AI Rankings · Snapshot 25 Sep 2026
Top med spas in the United States, ranked by ChatGPT answers
We asked ChatGPT the questions buyers ask. SkinSpirit came up most, in 9 of 24 answers.
Since 17 Sep 2026: Destin Medical Spa climbed 87 spots · Dr. Lanna Aesthetics and 4 more new to the shortlist
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Methodology
How this ranking is made
What this is
A dated record of what ChatGPT said. We asked ChatGPT (web search on, location United States) 8 buyer questions about med spas in the United States, 3 times each: 24 answers, collected on 25 Sep 2026. The ranking counts which companies those answers named, and where.
How we count
Answer Share is the share of answers that name a company at least once. Answer Rank is its average position when named (#1 = named first). Question Reach is how many of the 8 questions it appears for. Leader, Niche Pick, Recognized and On the Radar describe ChatGPT's answers, not the company.
How we review it
Before each weekly publish, written rules and automated checks match every named company to its own website. Where the website can't be verified, we show the company without a link. Where its location can't be verified for this market, we mark it. Names we can't match to a real business are left out. Some identity matches (for example, two names for one business) are reviewed by our team. No company is added, removed or reordered to favour anyone.
What this is not
- Not a recommendation, endorsement or certification by ProjectA.
- Not a review or rating of quality, safety, licensing, pricing or suitability for any purpose.
- Not affiliated with, sponsored by or endorsed by OpenAI. ChatGPT is a trademark of OpenAI.
- Not a prediction: AI answers change over time and between users.
- Not advice. Verify any business yourself before relying on it.
- Not paid placement. No company can pay to appear, to be removed, or to change its position.
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ProjectA sells AI-visibility services to businesses, which may include companies shown here. Being or becoming a client has no effect on these results or on any removal request.
Accuracy
Quoted answers are ChatGPT's words, reproduced as recorded on the date shown; they may contain errors we don't verify. The ranking reflects that snapshot only.
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If you represent a company listed here and something is wrong, or you want your company removed from AI Rankings, email dev@projecta.ai from an address at your company's website domain, or use the Request a correction or removal form. We act on verified requests within 5 business days, apply the same policy to every company, and never charge for it. A removed company's name is withheld from future snapshots and from quoted answers, marked "[withheld at the company's request]", and its position stays so other companies' ranks aren't changed.
Company names and marks belong to their owners and are used only to identify them.
The Answer Map
Where the 20 most-named med spas sit in ChatGPT's answers
Bubble size = buyer questions it shows up for
The takeaway
No med spa is a Leader in ChatGPT's answers in the United States yet.
None is named in at least half of ChatGPT's answers while also landing near the top. The spot is open.
0 Leaders12 Niche Picks0 Recognized8 On the Radar
Hover or tap a bubble, name or ⓘ for details. The labels describe how ChatGPT answers, not how good a company is.
ChatGPT's Shortlist
Which med spas does ChatGPT name most in the United States?
Med spas are medical aesthetic clinics run under a physician or nurse practitioner: injectables like Botox and fillers, laser skin treatments, body contouring and skin care, in a spa-like setting.
| # | vs last week | Company | Answer Share | Weekly trend | Named in | Answer Rank | Question Reach | On the map |
|---|---|---|---|---|---|---|---|---|
| 1 | No change | SkinSpirit | 37.5% −4.2 pts | 9 of 24 | #2.3 | 5 of 8 | Niche Picks | |
| 2 | ▲ 5 | LaserAway | 20.8% +4.2 pts | 5 of 24 | #2.4 | 3 of 8 | Niche Picks | |
| 3 | ▼ 1 | Aesthetica Med Spa no website found yet | 16.7% −16.7 pts | 4 of 24 | #3.0 | 3 of 8 | Niche Picks | |
| 4 | ▲ 2 | Cosmetic Injectables Center Medspa | 12.5% −4.2 pts | 3 of 24 | #1.0 | 2 of 8 | Niche Picks | |
