Cosmetic Medicine & Medical Spa Markets

Anything MarketMarch 25, 2014

Woman getting botox treatment’s ‘Anything Market’ looks at the cosmetic medicine and medical spa markets: Companies, numbers, and trends. Contact Us to suggest topics.

Cosmetic medicine describes aesthetic products and services in an obvious way. Defining the term “medical spa” is the trickiest part of evaluating what’s going on in the U.S. skin care market. According to industry sources, “medical spa” typically refers to a business that offers aesthetic enhancement services such as chemical, injectable, and light-based treatments. Facilities usually emphasize a spa-like setting.  Regulations vary significantly from state to state, and consumers are warned by professional organizations to carefully evaluate various factors such as who is performing the procedure, whether there is oversight by a medical director, etc.

Alternative cosmetic medicine service providers are cosmetic surgeons and dermatologists. Spas also compete to a certain degree with less invasive treatments such as chemical peels, facials, laser hair removal, etc.

Facilities & Revenues

According to Marketdata Enterprises’ 2012 report, there were 2,100 medical spas operating in the United States. Total revenues were projected to reach nearly $2.0 billion for the year.

To put those figures into perspective, the International Spa Association estimated that 19,960 U.S. spas generated $14.0 billion in 2012. According to cosmetic procedure data from the American Society for Aesthetic and Plastic Surgery (ASAPS), nonsurgical procedures generated an estimated $4.2 billion in 2012.

Recent Trends

News articles published from 2008 through early 2009 continued to cite a U.S. medical spa market valuation of approximately $1.0 billion. At the time, the core client base for aesthetic services (BOTOX®, cellulite, fillers, laser, resurfacing, etc.) was the baby boom generation. A 2008 survey conducted by the American Academy of Dermatology (AAD; Schaumburg IL) indicated growing demand for BOTOX® procedures among individuals between 20 and 35 years of age (approximately 20.0%).[1]

According to the latest ASAPS data (2012), nearly 44.0% of nonsurgical procedures were performed on Americans between the ages of 30 and 55, followed by the 51 – 64 cohort (approximately 30.0%).[2]

Nonsurgical Procedures

Detailed fee and procedure data are tracked annually by the ASAPS, although the venues (e.g., cosmetic, dermatology, otolaryngology, or medical spa facilities) are not included. The full 2012 report includes the estimated numbers of individual procedures performed in 2012. To illustrate demand, the following chart summarizes demand for three categories: Injectables, Skin Rejuvenation, and “Other.”

US Non-surgical procedures by category 2012 chartThrough a new on-demand service, is working with Marketdata Enterprises Inc. to evaluate local and regional medical spa markets for custom research clients. Details are described in the February 2014 Press Release.

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[1]  “Dubai Taps Into $255 Billion Global Spa Economy”, Press Release, October 2, 2008 (

[2]  “Cosmetic Surgery National Databank, 2012,” The American Society for Aesthetic Plastic Surgery,

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