Medical Spa Market Review 2011: The Changing - Feed
Transcription
Medical Spa Market Review 2011: The Changing - Feed
Medical Spa Market Review 2011: The Changing Landscape ISBN # 1-889713-03-1 Published: September 2011 ! " # $ $ Feedback Research Services / Feed-back.com P O Box 1329 • Jacksonville OR 97530 www.Feed-back.com • [email protected] 541-899-8088 Phone Medical Spa Market Review: The Changing Landscape Table Of Contents Topic: Chapter I Page: Introduction 1 Aesthetics Overview Medical Spa Criteria, Numbers, Etc. Objectives & Methodologies Selected Highlights 1 2 3 3 Chapter II 5 Market Overview (2003 - 2008) Aesthetic Procedure Statistics Facility Surveys (2008) Procedure Volumes & Business Growth Most Popular Services & Pricing Provider Comparisons Seasonal Volumes Skin Care Products Significant Changes / "Competitor Questions" Web Presence Medical Spa Chains & Franchises Esthetician Services Industry Assessments (2008) Issues & Trends Regulation & Safety 7 9 12 12 12 12 13 15 15 15 16 18 18 19 Chapter III Market Assessments (2009 - 2011) 20 Published Estimates & Forecasts BOTOX® Cosmetic Cosmetic Procedure Statistics 2009 Survey 2010 Survey Recent Market Estimates Highlights from the 2010 Face and Body Conference Spa Market Trends (2010 - 2011) Economic Influences Operational Components FRS' Medical Retail & Medical Spa Databases Analytical Methodology Web Site Reviews Medical Spa Research Findings (2009 - 2010) 20 21 22 22 23 24 25 26 26 29 29 30 30 31 ii Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Spa Market Review: The Changing Landscape Closure Trends Medical Practice Affiliations Operations Overview Facility Type Staffing Procedures Expectations For 2011 Medical Spa Market Review (2011) Facility Characteristics Procedures & Products Staffing Aesthetic Market Comparisons (2011) The Cosmetic / Plastic Surgery Market Facility Characteristics Procedures & Products Staffing The Dermatology Market Facility Characteristics Procedures & Products Staffing 32 35 35 36 36 37 38 38 39 40 43 43 44 45 45 47 48 49 50 52 Chapter IV 53 Market Outlook (2011 - 2014) Published Estimates & Forecasts Non-Invasive Aesthetic Procedure Estimates & Forecasts ASAPS Disciplines & Fees The Medical Spa Market Issues & Trends Expanded Offerings Skin Care Product Sales 54 55 56 61 63 64 65 Appendix I 68 References & Resources Articles & Citations Companies / Professional Societies / Trade Organizations / Etc. 68 70 Appendix II 71 FRS Databases 2011 FRS Medical Retail Database 71 Cosmetic / Plastic Surgery Practices Facilities & Web Sites Locations, Physicians, Credentials, & Medical Spa Affiliations Products iii Copyright © 2011 by Feedback Research Services / Feed-back.com. 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This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 71 71 74 77 Medical Spa Market Review: The Changing Landscape Procedures Staff Notes 82 85 87 Dermatology Practices Facilities & Web Sites Locations, Physicians, Credentials, & Medical Spa Affiliation Products Procedures Staff Notes 2011 FRS Medical Spa Database 90 90 93 97 105 109 112 116 Medical Spas Facilities & Web Sites Locations, Physicians, Credentials, & Medical Practice Affiliation Products Procedures Staff Notes 116 116 120 124 136 140 Figures & Tables Figure 1 U.S. Medical Spa Facility Growth (2001 - 2006) 6 Figure 2 Company Name Comparisons (2006) 7 Figure 3 Esthetician-Performed Services (2008) 17 Figure 4 FRS Database Medical Spa Closure Rates (2007 - 2010) 32 Figure 5 Facility Type By Self-Classification (2010) 36 Figure 6 Staffing By Type Of Position & Self-Classification (2010) 37 Figure 7 Medical Spa Facility Distribution By State (2011) 39 Figure 8 Medical Spa Procedure Comparisons (2011) 41 Figure 9 Medical Spa Product Comparisons (2011) 42 Figure 10 Medical Spa Staff Comparisons (2011) 44 Figure 11 Cosmetic / Plastic Surgery Procedure Comparisons (2011) 46 Figure 12 Cosmetic / Plastic Surgery Product Comparisons (2011) 47 iv Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Spa Market Review: The Changing Landscape Figure 13 Cosmetic / Plastic Surgery Staff Comparisons (2011) 48 Figure 14 Multi-Location Dermatology Practices (2011) 49 Figure 15 Multi-Physician Dermatology Practices (2011) 50 Figure 16 Dermatology Procedure Comparisons (2011) 51 Figure 17 Dermatology Product Comparisons (2011) 52 Figure 18 Dermatology Staff Comparisons (2011) 53 Figure 19 ASAPS Non-Invasive Procedure Category Comparisons (2010) 56 Figure 20 ASAPS "Discipline" Comparisons (2010) 57 Figure 21 Medical Spa Physician "Discipline" Comparisons (2011) 62 Table 1 Service Mix Comparisons By Aggregate Survey Data (2006 - 2007) 9 Table 2 Services By Provider For Selected Facilities (2008) 13 Table 3 Busy & Slow Periods By Percentage of Mentions (2008) 14 Table 4 Medical Spa Chains / Franchises With Three Or More Locations (2007 - 2009) 16 Table 5 FRS Database Medical Spa Closure Rates (2007 - 2010) 33 Table 6 Extrapolated FRS Database Medical Spa Closures & Projections (2006 - 2014) 34 Table 7 The U.S. Non-Invasive Aesthetic Procedure Market (2010 - 2014) 58 Table 8 The U.S. Plastic Surgeon Non-Invasive Aesthetic Procedure Market (2010 - 2014) 59 Table 9 The U.S. Dermatologist Non-Invasive Aesthetic Procedure Market (2010 - 2014) 59 Table 10 The U.S. Otolaryngologist Non-Invasive Aesthetic Procedure Market (2010 - 2014) 60 Table 11 ASAPS & FRS Physician Findings Comparison (2010 - 2011) 61 Table 12 The U.S. Medical Spa Non-Invasive Aesthetic Procedure Market (2010 - 2014) 63 Table 13 The U.S. Skin Care Product Market (2008 - 2013) 67 v Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Chapter I Introduction Since 2003, Feedback Research Services (FRS) has produced six reports that analyze various segments of the U.S. medical aesthetics market. Most published revenue estimates and forecasts are attributed to sources that include industry participants, market research reports, and medical association sources. FRS independently conducts its own interviews and surveys. The findings are combined with published estimates to generate a "bottom-up" analysis of product and service revenues. Over the years, the most prominent sources of medical spa directories and market information have been: • DiscoverSpa.com • Spafinder.com • The International SPA Association (ISPA; Lexington KY; www.experiencespa.org) • The International Medical Spa Association (ISMA; Union City NJ; www.medicalspaassociation.org). Other organizations, magazines, and industry publications have also followed market developments. An ongoing issue is patient safety. Legislation and regulations vary significantly from state to state. The proliferation of chains, franchises, and laser centers has fueled concerns and general debate. Aesthetics Overview Cosmetic procedures continue to be popular, according to statistics published by the American Society for Aesthetic Plastic Surgery (ASAPS; New York NY; www.surgery.org) and other sources. In a May 2007 press release, the International 1 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Association for Physicians in Aesthetic Medicine (IAPAM; www.iapam.com) disclosed results from "Aesthetic Medicine Consumer Study" that surveyed women in the 21 - 60 age range. Most survey participants (78%) indicated that medical credentials were a very important criterion for selecting an aesthetic service provider. Demand in the billion dollar market was largely driven by those who are 50 years of age and older ("over 11,000 people turning fifty every day").1 Medical Spa Criteria, Numbers, Etc. Medical spas typically provide aesthetic procedures that are performed in relaxing environments, as standalone treatments or in combination with body work. Another spa-like function is promotion and sale of professional skin care products. According to Wikipedia, a "medical spa" is described as: "Any medical office that operates under the supervision of a licensed health care professional, such as a medical doctor (MD) and offers nonsurgical elective cosmetic medical treatments." Data published by the International Spa Association (ISPA; Lexington KY) identified 976 medical spas, which generated $1,063.0 million in 2006.2 During the past two years, FRS staff reviews of online materials and telephone surveys have been conducted to update information about the types of services offered by facilities in FRS' 2011 Medical Spa Database. For the purposes of this report, "aesthetic" offerings include non-invasive procedures and services that are provided to consumers by trained professionals, mostly in medical and spa settings. In its most recent description of medical spas, 1 "Statistics Show Clients Choosing Medical Spas Over Plastic Surgeons", Aesthetic Medical News, March 2008 (http://www.aestheticmedicinenews.com). 2 "New ISPA Research Reveals Day Spa Revenues Down, Medical Spa Revenues Doubled", SPATRADE, August 12th, 2007 (www.spatrade.com). 2 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Wikipedia lists several types of treatments that are commonly performed in medical spas: • Chemical peels • Dermal fillers (e.g., JUVÉDERM®, RESTYLANE®, RADIESSE®, etc.) and dermal injections (e.g., BOTOX® and DYSPORT™) • Extractions, facials, photo-facials, and/or photorejuvenation • Eyelash extension / growth • Fraxel • Laser procedures (e.g., Intense Pulsed Light) for hair removal, pigmented lesions, moles, skin tightening, sun damage, veins, etc.) • Microdermabrasion • Pharmaceutical grade skin care products (e.g., SkinMedica®, Skinceuticals®, etc.) • Sclerotherapy • Thermage®. Objectives & Methodologies The primary goal is to analyze the numbers and types of offerings to generate revenue estimates for the U.S. medical spa market. Assessments are derived from several types of material: • Information provided by published sources such as ASAPS statistics • Interview and survey findings from proprietary ongoing primary research • Online materials presented on facility web sites. Selected Highlights Chapter II summarizes historical perspectives. In 2006 and 2007, FRS staff conducted online research to update and compile existing databases of medical spa facilities. Telephone calls were made to: 3 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends • Determine if the facility was still in business • Conduct a brief survey and evaluate what had changed from 2006 to 2007 Efforts were also made to gather information through telephone surveys with managers and/or owners, with declining levels of success. In 2006, surveys were conducted with approximately 20% of the entire database pool (medical practices and medical spas), compared with roughly 12% in 2007. In 2008. telephone surveys were conducted with a subset of "responsive" medical practices that had been contacted previously, generating relatively high response rates: • Cosmetic / Plastic Surgeons: 19.6% • Cosmetic Dermatologists: 18.0%. In comparison, the medical spa response rate was phenomenal — 71.7% of the candidate pool participated in the survey. The good results were most likely due to several factors. Many respondents were annual participants in FRS surveys who had a strong interest in market trends. Others were motivated by the free findings overview offer. Sampling of the database pool from 2009 through 2010 resulted in limited participation of surveyed contacts: Subsequent research was therefore conducted online in summer 2010. Listings in FRS' 2010 Medical Retail Database (i.e., Dermatologists and Cosmetic/Plastic Surgeons) and 2011 Medical Spa Database were updated through laborious review of facility web sites and directory searches. Research findings from 2008 through 2010 are summarized in Chapter III, while Chapter IV examines the U.S. medical spa market outlook. References and resources are listed in Appendix I. 4 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Chapter II Market Overview (2003 - 2008) While U.S. non-surgical cosmetic procedure volumes are fairly well-documented, a limited amount of "real" data is available that consistently describes the numbers of facilities and health care professionals that participate in the U.S. aesthetic services market over an extended period of time. According to industry and other sources, the U.S. medical spa market has experienced a remarkable growth rate. Some published estimates are highlighted below: • Early industry estimates suggested there were 500 – 700 medical spas operating within the United States in 2003. 3 • In 2006, the Executive Director of the International Medical Spa Association (IMSA; Union City NJ) estimated that the number of U.S. medical spas exploded from a very small number in 2001 to 1,250 – 1,500 facilities by year-end 2005. 4 • The 1,250 total for 2005 is supported by other figures. For example, the International Spa Association (ISPA; Lexington KY) estimated there were 12,100 spas (of all types) operating in the United States in 2004 5. Another estimate suggested that medical spas may represent 10% of that total figure. 6 (1,210 facilities). 3 DAYSPA Magazine, September 2003. 4 “Spas Moving To Malls”, online article attributed to the Wall Street Journal, posted online January th 16 , 2006 by the Journal Gazette (www.FortWayne.com). 5 “Massages for the Masses”, International Council of Shopping Centers (ICSC), May 2005. 6 Original source is unknown. 5 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Through ongoing interviews and surveys over the years, Feedback Research Services' (FRS) staff tracked growing levels of competition among the medical spa, dermatology, and cosmetic / plastic surgery facilities. "Anti-aging" and "aesthetic" practices also made up part of the mix, many of which were operated by physicians outside of the cosmetic / dermatology fields (such as family medicine, gynecology, etc.). Figure 1 U.S. Medical Spa Facility Growth (2001- 2006) 1400 1200 1000 800 600 400 200 0 First Year Second Year Third Year Fourth Year (2001) (2002) (2003) (2004) Fifth Year (2005) Source: Extrapolated by Feedback Research Services from various industry estimates While compiling a list of medical spas may seem to be a straightforward task, facility owners have thrown researchers a few curve balls. A search that relies exclusively on the term "medical spa" will identify only a portion of total U.S.-based facilities. The pie chart below illustrates the wide range of words used in medical spa company names. 6 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 2 C o m p a n y N a m e C o m p a r i s o n s (2 0 0 6 ) Spa Center / Centre Medical & Spa Skin, Laser, Cosmetic / Plastic, Wellness, Etc. (2% - 7%) Medi / Med, & Spa Spa (42%) Skin Laser Cosmetic / Plastic Wellness Aesthetic / Esthetic Surgery / Surgical Medi / Med & Spa (11%) Medical & Spa (12%) Center / Centre (17%) Day Advanced Derm / Dermatology Dental / Dentistry Source: Feedback Research Services Aesthetic Procedure Statistics The American Society for Aesthetic Plastic Surgery Inc. (ASAPS; New York) publishes annual survey findings that estimate the numbers and types of non-surgical and surgical procedures that are performed in the United States. The general trend suggests demand has dramatically increased since 1997, the first year ASAPS survey results were summarized and published. 7 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends In 2007, annual data were gathered from 12,000 surveys conducted with plastic surgeons, dermatologists, and otolaryngologists and published in the ASAPS's annual procedure volume overview. Of that total, 14% of surveyed physicians "work with" medical spas that provide non-surgical procedures such as BOTOX® injections and laser treatments. The 2007 findings were "projected to present nationwide statistics" with a standard error of + 3.25% but did not include aesthetic services provided by other physicians who are not board-certified in plastic surgery. Since the mid-2000s, many analysts forecast the ultimate demise of BOTOX Cosmetic®, the dominant dermal filler manufactured and sold by Allergan Inc. (Irvine CA). With loss of patent protection, several other companies were expected to challenge BOTOX® with new products that were pending approval by the U.S. Food and Drug Administration (FDA; Rockville MD). Statistics suggest otherwise. For example, even though total injections decreased nearly 13% from 2006 to 2007, there was greater consumer demand for BOTOX® than procedures such as breast implants and liposuction.7 Specifically, there were nearly seven times as many BOTOX® injections (2.78 million) in 2007 than breast augmentation or liposuction procedures (0.40 million and 0.46 million, respectively).8 While 2007 posted the largest total for non-surgical and surgical procedures, significant declines were reported in 2008 and 2009. Total cosmetic procedures dropped from 11.7 million in 2007 to less than 10.0 million in 2009. The non-surgical segment accounted for 8.49 and 8.52 million procedures in 2008 and 2009 respectively, while surgical volumes fell from 1.77 million in 2008 to approximately 1.47 million in 2009. 7 6 "Consumers Erase Economic Worry Lines, Will Forgo Handbags And Jewelry But Not Their Botox", CNN Money (Associated Press), February 29th, 2008. "Cosmetic Surgery National Data Bank Statistics", American Society for Aesthetic and Plastic Surgery, 2007 (www.surgery.org). 8 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Facility Surveys (2006 - 2008) The following table compares selected findings from 2006 and 2007. Even though the categories include some odd combinations, the year-to-year changes are interesting. Two categories remained stable or declined slightly: Cosmetic surgery and laser hair removal. Laser equipment costs and competition from other facilities (e.g., day spas and mall locations) appear to be fueling a shift from hair removal to more extensive skin procedures (such as "laser facelifts"), which generally command higher prices. As shown below, most medical spas expanded service offerings in 2007, even though most facilities continue to benefit from the "top five" (facials, fillers, laser hair removal, microdermabrasion, and peels. Table 1 Service Mix Comparisons, 2006 - 2007 (Aggregate Survey Data) Service 2006 2007 Acne / Microdermabrasion 262 266 Breast Surgery 16 28 BOTOX® / Injectables 280 302 Cosmetic Surgery 51 51 Dental Surgery 4 8 Facials / Peels 240 255 FotoFacial / Photorejuvenation / IPL 215 254 Holistic / Wellness 37 39 Vein / Stretch Mark Removal 212 231 Laser Hair Removal 320 307 Massage 71 95 Source: Feedback Research Services 9 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends In late 2007, U.S. Bureau of Labor Statistics (BLS) projections forecast a favorable job outlook for "barbers, cosmetologists, and other personal appearance workers", with the expectation of slightly faster growth than the national average for other job categories. The basis for such optimism seemed valid prior to the economic downturn and substantial job losses that occurred from 2008 through 2009. Highlights from several FRS publications are summarized below to showcase some of the highs and lows of the U.S. "aesthetics" market. As of late 2007, the annual rise in cosmetic procedure volumes suggested a rosy outlook for 2008 and beyond. Most industry representatives of dermatology, medical spa, and plastic surgery practices who were interviewed or surveyed by FRS staff at the time expected business to grow through 2008. The findings correlated with CNN Money's broader analysis that the slowing U.S. economy, declining sales in the retail sector, and the seemingly recession-proof status of non-invasive cosmetic procedures was performing as expected.9 Growth was attributed to many favorable factors. Increased competition expanded the provider base and service volumes, which may or may not be beneficial for consumers. In the January 2008 edition of THE FACE, one plastic surgeon estimated that "around 30% of all aesthetic procedures are unwarranted" and further suggested the need to substitute ethics for greed.10 Liposuction for removing excess fat was one example of a popular aesthetic procedure that was perceived by many to be an effortless method of weight control. While liposuction is an effective option for reshaping specific areas in patients who are at or have achieved an ideal body weight, diet and exercise continue to be relatively inexpensive and less drastic measures that patients can take to lose weight on their own or with professional assistance. 9 10 Op. Cit. (previous February 29th, 2008 citation). "The Real Cost of Frivolous Procedures", THE FACE, January 2008 (www.psp-interactive.com / www.ascendmedia.com). 10 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The majority of participants in FRS' 2007 annual surveys expressed confidence in the current and future status of their businesses. Cosmetic / plastic surgery, dermatology, and medical spa respondents' facilities were, for the most part, not yet being adversely affected by the recession. Sampling surveys conducted in 2008 and 2009 revealed slightly more realistic evaluations, while many industry sources continued to report a favorable outlook for the market on a national basis. As described in more detail below, annual non-invasive procedure volumes declined. For the first time since the mid-2000s, medical spa personnel were difficult to reach and/or survey by telephone during FRS' 2008 database updating effort. Surprisingly, phone survey contact was more difficult to achieve with medical spas than with medical practices. One major problem was getting anyone to answer the phone. Another was finding qualified personnel to participate in the survey. In many cases, spa managers and owners appeared to be running their facilities on their own or with minimal support staff. Three separate efforts were made to conduct surveys: • By telephone over a one-week period (February 2008) • Via e-mail using an online survey (August and September 2008) • During a one-day calling blitz (January 2, 2009). Combined, the three surveys generated an 8% response rate from a medical spa survey pool of approximately 350 facilities. Aggregate findings from medical spa respondents are discussed below. 11 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Procedure Volumes & Business Growth According to medical spa survey respondents, hundreds of procedures were performed monthly, ranging from a low of 125 to a high of 250. The number of procedures varied over a much wider range within the pool of cosmetic dermatology and plastic surgery practices, from five to 500 per month. In total, 40% of the medical spa survey participants indicated their businesses had grown in 2008. Within the pool of medical spas only, slightly more than half indicated there was growth, while the rest stayed the same. Half of the dermatology respondents reported some growth from 2007 to 2008. Among the others, slightly more than half experienced a decline. Most Popular Services & Pricing Despite increased competition from other products, BOTOX® injections were a very popular service. BOTOX®, Restylane, injectables, and/or fillers represented the most frequently mentioned procedures among medical spa respondents (84%). BOTOX® was cited by name in two-thirds of the "filler / injectable" responses. All of the medical spa respondents provided pricing information for various procedures, with charges covering a surprisingly wide range: $55 to $7,000. BOTOX®, Restylane, filler, and injectable procedures were among the least costly procedures ($55 - $300). Higher prices were reported by respondents whose facilities offered Intense Pulsed Light (IPL), laser, liposuction, and Thermage®. Provider Comparisons Medical spas and plastic surgery practices were more likely to employ estheticians and nurses than dermatology offices (which had higher numbers of medical assistants). All of the medical spas had estheticians, while 34% also employed a nurse or nurse practitioner. Examples of service provider and procedure volumes are shown below for selected cosmetic / plastic surgery, dermatology, and medical spa facilities. 