Med Spas NAICS 812199

        Med Spas

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Industry Summary

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.


Recent Developments

Jan 16, 2026 - Med Spas Embrace Wellness-Integrated Aesthetics
  • US med spas are increasingly emphasizing personalized, wellness-integrated aesthetics, combining subtle cosmetic enhancements with internal health optimization, according to a 2026 trend report in American Spa. Consumers are seeking preventative, natural-looking treatments, such as microdosed injectables, biostimulators, PRP/PRF therapies, and IV nutrient infusions that address early signs of aging while supporting overall vitality. Med spas are integrating functional health assessments, including hormone, nutrient, and lifestyle evaluations, into treatment plans, creating a holistic approach that blends appearance with well being. Technology, including AI-driven skin analysis and biometric testing, allows for highly individualized care, improving predictability and outcomes. This trend positions med spas to capture clients who prioritize gradual, sustainable improvements over dramatic procedures. While discretionary spending pressures remain, the focus on routine, preventative, and personalized services offers resilience, enabling med spas to meet growing demand for experiences that enhance both confidence and long-term wellness.
  • US consumer confidence declined for a fifth consecutive month in December, shaping a more selective demand environment for the US med spa industry. The Consumer Confidence Index fell to 89.1, and the Expectations Index remained below the recession-warning threshold of 80 for an 11th month, reflecting ongoing concerns about jobs, income, and current household finances. These pressures typically weigh on higher-priced, discretionary aesthetic procedures. However, consumer spending patterns in 2025 shifted toward personal care and “cheap thrills,” with planned spending on beauty and personal care services picking up month over month. The results suggest medspas may see steadier demand for lower-cost, maintenance-oriented treatments, while big-ticket or elective procedures face greater scrutiny. Younger consumers remained comparatively more optimistic, offering some support for entry-level services. Overall, the outlook favors value positioning, flexible pricing, and recurring treatment models rather than aggressive expansion or reliance on high-end discretionary spending.
  • Boulevard’s 2025 consumer survey highlights how Gen Z and Millennials are reshaping the spa and salon industry, with digital engagement now central to client acquisition, according to Salon Today. Some 55% of Gen Z and 47% of Millennials say Instagram or TikTok activity is very or extremely important in deciding where to book, and 20% of Gen Z look to social media first when choosing providers. Convenience is also important: 67% of Gen Z and 64% of Millennials have abandoned spas and salons due to clunky online booking. Loyalty hinges on personalization, with 66% of all respondents citing remembered preferences as essential and 55% expecting tailored add ons or memberships. Service quality remains decisive, as 71% would not return after poor results or negative staff interactions. Communication expectations are also shifting, with 41% of clients expect same day follow ups, and 44% prefer texting. For spa and salon operators, these data points underscore the need to integrate seamless digital booking, personalization, and proactive communication into core business strategy.
  • According to a recent report in Inc magazine, artificial intelligence is rapidly transforming the medical spa industry, offering tools including AI-powered skin analysis, chatbots, predictive analytics, and automated documentation to enhance client experience and operational efficiency. However, most med spa owners are unprepared for the legal implications. Risks include unauthorized medical advice, HIPAA violations, misleading advertising, and liability gaps due to limited vendor accountability. As AI adoption outpaces regulation, businesses must proactively implement safeguards such as ensuring human oversight, vendor compliance, updated consent protocols, and staff training. Strategic, legally sound integration will distinguish successful AI-technology adopters from those exposed to reputational and financial risk.

Industry Revenue

Med Spas


Industry Structure

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.

                          Industry Forecast

                          Industry Forecast
                          Med Spas Industry Growth
                          Source: Vertical IQ and Inforum

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