| 5 | New | Dr. Lanna Aesthetics | 12.5% | 3 of 24 | #1.0 | 3 of 8 | Niche Picks | |
| 6 | New | ImageLab Med Spa no website found yet | 12.5% | 3 of 24 | #1.7 | 1 of 8 | Niche Picks | |
| 7 | New | U Med Spa no website found yet | 12.5% | 3 of 24 | #3.7 | 3 of 8 | On the Radar | |
| 8 | New | Fayced Aesthetics NYC | 12.5% | 3 of 24 | #5.3 | 3 of 8 | On the Radar | |
| 9 | New | Diamond Advanced Aesthetics | 12.5% | 3 of 24 | #5.7 | 3 of 8 | On the Radar | |
| 10 | ▲ 1 | It's A Secret Med Spa | 12.5% −4.2 pts | 3 of 24 | #6.3 | 2 of 8 | On the Radar | |
| 11 | ▲ 25 | Blue Water Spa | 8.3% | 2 of 24 | #1.0 | 2 of 8 | Niche Picks | |
| 12 | ▲ 1 | Ideal Image no website found yet | 8.3% −4.2 pts | 2 of 24 | #2.0 | 1 of 8 | Niche Picks | |
| 13 | ▼ 8 | Wellspring Skincare | 8.3% −12.5 pts | 2 of 24 | #2.5 | 2 of 8 | Niche Picks | |
| 14 | ▼ 10 | BodyLase Med Spa no website found yet | 8.3% −12.5 pts | 2 of 24 | #3.0 | 2 of 8 | Niche Picks | |
| 15 | ▲ 8 | Carroll Cosmetic Club | 8.3% | 2 of 24 | #3.0 | 1 of 8 | Niche Picks | |
| 16 | ▲ 11 | Monaco MedSpa no website found yet | 8.3% | 2 of 24 | #4.5 | 1 of 8 | On the Radar | |
| 17 | ▼ 8 | Park Aesthetics | 8.3% −8.3 pts | 2 of 24 | #6.0 | 2 of 8 | On the Radar | |
| 18 | ▼ 15 | La Jolla Cosmetic Medical Spa no website found yet | 8.3% −16.7 pts | 2 of 24 | #6.5 | 1 of 8 | On the Radar | |
| 19 | ▲ 22 | 4Ever Young Med Spa & Wellness Center | 8.3% | 2 of 24 | #7.0 | 1 of 8 | On the Radar | |
| 20 | ▲ 87 | Destin Medical Spa | 4.2% | 1 of 24 | #1.0 | 1 of 8 | Niche Picks |
Ranked by Answer Share, the share of ChatGPT's answers that name the company. Answer Rank is where it shows up when named (#1 = named first). Question Reach is how many of the 8 buyer questions it appears for. "vs last week" compares with the 17 Sep 2026 snapshot: spots gained (▲) or lost (▼), and the change in Answer Share.
Not on ChatGPT's shortlist? Find out why in a free AI visibility audit.Buyer questions
What do buyers ask ChatGPT about med spas in the United States?
The 8 questions we ask ChatGPT, each asked 3 times.
Overall, SkinSpirit is named most. But ask “Which med spas have locations across the United States?” and LaserAway comes up in 3 of 3 answers.
In ChatGPT's words
How ChatGPT describes the top three
#1 · SkinSpirit
“SkinSpirit — Scottsdale, AZ / New York / other markets: a larger aesthetic-clinic network; currently appears among highly ranked providers in several major markets.”
#2 · LaserAway
“LaserAway — A large national aesthetic clinic network, particularly focused on laser treatments and other aesthetic services.”
#3 · Aesthetica Med Spa
“Aesthetica Med Spa — Austin, TX — established in 1999, with surgeon-trained nurse injectors; currently listed with a 4.8 rating and 350 reviews.”
Where ChatGPT gets its information
The websites behind the answers
To show up on this list, these are the sites ChatGPT is reading.
| Website | Times cited | Share |
|---|---|---|
| medsparankings.com | 6 | 8% |
| plasticsurgery.org | 6 | 8% |
| withorbital.com | 3 | 4% |
| discovermedspa.com | 3 | 4% |
| americanmedspa.org | 3 | 4% |
| mostrecommendedmedspas.com | 2 | 3% |
| whelth.com | 2 | 3% |
| asds.net | 2 | 3% |
| realself.com | 2 | 3% |
| laseraway.com | 2 | 3% |
| Page cited | Times |
|---|---|
| MedSpaRankings — The definitive ranking of America's best med spas medsparankings.com | 6 |
| Find A Med Spa Provider | DiscoverMedSpa discovermedspa.com | 3 |
| Most Recommended Med Spas in the U.S. — Measured on Leading AI Assistants (July 2026) mostrecommendedmedspas.com | 2 |
| The State of America's Med Spas — 2026 | Whelth Research whelth.com | 2 |
| How to Choose the Right Medical Spa for You | ASPS plasticsurgery.org | 2 |
| Find a Trusted Cosmetic Doctor or Plastic Surgeon Near You - RealSelf realself.com | 2 |
| Planning a nonsurgical procedure? What to look for in a med spa | ASPS plasticsurgery.org | 2 |
| How big is the medical spa market in the US and Canada? 2026 data | Orbital withorbital.com | 2 |
| The 2026 Med Spa Pricing Index · Vera Compare veracompare.com | 2 |
| Med Spa Treatment Pricing | ImageLab Med Spa imagelabmedspa.com | 2 |
The receipts
Every answer, word for word
One full ChatGPT answer for each buyer question, unedited.