12 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 2 Services By Provider For Selected Facilities (2008) Practice Type Monthly Patient / Procedure Volume Physician Esthetician Nurse / Nurse Practitioner Other Derm. 70 patients X X X X Derm. 5 procedures X -- -- -- Plastic 75 60% 15% -- 25% Plastic 13 - 20 100% -- -- -- Plastic 80 85% -- 15% -- Med. Spa 250 25% 75% -- -- Med. Spa 125 -- 25% 75% -- Med. Spa 300+ -- 90% -- 10% Med. Spa 200 -- 100% -- -- Source: Feedback Research Services Seasonal Volumes Among medical spas, two months were more frequently mentioned than others as the busiest: May and October (each with 23% of total responses). August was most frequently reported as the slowest month (56% of total responses), followed by July with 34%. By comparison, seasonal differences were much more variable among cosmetic / plastic surgery practices (where the most frequently identified "busy" month was June). The slowest months by total mentions were July and August. Aggregate comparisons are shown below for all facilities. 13 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 3 Busy & Slow Periods By Percentage Of Mentions, 2008 Month "Busy" "Slow" January 6% 6% February 11% 4% March 8% 3% April 6% 4% May 11% 4% June 0 13% July 0 23% August 0 25% September 6% 8% October 16% 3% November 13% 3% December 23% 4% Source: Feedback Research Services Skin Care Products All of the medical spas sold skin care products, with retail sales accounting for a low of 5% of total facility income to a high of 30%. On an aggregate level, 93% of surveyed dermatology, medical spa, and plastic surgery facilities sold skin care products. Frequently mentioned brands included: Image, IS Clinical, Obagi, and Skinceuticals. 14 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Significant Changes / "Competitor Questions" Few medical spas reported significant changes, although one moved and another added a new service. One respondent wanted to know about the consultation process used by competitors, while another survey participant was interested in a comparison of same-day versus packaged procedure incomes. Dealing with staff (compensation, discipline, hiring, and retention) was the most frequently mentioned topic. Web Presence All of the medical spas had web sites, ranging in size from a single page (background and overview) to presentations that included dozens of pages describing products, services, staff, etc. Only one facility operated an online store, although another offered online bookings. Medical Spa Chains & Franchises Medical spa companies that successfully operate more than one facility may extend their brand through franchising. From 2006 through 2007, there was a noticeable increase in the number of medical spa companies operating from more than one location. Many were well-established franchises, such as Radiance, Sleek, Solana, and Sona MedSpa. At the time, industry sources estimated that from 10% to 30% of medical spas were franchises.11 Selected examples compiled from historical data and FRS medical spa databases are summarized below.12 11 12 "Medspa Boom Is A Bust For Some", Wall Street Journal, November 21st, 2006 (http://medspa.squarespace.com). Medical Spa Market Review, Feedback Research Services, July 2006 - February 2008. 15 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 4 Medical Spa Chains / Franchises With Three Or More Locations, 2007 - 2009 Company Name 2005 - 2006 2007 2009 3 franchises / 1 corporate 15 locations 11 locations Dermacare N/A 21 locations 13 locations Institu DERMed N/A 4 locations 1 location Laser Cosmetica N/A 10 locations N/A Longevity N/A 5 locations N/A 2 franchises / 1 corporate 7 locations N/A 6 franchises 20 locations 14 locations N/A 37 locations N/A 30 franchises / 3 corporate 27 locations 16 locations Ageless Remedies Mona Spa & Laser Center Radiance MedSpa Solana Sona MedSpa Source: Feedback Research Services' databases Esthetician Services As noted in the ASAPS survey data, most aesthetic procedures are performed in cosmetic / plastic surgery, dermatology, and medical spa practices. As expected, surgical procedures are performed by board-certified physicians. Selected "non-invasive procedures" such as facials, laser hair removal, microdermabrasion, peels, waxing, etc. are provided by other licensed medical professionals such as estheticians and registered nurses, whose services can contribute significantly to medical practice revenues. According to 2008 survey participants, estheticians provide skin care services ranging from facials and peels to massage and waxing.13 In the majority of surveyed spas and medical practices, estheticians provide the services shown below. Each category is described as a percentage of the total number of responses from all respondents (which ranged from a minimum of three procedures to a maximum of ten). 13 Massage services are often performed by estheticians who are also licensed massage therapists. 16 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 3 Esthetician-Performed Procedures (2008) Peels 6% Facials 22% 6% Microdermabrasion 9% Laser Make-up 9% Waxing 9% 18% 9% 12% Skin Care Massage Lymphatic drainage Source: Feedback Research Services Even in a small town, a highly experienced esthetician can earn an annual income of $60,000 to $70,000 as a salaried employee in a medical practice. Nationally, compensation is estimated to be $60,000 to $80,000 for a 30 - 35 hour work week. If self-employed in a spa, an esthetician may gross $100,000 or more. One interviewee observed that renting booth space in a spa may be financially beneficial to an esthetician, since the revenue would be reported by the spa owner. The highest daily number of procedures reported by a respondent was 25, and the lowest figure was two per day. Overall, esthetician services may account for between 5% and 20% or more of a practice's annual income. One facility set a monthly revenue target of $7,500 for its esthetician. Despite reporting a comparatively low procedure volume (average of two per day), approximately $1,785 could be generated in a 5-day work week at this facility. According to one source, an esthetician typically generates $400 to $500 daily from routine procedures such as facials and waxing. Retail sales account for an 17 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends additional $150 to $200 a day. In a 5-day work week, an esthetician could generate $3,500 for a facility. Those who are trained to perform chemical peels may contribute up to $800 in daily procedure revenues ($4,000 a week). Another interviewee estimated that estheticians' services are likely to account for 60% to 80% of annual income. Depending upon state regulatory requirements, nurses can generate from 75% to 100% of skin care service revenues (e.g., nurse owned and operated medical spas). Industry Assessments At the 2008 Face & Body Conference (2008), Karen Newman of Global Cosmetic Industry magazine summarized recent trends in her presentation ("From the Beauty Industry, With Love"). One of two hot topics she covered used the catchy description of "Hope in a Tube," which succinctly describes consumer expectations. Typing the phrase into Google generated 17,000 hits (10/01/08). ["Hope in a Tube" is also the name of an eye/lip cream product sold by PHILOSOPHY.]14 While many consumers are highly motivated to use skin care products, they may not know how to make wise choices. There are literally thousands of skin care products available through professional service providers (e.g., beauty salons, spas, etc.), retail stores, and the web. It's surprising that more consumers aren't paralyzed by the choices. Issues & Trends According to information published by the International Association for Physicians in Aesthetic Medicine (IAPAM; Las Vegas NV), the medical spa market demonstrated a 133% growth rate from 2003 through 2008.15 An industry spokesperson expects medical spas to account for a larger portion of the aesthetic medicine market in the coming years, as physicians and other licensed medical 14 15 Global Cosmetic Industry (www.gcimagazine.com). "IAPAM Endorses Comprehensive Aesthetic Training for Medical Spas", International Association for Aesthetic Physicians in Aesthetic Medicine (IAPAM), March 26, 2009 (www.iapam.org). 18 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends professionals open separate facilities or dedicate a portion of their existing practices to medical spa services. Success, however, depends upon ongoing consumer confidence and demand. Regulation & Safety Safety concerns are generally addressed by regulation, which varies from state to state. In January 2009, a Medical Spa Task Force in Massachusetts proposed legislation that would license medical spas, following the model already established for clinics and nursing homes. Requirements address inspection, ownership, and staffing, among other criteria. Renewable licenses would be valid for two-year terms. The malpractice insurance industry also addresses public safety. Some companies require physicians to be adequately trained in aesthetic procedures (e.g., Continuing Medical Education) before being eligible for coverage. Legislation and training requirements are two methods of applying standards to practitioners of aesthetic medicine, which is not certified as a separate discipline by the American Board of Medical Specialties (ABMS; Chicago IL). 19 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Chapter III Market Assessments (2009 - 2011) Individuals seeking aesthetic services can choose from a wide mix of medical and spa venues, such as: Aesthetic centers, cosmetic surgery practices, day spas, cosmetic dermatology practices, laser centers, medical spas, plastic surgery practices, skin care centers, etc. A large number of medical practices combine cosmetic, dermatology, plastic surgery, and spa services in a single facility, some with multiple locations. Published Estimates & Forecasts News articles published from 2008 through early 2009 continued to cite the approximately $1.0 billion U.S. market revenue estimate originally cited in 2006. According to industry sources (Global Spa Summit), the global spa "economy" generated an estimated $255 billion in 2008.16 The core client base for aesthetic services (BOTOX®, cellulite, fillers, laser, resurfacing, etc.) is the baby boom generation. In contrast, 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. The younger cohort accounted for approximately 20% of treatments in 2008, compared to 8% the previous year.17 According to a late 2010 online literature review conducted by Feedback Research Services' (FRS) staff, no published source provides a current estimate for the 16 "Dubai Taps Into $255 Billion Global Spa Economy", Press Release, October 2, 2008 (www.eyeofdubai.com). 17 Ibid. 20 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends total number of U.S. medical spas. At the height of popularity (2007), industry analysts typically cited figures between 1,000 and 1,250 total facilities.18 For comparison, the 2009 edition of FRS' medical spa database included a total of 407 facilities which had been identified and tracked since 2003. Published information has since been combined with findings obtained through telephone surveys and/or web site reviews to identify the 162 facilities included in FRS' 2011 Medical Spa Database. Listings generally met the following criteria:19 • A medical "office" that operates under the supervision of a licensed health care professional and within the scope of practice of its staff • Provision of aesthetic, alternative, complementary, non-surgical elective cosmetic medical treatments, spa, and/or wellness services. BOTOX® Cosmetic Several manufacturers are challenging the market dominance of BOTOX®, which comprised 32% of Allergan Inc.'s (Irvine CA) revenues in the fourth quarter of 2008. New products consist of botulinum toxins that are similar to BOTOX® but are priced more affordably (15% less). Medicis Pharmaceutical Corporation (Scottsdale AZ) brought DYSPORT™ 20 to the U.S. market in April 2009, contributing to a $3.2 million increase in non-acne product sales during the year. One analyst offered an early forecast (2009) that estimated $160.0 million in annual revenues might be generated by 2012.21 BOTOX® sales were the target of numerous gloomy analyst forecasts in 2008 and 2009. The product, however, performed slightly better than expected: 18 Medical Spa Market Review, Feedback Research Services, March 2007. 19 Adapted from descriptions posted by the International Spa Association and/or Wikipedia (2010). 20 Early corporate literature referred to Medicis' botulinum product as Reloxin, which appears to have been renamed and marketed as DYSPORT™. 21 "Botox Rival Faces Delay", Bloomberg News, April 14, 2009 (www.bloomberg.com). 21 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends • During the first six months of 2009, Allergan Inc. reported total "BOTOX® / Neuromodulator" sales of $634.1 million versus $663.3 million for the same period in 2008 (-4.4%). BOTOX® Cosmetic accounted for approximately half of total sales. • The rate of decline slowed during the second half: BOTOX® sales dropped only 4.0% during the fourth quarter of 2009 compared to 2008 levels, while a 4.4% drop was posted during the first half of 2009. Allergan's total BOTOX® / Neuromodulator sales increased from $961.9 million in 2009 to $1,033.2 million in 2010 for the nine months ending September 30th. Cosmetic use increased in geographic markets outside of the United States (Asia Pacific, Canada, Europe, and Latin America). In the facial aesthetics category, Allergan's collagen and hyaluronic acid dermal fillers demonstrated surprisingly strong revenue growth, increasing from $152.1 million to $202.9 million in 2010. The gains were attributed by the Company to new launches: JUV DERM® XC in the United States (February 2010) and JUV DERM® Voluma™ in international markets. Cosmetic Procedure Statistics As noted in Chapter II, statistics published by the American Society for Aesthetic Plastic Surgery Inc. (ASAPS; New York) showed a substantial decline in non-surgical and surgical cosmetic procedure volumes from 2007 through 2009, falling from approximately 11.7 million to slightly under 10.0 million. Survey findings were extrapolated to reflect national statistics from a total pool of 21,000 board-certified dermatologists, otolaryngologists, and plastic surgeons out of an estimated 23,600 total candidates. Surveys were completed by 928 respondents (an approximately 4.4% survey response rate). 2009 Survey Non-surgical procedures accounted for 85.0% of total volume. BOTOX® and DYSPORT™ accounted for the highest total number of procedures (2.56 million), although the volume declined approximately 4.0% from 2008 levels. Approximately 1.3 22 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends million hyaluronic acid procedures were performed, followed by laser hair removal (1.28 million). Rounding out the Top Five were microdermabrasion (0.62 million) and chemical peels (0.53 million). National average physician fees for branded dermal fillers ranged from $1,071 for Sculptra™ to $680 for Radiesse™, $562 for Juvéderm® / Restylane®, and $397 for BOTOX® / DYSPORT™. 22 Several interesting "facility" findings were included in ASAPS's 2009 report. Most "cosmetic surgeries" were performed in physicians' offices (approximately 58%), followed by freestanding clinics (approximately 25%) and hospitals (approximately 18%). A relatively small portion of the physician pool was affiliated with medical spas (12.0%). Three-quarters of survey respondents do not provide spa services.23 The latest report on ASAPS procedure volumes was published and distributed in April 2011. Some of the market highlights from 2010 included:24 22 23 24 • Approximately 9.5 million cosmetic procedures were performed in the United States in 2010. • Botulinum Toxin Type A injection (BOTOX® and DYSPORT™ ) was the most popular non-surgical procedure, followed by hyaluronic acid, laser hair removal, laser skin resurfacing, and chemical peels. • Cosmetic surgical procedures accounted for 61.0% of total expenditures (i.e., all procedures) with the top five consisting of: Breast augmentation, liposuction, eyelid surgery, abdominoplasty, and breast reduction. • Non-surgical procedures represented 83.0% of all procedures, accounting for 39.0% of total expenditures. • Total expenditures (non-surgical and surgical) reached $10.7 billion, with $1.9 billion generated by injectable procedures and $0.5 billion from non-surgical services such as laser hair removal and laser treatment of leg veins. Ibid. Ibid. "Demand for Plastic Surgery Rebounds by Almost 9%," American Society for Aesthetic Plastic Surgery (ASAPS; New York NY), April 4, 2011 (www.surgery.org). 23 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends 2010 Survey The 2010 ASAPS survey was conducted with a pool of 22,000 board-certified physicians, including 8,500 dermatologists, 8,000 otolaryngologists, and 5,500 plastic surgeons. A total of 938 physicians completed the survey, and the findings were extrapolated to reflect national statistics. National expenditures for all non-surgical procedures were $4.1 billion. Injectables accounted for approximately $1.9 billion, while skin rejuvenation represented nearly $1.8 billion, and "other" procedures made up the remaining $0.5 billion. ASAPS members averaged 379 non-surgical procedures per physician in 2010. The majority of cosmetic procedures are performed on women (92.0%). The 35 - 50 age groups accounted for the highest portion of total procedures (44.0%), which most commonly included injections, laser hair removal, sclerotherapy, and skin rejuvenation. There was no change in the percentage of physicians who were affiliated with a medical spa (12.0%), which ASAPS describes as facilities "…where non-surgical procedures such as injections and laser procedures, are performed." Services were performed primarily in medical offices (56.0%), followed by free standing surgery centers (24.0%) and hospitals (19.0%). Surprisingly, however, 25.0% of respondents offered spa services such as facials, massage, wraps, etc. ASAPS 2010 national non-surgical services included 3,984,818 injection procedures and 2,261,105 skin rejuvenation procedures. Another 1,468,601 represented the combined total from laser hair removal, laser treatment of leg veins, and sclerotherapy. Recent Market Estimates Two market research companies have highlighted aesthetic dermatology products and services. In April 2011, Research and Markets (Dublin, Ireland; www.researchandmarkets.com) announced publication of its report, The Global 24 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aesthetic Dermatology Market Outlook. Highlights focused on BOTOX® as the "most requested form of therapy in the aesthetic dermatology market" due to Allergan's directto-consumer advertising. Other fast growing segments were breast augmentation and dermal fillers.25 Another report, Worldwide Dermatology Devices Market, published in March 2011 by Markets and Markets (Dallas TX; www.marketsandmarkets.com) focused on dermatology instruments such as dermatoscopes, imaging techniques, and microscopes. Dermatologists use such devices to enhance and improve skin conditions for their patients. Problems requiring such treatments range from acne and psoriasis to scars, skin cancer, varicose veins, and vascular lesions. Estimated device revenues were $3.6 billion in 2010 and may reach $7.0 billion by 2015.26 Highlights From The 2010 Face & Body Conference As noted in FRS' Global & U.S. Skin Care Markets report (July 2010), the 2010 Face & Body Conference presented at least one track that described skin care market developments. The following excerpt focuses on one of the most informative presentations: "Trends That Affect The Skin Care Industry." According to the presenter, market leaders have implemented several strategies to improve sales.27 International Money Fund numbers indicate a fragile recovery began in the second quarter of 2009 and is forecast to post small gains through year-end of 2010. For the world economy, the annualized "real GDP" percentage growth was expected to be in the 3.0% range from the third quarter to fourth quarter in 2010. In North America, 2010 "real per capita income growth" may reach 0.7% in Canada and 1.3% in both Mexico and the United States 25 "Research and Markets: The Global Aesthetic Dermatology Market Outlook," Business Wire, April 12, 2011. 26 "MarketsandMarkets: Worldwide Dermatology Devices Market Worth US$7.0 billion by 2015," PR Newswire, March 23, 2011. 27 Phil Fox, Euromonitor International, www.euromonitorintl.com. 25 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends In 2009, the global beauty and personal care industry generated an estimated $35.0 billion. The premium segment (e.g., cosmetics, fragrances, hair, etc.) essentially remained at 2007 - 2008 levels or approximately $15.0 billion. Total skin care product sales accounted for an estimated $10.0 million in 2009. Moisturizers and anti-aging products demonstrated the strongest segment growth from 2008 through 2009 (6.5%), while bath and shower increased 2.2%. The "worst performers" were color cosmetics, hair, premium cosmetics, and skin care. The recession resulted in four primary consumer trends, which are expected to continue for the next year or two: • Cocooning (e.g., gaming, "staycations", and staying in) • Escapism (e.g., at home, away from home, and via the Internet) • Health / Wellness (e.g., the link between happiness, health, and lifestyles) • Value (e.g., bargains, buying products less frequently, switching from brand to private label, etc.) The number of U.S. spa outlets increased from approximately 1,550 in 2008 to 1,728 in 2009. The total was forecast to reach 2,100 facilities in 2014. Discounted pricing caused "total growth" to decline substantially in 2009, an outcome that was expected to continue through 2012, with stabilization in 2013, and growth in 2014. A rebound of 1% to 4% real year-on-year growth was anticipated for spa package retail from 2010 through 2014. Spa Market Trends (2010 - 2011) Medical spas continue to be discussed and promoted as part of the hospitality market by industry participants and trade organizations. Several online articles discuss aesthetic services, while others focus on hospitality business opportunities and economic factors. 26 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Economic Influences Congressional Budget Office (CBO; www.cbo.gov) statistics suggest that consumer spending and inventory investment combined with exports, federal government spending, and nonresidential fixed investment increased real Gross Domestic Product (GDP) in 2010. Such gains, however, are likely to be offset by limited employment and wage growth, high unemployment, and slow recovery in the housing market. The GDP is expected to reach 3.1% in 2011, with a decline to 2.8% in 2012.28 An online review conducted in July 2011 revealed second quarter GDP estimates cited by the Bureau of Economic Analysis (www.bea.gov). The market value of the United States' output of goods and services (current dollar GDP) during the second quarter of 2011 increased 3.7% ($136.0 billion) to reach $15.003.8 billion, a gain over first quarter performance of 3.1% ($112.8 billion). Employment is likely to be sluggish as business owners continue to emphasize productivity and increase workloads for their employees but refrain from hiring new workers. The current forecast suggests 2.5 million jobs may be added annually from 2011 through 2016. Unemployment rates may fall from 9.2% at the end of 2011 to 7.4% by year-end 2013. Substantial improvement may be delayed to 2016, when the CBO forecast projects the rate may decline to 5.3%.29 The factors of interest in the hospitality and spa segments are consumer spending, disposable income, and inflation. The personal consumption expenditures (PCE) index is often used by the Federal Reserve to measure inflation. By year-end 2010, PCE reached 1.8%, reflecting the impact of high food and gasoline prices. An improving economy, reduced government spending, and stable tax policy will be critical for business owners, consumers, and investors. 