Med Spas

The 8,800 medical spas offer cosmetic medical procedures and traditional spa services under the supervision of licensed healthcare professionals. Operators provide a variety of aesthetic, minimally invasive, and non-invasive procedures that enhance physical appearance. Popular treatments include dermal fillers, neuromodulators/Botox, laser treatments, microdermabrasion, and chemical peels. Medical spas employ trained staff, such as registered nurses (RN), nurse practitioners (NP), physician assistants (PA), and aestheticians, to administer procedures.

Medical Complications

Medical procedures naturally come with some risk of complications, and those performed by nonphysician personnel in medical spas have elevated risks.

Government Regulation

Because medical spas are technically medical practices, operators are subject to regulatory oversight by state medical boards, which determine what constitutes a medical procedure, who can perform the procedure, the staffing ratio of physicians to non-physicians, and what qualifies as on-site/off-site supervision.

Jul 15, 2026 - Non-Membership Spas Lead Expansion

• Zenoti's 2026 Beauty and Wellness Benchmark Report suggests a mixed but generally favorable outlook for US med spas, with technology and client engagement emerging as key growth drivers. While non-membership spas expanded rapidly in 2025, with center growth accelerating from 4% to 13% and same-store revenue rising from 2% to 3%, membership-based spas saw same-store revenue growth slow from 5% to 2% and existing client visits decline 2%. The report found that spas using Zenoti's AI Concierge achieved 3% to 4% sales growth, outperforming non-users by 1 to 2 percentage points, highlighting AI's potential to offset softer new client acquisition. Zenoti also found that guests rebooked multiple times canceled just 2% of appointments versus 23% after a first rebooking, underscoring the importance of retention strategies, digital engagement, and operational efficiency for sustaining revenue growth.
• June's consumer data suggest a cautiously improving environment for US med spas, though demand for discretionary aesthetic services is likely to remain uneven. The University of Michigan's Index of Consumer Sentiment rose 10.5% from May to 49.5, reflecting improving consumer attitudes, but remained 18.5% below a year earlier. The Current Economic Conditions Index increased 4.1% month over month to 47.7, yet was down 26.4% year over year, indicating consumers remain cautious about their finances. The Index of Consumer Expectations climbed 15.0% to 50.7 as easing concerns about the Iran conflict improved the outlook for business conditions. Separately, the Conference Board's Consumer Confidence Index edged up to 91.2, with expectations improving but consumers reporting a weaker labor market and continued concern about high prices. Together, the data suggest med spas may see modestly improving demand, but elevated inflation expectations and cost-of-living pressures could continue to temper spending on elective treatments.
• The US medspa industry continued attracting strong investor interest in 2025 as steady consumer demand for injectables, laser treatments, skin rejuvenation, and non-surgical body contouring fueled ongoing consolidation activity, according to a recent American Med Spa Association report. Private equity-backed platforms remained highly active, particularly in large states such as Texas, Florida, and California, while more than 90% of medspas remained independently owned, leaving significant room for additional acquisitions. The report highlights that recurring revenue streams from memberships, subscription skincare, and repeat treatments are increasing the sector’s appeal to investors seeking predictable margins and loyal customer bases. At the same time, regulatory scrutiny surrounding provider supervision, compliance, and corporate ownership structures is becoming a larger consideration in transactions. For medspa operators, the environment presents opportunities for growth and higher valuations, particularly for multi-location businesses with strong operational systems, recurring revenue, and scalable infrastructure.
• Emerging technology and regenerative treatments are reshaping the US med spa industry, according to an American Spa analysis. One of the most significant trends for 2026 is the rise of regenerative aesthetics, which use biologic therapies such as biostimulators, exosomes, platelet-rich fibrin (PRF), growth factors, and stem-cell-derived products to stimulate collagen and elastin production and improve skin quality. At the same time, AI-driven facial mapping and 3D imaging are enabling more precise injectable treatments through microdosing and customized dosing strategies. The report also notes med spas are increasingly integrating wellness services such as hormone optimization, nutrition guidance, and stress management with aesthetic treatments. These trends suggest med spas may expand advanced treatments and technology-driven services as demand grows for personalized, natural-looking results.

Industry size & Structure

The average medical spa operates out of a single location and generates almost $2 million annually, according to the American Med Spa Association. Single-location medical spas employ an average of eight workers and generate just over $121,000 annually. Multi-location operators employ an average of 16 workers at the primary facility.

• The medical spa industry consists of over 8,800 operators that employ 70,000 workers and generate about $15 billion, according to the American Med Spa Association.
• The medical spa industry is fragmented; over 80% of firms operate out of a single location. Multi-location operators average six locations.
• Two-thirds of medical spas have a single owner. Over 60% of medical spas have an owner who is not a physician.
• Large firms include Ideal Image and Laser Away.