“What are the best med spas in the United States?”
Places ChatGPT showed
- Dr. Lanna Aesthetics · 5.0★ · Medical spa
- AestheticsMD by Jean Rhee Upper East Side · 5.0★ · Skin care clinic
- Miami Surgical MedSpa · 5.0★ · Cosmetic surgeon
- Pōk Aesthetic Bar · 5.0★ · Medical spa
- White Coat Med Spa · 5.0★ · Medical spa
- Glow Aesthetic Center Med Spa · 4.9★ · Medical spa$$
- West Empire Aesthetics · 4.9★ · Medical spa
If by “best” you mean well-regarded, medically supervised practices with strong reputations and broad aesthetic offerings, there isn't a single objective national #1. The U.S. has thousands of med spas, and independent 2026 directories produce different results depending on whether they emphasize medical oversight, review volume, treatment breadth, or longevity.
A national shortlist worth investigating
- SkinSpirit — A sizable aesthetic-medicine brand with locations in markets including New York, Los Angeles, Scottsdale and Seattle. It appears prominently in current national med-spa data.
- 4Ever Young Anti-Aging Solutions — One of the larger U.S. med-spa brands, with roughly 74 locations according to 2026 industry tracking.
- LaserAway — A large national aesthetic clinic network, particularly focused on laser treatments and other aesthetic services.
- Elase Medspa — A multi-location aesthetic and wellness provider with a presence in several U.S. markets.
Standouts by major aesthetic market
Current 2026 research identifies New York, Los Angeles and Miami as among the country's largest med-spa markets, so those cities offer unusually deep choices.
- New York: Dr. Lanna Aesthetics and AestheticsMD by Jean Rhee Upper East Side are highly reviewed current options. Another current national ranking places SkinSpirit Upper East Side at the top of its New York list.
- Miami: Miami Surgical MedSpa, Pōk Aesthetic Bar, and White Coat Med Spa are notable highly reviewed options. A current independent ranking also identifies Monaco MedSpa as a frequently recommended Miami practice.
- Los Angeles: Glow Aesthetic Center Med Spa and West Empire Aesthetics are current options with strong review profiles. Cienega Medical also appears prominently in current LA research.
- Scottsdale: Current national rankings identify SkinSpirit Scottsdale as a leading local option, while DiscoverMedSpa lists Adam & Eve Medical Aesthetics among its highly rated Scottsdale providers.
- Dallas: Mara's Med Spa and It's A Secret Med Spa are among the practices repeatedly appearing in current Dallas research.
- San Diego: La Jolla Cosmetic Medical Spa is repeatedly identified in current rankings and recommendation measurements.
What I'd look for before booking
For anything beyond a basic facial—particularly Botox/Dysport, fillers, lasers, RF microneedling, body contouring or prescription weight-loss treatments—I'd evaluate the individual clinician, not just the med-spa brand.
Look for:
- A physician/qualified medical professional providing meaningful medical oversight.
- A practitioner with substantial experience in the specific procedure you want.
- Before-and-after photos of patients with similar anatomy and goals.
- Clear discussion of risks, complications and what happens if you don't like the result.
- Conservative treatment recommendations rather than pressure to purchase packages.
- Appropriate credentials and licensing for the state and procedure.
- Transparent pricing and a real consultation before treatment.
One useful point from current industry data: about 97% of U.S. med spas are single-location businesses, so some of the country's strongest practices aren't national chains at all.
If you tell me what treatment you want (Botox, filler, laser, Morpheus8, body contouring, weight loss, etc.) and your city or how far you're willing to travel, I can narrow this to a much more useful shortlist and compare them on provider credentials, reviews, pricing, and specialties.
“Which med spas in the United States are best for first-time injectable patients?”
Places ChatGPT showed
- Cosmetic Injectables Center Medspa · 4.8★ · Medical spa$$$
- Injectability Clinic · 4.7★ · Medical spa$$
- TRUE Aesthetic Clinic Med Spa Oakbrook - Botox, Fillers, Facial Balancing · 4.9★ · Medical spa
- Zensken - Phoenix Med Spa & Aesthetic Injector Training · 5.0★ · Medical spa
- Wellspring Skincare · 4.5★ · Medical spa$$
- Kiss Me Med Spa · 4.7★ · Medical spa$$
- KC Injectables Med Spa Overland Park · 5.0★ · Medical spa
If you’re a first-time injectable patient, I’d focus less on finding the “best med spa” nationally and more on finding a practice with strong medical oversight, an experienced injector, conservative treatment philosophy, and a good complication protocol. The FDA specifically recommends choosing a licensed provider experienced with fillers, and ASPS recommends asking about the injector’s training, experience, physician oversight, and emergency preparedness.