28 www.medicalspabusinessplan.com. 29 Ibid. 27 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Operational Components In January 2010, Skin Inc. magazine highlighted physicians' roles in medical spas, especially with respect to branding and staffing. Recommendations emphasized the importance of clearly defining medical spa business goals. Including the physician in the spa name is one example of establishing higher credibility and value to the business during operation and if/when the facility is sold. The physician's name can also be used for unique branding that transcends the individual. Ideally, medical spas benefit most from high quality service providers, rather than commodities (e.g., BOTOX®, skin care products, etc.).30 Another important consideration is the mix of non-surgical and surgical procedures. Excessive focus on more affordable non-surgical offerings may limit the patient volume and lower annual revenues. Staffing is critical to serve as many patients as possible, while also enabling the physician to "maintain their status" and perform surgical procedures. Cross-marketing efforts can promote both types of services. On the other hand, additional staff increases overhead expenses, as well as practice and risk management requirements.31 Among the tools available for medical spa management is Medi Spa software from Patient Now (Greenwood Village CO). For a monthly fee, two packages include aesthetic marketing consulting, computer hardware, graduated payment plans, and web-based training. An upgrade, which qualifies for American Reinvestment and Recovery Act stimulus funds, is also available for incorporating medical records.32 In 2010, the global spa industry posted more than $60.0 billion in "core revenues" along with $194.0 billion in related services (hospitality and tourism). Average annual 30 31 32 "The Physician's Role In A Medical Spa," Skin Inc., January 29, 2010 (www.skininc.com). Ibid. "Medical Spas Move From Start To Profit Faster With The Medi Spa Starter Package," PatientNOW press release, April 2010 (www.patientnow.com). 28 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends growth has been at the 20.0% level since 1990. Global medical tourism (i.e., traveling internationally for medical services) may generat $100.0 billion in 2012.33 A comprehensive study published by the Journal of General Internal Medicine, however, suggests that robust market estimates for U.S. medical tourism may be overstated. In 2008, a survey conducted by e-mail and telephone with a pool of 63 medical tourism companies. Respondents from 71.0% of the companies participated. The findings supported a previous conclusion stated in an analysis from McKinsey & Company (New York NY), Mapping The Market For Medical Travel, which estimates that the annual number of "inpatient medical travelers" totaled less than 100,000.Other sources consistently estimate the annual U.S. medical tourism traveler volume at between 500,000 and 2,000,000. A follow-up effort revealed that 15.6% of medical tourism companies that participated in the original survey were no longer in business.34 As noted later in this chapter, a similar closure trend has occurred in the U.S. medical spa market. According to the "Spas and Medical Tourism" article, the "financial impact" of the global beauty, health, and wellness industries is impressive individually and in total: • Beauty products and services - $500.2 million • Fitness products and services - $241.3 billion • Spa economy (e.g., hospitality, real estate, tourism, etc.) - $234.7 billion • Beauty and wellness medicine - $195.8 billion • Health food and nutrition - $162.4 billion • Spa facility operations - $46.8 billion In addition to the nearly $1,400 billion value above, "associated industries" contribute an estimated $1.1 trillion. Growth is being driven by consumer demand and globalization. 33 "Global Medical Tourism Market To Hit $100B By 2012," Fiercehealthcare, June 29, 2009 (www.fiercehealthcare.com). 34 "Medical Tourism Services Available To Residents Of The United States," Journal of General Internal Medicine, December 2010 (abstract published in the International Medical Travel Journal, January 5, 2011 (www.imtj.com) 29 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The blog author contends that the medical tourism and spa markets have much in common, starting with healing as a primary component of both. Worldwide, there are approximately 80,000 spas, including an estimated 4,274 medical spas.35 [As noted later in Chapter III, FRS staff members' online review suggests that there may be fewer than 1,000 medical spas current operating within the United States.] FRS' Medical Retail & Medical Spa Databases Since 2003, Feedback Research Services / Feed-back.com (FRS) has followed developments in the medical spa market, estimating and forecasting product and service revenues for U.S.-based facilities. By the mid-2000s, the number of medical spas had increased from double to triple digits. Listings were updated on a regular basis (e.g., annually through 2006 and periodically thereafter). From the early 2000s through the late 2000s, the total volume of non-invasive aesthetic procedures also demonstrated substantial increases. While many dermatology offices emphasized traditional services that addressed specific skin conditions and diseases, a subset of practices included products, staffing, and treatments that are more typically associated with medical spas. Within the aesthetics market, the addition of such offerings by physician practices is referred to as "medical retail" by some analysts. In 2007, FRS published a report that estimated aesthetic product and service revenues for dermatology, cosmetic / plastic surgery, and medical spa facilities (Medical Retail Markets, February 2007). Analytical Methodology As noted in Chapter II, good information describing the "medical retail" market is difficult to find (or may not even exist). The expense of conducting facility surveys creates one barrier. Another problem is that respondents have become less willing to 35 "Spas and Medical Tourism (Part 1)," Blog Beyond Beauty, October 11, 2010 (www.blogbeyondbeauty.com). 30 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends participate over the years. As a result, findings from FRS' interviews and surveys represent a small sampling of all cosmetic / plastic surgery, dermatology, and medical spa practices. Despite that limitation, FRS' survey findings form the basis for extrapolating a range of aggressive, conservative, and general market estimates toward the end of this chapter, in the absence of more "accurate" data.36 Aggregate findings from FRS' annual "medical retail" and medical spa online and telephone surveys were conducted from 2007 through 2010 for 900+ facilities. Highlights are summarized below. Web Site Reviews (2009) By mid-2008, the FRS medical spa database included 385 facilities, the majority of which operated as medical spas. A mid-2009 online review of 36% of the facility web sites revealed some significant changes. Approximately 20% no longer operated independent web sites and/or could not be tracked through Google searches. The lack of information suggests the most of the facilities were closed. Two web sites were under construction. In 2009 and 2010, extensive online reviews and selected telephone surveys were conducted for U.S.-based cosmetic / plastic surgery, dermatology, and medical spa facilities. Combined, FRS' 2011 Medical Retail Database and 2011 Medical Spa Database ("databases") consist of 412 facilities: 100 cosmetic / plastic surgery practices, 150 dermatology practices, and 162 medical spa facilities. Based on extrapolation of ASAPS survey participant descriptions, FRS staff limited the cosmetic / plastic surgery and dermatology practice database listings to represent approximately 3.0% of the total estimated number of practices for each 36 With the exception of brief "conformational" surveys, FRS telephone research efforts among medical practices and spas have demonstrated declining participation rates in the past three years. The problem is apparently widespread. Recently, representatives from one spa industry trade organization approached FRS to conduct custom research and potentially increase their poor member response rates (3% - 5%). 31 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends discipline (i.e., the facility base believed to be operating within the United States). Efforts were made to identify the total number of locations being operated for each business, as well as the number of physicians; estheticians; nurses and nurse practitioners; medical, physician, and surgical assistants; certified laser technicians; and licensed massage therapists. Procedures, products, and regional distribution were also identified and summarized. Recent information about cosmetic / plastic surgery and dermatology practices was gathered through online sources: Articles, directories, and facility web sites. Medical spa facility findings were primarily derived from web material. For a subset of the medical spa database, telephone surveys were conducted with approximately 11.0% of the total pool to provide additional insights about business growth, procedures, products, revenues, etc. ("Operations Overview") Medical Spa Research Findings (2009 - 2010) Prior to 2010, survey respondents suggested that cosmetic / plastic surgery, dermatology, and medical spa respondents' facilities were, for the most part, not being adversely affected by the recession. While some industry sources continued to report a favorable outlook for the market on a national basis, others cited a downward trend. Survey response rates for cosmetic / plastic surgery and dermatology survey pools declined precipitously from 2008 through 2010. The same was true for medical spas, even those which had previously participated in FRS surveys. Medical spa facility closure data painted a less optimistic picture for certain segments of the medical aesthetics market than reported by national media sources. Closure Trends FRS' medical spa database represents a cumulative listing and tracking of facilities from 2003 through 2010. Listings typically totaled between 370 and 400 32 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends facilities after 2006. At the time, the International Spa Association estimated there were 915 U.S. medical spas (2006 ISPA estimate).37 As of late 2007, 7.2% of the listed facilities in FRS' medical spa database had closed compared to the prior year. Several other facilities, however, were found through online and survey sources, which kept the final total fairly stable. Nearly 2% of the medical spas were "in transition" (e.g., operating as a day spa while searching for a physician, operating under a new name or at a new location, no longer affiliated with the founding / franchise company, etc.). One facility was not a medical spa, while another operated as a retail store. Figure 4 FRS Database Medical Spa Closure Rates, 2007 - 2010 14.0% Closure Rate 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 2007 2008 2009 2010 Year Source: Feedback Research Services Regular updating of the medical spa listings in the FRS database reflects the substantial closure rates that occurred from 2006 through 2010. Historical and projected annual changes are illustrated below. 37 Preliminary estimates, ISPA, 2007. 33 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 5 FRS Database Medical Spa Closures & Projections (2006 - 2014) Year Number Of Facilities "!#%$&('$%$#)*,+.-/0132)40 56(7'+829 Growth Rate :;%;%<3=:%;>,;@?A=B:C DE :;>,;3=:%;>GFH? >C FE :;%;%<3=:%;>GFH?A=I;C JE Source: Feedback Research Services While the total number of closures among all U.S. medical spas is unknown, the following analysis uses FRS database information to extrapolate a likely progression of the numbers, based on historical estimates and sampling research. Even with a potentially strong "balancing" effort, the annual numbers in FRS' 2010 Medical Spa Database suggests that the "last known" industry estimate of 915 U.S. medical spas may have declined significantly, as shown in the table below. 34 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 6 Extrapolated U.S. Medical Spa Closure Estimates & Forecasts, 2006 - 2014 KHLMN OHPQSRLNTBUWVXMXYZ [ Z \]Z L^ _`Nabc\]dSe"M\L fXggh iWjk lml fXggn oip lmfrq srt fXggo ohi lmfrq nt fXggi osp lupvq gt fXgWjg oWjn lupvqjt fXgWjj ofs gvq it fXgWjf ops jq fvt fXgWjp osh jq sWt fXgWj%s ohp frq gt wyxyzc{}|~~|~~S~ wyxyzc{}|~H|~ wyxyzc{}|~~|~S~ Source: Feedback Research Services Given the declining numbers, facilities identified by FRS staff and the extrapolated reductions shown above, combined listings in the 2010 Medical Spa Database could represent nearly 42.0% of total U.S. facilities currently in operation (January 2011). According to an article published in early 2009, the owner of JD Aesthetic Business Solutions (Austin TX) attributed closure of its facility to the credit freeze. Lack of capital limited the launch of new medical spas. JD's client companies at the time included Avalon Medical Rejuvenation Spa (Redding CA), Clinique Reneux (Austin), and Genesis Medical Spa (San Antonio TX). In addition to funding difficulties, facility 35 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends closures reflect oversaturation of the medical spa market. One medical spa owner estimated that business nationally declined by 10% to 40% over the previous year.38 Medical Practice Affiliations FRS' survey findings from 2009 and 2010 suggest that the ASAPS physicianmedical spa affiliation figure of 12.0% may be understated. FRS' online survey conducted in 2009 found that 26.0% of cosmetic / plastic surgery practices were affiliated with medical spas, while 37.0% of medical spas were affiliated with medical practices. Operations Overview The 2010 telephone survey with medical spa personnel covered a wide range of operational aspects: • Business Status / Expectations • Facility • New Procedures • Staffing Nearly two-thirds of respondents provided an answer about the status of the business. Within that group, half stated that their business, clientele, or facility had grown or was expected to grow by year-end. One facility was expanding in size, while another had reportedly doubled its clientele since 2008. The remainder was evenly split between staying at the same level and experiencing a decline. 38 "Spa Consultant's Bankruptcy Illustrates Saturation in Market," Austin Business Journal, March 27, 2009 (http://austin.bizjournals.com). 36 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Facility Type Nearly all respondents (95.0%) classified their businesses as day spas, medical spas, other facility types, or a combination. Findings are illustrated below. Figure 5 Facility Type (Self-Classification), 2010 Medical Spa Only 5% 5% Medical Spa & Day Spa 22% 52% 16% Medical Spa & Other Facility (Unspecified) Day Spa Only Other Facility Only Source: Feedback Research Services Staffing Most respondents provided staffing answers. The majority of medical spas operate with a physician on site (92.0%). Approximately 9.0% are not affiliated with a physician. Nearly 80.0% of respondents' facilities are staffed by a single physician, while 6.0% operate with five or more physicians on site. Almost 60.0% of respondents' facilities are staffed with one or more estheticians. By number, estheticians account for half of all non-physician staff in the surveyed facilities. Percentages by type of position are illustrated below. 37 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 6 Staffing By Type Of Position (Self-Classification), 2010 Esthetician Registered Nurse 2% Nurse Practitioner 2% 3% 3% Physician's Assistant 12% Business / Office Manager 4% 50% 5% 7% Concierge Patient / Spa Coordinator 12% Medical Assistant Surgical Assistant Other Source: Feedback Research Services The "other" category includes an interesting mix of positions: Administrators, directors, massage therapists, patient liaisons, personal trainers, etc. Procedures All medical spa respondents except one provided answers regarding changes that were made in their service offerings. Slightly more than one-quarter (28.6%) reported the addition of something new in 2008 or 2009. The largest portion added a new laser (75.0% specified Fraxel), while the next most frequently mentioned new procedure was DYSPORT™. The remainder cited several unique changes, ranging from staffing (an esthetician) to eyelash, microderm peel, and pixel procedures. 38 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Expectations For 2011 Many respondents offered growth-oriented answers, most likely due to the order in which survey questions were asked (e.g., "expectations" followed "business status"). A sampling is summarized below: • "Clientele is growing." • "Expanding the facility. Also adding new products and procedures." • "Good summer." • "Growth in medical. Decline in spa." • "New laser, products, and procedures." Medical Spa Market Review (2011) A total of 412 facilities were analyzed in Feedback Research Services' most recent online survey (May 2011): 150 dermatology practices, 162 medical spas, and 100 plastic surgery practices. In January 2011, the FRS medical spa database included 170 confirmed listings, which were reduced to 162 after conducting extensive online and telephone research to eliminate facilities that did not combine aesthetic and spa services or were not self-identified as medical spas. Previously, several facilities were eliminated due to the lack of sufficient web site information regarding procedures, products, and staffing. Efforts were made to find facilities in all fifty states, which were much more successful with medical practices. Because of the smaller total number of facilities, a similar effort was not made with medical spas. Web site material was carefully reviewed, and the findings were recorded in similar database formats for all three segments. (See Appendix II for database material) Medical spa facilities and trends are emphasized below. Relevant findings from the FRS dermatology and plastic surgery databases are discussed separately (Aesthetic Market Comparisons section). 39 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Facility Characteristics During its extensive directory search, FRS researchers estimated that the total number of medical spas currently operating in the United States was between 850 and 880 facilities (as of mid-2011). The geographic range for states with the largest numbers of medical spas within the FRS database is illustrated below. States with five or more medical spas account for nearly two-thirds of facilities within the database. Figure 7 Medical Spa Facility Distribution By State (2011) California New York Florida 24.6% Arizona 36.6% Colorado Oregon 8.0% 3.1% 3.1% 3.1% 5.5% 3.7% 3.7% 4.3% 4.3% Texas Georgia Pennsylvania Washington Others Source: Feedback Research Services Within the FRS database, most of the medical spas operate a single location (80.2%). Slightly more than 15.0% operate two locations, while only 4.3% have three or four locations. [Anecdotally, 14.0% of the medical spas that were in operation in 2010 according to FRS' survey findings had closed by mid-2011.] 40 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends As noted in Table 4, comparison of nine franchise companies indicated that 2006 - 2007 was a peak period for multiple location medical spa facilities. Major declines occurred since then. By mid-2011, only three companies continued to operate more than one facility: Ageless Remedies (Roswell GA) with four locations, Longevity Medical Spa (Oak Brook Terrace IL) with four locations, and Sona MedSpa (Memphis TN) with two locations. Slightly more than one-fifth of medical spas (22.8%) within the FRS database continue to operate with multiple physicians. Within that cohort, the majority of facilities have two physicians (65.0%), while the rest operate with three or four doctors. Perhaps a more surprising trend is the high portion of medical spas without an obvious medical practice affiliation (68.5%). Additionally, 42.0% of medical spa web sites do not mention or claim to have a medical director on site. Procedures & Products Five "prominent" medical spa service categories continue to remain popular and widely available: • Facials • Fillers (BOTOX®, DYSPORT™, Juvéderm® / Restylane®, Radiesse™, Sculptra™, etc.) • Laser hair removal • Microdermabrasion • Peels 41 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 8 Medical Spa Procedure Comparisons (2011) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Fa cia ls Fi ller s La se r Micro P derm ee ls Ha ir a Rem bra s oval ti on Source: Feedback Research Services "Other" procedures varied significantly from one medical spa to another, often based on the facility's orientation (e.g., aesthetic, spa, wellness, etc.). Eyelash extension and numerous laser services (e.g., facials, resurfacing, vein removal, etc.) were widespread. A broad range of salon-like services were also promoted (e.g., makeup and permanent make-up, tanning, tinting, waxing, etc.) as well as lifestyle or nonaesthetic offerings (e.g., anti-aging, hormone treatments, nutritional counseling, weight loss, etc.). For the medical spas tracked by FRS staff, the average number of "other" procedures per facility was six. Approximately 21.0% offered at least three other services, while slightly less than 14.0% listed more than ten. Only one medical spa focused exclusively on the "top five" procedures. [The findings are not included in the figure above.] 42 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Limited types of products have been included in FRS' 2011 Medical Spa database. The "chosen few" emphasized products that had been popular in 2006 and regularly tracked during FRS prior surveys in order to compare and contrast longevity. Brands and categories included: Glytone, in-house formula, Jan Marini, Jane Iredale, kinerase, La Roche/Biomedic, MDForté, Neostrata, NIA, Obagi, PCA, Prevage, Skinceuticals, SkinMedica, sunscreen, eye crème / gel / other, make-up, and other. "Internal" product comparisons for brands and categories tracked in the FRS database are illustrated below. [Percentages reflect the number of "mentions" per item within the tracked products (e.g. by name or category as determined by FRS staff). Figure 9 Medical Spa Product Comparisons (2011) Glytone Kinerase In-House Formula 3% 2% 4% 2% 7% 31% Jan Marini 2% 2% La Roche (Biomedic) MD FORTÉ 4% Neostrata NIA 8% 5% 7% 17% 4% 2% Obagi PCA Prevage Skinceuticals SkinMedica Jane Iredale "Category Products" Source: Feedback Research Services 43 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Many "older" brands were also available: Clarisonic, Colorescience, Glo Minerals, IS Clinical, Neocutus, NEOVA, Procyte, etc. Newer offerings that were commonly found but not specifically tracked in the FRS database included: Hormones, Latisse, Replenix By Topix, Revaleskin, RevitaLash, and VIVITÉ®. The number of professional skin care products is astounding. One online store listed approximately 125 brands, along with several hundred other products under various sub-categories (e.g., acne, oil-free, etc.). To provide some perspective, the number of "specific brand or category" mentions tracked in the FRS database represented approximately half the portion represented by "other product" listings and less than one-third of total mentions. The three "product category" items (eye crème/gel, make-up, and sunscreen) accounted for 10.4% of the total. In 2011, 32.7% of FRS database medical spas operated an online store. Three medical spa sites posted "coming soon" notices or had links that did not lead to a functional store. An unexpected and seemingly recent trend was the provision of cost information. Approximately 18.5% of FRS database medical spas posted prices or offered downloadable schedules.39 Staffing Among the positions tracked by FRS staff in the 2011 Medical Spa Database, estheticians represented the largest portion of support staff, accounting for 45.0%. An interesting side comparison suggests that the ratio of estheticians to physicians was slightly less than one to one. The ratio of all medical professionals (nurses, nurse practitioners, medical assistants, physician assistants, and surgical assistants) to physicians is quite a bit lower (0.81:1.00). As shown below, nurses / nurse practitioners and licensed massage therapists were the second and third most frequently tracked positions, respectively. 39 According to an "anecdotal" rather than rigorous accounting. 