive, marine, law, government, medical, health care and way too many more to name here.

Always civic-minded, Chris is active throughout Southwest Florida, including serving on a number of boards of directors and executive committees. He loves the architectural challenges involved with building or evolving clients’ brands.