Practices worth researching
These are examples that surfaced in my search and have characteristics that may be particularly useful to a first-timer:
- Cosmetic Injectables Center Medspa — Sherman Oaks, California. Physician-led, with board-certified physician Sherly Soleiman, MD, and a sizable volume of patient reviews. The practice emphasizes injectable expertise and education.
- Injectability Clinic — Torrance, California. Injectable-focused practice with an emphasis on detailed consultations, natural-looking results and safety; reviews frequently mention providers taking time to explain options.
- TRUE Aesthetic Clinic Med Spa Oakbrook — Oakbrook Terrace, Illinois. Led by nurse practitioners and emphasizes facial harmony, conservative results and patient education.
- Zensken - Phoenix Med Spa & Aesthetic Injector Training — Phoenix, Arizona. Boutique practice emphasizing conservative/natural results and patient comfort; its injector-training operation is an additional indication of an education-oriented practice.
- Wellspring Skincare — Roswell, Georgia. Physician-owned/physician-led, with a board-certified physician as medical director and injector.
- Kiss Me Med Spa — Fresno, California. Reviews specifically include first-time Botox/filler patients describing a patient, supportive experience.
- KC Injectables Med Spa Overland Park — Overland Park, Kansas. Reviews include first-time filler/toxin patients who describe the experience as comfortable and educational.
I wouldn't interpret these as a national ranking—the available evidence isn't standardized enough to responsibly rank med spas against one another.
What I'd look for as a first-timer
Before booking, ask these five questions:
- Who will actually inject me, and what are their credentials?
- How many times have they performed the specific treatment I'm considering?
- Will I have an examination/consultation with a prescribing medical professional before treatment?
- What is your protocol for complications, particularly vascular occlusion if I'm getting filler?
- Which exact FDA-approved product will you use, and can I see the packaging?
The American Society for Dermatologic Surgery similarly recommends asking who owns/operates the spa, who performs the procedure, and whether they have appropriate education, training and oversight. The Aesthetic Society also recommends verifying the supervising aesthetic surgeon, injector competency, and the specific injectable brand being used.
For a first treatment, I'd also strongly favor a conservative plan. ASPS specifically notes that starting with one area and adding treatment later can be a sensible way to see how you respond, rather than trying to change the entire face in one appointment.
If you tell me your state/city and whether you're interested in Botox/Dysport, lip filler, cheek filler, or facial balancing, I can narrow this to a handful of practices and compare their credentials, reviews, pricing, and first-timer experience.
“Which med spas in the United States are best for Botox, fillers and laser skin treatments?”
Places ChatGPT showed
- Cosmetic Injectables Center Medspa · 4.8★ · Medical spa$$$
- Concierge Aesthetics® - Botox, Dysport, CoolPeel, Juvederm, Laser, Morpheus8, Restylane, Xeomin · 4.9★ · Medical spa$$
- The Look Med Spa · 4.8★ · Medical spa
- Skin Savvy Aesthetics Scottsdale Med Spa · 4.8★ · Medical spa$$$
- La Bella Vita Medi Spa · 4.8★ · Medical spa$$
- Cosmetica Laser & Skin: Laser Hair Removal, Botox, Lip Fillers, Semaglutide, Microneedling, HydraFacial, BioRepeel · 5.0★ · Medical spa
If you’re looking nationally, I’d focus less on a single “#1 med spa” and more on practices with strong injector credentials, physician oversight, substantial before/after portfolios, and advanced laser platforms. There are tens of thousands of U.S. med spas, and Botox/fillers are now extremely common; laser resurfacing is much less ubiquitous.
U.S. practices worth putting on your shortlist
- Cosmetic Injectables Center Medspa — Particularly interesting if injectables are your priority, while also wanting lasers, photofacials and Morpheus8. It has 600+ reviews in current business data.
- Concierge Aesthetics® — Broad combination of Botox/Dysport, multiple filler types, Sculptra/Radiesse, CoolPeel CO₂ and Morpheus8; current business data shows 4.9/5 from 200+ reviews.
- The Look Med Spa — Strong device-oriented menu, including HALO, BBL, resurfacing and Morpheus8 alongside Botox and fillers.
- Skin Savvy Aesthetics Scottsdale Med Spa — Focuses on natural-looking injectables plus corrective facials and laser-based treatments.
- La Bella Vita Medi Spa — A Northern California option offering Botox plus laser/energy-based skin treatments.
- Cosmetica Laser & Skin — A particularly convenient Northern California option with Botox, several other neuromodulators, fillers, lasers, microneedling and peels.
There are also nationally recognized directories that are useful for vetting individual physicians/injectors. RealSelf Verified providers, for example, must maintain a medical license in good standing and at least a 4-star patient rating, with licenses rechecked periodically.