44 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 10 Medical Spa Staff Comparisons (2011) Physicians 2% Estheticians 2% 10% 4% 30% 2% Nurses / Nurse Practitioners Physician Assistants Licensed Massage Therapists 18% Certified Laser Technicians 32% Medical Assistants Surgical Assistants Source: Feedback Research Services Aesthetic Market Comparisons (2011) As noted in Chapter II, cosmetic and plastic surgery practices perform the majority of non-invasive and invasive aesthetic procedures in the United States. FRS' Medical Retail Markets report and 2011 Medical Retail Database included 100 cosmetic /plastic surgery practices and 150 dermatology facilities. An overview of recent survey findings for each segment is presented below for comparison with the medical spa market. 45 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The Cosmetic / Plastic Surgery Market The 100 practices in the database were derived from a larger historical list of facilities (190). Emphasis was placed on identifying and researching two practices per state. Facility Characteristics Relatively few cosmetic / plastic surgery practices operated in more than one location (23.0%). Within that group, most had two facilities (74.0%). One in four cosmetic / plastic surgery practices operated medical spa or skin care facilities (26.0%). Procedures & Products As a general rule, cosmetic surgery procedures have historically been priced higher than the aesthetic services commonly performed in laser centers and medical spas. The following fee estimates cited on the American Society for Aesthetic Plastic Surgery (ASAPS) website (www.surgery.org) provide specific comparisons. In 2011, the lowest national average fee for a surgical cosmetic procedure (autologous fat) was $1,763.00. Conversely, the most expensive "non-surgical" procedure for those tracked in the FRS databases was Sculptra® injection, with a national average fee of $897.00. [Note: For all ASAPS non-surgical procedures, three were as costly or more expensive: Dermabrasion ($1,423.00), Fraxel ($1,441.00), and Ablative Laser Skin Resurfacing ($2,232.00). Such relatively "low" profitability for non-surgical aesthetic procedures is vividly demonstrated by comparing the distribution of medical spa offerings (Figure 8) with the cosmetic / plastic surgery procedures summarized below. As might be expected, dermal fillers were provided at nearly all cosmetic / plastic surgery practices within FRS' database. Among the cosmetic / plastic surgery practices tracked by FRS staff, the average number of "other" procedures per facility was 3.6. More than half offered at least three 46 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends other services (61.0%), while 3.0% listed ten or more. One in five practices provided all of the "top five" procedures (20.0%). Only one practice did not perform any. [These findings are not included in the figure below.] Figure 11 Cosmetic / Plastic Surgery Procedure Comparisons (2011) 30% 25% 20% 15% 10% 5% 0% Fa c ia ls Fi l ler s La se rH Mi Pe cr o els de air rm ab Re ras mo tio va n l Source: Feedback Research Services A slightly expanded set of products was tracked for cosmetic / plastic surgery practices. None of the three extra products was very popular, demonstrating individual percentages similar to that for MD FORTÉ (gl Minerals, IS Clinical, and Neova/Procyte). The brand distribution shown below is directly comparable with Figure 9. Combined, tracked product category mentions (i.e., eye crème/gel, make-up, and sunscreen) were negligible on cosmetic / plastic surgery practice web sites. Numerous "other" products were listed (which would have contributed 50.0% additional mentions if counted in the brand total used in Figure 12). 47 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 12 Cosmetic / Plastic Surgery Product Comparisons (2011) 2% Glytone 3% Kinerase 1% 13% Jan Marini La Roche (Biomedic) 11% 3% 3% 5% 7% MD FORTÉ NIA Obagi PCA 13% 4% Prevage 35% Skinceuticals 0% SkinMedica Jane Iredale "Category Products" Source: Feedback Research Services Staffing Slightly more than one-quarter of the cosmetic / plastic surgery practices had more than one physician (27.0%). Within that group, approximately half (51.9%) operated with two physicians, while one-third had three physicians, and less than 20.0% had four or more physicians. Nearly 90.0% of all cosmetic / plastic surgery practices listed one or more physicians affiliated with the American Board of Facial Plastic and Reconstructive Surgery, American Board of Plastic Surgery, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Ophthalmic Plastic and Reconstructive Surgery, or American Society of Plastic Surgery. 48 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends For the entire cosmetic / plastic surgery database, the average number of physicians per location was 1.5. Estheticians, nurses, and nurse practitioners accounted for the largest numbers of staff members (after physicians). Anecdotally, support staff such as receptionists and various managers appeared to be more often identified on cosmetic / plastic surgery practice web sties than for the dermatology and medical spa segments. An overview of types of staff across a range of positions is shown below. [The "other" category has been eliminated so the findings can be compared with dermatology and medical spa results.] Figure 13 Cosmetic / Plastic Surgery Staff Comparisons (2011) Physicians 3% Estheticians 1% 2% Nurses 4% 2% 21% 48% Physician Assistants Licensed Massage Therapists Certified Laser Technicians 19% Medical Assistants Surgical Assistants Source: Feedback Research Services 49 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The Dermatology Market As noted previously, the 2011 FRS Medical Retail Database consists of cosmetic / plastic surgery and dermatology practices. Most of the 150 dermatology facilities were self-identified as providing a "traditional" service mix than as "aesthetic" or "cosmetic" services. FRS staff estimate that the database listings most likely represent between 1.0% and 2.0% of the total number of U.S. dermatology practices. [Additional "total practice estimates" are included in Chapter IV.] As shown in the following figures, online research generated a fair amount of useful information about facilities, procedures, products, and staffing. Facility Characteristics For all dermatology facilities within the database, the largest numbers of practices were located in Arizona, Georgia, Illinois, Michigan, Ohio, and Texas. The distribution most likely represents listing biases rather than geographic densities. Facilities were difficult to identify for relatively low population and/or rural states such as Alaska, Delaware, Iowa, and Rhode Island. Dermatologists were more often affiliated with clinics, groups, hospitals, and medical centers. Information about the numbers of locations and dermatologists was readily available (98.7% for practices and 98.0% for physicians). In Figure 14, the range of facilities with more than one location or physician has been expressed as a percentage of the total number listed in the database (150). The majority of practices consisted of one location (80.0%). The following distribution shows other categories using the number of practices that have two, three, or four locations or other groupings (e.g., five to nine locations or more than ten locations). 50 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 14 Multi-Location Dermatology Practices (2011) 13% 5% Single location 3% 2 - 4 locations 5 - 9 locations 79% 10 or more locations Source: Feedback Research Services For the entire dermatology database, the average number of physicians per location was 2.0. The relative "distribution density" of physicians is shown below. Figure 15 Multi-Physician Dermatology Practices (2011) 2% 1% 4% One physician 13% 44% 2 - 4 physicians 5 - 10 physicians 11 - 20 physicians 20 + physicians 36% N/A Source: Feedback Research Services 51 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Procedures & Products Not surprisingly, essentially all (98.7%) of the dermatology practice web sites described the procedures and services offered. Dermal fillers, laser hair removal, and peels were provided in fairly equal portions among the practices included within FRS' dermatology database. Microdermabrasion was less commonly found, while facials accounted for the smallest portion of "Top Five" procedures. "Other" services were quite varied, from the "expected" general dermatology procedures (acne, eczema, dermatitis, Mohs, psoriasis, wart removal, etc.) to those more typical of cosmetic / plastic practices and medical spas (laser resurfacing, photofacials, photo dynamic therapy, sclerotherapy, Thermage®, etc.). [These findings are not included in the figure below.] Figure 16 Dermatology Procedure Comparisons (2011) 25% 20% 15% 10% 5% 0% Fa ci al s Fi lle rs La se rH M Pe el od s e rm ai rR ab em ra si ov on al icr Source: Feedback Research Services 52 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Online reviews focused on selected brand products that have been popular in medical spas since 2003 (e.g., Glytone, Jan Marini, Jane Iredale, Obagi, etc.). Several general categories (such as eye crème, in-house formulas, make up and sunscreen) were also included. The U.S. skin care market is highly fragmented, with thousands of brand, generic, and private label products. The following figure demonstrates how even "leading" brands and categories account for a relatively small portion of the products available through dermatology practices. The large "other" category includes brands and products such as: Clarisonic, Clinique Medical, Color Science, IS Clinical, Latisse, Neocutis, Pharm Specialists, TNS, Revale, TNS, Vanicream, Visual Changes, Vivite, etc.). Figure 17 Dermatology Product Comparisons (2011) Obagi Glytone Kinerase 9% 37% MD Forte 6% 6% 6% Skin Medica Skinceuticals Jane Iredale La Roche 6% 1% 4% 1% 5% 5% 5% 5% PREVAGE In House Formula Neostrata Jan Marini 2% NIA PCA 2% "Category Products" Source: Feedback Research Services 53 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Staffing Approximately two-thirds of the web sites provided staffing information. By total numbers, the largest combined staff category was registered nurses (RNs) / nurse practitioners (NPs). The second largest category was estheticians, followed by physician assistants (PAs). Other staff included licensed massage therapists (LMTs), certified laser technicians (CLTs), medical assistants, and surgical assistants, as shown below. Figure 18 Dermatology Staff Comparisons (2011) 0.6% Physicians 1.9% 1.0% Estheticians 0.1% 6.5% Nurses 15.8% Physician Assistants 62.0% 12.1% Licensed Massage Therapists Certified Laser Technicians Medical Assistants Surgical Assistants Source: Feedback Research Services 54 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Chapter IV Market Outlook, 2011 - 2014 Individuals seeking aesthetic services can choose from a wide mix of medical and spa venues, such as: Aesthetic centers, cosmetic surgery practices, day spas, cosmetic dermatology practices, laser centers, medical spas, plastic surgery practices, skin care centers, etc. A large number of medical practices combine cosmetic, dermatology, plastic surgery, and spa services in a single facility or at multiple locations. Published Estimates & Forecasts For the past several years, the International SPA Association (ISPA; Lexington KY; www.experiencespa.org) has conducted and released findings from its comprehensive surveys. The data are produced in cooperation with Pricewaterhouse Coopers (PwC; New York NY) and emphasize six key economic indicators. A review of published highlights reveals that day spas continue to account for the largest percentage of total facilities (79.0%), followed by hotel/resort spas (8.8%), medical spas (8.7%), and club/destination/other spas (3.5%). Proactive measures such as careful workforce management and creative competitive strategies (e.g., shorter treatment sessions) were identified as key factors for survival through the decline from 2008 through 2010.40 Additional findings indicate that nearly half of all spas are located in the Northeast and Southeast (in nearly equal percentages for each region). Indoor space is primarily comprised of treatment rooms, with approximately 66.7% of spas operating massage-only rooms compared to 71.0% with skin care-only rooms. Slightly less than two-thirds of day spas provide manicure/pedicure treatments, while 85.0% of hotel/resort spas do so. Approximately half provide make-up services, while 40.0% offer 40 "ISPA Releases 2010 Spa Industry Report," Skin Inc., October 14, 2010 (www.skininc.com). 55 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends styling. Facials, scrubs, and wraps accounted for approximately 9.0% of the treatments provided during an estimated 143 million client visits (2009). To put "skin" treatments into perspective, massage represented 86.0% and salon services accounted for 68.0%. Combined services (body work, hair, massage, nail, and skin care) generate 79.0% of total spa revenues. The 12.0% attributed to retail primarily consists of hair and skin care product sales.41 Many important market-relevant details (e.g., total number of spas, percentage of U.S.-based spas, etc.) were not released to the general public. At least one online source, however, cited a mix of statistics from 2004 through 2009. The most recent revenue estimate indicated that the U.S. spa industry generated $11.2 billion in 2009. Medical spas were considered to be the fastest growing segment of the industry, representing an estimated 7.0% of all spa facilities (915 medical spas) at the time.42 Extensive online directory and search engine reviews conducted by Feedback Research Services' (FRS) staff generated a slightly lower "best" estimate of between 850 and 880 independently operated medical spa facilities. If ISPA's figure for the total number of spas continued to remain stable at approximately 12,000 facilities, FRS' medical spa estimate represents between 7.0% and 7.3%. For comparison, applying ISPA's 2010 medical spa percentage (8.7%) to the 12,000 facility total results in a U.S. medical spa total of 1,044. Non-Invasive Aesthetic Procedure Estimates & Forecasts Published and proprietary information can be extrapolated to compare and contrast estimated revenues and forecasts for the U.S. non-invasive aesthetic procedure market. Exact figures for the total number of cosmetic / plastic surgeons and dermatologists working in the United States were not readily available through 41 42 Ibid. "Growth of the Massage Industry and Beauty Industry," Spa Beauty Education web site (www.spabeautyed.com) [Statistics attributed to ISPA, 2009 / NACCAS 2009 / Spa & Resort Expo 2007]. 56 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends published sources. Therefore, American Society for Aesthetic Plastic Surgery (ASAPS; New York NY; www.surgery.org) totals have been used in the following presentations. Other analytical methodologies, segmentation, source material, and other criteria / assumptions are also used to estimate and explain the following market revenue and growth rate projections. ASAPS Disciplines & Fees The ASAPS provides robust survey-based statistics that can be compared, contrasted, and extrapolated using information from other sources. As noted in Chapter III, total non-invasive procedures performed in 2010 by dermatologists, otolaryngologists, and plastic surgeons generated an estimated $4.1 billion. Of that total, an estimated $3.1 billion corresponded to the types of procedures tracked in the FRS databases: Chemical peels, facials, fillers, laser hair removal, and microdermabrasion. [Note: ASAPS' non-ablative laser skin resurfacing and non-invasive tightening procedures were combined to represent the "facials" segment.] Figure 19 ASAPS Non-Invasive Procedure Category Comparisons (2010) Fillers 11% 9% 2% "Facials" Chemical Peels 60% 18% Laser Hair Removal Microdermabrasion Source: Derived from 2010 ASAPS statistics by Feedback Research Services 57 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Calculating a rough estimate of the portions of ASAPS non-invasive procedures performed by dermatologists, otolaryngologists, and plastic surgeons can be accomplished using ASAPS survey parameters. In short, ASAPS survey findings were aggregated, extrapolated, and interpreted to reflect national numbers. Using ASAPS numbers, the percentage of completed surveys by discipline is illustrated below. Figure 20 ASAPS "Discipline" Comparisons (2010) 35% 45% Dermatologists Otolaryngologists 20% Plastic Surgeons Source: Derived from 2010 ASAPS methodology and statistics by Feedback Research Services The "discipline" ratios can be applied to ASAPS procedure national fee information to roughly estimate the portion of non-invasive aesthetic service revenues attributable to each physician category (i.e., cosmetic / plastic surgeons, dermatologists, and otolaryngologists). Unfortunately, the ASAPS data has been gathered and evaluated for individual physicians, which is not directly comparable to FRS' practicebased findings. 58 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 7 illustrates a conservative projection for ASAPS-derived non-invasive aesthetic procedures that are comparable to the categories tracked over the past several years by FRS. In the absence of better information, the following projections assume annual declines in non-invasive aesthetic procedure revenues through 2012, which reflects the change in ASAPS non-surgical procedure data from 2009 through 2010. The fall in revenues and volumes will most likely be due to competitive pricing and revised accounting practices (e.g., non-invasive aesthetic procedures being performed by and attributed to a different profit center within a single facility). Positive growth rates are expected thereafter, as popular non-surgical skin tightening technologies provide improved results. Market estimates and forecasts for each "discipline" are shown in the following tables. Table 7 The U.S. Non-Invasive Aesthetic Procedure Market, 2010 - 2014 H @ `c]S" XW v%8 m XW v v ¡ ¢ XW v£v v¡ ¤¢ XW v¥v ¡ ¢ XW% v v r¡ ¢ ¦y§y¨c©}ª«¬%«Iª«¬®°¯±«² ³´ Source: Feedback Research Services (using 2010 ASAPS national fees applied to FRS procedure categories) 59 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 8 The U.S. Cosmetic / Plastic Surgeon Non-Invasive Aesthetic Procedure Market, 2010 - 2014 H @ `c]S" XW ¤v v m XW £¥v ¡ ¢ XW ¥v v¡ ¤¢ XW 8%y ¡ ¢ XW% v r¡ ¢ ¦y§y¨c©}ª«¬%«Iª«¬®°¯±«² µ´ Source: Feedback Research Services (using 2010 ASAPS national fees applied to FRS procedure categories) Table 9 The U.S. Dermatologist Non-Invasive Aesthetic Procedure Market, 2010 - 2014 H @ `c]S" XW £v £ m XW r ¤ ¡ ¢ XW v v¡ ¤¢ XW %y ¡ ¢ XW% %r r¡ ¢ ¦y§y¨c©}ª«¬%«Iª«¬®°¯±«² ³´ Source: Feedback Research Services (using 2010 ASAPS national fees applied to FRS procedure categories) 60 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 10 The U.S. Otolaryngologist Non-Invasive Aesthetic Procedure Market, 2010 - 2014 H @ `c]S" XW ¥X£v v m XW ¥W£v ¥v ¡ ¢ XW ¥r £v v¡ ¤¢ XW ¥W v ¡ ¢ XW% ¥¤v v r¡ ¢ ¦y§y¨c©}ª«¬%«Iª«¬®°¯±«² ³´ Source: Feedback Research Services (using 2010 ASAPS national fees applied to FRS procedure categories) FRS analysts reviewed physician credential findings from the two databases (Medical Retail and Medical Spa) to estimate the distribution of physicians by discipline in cosmetic / plastic surgery practices and medical spas (e.g., dermatology, family medicine, obstetrics / gynecology, etc.). Unfortunately, efforts were not made to identify physician credentials for dermatology practices. Estimates using available information from the databases suggested that the portion of otolaryngologists who worked in cosmetic / plastic surgery and medical spa facilities was quite small (1.7%). Among the medical spa web sites which cited credentials or disciplines, the largest portion of "identifiable physicians" were plastic surgeons (48.0%), followed by dermatologists (9.3%) and otolaryngologists (4.1%). A very rough estimate of the U.S. non-invasive aesthetic procedure market by practice can be generated by applying some Medical Retail and Medical Spa database findings to ASAP data. Some of the assumptions are: 61 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends • Survey pools represent valid sampling of the "actual" facilities. • ASAPS and FRS database distributions can be compared, and contrasted to derive useful estimates. The most interesting "divergence" is the apparent "connection" between medical practices and medical spas. According to ASAPS findings, approximately 12.0% of the survey pool is affiliated with a medical spa. The FRS databases, however, suggest a much "tighter" relationship between medical practices and spas. For the medical spa web sites that included physician descriptions and/or credentials, 29.1% of the facilities were affiliated with medical practices. Applying FRS database physicians-per-facility averages to the ASAPS dermatologist and plastic surgeon members suggests there may be 4,772 dermatology practices and 3,667 plastic surgery practices in the United States. For comparison, there may have been 1,250 medical spas at the market's peak. The Medical Spa Market Medical spas are operated by a diverse group of medical professionals. The dominant physician "discipline" is plastic surgery, followed by dermatology. Family and internal medicine and osteopathy account for somewhat larger percentages than might be expected (cumulatively 15.1%). Among the medical spa web sites which cited credentials or disciplines (approximately 60.0% of all facilities), the largest portion of "identifiable physicians" were plastic surgeons (48.0%), followed by dermatologists (9.3%) and otolaryngologists (4.1%). 62 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Figure 21 Medical Spa Physician "Discipline" Comparisons (2011) Plastic Surgery Dermatology Internal Medicine 22% 43% 2% Osteopathy Family 2% Otolaryngology 3% Emergency 6% 3% 9% Ob / Gyn Dentistry 4% "MD" / Other 6% Source: Feedback Research Services A difficult analytical "problem" is finding a valid methodology for estimating medical spa segment revenues for the U.S. non-invasive aesthetic procedure market. The trend to "fold" medical spas into combined or existing facilities creates another issue: Double-counting. As noted previously in this chapter, the best available estimates suggest there may be between 850 and 1,045 U.S. medical spas (FRS and ISPA figures, respectively). Several assumptions have been applied to generate the projection shown in Table 7: • FRS database facility characteristics and findings reflect "actual" conditions, trends, etc. for the entire U.S. medical spa market. • Procedure pricing cited by the ASAPS in 2010 has remained stable and is comparable to fees charged in medical spas. • Researchers' medical spa facility estimate (based on extensive review of directory and Internet sources) most likely represents an "accurate" range for total U.S. facilities. 