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

Nov 18, 2025 - Online Booking, Social Media Expected by Younger Generations: Survey
  • 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.
  • Weaker consumer sentiment and confidence indices in late 2025 highlight mounting challenges for discretionary sectors such as med spas. The University of Michigan’s Index of Consumer Sentiment fell 6.2% month-over-month in November to 50.3, a nearly 30% annual decline, while the Conference Board’s Consumer Confidence Index slipped to 94.6 in October. Rising inflation expectations, 4.7% year-ahead and 5.9% in consumer surveys, combined with concerns over higher interest rates, suggest households are tightening budgets. For med spas, which rely on discretionary wellness spending, these trends point to softer demand, greater price sensitivity, and the need to adapt service offerings to maintain client retention in a more cautious spending environment.
  • 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.
  • The most popular non-surgical procedures performed by plastic surgeons in 2024 were botulinum toxin, hyaluronic acid (filler), hair removal, non-surgical skin tightening, and chemical peels, according to a new Global Survey on Aesthetic/Cosmetic Procedures from the International Society of Aesthetic Plastic Surgery (ISAPS). The report showed that 17.4 million surgical procedures and 20.5 million non-surgical procedures were performed by plastic surgeons in 2024, an increase of 42.5% in cosmetic procedures over the last four years. The countries that performed the most procedures were the US (6.1 million), Brazil (3.1 million), and Japan (1.6 million). In the US, the most popular non-surgical aesthetic procedures were botulinum toxin (1.7 million), hyaluronic acid (1.2 million), non-surgical skin tightening (356,072), chemical peel (170,203), and hair removal (157,756). The most common non-surgical procedure for both men and women, and among all age groups, was botulinum toxin injectables, with 7.8 million procedures performed worldwide.

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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