What I'd look for before booking
For Botox/fillers, prioritize the individual injector rather than the spa's brand. Look for substantial before/after work involving faces similar to yours, conservative treatment philosophy, and someone who can explain anatomy, product selection and complication management.
For lasers, ask exactly which device they're using. “Laser treatment” can mean very different things: IPL/BBL for pigmentation and redness, fractional non-ablative lasers for texture, or CO₂/ablative resurfacing for more substantial resurfacing. The appropriate choice depends heavily on your skin type and the problem being treated.
And for fillers especially, I'd want a practice with a clear plan for managing complications—not simply somewhere offering the lowest price.
If you tell me your city/state (or how far you're willing to travel), your approximate budget, and whether your priority is Botox, facial fillers, or laser resurfacing, I can narrow this to 5–10 specific practices and compare their credentials, technologies, reviews, pricing and before/after portfolios.
“Which med spas in the United States have the most experienced injectors and medical oversight?”
Places ChatGPT showed
- Plano Plastic Spa · 4.5★ · Medical spa
- Unscripted Functional Aesthetic Medicine · 5.0★ · Medical spa
- MedSuite at Castle Hills - Dr. Anam Tharoo · 4.4★ · Medical spa
- Skyn Lab Med Spa · 5.0★ · Medical spa
- Signature Dermatology and Aesthetics · 4.9★ · Dermatologist
- Song Dermatology · 5.0★ · Dermatologist
If by “most experienced injectors and medical oversight” you mean practices where the injector’s individual experience matters, the medical director is genuinely involved, and the practice has strong physician-level aesthetic expertise, I would not rely on generic “Top 10 med spas” lists. There is no standardized national ranking for injector experience, and the term “med spa” itself is not a regulated credential.
A better way to identify high-level practices is to look for board-certified dermatologists, plastic/facial-plastic surgeons, or injectors with substantial documented aesthetic experience, plus real physician involvement in consultation, protocols, and complication management. A 2024 study of medical spas found substantial variation in supervision, including many medical directors who were not routinely on-site.
Practices I would investigate
- SkinSpirit — A national aesthetic practice worth investigating, particularly because it combines medical aesthetics with physician/advanced-practice-provider teams and has a substantial training culture. Its Austin location, for example, includes experienced aesthetic providers such as George Baxter-Holder, DNP, ARNP, CANS, who is also involved in national injector education.
- Plano Plastic Spa / Plano Plastic Surgery & Spa — Plano, TX — Physician-owned plastic-surgery environment with a dedicated med-spa operation. The practice describes physician oversight and an AAAASF-accredited setting. Plano Plastic Spa
- Unscripted Functional Aesthetic Medicine — Dallas, TX — Particularly interesting if you want a physician with facial-plastic-surgery expertise involved in the practice. The medical director, Standefer, MD, FACS, is described as double board-certified in facial plastic/reconstructive surgery and otolaryngology. Unscripted Functional Aesthetic Medicine
- U Med Spa — Plano, TX — Worth a close look because its medical director, Ben Tittle, MD, is a board-certified plastic surgeon with decades of surgical experience and extensive aesthetic practice.
- Specialist dermatology/plastic-surgery practices — For particularly important filler work, I would also consider going directly to a board-certified dermatologist or facial-plastic/plastic surgeon rather than a conventional med spa. The American Society of Plastic Surgeons specifically recommends examining who the injectors and medical director are, their training, procedure volume, and whether the medical director is physically available.
What I'd look for in the individual injector
Rather than choosing based on the spa's brand, ask for the specific person who will inject you and look for:
- 5–10+ years of injectable experience, preferably with high procedure volume.
- RN/NP/PA or physician credentials, with substantial aesthetic-specific training.
- Documented experience with the particular treatment you're getting—not just “years in aesthetics.”
- Strong understanding of facial anatomy and vascular-occlusion management.
- Ability to show a substantial portfolio of their own before/after results.
- A physician medical director who is actually involved, rather than simply lending their name to the practice.
- Immediate access to the physician and an established protocol for complications such as vascular occlusion.
- For filler, particularly valuable evidence of advanced anatomy training; cadaver-based facial anatomy training is one useful signal, although it isn't by itself proof of injector competence.
One important distinction: “medical director” doesn't necessarily mean the physician is the person treating you. In many med spas, the injector is an RN, NP, or PA while the physician provides clinical oversight.
Since you're in the DFW area
There are actually several practices near you that I'd investigate before traveling across the country. In particular:
- Plano Plastic Spa
- Unscripted Functional Aesthetic Medicine
- MedSuite at Castle Hills - Dr. Anam Tharoo
- Skyn Lab Med Spa
- Signature Dermatology and Aesthetics
- Song Dermatology
I would not treat the review counts or star ratings as evidence that one has the most experienced injectors. Those metrics don't tell you enough about injector training or physician oversight.