63 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends • Spa industry trends suggest that medical spas may demonstrate slightly higher growth rates than those for medical practices (see below). • Survey findings can be extrapolated to represent the total U.S. medical spa market using comparable ASAPS and FRS parameters, trends, etc. Table 12 The U.S. Medical Spa Non-Invasive Aesthetic Procedure Market, 2010 - 2014 H @ `c]S" XW £ v v m XW v v v¡ £¢ XW £v v ¡ ¢ XW v v r¡ v¢ XW% y v r¡ ¢ ¦y§y¨c©}ª«¬%«Iª«¬®°¯¶¬² ·´ Source: Feedback Research Services (using 2010 ASAPS national fee statistics and other parameters that were applied to FRS categories, facility / physician ratios, staffing ratios, etc.) [NOTE: For comparison, applying the ASAPS "medical spa affiliation" figure of 12.0% to the estimated combined "non-invasive aesthetic procedure" fee total (i.e., $3.1 billion) results in a "medical spa non-invasive aesthetic procedure" value of $377.0 million.] Issues & Trends "Anecdotal" assessments suggest that spa operators are expanding the range of offerings with styling services (e.g., Date Night and Special Occasion styling sessions). In contrast, BOTOX® specials from mall-based facilities have declined and clients appear to be selecting medical venues with credentialed medical professionals to provide their non-invasive aesthetic procedures. According to information published from the 2010 Global Spa Summit, new countries are participating in the worldwide spa and wellness sectors. Various research findings summarize new trends. Comprising nine core segments, the global wellness market is now categorized as a nearly $2.0 trillion market. Anti-aging accounts for 64 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends approximately $670.0 billion, followed by the fitness / mind / body sector at $390.0 billion, while healthy eating / nutrition / weight loss represents nearly $280.0 billion. Preventative / personalized health and complementary / alternative medicine combined account for another $356.0 billion. For the remaining segments, wellness tourism accounted for $106.0 billion, followed by spa with $60.0 billion, medical tourism with $50.0 billion, and workplace wellness at $31.0 billion.43 For the spa segment, relaxation and stress management are key reasons driving the majority of consumers, while others visit as the result of receiving a spa gift. An investigation of international hotel salon services indicates that revenue per service increased by 5.2% from 2009 to 2010. Approximately 80.0% of Global Summit survey participants do not expect the global economy to return to pre-recession levels until 2012 or later. Preventive health care and wellness are projected to be the most influential segments to drive future business gains, especially if more evidence-based data is gathered and distributed to consumers.44 Expanded Offerings One of the most obvious additions to the U.S. non-invasive aesthetic market is the eyelash extension. As a prescription self-applied product, eyelash extenders demand is not tracked in ASAPS statistics. To provide a frame of reference from news sources, Latisse® generated revenues of nearly $82.0 million for Allergan Inc. (Irvine CA) in 2010. Fourth quarter 2010 financial results ($17.0 million in early 2011) suggest year-end revenues may be significantly reduced (perhaps due to increased competition from other products).45 43 "2010 Global Spa Summit Draws Record Number Of Delegates From Record Number Of Nations," Global Spa Summit, June 25, 2010 (www.globalspasummit.org). 44 Ibid. "Behind Botox-Maker Allergan's Rosy Numbers," CBS Interactive Business Network, February 11, 2011 (www.bnet.com). 45 65 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Cuts in insurance and Medicare reimbursement continue to reduce practice income, and many physicians are compensating for the losses by performing cash-only aesthetic services to maintain or boost annual revenues. A significant benefit to elderly patients is that aesthetic revenue streams may enable medical practices to refrain from limiting the number of Medicare beneficiaries their offices accept. Cosmetic services may average between 10.0% and 15.0% of total practice revenues. More importantly, such offerings can curtail migration of patients to other practitioners.46 Skin Care Product Sales In 2009, the skin care product market was adversely impacted by the global recession. Chemical production, however, climbed into positive numbers late in the year, suggesting an improved revenue outlook for 2010. 47 Suggested production might grow by 1.7%. The global personal care segment demonstrated resilience in spite of negative worldwide economic trends, driven largely by emerging regional markets (Brazil, Russia, India, and China). U.S. Cosmetics and Toiletries Industry projections of skin care product sales in manufacturer dollars for 2010 through 2013 were fairly robust. An extrapolation of annual revenues and growth rates is shown below. [According to industry publications, the fastest growth within the global skin care product market over the next few years will be demonstrated by anti-aging products.] 46 "Doctors Expand Offerings, Concerns Mount Over Dwindling Resources," Nashville Business Journal, June 18, 2010 (www.bizjournals.com). 47 "Market Research: Consumer Products Show Promise For Specialty Chemicals," Chemicals & Materials Practice, December 3, 2009. (www.klinegroup.com). 66 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Table 13 The U.S. Skin Care Product Market, 2008 - 2013 H @ `c]S" X£ £v v m X £v ¥v ¡ £¢ XW £v £v r¡ ¢ XW vv r¡ £¢ XW v v v¡ ¢ XW v £v y¡ ¢ ¦y§y¨c©}ª««¸ª«¬¹`¯ª² º´ Source: Derived by Feedback Research Services from U.S. Cosmetic and Toiletries Industry 2010 market estimates. In addition to obvious cost-saving consumer trends (e.g., opting for less expensive products such as mass, private label, and value brands). Green and natural products are also expected to be in greater demand. The Seventh Generation brand of household cleaning product sales nearly doubled in 2008. In 2009, "U.S. natural personal care product" sales grew 8.0%. Globally, established consumer product markets have remained fairly stable, while developing nations such as Brazil, China, and India posted strong sales. At the Global Spa Summit, an analysis of post-recession consumer trends suggests that worldwide spending for health and wellness products will continue to increase. According to Euromonitor International (Chicago IL), the global market will grow by $130.0 billion from 2009 - 2014 due to sales of health and wellness beverages and food. 67 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Appendix I References & Resources Articles & Citations "2010 Global Spa Summit Draws Record Number Of Delegates From Record Number Of Nations," Global Spa Summit, June 25, 2010 (www.globalspasummit.org). "Behind Botox-Maker Allergan's Rosy Numbers," CBS Interactive Business Network, February 11, 2011 (www.bnet.com). "Botox Rival Faces Delay", Bloomberg News, April 14, 2009 (www.bloomberg.com). "Consumers Erase Economic Worry Lines, Will Forgo Handbags And Jewelry But Not Their Botox", CNN Money (Associated Press), February 29th, 2008. "Cosmetic Surgery National Data Bank Statistics", American Society for Aesthetic and Plastic Surgery, 2007 (www.surgery.org). DAYSPA Magazine, September 2003. "Demand for Plastic Surgery Rebounds by Almost 9%," American Society for Aesthetic Plastic Surgery (ASAPS; New York NY), April 4, 2011 (www.surgery.org). "Doctors Expand Offerings, Concerns Mount Over Dwindling Resources," Nashville Business Journal, June 18, 2010 (www.bizjournals.com). "Dubai Taps Into $255 Billion Global Spa Economy", Press Release, October 2, 2008 (www.eyeofdubai.com). Global Cosmetic Industry (www.gcimagazine.com). "Global Medical Tourism Market To Hit $100B By 2012," Fiercehealthcare, June 29, 2009 (www.fiercehealthcare.com). "Growth of the Massage Industry and Beauty Industry," Spa Beauty Education web site (www.spabeautyed.com) [Statistics attributed to ISPA, 2009 / NACCAS 2009 / Spa & Resort Expo 2007]. 68 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends "IAPAM Endorses Comprehensive Aesthetic Training for Medical Spas", International Association for Aesthetic Physicians in Aesthetic Medicine (IAPAM), March 26, 2009 (www.iapam.org). "ISPA Releases 2010 Spa Industry Report," Skin Inc., October 14, 2010 (www.skininc.com). "Market Research: Consumer Products Show Promise For Specialty Chemicals," Chemicals & Materials Practice, December 3, 2009. (www.klinegroup.com). "MarketsandMarkets: Worldwide Dermatology Devices Market Worth US$7.0 billion by 2015," PR Newswire, March 23, 2011. “Massages for the Masses”, International Council of Shopping Centers (ICSC), May 2005. "Medical Tourism Services Available To Residents Of The United States," Journal of General Internal Medicine, December 2010 (abstract published in the International Medical Travel Journal, January 5, 2011 (www.imtj.com) "Medspa Boom Is A Bust For Some", Wall Street Journal, November 21st, 2006 (http://medspa.squarespace.com). "Medical Spas Move From Start To Profit Faster With The Medi Spa Starter Package," PatientNOW press release, April 2010 (www.patientnow.com). "New ISPA Research Reveals Day Spa Revenues Down, Medical Spa Revenues Doubled", SPATRADE, August 12th, 2007 (www.spatrade.com). "Research and Markets: The Global Aesthetic Dermatology Market Outlook," Business Wire, April 12, 2011. "Spa Consultant's Bankruptcy Illustrates Saturation in Market," Austin Business Journal, March 27, 2009 (http://austin.bizjournals.com). "Spas and Medical Tourism (Part 1)," Blog Beyond Beauty, October 11, 2010 (www.blogbeyondbeauty.com). “Spas Moving To Malls”, online article attributed to the Wall Street Journal, posted online January 16th, 2006 by the Journal Gazette (www.FortWayne.com) "Statistics Show Clients Choosing Medical Spas Over Plastic Surgeons", Aesthetic Medical News, March 2008 (http://www.aestheticmedicinenews.com). 69 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends "The Physician's Role In A Medical Spa," Skin Inc., January 29, 2010 (www.skininc.com). "The Real Cost of Frivolous Procedures", THE FACE, January 2008 (www.pspinteractive.com / www.ascendmedia.com). Companies / Professional Societies / Trade Organizations American Society for Aesthetic Plastic Surgery (ASAPS; www.surgery.org) Discover Spas (www.discoverspas.com) Spa Finder (www.spafinder.com) SpaTrade (www.spatrade.com) 70 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Appendix II Databases For the first time, Feedback Research Services (FRS) is incorporating its survey findings as "raw data" in support of this market report. Because information is being transferred from a relational database, the formats are less than ideal as presented below. The material is also available in database format by direct request. As a reminder, findings were gathered from online reviews of company web sites during May and June of 2011. Several researchers gathered data, so there were some discrepancies in criteria. A different individual conducted numerous spot checks in July 2011 to ensure conformity and to "correct" any obviously flawed findings. Surprisingly, many offerings had changed significantly in that short amount of time. Therefore, it is important for readers to note that the information offered a "snapshot" in time to compare and contrast patterns and trends. Efforts have been made by all FRS staff to provide the best available information. 2011 FRS Medical Retail Database Cosmetic / Plastic Surgery Practices Facilities & Web Sites Name of Facility Web site A Center for Aesthetic Surgery www.drsscully.com A Women's Touch Plastic Surgery Center, LLC www.deborahsillinsmd.com Aberdeen Plastic Surgery Associates www.aberdeenplastic.com About Face Aesthetic Surgery & Rejuvenation www.aboutfacecosmeticsurgery.com About Face Institute of Cosmetic Surgery www.aboutfaceplasticsurgery.com Accent Esthetics Cosmetic Surgery Medical Center www.accent-esthetics.com Accent on Body Cosmetic Surgery www.accentonbody.com Advanced Cosmetic and Plastic Surgery www.mahjouricosmeticsurgery.com Aesthetic & Laser Plastic Surgery www.rejuven8u.com 71 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aesthetic & Laser Plastic Surgery Center Inc. www.youngerimage.com Aesthetic Center of Plastic Surgery PC www.theaestheticcenter.net Aesthetic Enhancement Cosmetic Surgery & Laser Center www.dr-youngforever.com Aesthetic Plastic Surgery www.aestheticplasticsurg.org Aesthetic Plastic Surgery Center www.aplasticsurgerycenter.com Aesthetics Surgery Center and Esthetique MediSpa www.aestheticcentre.org Aesthetique, An Advanced Cosmetic and Laser Surgery Center, LLC www.aesthetique.com Ahmed Plastic Surgery Center www.plasticsurgeryoptions.com Alexander G. Nein www.drnein.com Aloha Plastic Surgery www.nerve.org Amherst Cosmetic Surgery Center / Le Medisp www.toddbkochmd.com Andochick Center for Cosmetic Surgery www.seandochick.com Annapolis Aesthetic Surgery Inc www.aasurgery.com Arizona Eye Institute and Cosmetic Laser Center www.justomd.com Arkansas Institute for Cosmetic and Plastic Surgery www.arplasticsurgery.net Arthur Rosenstock www.arosenstockmd.com Associates in Plastic & Reconstructive Surgery www.doccarver.com Atlantic Center For Plastic & Cosmetic Surgery www.myatlantaplasticsurgeon.com Baxter Plastic Surgery Clinic www.baxterplasticsurgery.com Beachwood Plastic Surgery & Medical Spa www.drgoldman.com Big Sky Cosmetic Surgery www.bigskycosmeticsurgery.com Boris M. Ackerman www.doctorackerman.com Bruce Carter www.bcartermd.com Burnett Plastic Surgery www.burnettplasticsurgery.com Carmel Cosmetic and Plastic Surgeons www.carmelcosmeticsurgeons.com Caroline J. Plamondon www.drplamondon.com Center for Plastic Surgery www.blandmd.com Chatham Facial Plastic Surgery www.drchatham.com Chicago Cosmetic Surgery & Dermatology www.chicagodermatology.com Clinic of Cosmetic Surgery www.drayselsanderson.com Complete Cosmetic Surgery Center www.completecosmeticsurg.com Cool Springs Plastic Surgery www.drjohnmoore.com Cosmetic & Plastic Surgery Specialists www.idealu.cc Cosmetic Surgery Center www.littlerockcosmeticsurgery.com Cosmetic Surgery Center www.okccosmeticsurgeon.com Cosmetic Surgery Center of Colorado Springs www.cspsa.com Cosmetic Surgery of the Face & Body www.drchatson.com Cosmetique Plastic Surgery Center www.cosmetiqueplasticsurgery.com Crigger Facial Rejuvenation Center www.criggerent.com Denenberg Facial Plastic Surgery www.facialsurgery.com Dr Danyo MD & Dr Banbury www.danyobanburyps.com Dr Ellen Janetzke www.drellen.com Dr James Clayton www.jamesclaytonmd.com Dr. John Farella www.drfarella.com 72 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dunagan, Yates, Alison www.dyacosmeticsurgery.com Eismann Cosmetic Day Surgery Center www.cosmeticsurgeryhouston.com Face and Body Institute www.realpagessites.com/drdavidjansen Faerber Surgical Arts www.surgicalarts.com Grafton Dermatology & Cosmetic Surgery www.graftonderm.com Green Bay Plastic Surgery Assoc. www.gbpsa.com Greenville Plastic Surgery www.gpsurg.com Gregory Herbich Inc www.drherbich.com Hall & Wrye Plastic Surgeons www.hallandwrye.com Heartland Cosmetic & Reconstructive Surgery www.heartlandcosmeticsurgery.com Heartland Plastic Surgery www.heartlandplasticsurg.com Hughes Center for Aesthetic Medicine www.drnewyou.com Image by Design www.imagebydesignmd.com Jacksonville Cosmetics Surgery Center www.ahnezami.com Jon Bishop MD www.jonbishopmd.com Joseph R. Barnthouse MD www.jbarnthousemd.com Landis Plastic Surgery www.drlandis.com Mosharrafa Skin Rejuvenation Center www.drmosharrafa.com Piscataqua Plastic Surgery www.drgaudet.com Plastic & Hand Surgery Associates www.phsa-ms.com Plastic Surgery Aesthetics www.ekennedymd.com Plastic Surgery Associates of Montgomery www.psaom.com Plastic Surgery Associates of Tulsa www.psaoftulsa.com Plastic Surgery Center of Hattiesburg www.drtalbot.com Plastic Surgery Center, P.A. ( Ideal Me) www.drverne.com Plastic Surgery Instutute PC www.doctorplasticsurgery.com Rodgers Center for Facial Plastic & Reconstructive Surgery www.rodgerscenter.net Scot A Martin MD www.drscotmartin.com Sedwick Facial Plastic Surgery www.SedwickPlasticSurgery.com Sensational Skin www.sensationalskin.com Southeastern Plastic Surgery www.seplasticsurgery.com Tarrant Plastic Surgery Inc www.wvcosmeticsurg.com The Center for Cosmetic Surgery www.centerforcosmeticsurgery.com Valley Plastic Surgery Center www.plasticsurgeryil.com Walker Clinic of Aesthetic www.walkerplasticsurgery.com Popp Cosmetic Surgery PC www.poppcosmeticsurgery.com/ Plastic Surgery Center of the Carolinas www.faceandfigure.com Bangor Plastic & Hand Surgery www.surfacemedicalspa.com/ The Polacek Center for Plastic Surgery www.polacekplasticsurgery.com/ Atlantic Plastic Surgery Center www.atlanticplasticsurg.com/ Hermosa Plastic Surgery www.hermosaplasticsurgery.com/ The Center For Aesthetics www.drmarkfreeman.com/ Kentucky Aesthetic & Plastic Surgery Institute, PLLC www.kyanaplasticsurgery.com Marietta Plastic Surgery www.mariettaplasticsurgery.com/ 73 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Central Ohio Plastic Surgery Inc. www.centralohioplasticsurgery.com/ Hedden Plastic Surgery www.heddenmd.com/ Michael Diaz MD, Plastic Surgery www.michaeldiazmd.co Advanced Plastic Surgery Center www.advancedplasticde.com/ Locations, Physicians, Credentials, & Medical Spa Affiliations Med Spa # of Locations # of MDs A Center for Aesthetic Surgery 1 1 A Women's Touch Plastic Surgery Center, LLC 1 1 ABPS / ASAPS Aberdeen Plastic Surgery Associates 1 1 ABPS / ASPS About Face Aesthetic Surgery & Rejuvenation 2 1 Otolaryngology About Face Institute of Cosmetic Surgery Accent Esthetics Cosmetic Surgery Medical Center 1 2 1 1 1 ABPS / ASPS ASPRS / ASAPS Accent on Body Cosmetic Surgery 1 Name of Facility Physician "Credentials" 2 1 FACS / ASAPS Advanced Cosmetic and Plastic Surgery 2 1 FACS / ABPS / ASAPS Aesthetic & Laser Plastic Surgery 1 1 ABPS / ASAPS Aesthetic & Laser Plastic Surgery Center Inc. 5 1 ABPS / ASPS Aesthetic Center of Plastic Surgery PC 1 3 1 FACS / ABPS / ASPRS Aesthetic Enhancement Cosmetic Surgery & Laser Center 1 1 1 FACS / ABPS / ASAPS / ASPS Aesthetic Plastic Surgery 1 2 1 ABPS / ASAPS 1 1 FACS / ABPS / ASPS / ASAPS Aesthetic Plastic Surgery Center Aesthetics Surgery Center and Esthetique MediSpa 3 3 Ophth / AACS / ABPS Aesthetique, An Advanced Cosmetic and Laser Surgery Center, LLC 1 2 1 ASPRS Ahmed Plastic Surgery Center 1 1 ASPRS 1 1 ABPS / ASPS / ASAPS 1 1 ABPRS 1 1 FACS / ACS 1 1 ABPS 1 1 AACS 3 2 AACS / AAO / ABO ABPS / ASPS / ASAPS Alexander G. Nein 1 Aloha Plastic Surgery Amherst Cosmetic Surgery Center / Le Medisp 1 Andochick Center for Cosmetic Surgery Annapolis Aesthetic Surgery Inc 1 Arizona Eye Institute and Cosmetic Laser Center Arkansas Institute for Cosmetic and Plastic Surgery 1 1 Arthur Rosenstock 1 1 ASPS / ASAPS 2 1 ASPS / ASAPS 1 1 ACS / ABPS / ASAPS 1 1 ACS / ABPS / ASAPS 1 1 FACS / AAFPRS / ASPS Big Sky Cosmetic Surgery 1 1 ABO / ABFPRS Boris M. Ackerman 1 1 ABPS / ASPS Bruce Carter 1 1 ABS / ABPS Burnett Plastic Surgery 1 1 FACS / ASPS Carmel Cosmetic and Plastic Surgeons 2 2 ABS / FACS / ABPS / ASPS Associates in Plastic & Reconstructive Surgery 1 Atlantic Center For Plastic & Cosmetic Surgery Baxter Plastic Surgery Clinic Beachwood Plastic Surgery & Medical Spa 1 74 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Caroline J. Plamondon 1 1 ABPS Center for Plastic Surgery 1 1 ASPS / ASAPS AAFPRS / ABO Chatham Facial Plastic Surgery 2 1 Chicago Cosmetic Surgery & Dermatology 1 1 2 Clinic of Cosmetic Surgery 1 2 ABPS Complete Cosmetic Surgery Center 1 1 1 ACS / ASPS Cool Springs Plastic Surgery 1 1 1 ASPS / ASAPS Cosmetic & Plastic Surgery Specialists 1 3 ABPS / ASAPS / ASPS Cosmetic Surgery Center 1 1 ABPS Cosmetic Surgery Center 1 2 FACS / ABO Cosmetic Surgery Center of Colorado Springs 1 1 ABPS / ASPS / ASAPS Cosmetic Surgery of the Face & Body 2 1 ABPS Cosmetique Plastic Surgery Center 1 1 ABPS / FACS Crigger Facial Rejuvenation Center 1 1 AAO Denenberg Facial Plastic Surgery 1 1 AAO / AAFRPS / ACS Dr Danyo MD & Dr Banbury 1 1 ASPS Dr Ellen Janetzke 1 1 ASPS Dr James Clayton 1 1 ASPS / FACS Dr. John Farella 3 1 ASAPS / ASPS / FACS Dunagan, Yates, Alison 2 3 ASAPS / ASPS / FACS Eismann Cosmetic Day Surgery Center 1 1 ACS / ABPS / ASAPS / ASPRS Face and Body Institute 2 2 ABS / ABPRS / ASPS Faerber Surgical Arts 2 1 AACS / AAMOS / ADA Grafton Dermatology & Cosmetic Surgery 3 2 Green Bay Plastic Surgery Assoc. 1 3 ABPS / APSP Greenville Plastic Surgery 1 3 ABPS / ASPS Gregory Herbich Inc 1 1 AACS / ABCS / 1 2 ASPS / FACS Hall & Wrye Plastic Surgeons 1 Heartland Cosmetic & Reconstructive Surgery 1 Heartland Plastic Surgery Hughes Center for Aesthetic Medicine 1 1 1 AACS / ABFPRS 1 1 ACS / ASPS / ASAPS 1 1 ACS / ASCS / ASOPRS / FACS Image by Design 1 1 ASPS / FACS Jacksonville Cosmetics Surgery Center 1 1 ASAPS / ASPS Jon Bishop MD 1 1 ABPS / ASPS Joseph R. Barnthouse MD 1 1 ASAPS / ASPS Landis Plastic Surgery 1 Mosharrafa Skin Rejuvenation Center 1 1 ABPS / ASPS 1 1 ASPS Piscataqua Plastic Surgery 1 1 1 ABPS / ASAPS / FACS Plastic & Hand Surgery Associates 1 1 9 ASAPS / ABPS / ABOS 1 1 ABS / ASPS / FACS 1 1 4 ASAPS / FACS 1 3 ABPS / ASAPS / ASPS 1 1 ASPS 1 3 ABO / ABPS / FACS Plastic Surgery Aesthetics Plastic Surgery Associates of Montgomery Plastic Surgery Associates of Tulsa Plastic Surgery Center of Hattiesburg 1 Plastic Surgery Center, P.A. ( Ideal Me) 75 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Plastic Surgery Instutute PC 1 2 ASAPS / ASPS / FACS / Rodgers Center for Facial Plastic & Reconstructive Surgery 1 1 ABPS / ABFPRS / AAOHNS 1 2 1 ABPS / ASAPS 1 1 AAFPS / AAOHNS / ABPS 1 1 1 Scot A Martin MD Sedwick Facial Plastic Surgery Sensational Skin Southeastern Plastic Surgery 3 2 ABS / ABPS / ASPS Tarrant Plastic Surgery Inc 1 1 ABP / ACS / ASPS The Center for Cosmetic Surgery 1 1 ABFPRS / ABO / ACS Valley Plastic Surgery Center 1 2 FACS Walker Clinic of Aesthetic 1 1 ABO / ABPS / ASPS Popp Cosmetic Surgery PC 1 1 AACS / AAO / ACS ACS / ASAPS Plastic Surgery Center of the Carolinas 1 1 2 Bangor Plastic & Hand Surgery 1 1 1 ABPS The Polacek Center for Plastic Surgery 1 1 ABPS / ASAPS / ASPS Atlantic Plastic Surgery Center 1 3 ASAPS / ASPS Hermosa Plastic Surgery 1 1 ASAPS / ASPS / FACS The Center For Aesthetics 2 2 ABPS Kentucky Aesthetic & Plastic Surgery Institute, PLLC 1 2 ASAPS / ASPS Marietta Plastic Surgery 2 4 ASAPS / ASPS Central Ohio Plastic Surgery Inc. 1 1 ABPS / ASPS / FACS Hedden Plastic Surgery 1 4 ASAPS / ASPS Michael Diaz MD, Plastic Surgery 1 1 ABPS / ASPS / FACS 2 4 ABPS 134 151 Advanced Plastic Surgery Center Totals 26 Key: AACS = American Academy of Cosmetic Surgery AAFPRS = American Academy Facial Plastic and Reconstructive Surgery AAMOS = American Association of Oral and Maxillofacial Surgeons AAO = American Academy of Ophthalmology AAOHNS = American Academy of Otolaryngology Head and Neck Surgery ASOPRS = American Society of Ophthalmic Plastic & Reconstructive Surgery ABFPRS = American Board of Facial Plastic and Reconstructive Surgery ABOS = American Board of Orthopedic Surgery ABPS = American Board of Plastic Surgery ABS = American Board of Surgery ACS = American College of Surgeons ADA = American Dental Association ASPS = American Society of Plastic Surgery ASAPS = American Society for Aesthetic Plastic Surgery ASPRS = American Society of Plastic and Reconstructive Surgery ABPRS = American Board of Plastic and Reconstructive Surgery ABO = American Board of Ophthalmology 76 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Products G y lt o n e Name of Facility J K a n i n e M r a a R s I e N I L a R o c h e M D F o r T e N e o s t r a t a N I A O b a g I O t h e r P C A P r e V a g e S k i n c e u t i c a l s A Center for Aesthetic Surgery A Women's Touch Plastic Surgery Center, LLC 1 Aberdeen Plastic Surgery Associates 1 About Face Aesthetic Surgery & Rejuvenation About Face Institute of Cosmetic Surgery 1 Accent Esthetics Cosmetic Surgery Medical Center 1 1 1 1 1 Accent on Body Cosmetic Surgery 1 2 Advanced Cosmetic and Plastic Surgery Aesthetic & Laser Plastic Surgery Aesthetic & Laser Plastic Surgery Center Inc. 1 Aesthetic Center of Plastic Surgery PC 1 2 Aesthetic Enhancement Cosmetic Surgery & Laser Center Aesthetic Plastic Surgery 1 Aesthetic Plastic Surgery Center 1 Aesthetics Surgery Center and Esthetique MediSpa 1 3 1 1 1 2 Aesthetique, An Advanced Cosmetic and Laser Surgery Center, LLC Ahmed Plastic Surgery Center Alexander G. Nein 1 Aloha Plastic Surgery 1 2 1 1 1 4 1 Amherst Cosmetic Surgery Center / Le Medisp 1 1 1 Annapolis Aesthetic Surgery Inc 1 1 Arizona Eye Institute and Cosmetic Laser Center 3 1 Arkansas Institute for Cosmetic and Plastic Surgery 1 1 1 Associates in Plastic & Reconstructive Surgery 1 5 Atlantic Center For Plastic & Cosmetic Surgery 1 Baxter Plastic Surgery Clinic 1 2 Beachwood Plastic Surgery & Medical Spa 1 2 Arthur Rosenstock Big Sky Cosmetic Surgery 2 Boris M. Ackerman Bruce Carter 1 1 77 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 1 3 Andochick Center for Cosmetic Surgery 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Burnett Plastic Surgery 1 Carmel Cosmetic and Plastic Surgeons 1 3 Caroline J. Plamondon Center for Plastic Surgery Chatham Facial Plastic Surgery Chicago Cosmetic Surgery & Dermatology 1 1 1 Clinic of Cosmetic Surgery 1 1 Complete Cosmetic Surgery Center 1 Cool Springs Plastic Surgery Cosmetic & Plastic Surgery Specialists 1 1 1 Cosmetic Surgery Center 1 1 1 Cosmetic Surgery Center Cosmetic Surgery Center of Colorado Springs Cosmetic Surgery of the Face & Body Cosmetique Plastic Surgery Center Crigger Facial Rejuvenation Center 1 Denenberg Facial Plastic Surgery Dr Danyo MD & Dr Banbury 1 Dr Ellen Janetzke 3 1 1 2 Dr James Clayton 1 Dr. John Farella Dunagan, Yates, Alison 1 1 Eismann Cosmetic Day Surgery Center 1 1 Face and Body Institute 1 1 1 6 1 1 1 Faerber Surgical Arts Grafton Dermatology & Cosmetic Surgery 1 1 1 Green Bay Plastic Surgery Assoc. 