If you tell me what you're considering (Botox/Dysport, lip filler, cheek/jaw filler, Sculptra, etc.) and how far you're willing to travel, I can research the 10–15 strongest U.S. practices for that specific procedure, comparing the actual injectors' credentials, years of experience, physician oversight, complication protocols, and training rather than relying on generic med-spa rankings.
“Which med spas have locations across the United States?”
Places ChatGPT showed
- NakedMD Med Spa Phoenix · 3.8★ · Medical spa
- NakedMD Med Spa Scottsdale · 3.5★ · Medical spa
- Elase Med Spa - Arcadia · 5.0★ · Medical spa
- Elase Med Spa - Gilbert · 4.9★ · Medical spa
Yes. If by “across the United States” you mean med-spa brands with locations in multiple states, there are several sizable chains. The U.S. market is otherwise highly fragmented—one 2026 industry dataset estimates that about 97% of med-spa businesses are single-location operators.
Multi-state med-spa chains
| Brand | Approx. U.S. locations\* | Notes |
|---|---|---|
| Ideal Image | ~165–175 | One of the largest dedicated medical-aesthetics chains; injectables, laser, skin and body treatments |
| LaserAway | ~145 | Large national aesthetic chain focused on laser, injectables, skin and body treatments |
| 4Ever Young Anti-Aging Solutions | ~74 | Franchise-based; injectables, hormone/health services, skincare and wellness |
| SkinSpirit | ~60 | Medical aesthetics and skincare; concentrated in major metro areas |
| iCRYO | ~50 | Cryotherapy/recovery/wellness with additional aesthetic services at some locations |
| NakedMD | ~41 | Medical aesthetics, injectables, skincare and wellness |
| Elase Med Spa | ~35 | Injectables, lasers, skincare and body treatments |
| Kalologie Medspa | ~34 | Aesthetics, injectables, laser and skincare |
| Dermani Medspa | ~31 | Multi-state franchise med-spa |
| VIO Med Spa | ~59 | Multi-state aesthetic/med-spa franchise |
\*Location counts vary as franchises open/close; these are approximate 2026 figures from industry/location datasets rather than a permanent official count.
There are also large national aesthetic chains that overlap with the med-spa category, such as Milan Laser, Sono Bello, SEV Laser, European Wax Center, and Hand & Stone. Depending on how strictly you define “med spa,” these may or may not belong on the list.
For example, NakedMD already has locations in the Phoenix area, including NakedMD Med Spa Phoenix and NakedMD Med Spa Scottsdale, while Elase has multiple Arizona locations as part of its broader multi-state footprint, including Elase Med Spa - Arcadia and Elase Med Spa - Gilbert.
If you're looking for the med-spa chains with the broadest geographic coverage (e.g., locations in 10+, 20+, or 30+ states), I can make you a more detailed list showing brand, number of states, total locations, states served, ownership/franchise model, and headquarters.
“Who are the best med spas in the US for first-time injectable patients?”
Places ChatGPT showed
- Dermatology & Laser of Alabama · 4.9★ · Dermatologist
- Raggio MD Facial Plastic Surgery · 5.0★ · Plastic surgeon
- Marian E Northington, MD; Dermatologists of Birmingham · 4.8★ · Dermatologist
If you’re new to Botox/filler, I’d prioritize the injector and medical setup over finding a flashy “top 10” med spa. Injectable treatments are medical procedures, and professional guidance emphasizes appropriate training, facial-anatomy knowledge, consultation, and medical oversight.
A few U.S. practices that stand out from current provider data and published credentials are:
- Aesthetica Med Spa — Austin, TX — established in 1999, with surgeon-trained nurse injectors; currently listed with a 4.8 rating and 350 reviews.
- BodyLase Med Spa — Raleigh, NC — currently listed at 4.9 with about 800 reviews and described as an Allergan Diamond-level provider.
- Canvas Skin — Nashville, TN — particularly relevant for a beginner because it describes its practice around facial assessment, injectables, and individualized treatment.
- Ember Medical Spa — Dallas, TX — physician-led boutique practice with an emphasis on natural-looking results.
- Alani Skin MD — Scottsdale, AZ — physician/board-certified-oriented practice with a large review base; current directory data shows 4.9 and 1,325 reviews.
- SkinSpirit — multiple locations — a larger aesthetics practice with locations including New York and Scottsdale; current 2026 rankings place some locations highly, although rankings themselves aren't a substitute for evaluating the individual injector.
What I'd look for as a first-timer
Before booking, ask:
- Who will actually inject me? Look up that person's license, clinical background, and injectable-specific experience.
- Who is the medical director, and is there meaningful medical oversight?
- Do they require an actual consultation before injecting? A good first visit should involve facial assessment, medical history, discussion of goals, risks, alternatives, and a conservative treatment plan.
- Do they use FDA-approved products from legitimate sources?
- Can they show results from patients with a similar face/age/concern?
- What is their complication plan? For filler especially, ask how they handle vascular occlusion and whether they stock/use hyaluronidase when appropriate.
- Will they tell you “not yet” or “you don't need that”? That's useful information for a first-time patient.
I would not choose solely on Google stars or national rankings. Even directories that compile thousands of spas acknowledge that their ratings don't establish clinical quality or that they've personally vetted the providers.
If you're actually in the Birmingham, Alabama area, there are several physician/dermatology/plastic-surgery practices worth investigating locally, including Dermatology & Laser of Alabama, Raggio MD Facial Plastic Surgery, and Marian E Northington, MD; Dermatologists of Birmingham. Their setups may be particularly relevant if you'd rather have your first injectable done in a dermatology or facial-plastic-surgery environment rather than a traditional med spa.
If you tell me what you're considering (Botox/Dysport, lip filler, cheek filler, etc.) and your approximate budget, I can narrow this to a shortlist of U.S. practices specifically known for conservative, natural-looking first-timer results.
“Which med spas in the United States offer the best value and clear pricing?”
Places ChatGPT showed
- Luna Med Spa · 5.0★ · Medical spa
- Upscale Wellness & MedSpa · 5.0★ · Medical spa
- Revitalize Medical Spa · 5.0★ · Medical spa
- Skinnovations Medical Aesthetics · 5.0★ · Skin care clinic
- Refined Radiance Med Spa · 5.0★ · Medical spa
- SAS Med Spa · 5.0★ · Medical office
- the med spa · 5.0★ · Medical spa
If by “best value” you mean a combination of published prices, straightforward membership terms, reasonable treatment pricing, and enough information to compare clinics before booking, there are several U.S. med spas worth putting on a shortlist. I wouldn’t treat any one as objectively “best,” because provider qualifications and the quality of the actual treatment matter alongside price.
A useful 2026 benchmark is about $13/unit for Botox, $688/syringe for filler, $422 for microneedling, and $217 for a HydraFacial among med spas that publicly list prices. Pricing varies enormously, though, particularly for laser treatments.
Med spas worth comparing
- Luna Med Spa — Brookfield, Wisconsin. Its menu-style pricing and medically oriented approach make it a useful Midwest comparison point.
- Upscale Wellness & MedSpa — Oklahoma City, Oklahoma. Publishes detailed pricing for neurotoxins, fillers and multiple device-based treatments, including package pricing.
- Revitalize Medical Spa — Jenks, Oklahoma. Publishes pricing for several laser treatments and packages; its current listing also indicates substantial customer-review volume.
- Skinnovations Medical Aesthetics — Wausau, Wisconsin. Particularly interesting if transparency is a priority: the practice publishes prices on individual treatment pages and explicitly addresses medical-service tipping.
- Refined Radiance Med Spa — Bondurant, Iowa. Publishes its pricing and emphasizes online booking and transparent pricing.
- SAS Med Spa — Springfield, Ohio. Publishes per-unit neurotoxin pricing; its current listing shows Botox at $12/unit and Dysport at $3.75/unit.
- the med spa — Summersville, West Virginia. Has an unusually extensive online menu with prices for injectables, laser treatments, facials and other services.
Particularly interesting pricing models
ImageLab Med Spa is worth examining if you're interested in a multi-location operation. It says its Chicago, Rockford and Alexandria locations use the same prices, with no consultation fee. Its published Botox/wrinkle-relaxer price starts at $9.99/unit for new patients and $14 for returning patients, while its Beauty Bank membership is $49/month and converts to treatment credit, with additional discounts.
Carroll Cosmetic Club publishes both regular and membership prices. For example, it lists Botox at $15/unit normally and $12.75 for members, with filler at $799 normally versus $679 for members. Its membership is $99/month.
Nexa Med Spa has a more credit-oriented membership structure. Its Greenwood, Indiana location lists a $149/month membership that provides a $149 treatment credit, plus member pricing such as $11/unit Botox and $9/unit Xeomin.
What I'd use to judge “value”
Don't compare only the advertised starting price. I'd look for:
- Price per unit/syringe/session, rather than vague “starting at” prices.
- Whether consultation fees are separate.
- Whether membership fees become usable credit or are simply an additional charge.
- Whether touch-ups, numbing, aftercare and follow-ups are included.
- Who actually performs the treatment and their relevant licensing/training.
- Whether the price is for the actual product advertised—especially with Botox alternatives.
- Package expiration/cancellation terms.
- Whether the clinic publishes prices before requiring a consultation.
That last point is important: one 2026 pricing survey found that only about one-third of med spas publish pricing at all, while published prices for identical procedures can differ dramatically.