1 Greenville Plastic Surgery 1 Gregory Herbich Inc Hall & Wrye Plastic Surgeons 1 1 1 1 2 Heartland Cosmetic & Reconstructive Surgery 1 Heartland Plastic Surgery 1 Hughes Center for Aesthetic Medicine 1 1 Image by Design Jacksonville Cosmetics Surgery Center 1 2 1 Jon Bishop MD Joseph R. Barnthouse MD 1 Landis Plastic Surgery 1 Mosharrafa Skin Rejuvenation Center 1 1 1 Piscataqua Plastic Surgery 1 Plastic & Hand Surgery Associates 1 1 1 1 1 Plastic Surgery Aesthetics 1 1 Plastic Surgery Associates of Montgomery Plastic Surgery Associates of Tulsa 3 1 78 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Plastic Surgery Center of Hattiesburg 1 1 1 1 Plastic Surgery Center, P.A. ( Ideal Me) Plastic Surgery Instutute PC 1 Rodgers Center for Facial Plastic & Reconstructive Surgery 1 Scot A Martin MD 4 Sedwick Facial Plastic Surgery 1 Sensational Skin 1 Southeastern Plastic Surgery 1 1 Tarrant Plastic Surgery Inc The Center for Cosmetic Surgery 1 Valley Plastic Surgery Center 1 Walker Clinic of Aesthetic Popp Cosmetic Surgery PC 1 Plastic Surgery Center of the Carolinas 1 Bangor Plastic & Hand Surgery 1 The Polacek Center for Plastic Surgery 1 1 1 1 1 1 1 1 1 Atlantic Plastic Surgery Center Hermosa Plastic Surgery 1 1 1 1 The Center For Aesthetics Kentucky Aesthetic & Plastic Surgery Institute, PLLC 1 1 Marietta Plastic Surgery 1 Central Ohio Plastic Surgery Inc. 1 Hedden Plastic Surgery 1 1 1 1 1 Michael Diaz MD, Plastic Surgery 1 Advanced Plastic Surgery Center 1 1 52 79 Totals: 3 S u n s c r e e n Name of Facility J a n e I r e d a l e 5 2 N e o v a / P r o c y t e 16 G l O M i N e a r l s 5 0 10 I S C l I n I c a l Online Store? A Center for Aesthetic Surgery A Women's Touch Plastic Surgery Center, LLC 1 Aberdeen Plastic Surgery Associates About Face Aesthetic Surgery & Rejuvenation 79 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 1 6 19 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends About Face Institute of Cosmetic Surgery Accent Esthetics Cosmetic Surgery Medical Center Accent on Body Cosmetic Surgery Advanced Cosmetic and Plastic Surgery 1 Aesthetic & Laser Plastic Surgery Aesthetic & Laser Plastic Surgery Center Inc. 1 Aesthetic Center of Plastic Surgery PC 1 Aesthetic Enhancement Cosmetic Surgery & Laser Center Aesthetic Plastic Surgery 1 Aesthetic Plastic Surgery Center Aesthetics Surgery Center and Esthetique MediSpa 1 Aesthetique, An Advanced Cosmetic and Laser Surgery Center, LLC Ahmed Plastic Surgery Center Alexander G. Nein Aloha Plastic Surgery Amherst Cosmetic Surgery Center / Le Medisp Andochick Center for Cosmetic Surgery Annapolis Aesthetic Surgery Inc 1 Arizona Eye Institute and Cosmetic Laser Center Arkansas Institute for Cosmetic and Plastic Surgery Arthur Rosenstock Associates in Plastic & Reconstructive Surgery 1 Atlantic Center For Plastic & Cosmetic Surgery Baxter Plastic Surgery Clinic Beachwood Plastic Surgery & Medical Spa Big Sky Cosmetic Surgery 1 Boris M. Ackerman Bruce Carter 1 Burnett Plastic Surgery Carmel Cosmetic and Plastic Surgeons 1 Caroline J. Plamondon Center for Plastic Surgery Chatham Facial Plastic Surgery Chicago Cosmetic Surgery & Dermatology Clinic of Cosmetic Surgery 1 1 Complete Cosmetic Surgery Center Cool Springs Plastic Surgery Cosmetic & Plastic Surgery Specialists 1 Cosmetic Surgery Center 1 1 3 1 Cosmetic Surgery Center Cosmetic Surgery Center of Colorado Springs Cosmetic Surgery of the Face & Body Cosmetique Plastic Surgery Center Crigger Facial Rejuvenation Center 1 80 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Denenberg Facial Plastic Surgery Dr Danyo MD & Dr Banbury Dr Ellen Janetzke Dr James Clayton Dr. John Farella Dunagan, Yates, Alison 1 1 Eismann Cosmetic Day Surgery Center Face and Body Institute Faerber Surgical Arts Grafton Dermatology & Cosmetic Surgery 1 Green Bay Plastic Surgery Assoc. Greenville Plastic Surgery 1 Gregory Herbich Inc Hall & Wrye Plastic Surgeons Heartland Cosmetic & Reconstructive Surgery Heartland Plastic Surgery 1 Hughes Center for Aesthetic Medicine Image by Design Jacksonville Cosmetics Surgery Center 1 1 Jon Bishop MD Joseph R. Barnthouse MD 1 Landis Plastic Surgery 1 Mosharrafa Skin Rejuvenation Center Piscataqua Plastic Surgery Plastic & Hand Surgery Associates 1 Plastic Surgery Aesthetics Plastic Surgery Associates of Montgomery 1 Plastic Surgery Associates of Tulsa Plastic Surgery Center of Hattiesburg Plastic Surgery Center, P.A. ( Ideal Me) Plastic Surgery Instutute PC 1 Rodgers Center for Facial Plastic & Reconstructive Surgery 1 Scot A Martin MD Sedwick Facial Plastic Surgery 1 Sensational Skin 1 1 Southeastern Plastic Surgery 1 Tarrant Plastic Surgery Inc 1 The Center for Cosmetic Surgery Valley Plastic Surgery Center Walker Clinic of Aesthetic Popp Cosmetic Surgery PC Plastic Surgery Center of the Carolinas 1 Bangor Plastic & Hand Surgery 1 The Polacek Center for Plastic Surgery 81 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Atlantic Plastic Surgery Center Hermosa Plastic Surgery The Center For Aesthetics Kentucky Aesthetic & Plastic Surgery Institute, PLLC Marietta Plastic Surgery Central Ohio Plastic Surgery Inc. 1 Hedden Plastic Surgery 1 Michael Diaz MD, Plastic Surgery Advanced Plastic Surgery Center 1 5 Totals 20 5 4 5 5 Procedures T h e r m a g e ® M i c r o d e r m a b r a s i o n L a s e r H a i r R e m o v a l F i l l e r s F a c i a l s P e e l s O t h e r A e s t h e t i c Name of Facility A Center for Aesthetic Surgery 1 1 A Women's Touch Plastic Surgery Center, LLC Aberdeen Plastic Surgery Associates About Face Aesthetic Surgery & Rejuvenation 1 1 About Face Institute of Cosmetic Surgery Accent Esthetics Cosmetic Surgery Medical Center Accent on Body Cosmetic Surgery 1 1 1 1 1 Advanced Cosmetic and Plastic Surgery Aesthetic & Laser Plastic Surgery Aesthetic & Laser Plastic Surgery Center Inc. Aesthetic Center of Plastic Surgery PC Aesthetic Enhancement Cosmetic Surgery & Laser Center Aesthetic Plastic Surgery Aesthetic Plastic Surgery Center Aesthetics Surgery Center and Esthetique MediSpa Aesthetique, An Advanced Cosmetic and Laser Surgery Center, LLC 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 82 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 2 4 3 2 1 4 4 1 5 6 2 6 11 1 4 4 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends 1 Ahmed Plastic Surgery Center Alexander G. Nein 1 Aloha Plastic Surgery Amherst Cosmetic Surgery Center / Le Medisp 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Andochick Center for Cosmetic Surgery Annapolis Aesthetic Surgery Inc Arizona Eye Institute and Cosmetic Laser Center Arkansas Institute for Cosmetic and Plastic Surgery Arthur Rosenstock 1 Associates in Plastic & Reconstructive Surgery Atlantic Center For Plastic & Cosmetic Surgery Baxter Plastic Surgery Clinic 1 Beachwood Plastic Surgery & Medical Spa Big Sky Cosmetic Surgery 1 1 1 1 Boris M. Ackerman Bruce Carter Burnett Plastic Surgery 1 Carmel Cosmetic and Plastic Surgeons Caroline J. Plamondon Center for Plastic Surgery 0 Chatham Facial Plastic Surgery Chicago Cosmetic Surgery & Dermatology 1 1 1 1 1 Clinic of Cosmetic Surgery Complete Cosmetic Surgery Center Cool Springs Plastic Surgery Cosmetic & Plastic Surgery Specialists 1 Cosmetic Surgery Center 1 1 1 1 1 Cosmetic Surgery Center Cosmetic Surgery Center of Colorado Springs 1 Cosmetic Surgery of the Face & Body Cosmetique Plastic Surgery Center 1 Crigger Facial Rejuvenation Center 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 4 2 4 2 2 5 5 2 1 4 6 8 2 2 3 1 3 5 4 5 2 6 4 4 6 5 2 2 2 2 Denenberg Facial Plastic Surgery 1 Dr Danyo MD & Dr Banbury 1 Dr Ellen Janetzke Dr James Clayton 1 Dr. John Farella 1 Dunagan, Yates, Alison Eismann Cosmetic Day Surgery Center Face and Body Institute 1 1 1 1 1 Faerber Surgical Arts 1 Grafton Dermatology & Cosmetic Surgery 1 1 Green Bay Plastic Surgery Assoc. Greenville Plastic Surgery 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 83 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 4 2 8 2 2 4 6 4 2 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends 1 Gregory Herbich Inc 1 Hall & Wrye Plastic Surgeons Heartland Cosmetic & Reconstructive Surgery 1 Heartland Plastic Surgery 1 Hughes Center for Aesthetic Medicine Image by Design 1 Jacksonville Cosmetics Surgery Center 1 1 1 1 1 Jon Bishop MD 1 Joseph R. Barnthouse MD Landis Plastic Surgery Mosharrafa Skin Rejuvenation Center Piscataqua Plastic Surgery Plastic & Hand Surgery Associates 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Plastic Surgery Aesthetics Plastic Surgery Associates of Montgomery 1 1 1 Plastic Surgery Associates of Tulsa Plastic Surgery Center of Hattiesburg Plastic Surgery Center, P.A. ( Ideal Me) Plastic Surgery Instutute PC Rodgers Center for Facial Plastic & Reconstructive Surgery Scot A Martin MD Sedwick Facial Plastic Surgery Sensational Skin Southeastern Plastic Surgery Tarrant Plastic Surgery Inc 1 The Center for Cosmetic Surgery Valley Plastic Surgery Center 1 1 1 1 1 Walker Clinic of Aesthetic 1 Popp Cosmetic Surgery PC Plastic Surgery Center of the Carolinas Bangor Plastic & Hand Surgery The Polacek Center for Plastic Surgery Atlantic Plastic Surgery Center Hermosa Plastic Surgery 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10 7 3 4 5 3 6 3 4 2 4 10 3 4 2 1 4 6 8 2 7 4 3 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 3 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 4 5 1 1 1 1 1 36 1 82 1 The Center For Aesthetics 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Kentucky Aesthetic & Plastic Surgery Institute, PLLC 1 Marietta Plastic Surgery Central Ohio Plastic Surgery Inc. Hedden Plastic Surgery Michael Diaz MD, Plastic Surgery 1 11 Advanced Plastic Surgery Center Totals 1 1 1 61 1 1 1 1 65 1 1 1 98 84 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 2 4 4 5 8 359 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Staff Name of Facility Esth RN / NP PA LMT CLT CPN CMA / MA SA/T Other A Center for Aesthetic Surgery A Women's Touch Plastic Surgery Center, LLC 1 1 Aberdeen Plastic Surgery Associates About Face Aesthetic Surgery & Rejuvenation About Face Institute of Cosmetic Surgery Accent Esthetics Cosmetic Surgery Medical Center 2 Accent on Body Cosmetic Surgery 1 Advanced Cosmetic and Plastic Surgery 1 Aesthetic & Laser Plastic Surgery Aesthetic & Laser Plastic Surgery Center Inc. 1 2 2 Aesthetic Center of Plastic Surgery PC Aesthetic Enhancement Cosmetic Surgery & Laser Center Aesthetic Plastic Surgery 2 Aesthetic Plastic Surgery Center 2 1 Aesthetics Surgery Center and Esthetique MediSpa 1 Aesthetique, An Advanced Cosmetic and Laser Surgery Center, LLC 2 Ahmed Plastic Surgery Center 1 1 1 1 Alexander G. Nein 2 Aloha Plastic Surgery 1 1 1 3 Amherst Cosmetic Surgery Center / Le Medisp Andochick Center for Cosmetic Surgery Annapolis Aesthetic Surgery Inc Arizona Eye Institute and Cosmetic Laser Center 4 3 Arkansas Institute for Cosmetic and Plastic Surgery 1 2 1 Arthur Rosenstock 1 Associates in Plastic & Reconstructive Surgery Atlantic Center For Plastic & Cosmetic Surgery Baxter Plastic Surgery Clinic Beachwood Plastic Surgery & Medical Spa 2 Big Sky Cosmetic Surgery 1 5 2 1 Boris M. Ackerman 6 Bruce Carter 1 Burnett Plastic Surgery Carmel Cosmetic and Plastic Surgeons 3 1 1 2 1 1 Caroline J. Plamondon 1 1 Center for Plastic Surgery 1 1 Chatham Facial Plastic Surgery 1 Chicago Cosmetic Surgery & Dermatology 2 2 Clinic of Cosmetic Surgery 1 1 1 Complete Cosmetic Surgery Center 1 2 3 85 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Cool Springs Plastic Surgery 1 Cosmetic & Plastic Surgery Specialists 2 Cosmetic Surgery Center 3 1 1 1 Cosmetic Surgery Center Cosmetic Surgery Center of Colorado Springs 1 Cosmetic Surgery of the Face & Body Cosmetique Plastic Surgery Center 2 2 2 Crigger Facial Rejuvenation Center Denenberg Facial Plastic Surgery Dr Danyo MD & Dr Banbury 1 Dr Ellen Janetzke 3 Dr James Clayton Dr. John Farella Dunagan, Yates, Alison 3 3 Eismann Cosmetic Day Surgery Center Face and Body Institute 1 Faerber Surgical Arts 6 Grafton Dermatology & Cosmetic Surgery 2 Green Bay Plastic Surgery Assoc. 3 Greenville Plastic Surgery 1 2 3 10 3 Gregory Herbich Inc Hall & Wrye Plastic Surgeons 2 Heartland Cosmetic & Reconstructive Surgery 2 1 1 Heartland Plastic Surgery 1 Hughes Center for Aesthetic Medicine 3 1 2 1 1 2 Image by Design Jacksonville Cosmetics Surgery Center 1 3 2 Jon Bishop MD 1 Joseph R. Barnthouse MD 2 3 2 Landis Plastic Surgery 1 Mosharrafa Skin Rejuvenation Center 4 Piscataqua Plastic Surgery 1 Plastic & Hand Surgery Associates 2 1 2 Plastic Surgery Aesthetics Plastic Surgery Associates of Montgomery 2 Plastic Surgery Associates of Tulsa Plastic Surgery Center of Hattiesburg 2 1 6 1 2 2 4 8 1 1 2 Plastic Surgery Center, P.A. ( Ideal Me) Plastic Surgery Instutute PC Rodgers Center for Facial Plastic & Reconstructive Surgery Scot A Martin MD 1 2 Sedwick Facial Plastic Surgery Sensational Skin Southeastern Plastic Surgery 3 1 86 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 6 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Tarrant Plastic Surgery Inc The Center for Cosmetic Surgery Valley Plastic Surgery Center Walker Clinic of Aesthetic Popp Cosmetic Surgery PC 2 Plastic Surgery Center of the Carolinas 1 Bangor Plastic & Hand Surgery 1 The Polacek Center for Plastic Surgery Atlantic Plastic Surgery Center 3 Hermosa Plastic Surgery 1 2 1 1 1 1 2 5 2 The Center For Aesthetics Kentucky Aesthetic & Plastic Surgery Institute, PLLC Marietta Plastic Surgery Central Ohio Plastic Surgery Inc. 1 Hedden Plastic Surgery 4 4 4 2 3 6 13 118 Michael Diaz MD, Plastic Surgery Advanced Plastic Surgery Center 5 1 1 Totals 62 68 7 3 6 4 1 11 Key: Esth = Esthetician RN = Registered Nurse PA = Physicians Asst. LMT = Licensed Massage Therapist CLT = Certified Laser Tech. LPN = Licensed Practical Nurse CPN = Clinical Practical Nurse MA = Medical Assistant SA = Surgical Assistant Notes Name of Facility Notes A Center for Aesthetic Surgery Emphasis on surgery / No product or staff Info A Women's Touch Plastic Surgery Center, LLC Esth / LMT position Aberdeen Plastic Surgery Associates About Face Aesthetic Surgery & Rejuvenation About Face Institute of Cosmetic Surgery No medical staff info / Accent Esthetics Cosmetic Surgery Medical Center Biomedic / Surgical / Latisse Accent on Body Cosmetic Surgery Teamine / Revision / Surgical / MedSpa Prices Advanced Cosmetic and Plastic Surgery Biomedic® / Skin Care Clinic / Latisse / Surgical / No staff info Aesthetic & Laser Plastic Surgery No product or staff info / Clarisonic / Rosa Graf Aesthetic & Laser Plastic Surgery Center Inc. Aesthetic Center of Plastic Surgery PC Med Spa offers products, store, & services (massage, hair, etc.) 87 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aesthetic Enhancement Cosmetic Surgery & Laser Center Med Spa / No staff info Aesthetic Plastic Surgery No staff position info / Physicians Complex® / Latisse® / Clarisonic® Aesthetic Plastic Surgery Center No staff info / Parisian Peel Aesthetics Surgery Center and Esthetique MediSpa Epionce / NuCell / Latisse Aesthetique, An Advanced Cosmetic and Laser Surgery Ctr. ECHO2 / La Stone Ahmed Plastic Surgery Center Rhytec / Portrait Plasma / Aesthera Alexander G. Nein Neocutis / Revale / Skin Renu / Latisse / Revision / Lycogel Aloha Plastic Surgery Lipolysis, Mesotherapy Amherst Cosmetic Surgery Center / Le Medisp BENEV / Neova / Vivite / Latisse /Home maintenance / No staff info Andochick Center for Cosmetic Surgery Mostly surgical procedures / No staff information Annapolis Aesthetic Surgery Inc Latisse / VIVITE / Clarisonic / No staff information Arizona Eye Institute and Cosmetic Laser Center Latisse / Cosmetic consultants / Certified ophthalmic assistants Arkansas Institute for Cosmetic and Plastic Surgery SkinTyte / Latisse / Visia Arthur Rosenstock Primarily surgical procedures / No skin care products lists Associates in Plastic & Reconstructive Surgery NuSkin / Clarisonic / Revisions / www.RenewBeautyCenter.com Atlantic Center For Plastic & Cosmetic Surgery Latise / No staff information Baxter Plastic Surgery Clinic Skin Deep / Calidora / Ulthera / No staff info Beachwood Plastic Surgery & Medical Spa 7 unspecified staff / Ulthera / Latisse / ColoreScience / Neocutis Big Sky Cosmetic Surgery Clearlight / PDT / Perm make up / "Physician formula skin care" Boris M. Ackerman 6 unspecified staff / Primarily surgical procedures / No product info Bruce Carter IPL / Latisse / CoolTouch® laser / Burnett Plastic Surgery Latisse / Titian laser / Carmel Cosmetic and Plastic Surgeons Latisse / ScarGuard MD / Dermaplane / Retin-A / Perm make up Caroline J. Plamondon Thermaderm Center for Plastic Surgery Vibraderm / Permanent make up / eMAX ELOS laser Chatham Facial Plastic Surgery Clarisonic / IPL Chicago Cosmetic Surgery & Dermatology Elite / Topix / Avene / Revale / TNS / Latisse / Vivite Clinic of Cosmetic Surgery Clarisonic / Eye Crème / Massage / VascuLight / Vivite / Latisse Complete Cosmetic Surgery Center "Online store coming soon" Cool Springs Plastic Surgery Latisse / Camoflauge make up / Resurfacing Cosmetic & Plastic Surgery Specialists IPL / Skin tightening / Teamine / Talika Eye Patch Cosmetic Surgery Center Resurfacing / Tightening / Latisse® Cosmetic Surgery Center Exoderm / Latisse® / Melanage / LaserTight / No product or staff info Cosmetic Surgery Center of Colorado Springs No product information / Emphasis on surgical procedures Cosmetic Surgery of the Face & Body IPL / No skin care product info (fillers and injectables only) / No staff info Cosmetique Plastic Surgery Center Primarily surgical / No skin care product info Crigger Facial Rejuvenation Center No staff information / Several laser brands mentioned Denenberg Facial Plastic Surgery Surgical procedures only / Minimal web site / No product or staff info Dr Danyo MD & Dr Banbury Laser resurf./ Talcyn / Nutrametrx /Teamine / ZENO / NECTIFIRM Dr Ellen Janetzke Zerona Laser / No staff info / Retin-A / "Glycolic acid" products Dr James Clayton Blu-U Light / Retin-A / No skin care product or staff info Dr. John Farella Permanent make up / IPL / Hand rejuvenation / No skin care or staff info Dunagan, Yates, Alison Retin-A / Thermaderm / Physicians Choice / DermaSweep / Latisse Eismann Cosmetic Day Surgery Center IPL / No staff information / Procyte Home Care Regimen 88 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Face and Body Institute Products &staff info / "What's New?" / Latisse® / Image skin care Faerber Surgical Arts Photo suggests 3 clin. staff / No skin products / Primarily facial & oral surg Grafton Dermatology & Cosmetic Surgery IPL / Fraxel / Latisse® / Necutis / Phys. Form. / Clarisonic / Blue Lizard Green Bay Plastic Surgery Assoc. Primarily surgi. / GLY DERM / Laser resurfacing / Various fillers / Latisse Greenville Plastic Surgery Gregory Herbich Inc Primarily surgical / Tatoo removal / Scar reduction / Latisse / Retin-A Hall & Wrye Plastic Surgeons Surg & med spa sites / Sciton® laser / Latisse / Environ / Colorescience Heartland Cosmetic & Reconstructive Surgery Primarily surgical Heartland Plastic Surgery Various lasers / Revision / Latisse / Make up Hughes Center for Aesthetic Medicine Latisse / SkinTyte / Omnilux / Gentle Waves / Retin-A only Image by Design Latisse / Resurfacing / Works with derm / No skin product or staff info Jacksonville Cosmetics Surgery Center Permanent make up / IPL / Teamine / Ti-Silc Jon Bishop MD Dermabrasion / Primarily surgical / No product information Joseph R. Barnthouse MD IPL / Perm make up / TNS / "#1 & #2 skin care lines in US" (Obagi & ?) Landis Plastic Surgery Partnered with Consultaive Skin Care / Massage / Primarily plastic surg Mosharrafa Skin Rejuvenation Center Staff specifics not posted / Latisse / IPL / Permanent make up Piscataqua Plastic Surgery IPL / Massage / Tinting / Wax / Obagi "Condition and Enhance System" Plastic & Hand Surgery Associates Dermabrasion / Primarily surg / Spa body & skin (massage, wax, etc.) Plastic Surgery Aesthetics Opalus affiliation / Resurf., tattoo, etc. / Dermatologica / Youngblood Plastic Surgery Associates of Montgomery Skin spa with "esth." and "licensed med. technicians" / Vein / Latisse Plastic Surgery Associates of Tulsa No staff specifics (photo of four clinicians) Plastic Surgery Center of Hattiesburg Primarily surgical with spa for non-surg and skin / Laser resurfacing Plastic Surgery Center, P.A. ( Ideal Me) No skin product or staff information Plastic Surgery Instutute PC Permanent make up / Veins / Waxing / LexiLi® skin care Rodgers Center for Facial Plastic & Reconstructive Surgery Combo surg & non-surg / Facial, scar, vein laser / IPL / Latisse / Wax Scot A Martin MD Primarily surg. / Lastisse / Tint / Wax / elos / Dermatologica Sedwick Facial Plastic Surgery No staff information / Laser resurfacing / Viatmin C / TCA peels Sensational Skin No staff information / Acne, vein, PDT / Photo Facial Southeastern Plastic Surgery MicroPeel / Thermaderm / Physician's Choice / Laser resurfacing Tarrant Plastic Surgery Inc Gly Med The Center for Cosmetic Surgery ZERONA / Retin-A Valley Plastic Surgery Center Dermabrasion and vein / No staff information / Retin-A® / Resurf. Walker Clinic of Aesthetic No skin product or staff information / Vein Popp Cosmetic Surgery PC Sclerotherapy / Latisse Plastic Surgery Center of the Carolinas Computer imaging / Latisse / Permanent make up / Massage Bangor Plastic & Hand Surgery Practice and medspa / Massage / Latisse / Xtreme Lashes The Polacek Center for Plastic Surgery Primarily surgical with good blend of non-invasive procedures and products Atlantic Plastic Surgery Center Latisse / VIVITE / IPL Hermosa Plastic Surgery Latisse / Endermologie / Photofacial The Center For Aesthetics Photofacial / Vein / Pgmentation / Specific skin care products not named Kentucky Aesthetic & Plastic Surgery Institute, PLLC IPL / No staff information Marietta Plastic Surgery Resurfacing / Specific skin care products not named / No staff info Central Ohio Plastic Surgery Inc. Latisse / "Medical Spa Services" / Resurfacing / Vein Hedden Plastic Surgery VIVITE / Environ / Clarisonic / minence (organic) / Perm. make up / Etc. 89 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Michael Diaz MD, Plastic Surgery Laser resurfacing, tightening, scar, vein, etc. / No staff information Advanced Plastic Surgery Center Many laser & others / "Innovative Skin Care formulas" / IPL / LED Dermatology Practices Facilities & Web Sites Name of Facility Web site A Plus Dermatology www.hawaiidermatologist.com Abington Dermatology Associates www.abingtondermatology.com Academic Dermatology www.academicdermatology.com Academy Dermatology & Cosmetic www.academydermandcosmeticcenter.com Accent Dermatology & Laser Center www.accentderma.com ADA Dermatology www.adawestdermatology.com Advanced Dermatology & Laser www.advancedderm.com Advanced Dermatology & Pocono Medical Care www.milfordmd.com Advanced Dermatology & Skin www.advancederm.net Advanced Dermatology and Cosmetic Surgery Center www.yourgreatskin.com Advanced Vein Center www.advancedveincenter.com Aesthetic Kansas City Laser & Lipodissolve Center/Laser Derm & Skin Care Ctr www.skincarekc.com Aesthetic Surgery & Dermatology Of Cherry Creek www.adriennestewartmd.com Aesthetics Skin Care, Derma Surgery www.looking-younger.com Albemarle Dermatology www.albemarledermatology.com Albuquerque Dermatology Associates www.albdermatology.com Associated Dermatologists of West Bloomfield & Commerce Township www.adwbc.com Associated Skin Care Specialists www.associatedskincare.com Associates in Dermatology www.associatesindermatology.com Associates in Medical & Cosmetic Dermatology www.amcdonline.com/ Atlanta West Dermatology www.atlantawestdermatology.com Atlantic Boulevard Dermatology www.atlanticboulevarddermatology.com Bakal Dermatology Associates www.bakalderm.com Alaska Dermatology & Laser Center www.alaskaskindoctor.com Belle Meade Dermatology bellemeadedermatology.com Benedetto, Anthony V DO www.benedettoderm.com Black Hills Dermatology & Laser Surgery Center www.bhdermatology.com Bodian Dermatology & Medical Day Spa www.bodianmedispa.com Boulder Dermatology www.boulderdermatology.com Braddock Finnegan Dermatology PC www.braddockfinnegan.com California Skin Laser Center www.californiaskinlaser.com Calkin & Boudreaux Dermatology Associates www.sacdermatology.com Capital Dermatology Med Group Carolinas Dermatology Group www.capitalskin.com www.carolinasdermatology.com www.jonmorganmd.com Center For Advanced Dermatology www.cadcolorado.com 90 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Center