If you tell me which treatment you care about (Botox, filler, microneedling, laser hair removal, Morpheus8, etc.) and whether you're willing to travel, I can make a current U.S. price comparison based specifically on that treatment, rather than mixing together very different med-spa services.
“Which family-owned or locally owned med spas in the United States do patients trust?”
Places ChatGPT showed
- Esteem Medspa · 5.0★ · Medical spa
- Spa Medicca · 5.0★ · Medical spa
- Oxford Medical Aesthetics & Laser · 5.0★ · Medical spa
- Pure Aesthetics Medical Spa · 5.0★ · Medical spa
- Simply Skin & Wellness · 5.0★ · Skin care clinic
Yes. If by “trusted” you mean independently/local ownership plus strong patient-review evidence, there are quite a few. There isn’t a reliable nationwide survey that can establish which med spas patients “trust” overall, so I’d treat review volume, consistency of reviews, ownership, medical oversight, and transparency as useful proxies rather than a definitive ranking.
A few examples worth investigating:
- Esteem Medspa — Hamilton, Ohio. 5.0/5 from 636 reviews in the local business data I found. It is a medically supervised aesthetic/wellness practice with multiple Southwest Ohio locations.
- Spa Medicca — Mason, Ohio. 5.0/5 from 64 reviews at the Mason location; offers injectables, skincare, devices, body contouring and wellness services.
- Oxford Medical Aesthetics & Laser — Oxford, Ohio. 5.0/5 from 31 reviews; physician-led and focused on injectables, laser treatments, body contouring and medical-grade skincare.
- Pure Aesthetics Medical Spa — Dayton, Ohio. 5.0/5 from 27 reviews in the current local-business data.
- Simply Skin & Wellness — Springboro, Ohio. A boutique medical-aesthetics/wellness practice; particularly relevant if you want a smaller, consultation-oriented practice.
- Lucy’s Laser & MedSpa — Mentor, Ohio. Its site currently displays 5.0 stars from 551 Google reviews, with numerous reviews describing repeat visits, referrals, knowledgeable providers and feeling comfortable with treatment recommendations.
- Onyxx Wellness and Aesthetics — Clearwater, Florida. This one explicitly describes itself as locally owned, family-operated and women-led; the available data shows 4.8/5 from 93 aggregated patient reviews.
- Nirvana Wellness Med Spa — Philadelphia, Pennsylvania. Its owner is identified as Taralyn Freda, and the available review data shows 4.8/5 from 155 reviews, including reviews specifically describing it as a local family-owned business.
There are also hundreds of independently/local-owned practices with substantial review histories. For example, current local directories identify numerous independent med spas with hundreds of reviews in Chicago, Boston, Philadelphia, Milwaukee and Detroit.
What I'd look for beyond star ratings
For a med spa, I wouldn't rely on “5.0 stars” alone. I'd check:
- Who owns the practice — physician/family/local owner versus a large franchise or private-equity-backed chain.
- Who actually performs each procedure — particularly injectables, lasers and more invasive treatments.
- Medical oversight and credentials.
- Review volume and longevity — 4.9 from 600+ reviews tells you something different from 5.0 from 12 reviews.
- Reviews mentioning complications or corrective treatment, and how the practice responded.
- Whether reviews are consistent across Google and independent platforms, rather than only testimonials on the spa's own website.
- Consultation style — whether providers recommend less treatment when appropriate rather than simply selling additional procedures.
- Clear pricing, informed consent and aftercare.
If you're looking specifically for family-owned/local med spas across the U.S. with, say, 4.8+ stars and 200+ patient reviews, I can build a much more systematic shortlist by state/region and verify the ownership rather than just giving you a generic list.
How AI Rankings work
Real answers, counted
We asked ChatGPT (web search on, United States) each of the 8 buyer questions 3 times: 24 answers, collected 25 Sep 2026.
Answer Share is the share of those answers that name a company at least once. Answer Rank is where the company shows up when it is named (#1 = named first), averaged. Question Reach is how many of the buyer questions it appears for.
On the Answer Map, the lines cross at 50% Answer Share and Answer Rank #3. Leaders are named in at least half the answers and near the top; Niche Picks are named less often but early; Recognized are named often but further down; On the Radar are named some of the time, further down. These labels describe ChatGPT's answers, not company quality.
Every company listed was matched to its own website by written rules and automated checks; some identity matches are reviewed by our team. Names we could not match to a real business are left out. No company is added, removed or reordered to favour anyone, and no company can pay to appear.
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Med Spas: zoom in or out
ChatGPT names different companies nationwide, statewide and city by city.
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Highlighted markets are live. The rest are on the weekly tracking schedule.
ProjectA · AI Rankings
Med Spas in United States