For Dermatology & Laser Surgery www.dermatologyandlasersurgery.com/ Center For Dermatology & Skin Cancer www.centerderm.com Central Ohio Skin Laser Center www.smialekskinlasercenter.com Central Wyoming Skin Clinic www.wyoskindoc.com Cheyenne Skin Clinic www.cheyenneskinclinic.com Consulting Dermatologic Specialists www.cdscenter.com David Bryant MD, Dermatology www.davidbryantmd.com Deerfield Dermatology Associates www.deerfielddermatology.com Dermaesthetica www.dermaesthetica.com Dermatology & Dermatologic Surgery & Laser Center www.dermatologyhudson.com Dermatology & Laser Center of Denver www.realderm.com Dermatology & Laser Center Of Oklahoma www.dermatologylaserok.com Dermatology & Skin Cancer Center www.gaderm.com Skin Health Medi-Spa www.doverskinhealth.com Dermatology & Skin Surgery www.dermatologyskinsurgery.com Dermatology and Clinical Skin Care Center www.dermskin.com Dermatology and Laser Associates of Medford www.dermlaser.org Dermatology and Skin Laser Center www.skinmagicdr.com Dermatology Assoc Glastonbury www.glastonburyderm.com Dermatology Assoc of Atlanta www.dermatlanta.com Dermatology Associates Inc www.dermmds.com Dermatology Associates of Wisconsin SC www.dermwisconsin.com Dermatology Associates PSC - Cosmetic Skin Care Center www.dermatology-associates.cc Dermatology Associates Seattle, PLLC www.dermassocseattle.com Dermatology Center www.floridaskincare.net Dermatology Center for Skin Health www.wvdermcenter.com Dermatology Center of Dallas www.dermcenterofdallas.com Dermatology Center of Long Island www.lammdermatology.com Dermatology Clinic www.thedermclinic.net Dermatology Clinic of Idaho www.idahoderm.com Dermatology Clinic SC www.gbskincenter.com Dermatology Consultants PC www.dermatologyconsultants.org Dermatology Inc of Virginia Beach www.vbderm.com Dermatology Specialists Inc www.dermatologyspecialists.net Doctors Approach Skin and Hair care www.doctorsapproach.com Kevin L. Dawson MD www.dawsondermatology.com Medical & Cosmetic Dermatology Center www.cyberderm.com Memphis Dermatology Clinic www.memphisdermatology.com Midwest Dermatology Clinic www.midwestderm.com Montclair Dermatology www.montclairdermatology.com Morgan Melissa MD PC drmorgandermatology.com Mountain State Dermatology www.mountainstatedermatology.com N Eugene Morrow MD www.seasonsmedicalspa.com New England Dermatology & Laser Center www.nedlc.com 91 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends North Carolina Ctr-Dermatology www.nccdermatology.com North East Dermatology Associates, PA www.nedermatology.com North Shore Dermatology Laser & Cosmetic Surgery Center www.rockoffcenter.com Northwest Georgia Dermatology And Skin Cancer Specialists www.nwgadermatologists.com Oakbrook Terrace Dermatology www.oakbrookderm.com Olansky Dermatology Associates www.olanskydermatology.com Olympic Dermatology & Laser www.olympicdermatology.com Pacific Dermatology and Cosmetic Center www.pacificdermcenter.com Palmetto Dermatology www.palmettodermatology.com Park Avenue Dermatology PA www.parkavedermatology.com Penobscot Valley Dermatology www.penobscotderm.com Perfect Skin Laser Center www.perfectskincenter.com Peter Goodkin M.D. www.goodskinmd.com Pineview Dermatology PLLC www.pineviewderm.com Portland Dermatology Clinic LLP www.portlanddermclinic.com Rodgers Dermatology www.friscoderm.com Rutland Skin Center www.rutlandskin.com Sensational Skin www.sensationalskin.com Skin Cancer & Dermatology Institute www.skincancerderm.com Skin Care-MD www.skincare-md.com Skin Fitness Center www.skinfitnesscentermd.com Skin MD www.skinmdchicago.com Soderstrom Skin Institute www.skinnews.com Southeastern Dermatology Consultants www.drdoppelt.com Specialist in Dermatology www.clearskindoctor.com Steve Harlan MD www.doctorharlan.com Stockton Dermatology PLLC www.stocktondermatology.com/ Sun Valley Skin Center www.sunvalleyskincenter.com Suncoast Dermatology & Skin Surgery Center www.dermatologyonline.com Sutton Ryan Dermatology www.suttonryan.com The Center For Dermatology www.morrisdermatology.com The Cosmetic & Skin Care Center www.frederickcosmeticsurgery.com The Dermatology Center http://www.thedermatologycenter.com/ The Laser & Skin Surgery Center www.laserandskinsurgerycenter.net The Lupo Center for Aesthetic & General Dermatology www.drmarylupo.com The Skin and Laser Center of Affiliated Dermatologists www.tsalc.com Three Rivers Dermatology www.threeriversdermatology.com Total Skin & Beauty Dermatology Center www.totalskinandbeauty.com Tulsa Dermatology Clinic Inc www.tulsadermatology.com Van Dyke Laser & Skin www.vandykelaser.com West County Dermatology www.westcoderm.com West Georgia Dermatology www.drbarth.com Western Reserve Dermatology www.westernreservedermatology.com Westlake Dermatology & Surgery Center www.westlakedermatology.com 92 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Westmoreland Dermatology www.westmoreland-derm.com William P Coleman II, MD www.liposuctionneworleans.com Woodson Dermatology www.woodsonderm.com Yellowstone Dermatology www.ydskincare.com South Shore Skin Center www.southshoreskincenter.com The Skin Institute www.theskininstitute.com Zel Skin & Laser Specialists www.zelskin.com Hawaii Skin Cancer & Photo Damage Center www.hawaiiskincancer.com Premier Dermatology & Skin Renewal Center /www.premierderm.net Johnson Dermatology www.johnsondermatology.com Greenwich Dermatology & Cosmetic Laser Surg. Center www.greenwichdermatology.com Delaware Valley Dermatology Group, LLC www.delawarevalleyderm.com Iowa Dermatology Clinic www.iowaclinic.com Dermatology Center of Indiana www.indianadermatologycenter.com Dermatology Associates of Indiana www.dermassocin.com Mid-Kansas Dermatology Clinic PA www.midksderm.com Despain Cayce Dermatology Center & Medical Spa www.columbiaderm.com Big Sky Dermatology & Skin Cancer Specialists www.bigskydermatology.com Darst Dermatology www.darstdermatology.com Rio Grande Dermatology www.riograndedermatology.com Avera Dermatology & Laser Center www.avera.org Swinyer - Woseth Dermatology www.dwoseth.com Deramtology & Skin Cancer Center www.centralutahclinic.com Dorset Street Dermatology www.dorsetstreetdermatology.com Las Vegas Dermatology www.lasvegasdermatology.com Riverchase Dermatology & Cosmetic Surgery www.riverchasedermatology.com Charlotte Skin & Laser www.charlotteskinandlaser.com Fanny M. Berg, MD www.fannyjberg-md.com Locations, Physicians, Credentials, & Medical Spa Affiliations Name of Facility Med Spa # of Locations # of Doctors A Plus Dermatology 1 1 Abington Dermatology Associates 2 5 Academic Dermatology 2 1 Academy Dermatology & Cosmetic 1 1 Accent Dermatology & Laser Center ADA Dermatology 1 1 2 1 Advanced Dermatology & Laser 51 119 Advanced Dermatology & Pocono Medical Care 1 2 Advanced Dermatology & Skin 1 6 Advanced Dermatology and Cosmetic Surgery Center 1 1 Advanced Vein Center 1 2 Aesthetic Kansas City Laser & Lipodissolve Center 1 1 93 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aesthetic Surgery & Dermatology Of Cherry Creek 1 1 Aesthetics Skin Care, Derma Surgery 1 1 Albemarle Dermatology 1 4 Albuquerque Dermatology Associates 1 1 4 Associated Dermatologists of West Bloomfield 2 4 Associated Skin Care Specialists 5 17 5 14 Associates in Medical & Cosmetic Dermatology 2 4 Atlanta West Dermatology 1 1 Associates in Dermatology 1 Atlantic Boulevard Dermatology 1 1 Bakal Dermatology Associates 1 2 Alaska Dermatology & Laser Center 1 1 Belle Meade Dermatology 1 3 Benedetto, Anthony V DO 1 2 Black Hills Dermatology & Laser Surgery Center 1 1 Bodian Dermatology & Medical Day Spa 1 1 Boulder Dermatology 1 1 3 Braddock Finnegan Dermatology PC 1 2 California Skin Laser Center 1 1 Calkin & Boudreaux Dermatology Associates 1 2 Capital Dermatology Med Group 1 1 Carolinas Dermatology Group 1 4 Center For Advanced Dermatology 2 2 Center For Dermatology & Laser Surgery 1 1 Center For Dermatology & Skin Cancer 1 1 Central Ohio Skin Laser Center 1 1 Central Wyoming Skin Clinic 1 1 Cheyenne Skin Clinic 1 4 Consulting Dermatologic Specialists 1 1 David Bryant MD, Dermatology 1 1 Deerfield Dermatology Associates 1 5 Dermaesthetica 1 1 Dermatology & Dermatologic Surgery & Laser Center 1 1 Dermatology & Laser Center of Denver 1 4 Dermatology & Laser Center Of Oklahoma 1 1 Dermatology & Skin Cancer Center 15 12 1 1 Skin Health Medi-Spa 1 Dermatology & Skin Surgery 1 7 Dermatology and Clinical Skin Care Center 2 12 Dermatology and Laser Associates of Medford 1 4 Dermatology and Skin Laser Center 1 1 Dermatology Assoc Glastonbury 1 2 Dermatology Assoc of Atlanta 1 5 Dermatology Associates Inc 1 4 94 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dermatology Associates of Wisconsin SC 11 21 Dermatology Associates PSC - Cosmetic Skin Care Center 1 7 Dermatology Associates Seattle, PLLC 1 3 Dermatology Center 1 1 Dermatology Center for Skin Health 1 1 Dermatology Center of Dallas 1 3 Dermatology Center of Long Island 1 1 Dermatology Clinic 1 3 Dermatology Clinic of Idaho 3 3 Dermatology Clinic SC 1 1 Dermatology Consultants PC 3 8 Dermatology Inc of Virginia Beach 1 2 Dermatology Specialists Inc 2 3 Doctors Approach Skin and Hair care 1 1 Kevin L. Dawson MD 1 1 Medical & Cosmetic Dermatology Center 1 1 Memphis Dermatology Clinic 1 9 Midwest Dermatology Clinic 4 5 Montclair Dermatology 1 1 Morgan Melissa MD PC 1 1 Mountain State Dermatology 12 7 N Eugene Morrow MD 1 New England Dermatology & Laser Center 4 North Carolina Ctr-Dermatology 1 1 7 14 North Shore Dermatology Laser & Cosmetic Surgery Center 2 2 Northwest Georgia Dermatology And Skin Cancer Specialists 1 1 North East Dermatology Associates, PA 1 9 Oakbrook Terrace Dermatology 1 2 Olansky Dermatology Associates 2 4 Olympic Dermatology & Laser 1 1 Pacific Dermatology and Cosmetic Center 1 2 Palmetto Dermatology 3 3 Park Avenue Dermatology PA 2 2 Penobscot Valley Dermatology 1 2 Perfect Skin Laser Center 2 1 Peter Goodkin M.D. 1 1 Pineview Dermatology PLLC 1 1 Portland Dermatology Clinic LLP 1 6 Rodgers Dermatology 2 Rutland Skin Center 1 Sensational Skin 1 1 Skin Cancer & Dermatology Institute 3 7 Skin Care-MD 1 1 Skin Fitness Center 2 2 95 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Skin MD 1 2 Soderstrom Skin Institute 9 6 Southeastern Dermatology Consultants 1 1 Specialist in Dermatology 3 6 Steve Harlan MD 1 1 Stockton Dermatology PLLC 1 1 Sun Valley Skin Center 1 1 Suncoast Dermatology & Skin Surgery Center 2 4 Sutton Ryan Dermatology 1 2 The Center For Dermatology 1 2 The Cosmetic & Skin Care Center 1 2 The Dermatology Center 2 1 The Laser & Skin Surgery Center 1 The Lupo Center for Aesthetic & General Dermatology 1 The Skin and Laser Center of Affiliated Dermatologists 1 8 Three Rivers Dermatology 1 Total Skin & Beauty Dermatology Center 1 1 4 Tulsa Dermatology Clinic Inc 2 6 Van Dyke Laser & Skin 1 1 West County Dermatology 1 3 West Georgia Dermatology 1 1 Western Reserve Dermatology 1 Westlake Dermatology & Surgery Center 5 Westmoreland Dermatology 1 2 William P Coleman II, MD 1 2 9 Woodson Dermatology 2 2 Yellowstone Dermatology 1 2 South Shore Skin Center 2 6 The Skin Institute 1 1 Zel Skin & Laser Specialists 1 1 Hawaii Skin Cancer & Photo Damage Center 1 1 Premier Dermatology & Skin Renewal Center 1 1 Johnson Dermatology 1 2 Greenwich Dermatology & Cosmetic Laser Surg. Center 1 1 Delaware Valley Dermatology Group, LLC 1 2 Iowa Dermatology Clinic 1 1 Dermatology Center of Indiana 1 1 Dermatology Associates of Indiana 1 1 Mid-Kansas Dermatology Clinic PA 5 3 Despain Cayce Dermatology Center & Medical Spa 2 2 Big Sky Dermatology & Skin Cancer Specialists 1 1 1 Darst Dermatology 1 1 Rio Grande Dermatology 1 2 Avera Dermatology & Laser Center 1 4 96 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Swinyer - Woseth Dermatology 1 2 Deramtology & Skin Cancer Center 2 3 Dorset Street Dermatology 1 1 Las Vegas Dermatology 1 1 5 8 Charlotte Skin & Laser 1 1 Fanny M. Berg, MD 1 1 303 556 Riverchase Dermatology & Cosmetic Surgery 1 7 Totals: Key: AACS = American Academy of Cosmetic Surgery AAFPRS = American Academy Facial Plastic and Reconstructive Surgery AAMOS = American Association of Oral and Maxillofacial Surgeons AAO = American Academy of Ophthalmology AAOHNS = American Academy of Otolaryngology Head and Neck Surgery ASOPRS = American Society of Ophthalmic Plastic & Reconstructive Surgery ABFPRS = American Board of Facial Plastic and Reconstructive Surgery ABOS = American Board of Orthopedic Surgery ABPS = American Board of Plastic Surgery ABS = American Board of Surgery ACS = American College of Surgeons ADA = American Dental Association ASPS = American Society of Plastic Surgery ASAPS = American Society for Aesthetic Plastic Surgery ASPRS = American Society of Plastic and Reconstructive Surgery ABPRS = American Board of Plastic and Reconstructive Surgery ABO = American Board of Ophthalmology Products G y l t o n e Name of Facility A Plus Dermatology K i n e r a s e I n H o u s e J a n M a r I n I L a M D R o c h e F o r t e N e o s t r a t a N I A O b a g I 1 Abington Dermatology Associates 1 O t h e r 1 1 Academic Dermatology Academy Dermatology & Cosmetic 1 97 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. P C A Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Accent Dermatology & Laser Center 1 ADA Dermatology 1 Advanced Dermatology & Laser 1 1 Advanced Dermatology & Pocono Medical Care 1 Advanced Dermatology & Skin 1 Advanced Dermatology and Cosmetic Surgery Center 1 1 1 1 1 1 1 1 Advanced Vein Center Aesthetic Kansas City Laser & Lipodissolve Center Aesthetic Surgery & Dermatology Of Cherry Creek Aesthetics Skin Care, Derma Surgery 1 Albemarle Dermatology 1 1 1 1 Albuquerque Dermatology Associates 1 Associated Dermatologists of West Bloomfield 1 Associated Skin Care Specialists Associates in Dermatology 1 Associates in Medical & Cosmetic Dermatology 1 Atlanta West Dermatology 1 Atlantic Boulevard Dermatology Bakal Dermatology Associates 1 Alaska Dermatology & Laser Center 1 1 Belle Meade Dermatology Benedetto, Anthony V DO Black Hills Dermatology & Laser Surgery Center 1 1 Bodian Dermatology & Medical Day Spa Boulder Dermatology 1 1 Braddock Finnegan Dermatology PC 1 1 California Skin Laser Center 1 1 1 1 12 1 8 Calkin & Boudreaux Dermatology Associates Capital Dermatology Med Group Carolinas Dermatology Group 1 2 Center For Advanced Dermatology 1 Center For Dermatology & Laser Surgery 1 Center For Dermatology & Skin Cancer 4 6 Central Ohio Skin Laser Center Central Wyoming Skin Clinic 1 1 3 Cheyenne Skin Clinic Consulting Dermatologic Specialists 1 David Bryant MD, Dermatology 1 Deerfield Dermatology Associates Dermaesthetica 1 2 Dermatology & Dermatologic Surgery & Laser Center Dermatology & Laser Center of Denver 1 2 Dermatology & Laser Center Of Oklahoma 1 3 Dermatology & Skin Cancer Center 98 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Skin Health Medi-Spa Dermatology & Skin Surgery 1 1 1 1 1 1 1 1 5 1 Dermatology and Clinical Skin Care Center Dermatology and Laser Associates of Medford 1 Dermatology and Skin Laser Center 1 Dermatology Assoc Glastonbury 1 Dermatology Assoc of Atlanta 1 Dermatology Associates Inc 1 1 1 1 10 1 1 1 1 1 1 Dermatology Associates of Wisconsin SC Dermatology Associates PSC - Cosmetic Skin Care Center 1 1 1 Dermatology Associates Seattle, PLLC 3 8 Dermatology Center 1 3 Dermatology Center for Skin Health Dermatology Center of Dallas 1 Dermatology Center of Long Island 1 Dermatology Clinic 1 8 1 1 1 9 1 4 1 1 Dermatology Clinic of Idaho Dermatology Clinic SC Dermatology Consultants PC Dermatology Inc of Virginia Beach 1 Dermatology Specialists Inc 1 Doctors Approach Skin and Hair care 1 1 Kevin L. Dawson MD Medical & Cosmetic Dermatology Center 1 1 1 1 Memphis Dermatology Clinic Midwest Dermatology Clinic Montclair Dermatology Morgan Melissa MD PC 1 Mountain State Dermatology N Eugene Morrow MD New England Dermatology & Laser Center 1 1 1 North Carolina Ctr-Dermatology North East Dermatology Associates, PA North Shore Dermatology Laser & Cosmetic Surgery Center 1 Northwest Georgia Dermatology And Skin Cancer Specialists 1 Oakbrook Terrace Dermatology 1 Olansky Dermatology Associates 1 1 1 Olympic Dermatology & Laser 1 5 Pacific Dermatology and Cosmetic Center Palmetto Dermatology 4 Park Avenue Dermatology PA 1 Penobscot Valley Dermatology Perfect Skin Laser Center 1 Peter Goodkin M.D. 1 1 1 99 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 12 4 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Pineview Dermatology PLLC 1 Portland Dermatology Clinic LLP Rodgers Dermatology Rutland Skin Center Sensational Skin 1 1 Skin Cancer & Dermatology Institute Skin Care-MD 1 1 1 1 1 Skin Fitness Center Skin MD 1 Soderstrom Skin Institute 1 1 Southeastern Dermatology Consultants 1 1 1 1 1 Specialist in Dermatology Steve Harlan MD 1 Stockton Dermatology PLLC Sun Valley Skin Center 1 Suncoast Dermatology & Skin Surgery Center 1 Sutton Ryan Dermatology 1 1 The Center For Dermatology 1 1 1 The Cosmetic & Skin Care Center 1 The Dermatology Center 1 3 1 1 1 2 1 2 The Laser & Skin Surgery Center 1 The Lupo Center for Aesthetic & General Dermatology 1 The Skin and Laser Center of Affiliated Dermatologists 1 Three Rivers Dermatology 1 Total Skin & Beauty Dermatology Center 1 1 2 1 7 1 4 Tulsa Dermatology Clinic Inc Van Dyke Laser & Skin 1 West County Dermatology 1 4 1 West Georgia Dermatology 1 1 1 2 Western Reserve Dermatology Westlake Dermatology & Surgery Center 1 1 Westmoreland Dermatology 1 1 1 1 29 1 5 William P Coleman II, MD Woodson Dermatology 1 Yellowstone Dermatology 1 3 1 1 1 South Shore Skin Center 3 6 The Skin Institute 1 4 Zel Skin & Laser Specialists Hawaii Skin Cancer & Photo Damage Center Premier Dermatology & Skin Renewal Center 1 16 Johnson Dermatology 1 Greenwich Dermatology & Cosmetic Laser Surg. Center Delaware Valley Dermatology Group, LLC 1 Iowa Dermatology Clinic 100 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 9 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dermatology Center of Indiana Dermatology Associates of Indiana 1 1 1 1 Mid-Kansas Dermatology Clinic PA 6 1 Despain Cayce Dermatology Center & Medical Spa 1 1 8 Big Sky Dermatology & Skin Cancer Specialists Darst Dermatology Rio Grande Dermatology 1 3 Avera Dermatology & Laser Center 1 Swinyer - Woseth Dermatology Deramtology & Skin Cancer Center Dorset Street Dermatology 1 1 3 Las Vegas Dermatology Riverchase Dermatology & Cosmetic Surgery 1 1 1 Charlotte Skin & Laser 3 Fanny M. Berg, MD 1 1 1 Totals: P r e v a g e Name of Facility S k i n c e u t i c a l s S k i n M e d i c a S u n s c r e e n E y e C r è m e M a k e U p J a n e I r e d a l e Online Store? A Plus Dermatology Abington Dermatology Associates 1 1 Academic Dermatology Academy Dermatology & Cosmetic 1 Accent Dermatology & Laser Center ADA Dermatology Advanced Dermatology & Laser 1 1 Advanced Dermatology & Pocono Medical Care 1 1 1 1 1 1 1 1 1 1 1 1 Advanced Dermatology & Skin 1 Advanced Dermatology and Cosmetic Surgery Center 1 1 1 1 1 1 Advanced Vein Center Aesthetic Kansas City Laser & Lipodissolve Center Aesthetic Surgery & Dermatology Of Cherry Creek Aesthetics Skin Care, Derma Surgery 1 Albemarle Dermatology 1 1 1 101 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Albuquerque Dermatology Associates 1 1 Associated Dermatologists of West Bloomfield 1 1 1 1 1 1 1 1 Associated Skin Care Specialists 1 Associates in Dermatology Associates in Medical & Cosmetic Dermatology 1 1 Atlanta West Dermatology 1 1 Bakal Dermatology Associates 1 1 Alaska Dermatology & Laser Center 1 1 1 1 1 1 1 1 1 Atlantic Boulevard Dermatology Belle Meade Dermatology Benedetto, Anthony V DO Black Hills Dermatology & Laser Surgery Center Bodian Dermatology & Medical Day Spa Boulder Dermatology 1 Braddock Finnegan Dermatology PC California Skin Laser Center 1 1 1 1 Calkin & Boudreaux Dermatology Associates Capital Dermatology Med Group 1 Carolinas Dermatology Group Center For Advanced Dermatology 1 Center For Dermatology & Laser Surgery Center For Dermatology & Skin Cancer 1 1 1 1 1 1 Central Ohio Skin Laser Center Central Wyoming Skin Clinic 1 1 1 1 1 Cheyenne Skin Clinic Consulting Dermatologic Specialists David Bryant MD, Dermatology Deerfield Dermatology Associates 1 Dermaesthetica 1 1 1 1 Dermatology & Dermatologic Surgery & Laser Center Dermatology & Laser Center of Denver 1 Dermatology & Laser Center Of Oklahoma 1 1 1 1 Dermatology & Skin Cancer Center Skin Health Medi-Spa 1 Dermatology & Skin Surgery 1 1 Dermatology and Clinical Skin Care Center Dermatology and Laser Associates of Medford 1 1 1 1 1 1 1 Dermatology and Skin Laser Center Dermatology Assoc Glastonbury 1 Dermatology Assoc of Atlanta 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Dermatology Associates Inc Dermatology Associates of Wisconsin SC Dermatology Associates PSC - Cosmetic Skin Care Center 1 Dermatology Associates Seattle, PLLC 1 1 1 1 102 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dermatology Center 1 1 Dermatology Center for Skin Health Dermatology Center of Dallas 1 1 1 1 Dermatology Center of Long Island 1 1 1 1 1 1 1 1 1 1 Dermatology Clinic 1 Dermatology Clinic of Idaho Dermatology Clinic SC Dermatology Consultants PC 1 Dermatology Inc of Virginia Beach 1 Dermatology Specialists Inc 1 Doctors Approach Skin and Hair care 1 Kevin L. Dawson MD Medical & Cosmetic Dermatology Center 1 1 1 Memphis Dermatology Clinic Midwest Dermatology Clinic Montclair Dermatology Morgan Melissa MD PC Mountain State Dermatology N Eugene Morrow MD New England Dermatology & Laser Center 1 North Carolina Ctr-Dermatology 1 North East Dermatology Associates, PA North Shore Dermatology Laser & Cosmetic Surgery Center Northwest Georgia Dermatology And Skin Cancer Specialists 1 Oakbrook Terrace Dermatology 1 Olansky Dermatology Associates Olympic Dermatology & Laser 1 1 1 Pacific Dermatology and Cosmetic Center Palmetto Dermatology 1 1 Park Avenue Dermatology PA 1 1 1 1 1 Penobscot Valley Dermatology Perfect Skin Laser Center 1 Peter Goodkin M.D. 1 1 1 1 Pineview Dermatology PLLC 1 Portland Dermatology Clinic LLP Rodgers Dermatology Rutland Skin Center Sensational Skin 1 1 Skin Cancer & Dermatology Institute Skin Care-MD 1 1 1 1 Skin MD 1 1 Soderstrom Skin Institute 1 1 1 1 1 1 Skin Fitness Center Southeastern Dermatology Consultants 1 1 103 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Specialist in Dermatology 1 Steve Harlan MD Stockton Dermatology PLLC Sun Valley Skin Center 1 1 1 1 Suncoast Dermatology & Skin Surgery Center Sutton Ryan Dermatology 1 The Center For Dermatology 1 1 The Cosmetic & Skin Care Center 1 1 1 1 1 The Dermatology Center 1 1 The Laser & Skin Surgery Center 1 1 The Lupo Center for Aesthetic & General Dermatology 1 The Skin and Laser Center of Affiliated Dermatologists 1 Three Rivers Dermatology 1 1 1 1 1 1 1 1 1 1 Total Skin & Beauty Dermatology Center Tulsa Dermatology Clinic Inc Van Dyke Laser & Skin 1 1 1 West County Dermatology 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 West Georgia Dermatology Western Reserve Dermatology Westlake Dermatology & Surgery Center 1 Westmoreland Dermatology 1 William P Coleman II, MD Woodson Dermatology Yellowstone Dermatology 1 South Shore Skin Center 1 The Skin Institute 1 1 1 1 1 1 Zel Skin & Laser Specialists Hawaii Skin Cancer & Photo Damage Center Premier Dermatology & Skin Renewal Center 1 1 Johnson Dermatology Greenwich Dermatology & Cosmetic Laser Surg. Center 1 Delaware Valley Dermatology Group, LLC 1 Iowa Dermatology Clinic Dermatology Center of Indiana Dermatology Associates of Indiana 1 Mid-Kansas Dermatology Clinic PA Despain Cayce Dermatology Center & Medical Spa 1 1 Big Sky Dermatology & Skin Cancer Specialists Darst Dermatology Rio Grande Dermatology Avera Dermatology & Laser Center Swinyer - Woseth Dermatology Deramtology & Skin Cancer Center Dorset Street Dermatology 1 1 1 104 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Las Vegas Dermatology 1 Riverchase Dermatology & Cosmetic Surgery 1 1 Charlotte Skin & Laser 1 Fanny M. Berg, MD Totals: 22 54 32 56 20 29 Procedures M i c r o d e r m a b r a s i o n Name of Facility L a s e r F i l l e r s F a c i a l s 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 H a i r R e m o v a l A Plus Dermatology Abington Dermatology Associates Academic Dermatology Academy Dermatology & Cosmetic 1 Accent Dermatology & Laser Center 1 ADA Dermatology O t h e r P e e l s A e s t h e t i c 1 1 1 1 1 1 1 1 1 1 Advanced Dermatology & Laser 1 1 1 1 1 1 Advanced Dermatology & Pocono Medical Care 1 1 1 1 1 1 Advanced Dermatology & Skin 1 1 1 1 1 1 Advanced Dermatology and Cosmetic Surgery Center 1 1 1 1 1 1 Aesthetic Kansas City Laser & Lipodissolve Center 1 1 1 1 1 1 Aesthetic Surgery & Dermatology Of Cherry Creek 1 1 1 1 1 1 Aesthetics Skin Care, Derma Surgery 1 1 1 1 1 1 Albemarle Dermatology 1 1 Advanced Vein Center 1 1 1 1 Albuquerque Dermatology Associates 1 1 1 1 1 Associated Dermatologists of West Bloomfield 1 1 1 1 1 Associated Skin Care Specialists 1 1 1 1 1 1 Associates in Dermatology 1 1 1 1 1 1 Associates in Medical & Cosmetic Dermatology 1 1 1 1 1 1 Atlanta West Dermatology 1 1 1 1 1 1 Atlantic Boulevard Dermatology 1 1 1 1 1 105 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Bakal Dermatology Associates 1 Alaska Dermatology & Laser Center 1 Belle Meade Dermatology 1 Benedetto, Anthony V DO 1 Black Hills Dermatology & Laser Surgery Center 1 Bodian Dermatology & Medical Day Spa 1 Boulder Dermatology 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Braddock Finnegan Dermatology PC 1 1 1 1 California Skin Laser Center 1 1 1 1 Calkin & Boudreaux Dermatology Associates 1 Capital Dermatology Med Group 1 1 1 1 1 1 1 1 Carolinas Dermatology Group Center For Advanced Dermatology 1 1 Center For Dermatology & Laser Surgery 1 1 1 Center For Dermatology & Skin Cancer 1 1 1 Central Ohio Skin Laser Center 1 1 Central Wyoming Skin Clinic 1 1 1 1 1 1 1 1 2 1 1 1 Cheyenne Skin Clinic Consulting Dermatologic Specialists 1 1 1 David Bryant MD, Dermatology 1 1 1 Deerfield Dermatology Associates 1 1 1 1 2 1 1 1 1 Dermaesthetica 1 Dermatology & Dermatologic Surgery & Laser Center 1 1 1 1 Dermatology & Laser Center of Denver 1 1 1 1 1 1 1 Dermatology & Laser Center Of Oklahoma 2 Dermatology & Skin Cancer Center Skin Health Medi-Spa 1 1 1 Dermatology & Skin Surgery 1 1 1 1 Dermatology and Clinical Skin Care Center 1 1 1 Dermatology and Laser Associates of Medford 1 1 1 Dermatology and Skin Laser Center 1 1 1 Dermatology Assoc Glastonbury 1 Dermatology Assoc of Atlanta Dermatology Associates Inc 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 Dermatology Associates of Wisconsin SC 1 1 1 1 1 1 Dermatology Associates PSC - Cosmetic Skin Care Center 1 1 1 1 1 1 Dermatology Associates Seattle, PLLC 1 1 1 1 1 1 1 Dermatology Center 1 Dermatology Center for Skin Health 1 1 1 1 1 1 Dermatology Center of Dallas 1 1 1 Dermatology Center of Long Island 1 1 1 1 1 1 1 Dermatology Clinic 1 1 1 Dermatology Clinic of Idaho 1 1 1 1 1 Dermatology Clinic SC 1 1 1 1 2 106 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dermatology Consultants PC 1 1 Dermatology Inc of Virginia Beach Dermatology Specialists Inc 1 1 1 1 1 1 1 1 1 1 Doctors Approach Skin and Hair care Kevin L. Dawson MD 1 1 Medical & Cosmetic Dermatology Center 1 1 1 Memphis Dermatology Clinic 1 1 1 1 1 Montclair Dermatology 1 1 1 Morgan Melissa MD PC 1 1 1 1 1 Midwest Dermatology Clinic Mountain State Dermatology 1 1 1 1 1 1 1 1 N Eugene Morrow MD 1 1 1 New England Dermatology & Laser Center 1 1 1 1 North Carolina Ctr-Dermatology 1 1 1 North East Dermatology Associates, PA North Shore Dermatology Laser & Cosmetic Surgery Center 1 1 1 1 Northwest Georgia Dermatology And Skin Cancer Specialists 1 1 1 Oakbrook Terrace Dermatology 1 1 1 Olansky Dermatology Associates 1 Olympic Dermatology & Laser 1 Pacific Dermatology and Cosmetic Center 1 1 1 1 1 5 1 1 1 1 1 1 1 1 1 1 1 Palmetto Dermatology 1 1 1 1 1 Park Avenue Dermatology PA 1 1 1 1 1 Perfect Skin Laser Center 1 1 1 1 1 Peter Goodkin M.D. 1 1 1 1 Penobscot Valley Dermatology Pineview Dermatology PLLC Portland Dermatology Clinic LLP Rodgers Dermatology 1 Rutland Skin Center Sensational Skin 1 Skin Cancer & Dermatology Institute 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 Skin Care-MD Skin Fitness Center 1 Skin MD 1 1 1 1 Soderstrom Skin Institute 1 1 1 1 Southeastern Dermatology Consultants 1 1 1 1 1 Specialist in Dermatology 1 Steve Harlan MD 1 1 Stockton Dermatology PLLC 1 1 1 Sun Valley Skin Center 1 1 1 Suncoast Dermatology & Skin Surgery Center 1 1 1 Sutton Ryan Dermatology 1 1 1 The Center For Dermatology 1 1 1 1 1 1 1 1 1 4 1 1 1 1 1 1 1 107 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The Cosmetic & Skin Care Center 1 1 1 The Dermatology Center 1 1 1 1 The Laser & Skin Surgery Center 1 1 1 1 1 1 1 1 The Lupo Center for Aesthetic & General Dermatology 2 The Skin and Laser Center of Affiliated Dermatologists 1 1 1 Three Rivers Dermatology 1 1 1 1 1 Total Skin & Beauty Dermatology Center 1 1 1 1 1 Tulsa Dermatology Clinic Inc 1 Van Dyke Laser & Skin 1 1 1 1 1 1 1 1 1 West County Dermatology West Georgia Dermatology Western Reserve Dermatology 1 1 1 1 Westmoreland Dermatology 1 1 William P Coleman II, MD 1 1 1 1 1 1 1 1 1 1 South Shore Skin Center 1 1 1 The Skin Institute 1 1 1 1 1 Premier Dermatology & Skin Renewal Center 1 Johnson Dermatology 1 1 1 1 1 1 1 1 1 1 Yellowstone Dermatology Hawaii Skin Cancer & Photo Damage Center 1 1 Woodson Dermatology Zel Skin & Laser Specialists 1 1 1 Westlake Dermatology & Surgery Center 3 1 1 1 1 1 1 1 1 Delaware Valley Dermatology Group, LLC 1 1 1 1 1 1 Greenwich Dermatology & Cosmetic Laser Surg. Center 1 1 1 1 1 1 1 1 7 1 3 1 10 1 7 Iowa Dermatology Clinic Dermatology Center of Indiana Dermatology Associates of Indiana 1 2 1 1 6 1 5 1 1 2 1 1 2 1 1 3 1 1 1 1 1 Big Sky Dermatology & Skin Cancer Specialists Darst Dermatology Rio Grande Dermatology Avera Dermatology & Laser Center 1 1 1 Mid-Kansas Dermatology Clinic PA Despain Cayce Dermatology Center & Medical Spa 1 1 1 Swinyer - Woseth Dermatology 1 1 1 1 4 1 1 Deramtology & Skin Cancer Center 1 Dorset Street Dermatology 1 Las Vegas Dermatology 1 1 2 1 3 1 3 1 1 1 11 1 1 1 11 1 1 1 1 11 1 1 1 10 1 Riverchase Dermatology & Cosmetic Surgery 1 Charlotte Skin & Laser 1 Fanny M. Berg, MD 1 1 Totals: 108 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Staff Name of Facility Esth A Plus Dermatology RN / NP PA LMT CLT CMA / MA SA/T 1 Abington Dermatology Associates 2 1 Academic Dermatology 2 1 Academy Dermatology & Cosmetic Accent Dermatology & Laser Center ADA Dermatology 1 1 3 Advanced Dermatology & Laser 26 6 24 Advanced Dermatology & Pocono Medical Care 3 2 Advanced Dermatology & Skin 1 Advanced Dermatology and Cosmetic Surgery Center 4 1 1 Advanced Vein Center Aesthetic Kansas City Laser & Lipodissolve Center Aesthetic Surgery & Dermatology Of Cherry Creek Aesthetics Skin Care, Derma Surgery Albemarle Dermatology 4 1 Albuquerque Dermatology Associates Associated Dermatologists of West Bloomfield 2 Associated Skin Care Specialists 1 2 Associates in Dermatology Associates in Medical & Cosmetic Dermatology 2 4 Atlanta West Dermatology 2 Atlantic Boulevard Dermatology Bakal Dermatology Associates 2 Alaska Dermatology & Laser Center Belle Meade Dermatology 2 Benedetto, Anthony V DO Black Hills Dermatology & Laser Surgery Center 2 Bodian Dermatology & Medical Day Spa 2 Boulder Dermatology 2 Braddock Finnegan Dermatology PC 1 California Skin Laser Center 2 Calkin & Boudreaux Dermatology Associates 1 Capital Dermatology Med Group Carolinas Dermatology Group Center For Advanced Dermatology 1 2 2 1 Center For Dermatology & Laser Surgery Center For Dermatology & Skin Cancer Central Ohio Skin Laser Center Central Wyoming Skin Clinic 3 Cheyenne Skin Clinic 1 1 109 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Consulting Dermatologic Specialists 3 David Bryant MD, Dermatology Deerfield Dermatology Associates 1 Dermaesthetica Dermatology & Dermatologic Surgery & Laser Center Dermatology & Laser Center of Denver 2 2 Dermatology & Skin Cancer Center 1 11 Skin Health Medi-Spa 3 1 4 Dermatology & Laser Center Of Oklahoma 1 3 Dermatology & Skin Surgery Dermatology and Clinical Skin Care Center 2 Dermatology and Laser Associates of Medford Dermatology and Skin Laser Center 1 Dermatology Assoc Glastonbury 1 Dermatology Assoc of Atlanta 1 3 3 5 1 Dermatology Associates Inc Dermatology Associates of Wisconsin SC Dermatology Associates PSC - Cosmetic Skin Care Center Dermatology Associates Seattle, PLLC 2 Dermatology Center Dermatology Center for Skin Health Dermatology Center of Dallas 1 1 Dermatology Center of Long Island Dermatology Clinic 1 Dermatology Clinic of Idaho 6 Dermatology Clinic SC 1 Dermatology Consultants PC 5 2 Dermatology Inc of Virginia Beach 3 Dermatology Specialists Inc 1 Doctors Approach Skin and Hair care Kevin L. Dawson MD Medical & Cosmetic Dermatology Center Memphis Dermatology Clinic Midwest Dermatology Clinic Montclair Dermatology Morgan Melissa MD PC Mountain State Dermatology 1 1 N Eugene Morrow MD New England Dermatology & Laser Center 4 North Carolina Ctr-Dermatology North East Dermatology Associates, PA 2 1 North Shore Dermatology Laser & Cosmetic Surgery Center Northwest Georgia Dermatology And Skin Cancer Specialists 1 Oakbrook Terrace Dermatology 1 110 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Olansky Dermatology Associates 1 Olympic Dermatology & Laser 3 Pacific Dermatology and Cosmetic Center 3 2 2 Palmetto Dermatology 2 Park Avenue Dermatology PA 2 Penobscot Valley Dermatology 1 2 Perfect Skin Laser Center Peter Goodkin M.D. 2 1 1 Pineview Dermatology PLLC Portland Dermatology Clinic LLP Rodgers Dermatology Rutland Skin Center 4 Sensational Skin Skin Cancer & Dermatology Institute 1 Skin Care-MD 1 Skin Fitness Center 1 3 1 Skin MD 2 Soderstrom Skin Institute 4 1 Southeastern Dermatology Consultants Specialist in Dermatology 3 Steve Harlan MD 2 Stockton Dermatology PLLC 1 2 Sun Valley Skin Center Suncoast Dermatology & Skin Surgery Center 1 Sutton Ryan Dermatology 3 4 The Center For Dermatology 1 The Cosmetic & Skin Care Center 1 The Dermatology Center 1 1 The Laser & Skin Surgery Center The Lupo Center for Aesthetic & General Dermatology The Skin and Laser Center of Affiliated Dermatologists 1 Three Rivers Dermatology 1 Total Skin & Beauty Dermatology Center 2 Tulsa Dermatology Clinic Inc Van Dyke Laser & Skin 1 West County Dermatology 1 2 1 West Georgia Dermatology Western Reserve Dermatology Westlake Dermatology & Surgery Center 5 Westmoreland Dermatology 1 4 William P Coleman II, MD Woodson Dermatology 3 Yellowstone Dermatology 1 South Shore Skin Center 2 4 2 111 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The Skin Institute Zel Skin & Laser Specialists Hawaii Skin Cancer & Photo Damage Center 1 Premier Dermatology & Skin Renewal Center 2 3 1 Johnson Dermatology 1 1 Greenwich Dermatology & Cosmetic Laser Surg. Center Delaware Valley Dermatology Group, LLC Iowa Dermatology Clinic Dermatology Center of Indiana 1 Dermatology Associates of Indiana 2 2 Mid-Kansas Dermatology Clinic PA 4 2 Despain Cayce Dermatology Center & Medical Spa 2 2 Big Sky Dermatology & Skin Cancer Specialists Darst Dermatology Rio Grande Dermatology 1 Avera Dermatology & Laser Center 1 Swinyer - Woseth Dermatology 1 Dermatology & Skin Cancer Center 2 Dorset Street Dermatology 1 Las Vegas Dermatology 1 Riverchase Dermatology & Cosmetic Surgery 5 1 1 1 3 142 58 Charlotte Skin & Laser Fanny M. Berg, MD 1 Totals: 108 9 17 5 1 Notes Name of Facility A Plus Dermatology Notes Board Cert Derm, Botox, B-LIFT, Peel. La Roche-Posay L-Ascorbic Acid Abington Dermatology Associates Academic Dermatology Mini face lift Academy Dermatology & Cosmetic " Philadelphia College of Osteo Med" - DO / No product or staff information Accent Dermatology & Laser Center Acne, eczema, hair loss, vitiligo, warts (general dermatology) / Derm blog ADA Dermatology Rejuv Med Spa in same location (www.rejuv-medspa.com) / Mult-state locations Advanced Dermatology & Laser Private label products / Northeastern state locations (NJ / NY / PA Advanced Dermatology & Pocono Medical Care Blog Advanced Dermatology & Skin No procedure or staff information Advanced Dermatology and Cosmetic Surgery Center No procedure or staff information Advanced Vein Center Pain and vein procedures Aesthetic Kansas City Laser & Lipodissolve Center No staff information Aesthetic Surgery & Dermatology Of Cherry Creek No product or staff information Aesthetics Skin Care, Derma Surgery No staff information other than physician Albemarle Dermatology Signature Medical Spa Albuquerque Dermatology Associates No staff information other than physician 112 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Associated Dermatologists of West Bloomfield Associated Skin Care Specialists Associates in Dermatology Med Spa affiliate / Aesthetic Alternatives / Avene skin products Associates in Medical & Cosmetic Dermatology Photocetuicals / Formerly iS Skin care products Atlanta West Dermatology Revision Skin Care products Atlantic Boulevard Dermatology Gen. derm. (acne, eczema, moles, psoriasis, rashes, etc.) No product or staff info Bakal Dermatology Associates Alaska Dermatology & Laser Center Affiliate of Beautiful Skin Can Be Yours Med Spa / No information on other staff Belle Meade Dermatology Benedetto, Anthony V DO No information on other staff Black Hills Dermatology & Laser Surgery Center Gen. derm.. / permanent make-up / VIA brand / "specially formulated" Bodian Dermatology & Medical Day Spa Mesotherapy Boulder Dermatology Braddock Finnegan Dermatology PC California Skin Laser Center Calkin & Boudreaux Dermatology Associates No product information Capital Dermatology Med Group No product information, no staff info Carolinas Dermatology Group Center For Advanced Dermatology DiamondTome Center For Dermatology & Laser Surgery No staff info, incomplete list of services Center For Dermatology & Skin Cancer Thermage, ClearLight, no specific number of extra staff Central Ohio Skin Laser Center Zerona laser fat reduction, no info on staff or products Central Wyoming Skin Clinic Massage services Cheyenne Skin Clinic No cosmetic services Consulting Dermatologic Specialists LifeSculpt, Mesoderm David Bryant MD, Dermatology No product or staff info. Deerfield Dermatology Associates Dermaplaning, ear piercing, no brand listing. Dermaesthetica Thermal Rejuvenation Facial, online store only sells their in-house formula Dermatology & Dermatologic Surgery & Laser Center No staff or product information Dermatology & Laser Center of Denver Online store offers over 3000 skin care products, but only 3 brands are at office Dermatology & Laser Center Of Oklahoma No staff info Dermatology & Skin Cancer Center No info about cosmetic services - unsure if they are offered Skin Health Medi-Spa Day spa, body work, medical, and skin / Facility upgrade Jan 2011 / Hair, nails, etc. Dermatology & Skin Surgery Dermatology and Clinical Skin Care Center Thermage, no product information Dermatology and Laser Associates of Medford Little to no info on product or extra staff Dermatology and Skin Laser Center Velashape Dermatology Assoc Glastonbury Microdroplet silicone for acne scars Dermatology Assoc of Atlanta IsoLaz / Store has 231 "Other" brands. Dermatology Associates Inc Dermatology Associates of Wisconsin SC Offers "Add-On" services using paraffin wax; No product info Dermatology Associates PSC Cosmetic Skin Care Ctr. Ear piercing, No additional staff info Dermatology Associates Seattle, PLLC Pearl laser treatment Dermatology Center Sculptra 113 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dermatology Center for Skin Health No product or staff info Dermatology Center of Dallas No service or staff info / Private label products only Dermatology Center of Long Island No staff info Dermatology Clinic Skin Master Rejuvenation System, Arasys Dermatology Clinic of Idaho No product information Dermatology Clinic SC No product information Dermatology Consultants PC No product information other than make-up brands Dermatology Inc of Virginia Beach Dermatology Specialists Inc Permanent makeup / Paraffin treatments / No product information Doctors Approach Skin and Hair care Private label acne and skin products / No service or staff information Kevin L. Dawson MD Acne, eczema, psoriasis, hair loss, skin cancer, vitiligo, warts / IPL / Laser Medical & Cosmetic Dermatology Center Memphis Dermatology Clinic Specializes in skin cancer treatments and cosmetic procedure Midwest Dermatology Clinic No information on products Montclair Dermatology No information on products Morgan Melissa MD PC Mountain State Dermatology Mohs Micrographic Surgery; no information on products N Eugene Morrow MD No information on doctors New England Dermatology & Laser Center North Carolina Ctr-Dermatology Hair and skin expertise/for African Americans and other Peoples of Color North East Dermatology Associates, PA Fraxel, gen. derm. laser resurf. sclerotherapy, skin care, & spa services / No prod. North Shore Dermatology Laser & Cosmetic Surg. Ctr. Northwest Georgia Dermatology And Skin Cancer Oakbrook Terrace Dermatology Olansky Dermatology Associates No information on products; ODA’s Signature Aqua Surge Treatment Olympic Dermatology & Laser Pacific Dermatology and Cosmetic Center No information on products. Palmetto Dermatology Park Avenue Dermatology PA Offers many in-house products. Penobscot Valley Dermatology Only offers Medical services. Perfect Skin Laser Center Selphyl, non-surg. nose-jobs, teeth whitening, wt. loss, hair loss / Ltd. staff info. Peter Goodkin M.D. Pineview Dermatology PLLC Little info on staff Portland Dermatology Clinic LLP No product information, only listed Doctors. Rodgers Dermatology No product information, no information on other staff. Rutland Skin Center No product info Sensational Skin Velashape Circumferential Reduction, no staff information Skin Cancer & Dermatology Institute Omnilux; No product information Skin Care-MD Just an online store? No evidence of an actual clinic / Sales assoc. descriptions Skin Fitness Center Gen. derm. treatments (acne, dermatitis, rosacea, veins, etc. / No product info. Skin MD Soderstrom Skin Institute Southeastern Dermatology Consultants Specialist in Dermatology No product information 114 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Steve Harlan MD Stockton Dermatology PLLC Dermaplaning / No product information Sun Valley Skin Center Suncoast Dermatology & Skin Surgery Center There ARE estheticians but no indication of how many. Sutton Ryan Dermatology Smart Lipo The Center For Dermatology Skin Tyte The Cosmetic & Skin Care Center Ultherapy / DiamondTome The Dermatology Center The Laser & Skin Surgery Center No information on staff The Lupo Center for Aesthetic & General Dermatology Isolaz, Silk Peel, CoolTouch. No info. on other staff aside from mention of Esth. The Skin and Laser Center of Affiliated Dermatologists Three Rivers Dermatology Hand & Foot PUVA, ReLume Total Skin & Beauty Dermatology Center Micrograft Hair Transplants Tulsa Dermatology Clinic Inc No information on products or other staff. Van Dyke Laser & Skin Lightsheer Duet Hair Removal West County Dermatology West Georgia Dermatology Hand & Foot PUVA, ReLume Western Reserve Dermatology Micrograft Hair Transplants Westlake Dermatology & Surgery Center No information on products or other staff. Westmoreland Dermatology Lightsheer Duet Hair Removal William P Coleman II, MD Hand & Foot PUVA, ReLume Woodson Dermatology Yellowstone Dermatology GentleWaves South Shore Skin Center The Skin Institute No info on staff aside from MD Zel Skin & Laser Specialists CoolSculpting; Staff tab empty. No Product Info. Hawaii Skin Cancer & Photo Damage Center Mohs, Photofacial, PDT, Scler. Thermage, Visia / Staff photo only but no info. Premier Dermatology & Skin Renewal Center Avene, Babor / Patient coordinator Johnson Dermatology Clarisonic, Color Science, Pharm Specialists, Topix Greenwich Dermatology & Cosmetic Laser Surg. Ctr. General skin care info only / Products are sold in clinic / No staff info. Delaware Valley Dermatology Group, LLC IS Clinical, Visual Changes, Vivite / Formerly Atlantic Skin & Cos. Surg. Grp. Iowa Dermatology Clinic Dermatology Center of Indiana No product or esthetician staff info. Dermatology Associates of Indiana $65 - 85 per tx Mid-Kansas Dermatology Clinic PA General derm as well Despain Cayce Dermatology Center & Medical Spa Big Sky Dermatology & Skin Cancer Specialists Gen. derm. ( acne, eczema, moles, psoriasis, rashes, etc.) No prod or staff info Darst Dermatology Rio Grande Dermatology Vivite Skin Care, La Roche-Posay, Clinique Medical, Vanicream, Avera Dermatology & Laser Center Products not listed / Web site for a large health system (Avera Health Foundation) Swinyer - Woseth Dermatology No product information Dermatology & Skin Cancer Center No product information Dorset Street Dermatology Login required for shopping cart to work / RevaleSkin, Avene, & Clarisonic Las Vegas Dermatology Revale, Vivite, Latisse 115 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Riverchase Dermatology & Cosmetic Surgery Medical spas at two locations / Blue Lizard, Anthelios, Tri-Luna, Vivite Charlotte Skin & Laser Neocutus, TNS, Tensage Fanny M. Berg, MD Replenix / Location opened January 2011 2011 FRS Medical Spa Database Facilities & Web Sites Name of Facility Web site A Bloom Medical Spa www.abloommedspa.com A New You Medical Spa www.anewyouwellness.com A Perfect Finnish Medical Spa www.aperfectfinnish.com Acqua Blu Medical Spa & Skin Care Ctr www.acquablumedicalspa.com Advanced Aesthetics Medi Spa www.goldskincare.com Advanced Medical Spa www.advancedmedicalspa.com Advanced Skin and Body Solutions www.eastsidebodyandskin.com/ Aesthetic Surgical Arts and Skin Enhancement www.aestheticsurgicalarts.com Ajune www.ajune.com Alani Medical Spa www.alani.com Alegria Medspa www.alegriamedspa.com Allure Image Enhancement www.allureimage.com Aluna Aesthetics & Day Spa www.alunaspa.com American Aesthetics Med Spa www.nwmedspa.com Anara MedSpa & Cosmetic Laser Center www.anaramedspa.com Anew Medspa www.atlanticplasticsurgery.com Aphrodite's Grecian Medical Spa www.grecianmedispa.com Ardan Med Spa & Salon www.ardanspa.com Artisan MedSpa www.artisanmedspafortworth.com Aurora De Juliis, M.D. European Medical Spa www.auroradejuliismd.com Avalon Salon & Spa www.avalonss.com Aventine Medspa www.aventinemedspa.com AYA - Northside Location www.ayaskincare.com Azani Medical Spa www.azanimedicalspa.com Aziz Salon and Day Spa, Skin and Wellness Center www.azizsalon.com Azura Medical Spa www.azuramedicalspa.co Be Lifestyle Medspa www.belifestyle.net Beau Visage Medical Cosmetic Centre & Spa www.beauvisageindy.com Beautopia Spa Medica www.spabeautopia.com Belaya Anti-Aging & Aesthetic Ctr www.belayaantiaging.com Bell Tower Salon, Medi-Spa and Store www.belltowersalonspa.com Bella Fontana Spa Ltd www.bellafontanaspa.com Bella Pelle Medical Spa www.bellapellemedicalspa.com 116 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Bella Visage www.bellevisagespa.com Belladerm MedSpa www.belladermmedspa.com Belle Medical Skin Spa www.southjerseylaser.com Belle Vie MedSpa www.belleviemedspa.com Biro Venus Medical Spa www.birovenusmedicalspa.com Blu Cocoon MedSpa www.blucocoonmedspa.com Blue Water Spa www.bluewaterspa.com Boise Image Enhancement Centre www.boiseimage.com Bougainvillea Clinique www.lookandfeelbetter.com Candessa Surgical & Laser Aesthetics www.candessaesthetics.com Capri Medical Spa www.caprimedicalspa.com Carolina Medi-Spa www.carolinamedispa.com Center for Plastic Surgery www.centerplasticsurg.com CFMA & MediSpa www.cfmamedispa.com Clarity Medical Spa www.claritymedicalspa.com Clear Waters Salon and Day Spa www.clearwaterssalonanddayspa.com Cosmetique Med Spa www.cosmetiquemedspa.com Cosmic Creations www.cosmiccreatiosspa.com Cultura Medical Spa www.culturamed.com Déjà Vu Med Spa www.dejavumedspaaz.com Dermalounge www.dermalounge.com Devenu Medical Rejuvenation Center www.devenu.com Dormer Lawrence Medical Spa www.dormermedicalspa.com Dr. David Glick www.drdavidglick.com Dreams Med Spa www.surgeryvp.com Emerge Medical Day Spa www.emergemedicaldayspa.com Eshaan Laser & Skin Care Medical Spa www.eshaanspa.com Essential Beauty Medical Spa www.ebmedicalspa.com Essex Medspa www.essexmedspa.com Esteem MedSpa www.esteemedspa.com Estetica Cosmetic & Reconstructive Surgery of Scottsdale www.anewbeautifulyou.com Euro Day Spa and Laser Center www.eurodayspainc.com Evolutions Medical Spa www.evolutionsmedicalspa.com Focus Medical Spa www.focusmedicalspa.com Forest Medical Spa www.forestdermatology.com Forever Young www.foreveryoungmedspa.com Fountain of Youth www.youthagain.net Fusion Medical Spa www.fusionmedicalspa.com Gardner Plastic Surgery www.abeautifulbody.com Genesis Cosmetic Surgery & Laser Center www.genesiscosmeticsurgery.net Genesis Medspa www.genesis-medspa.com Healing Waters Medical Day Spa www.healingwatersbeauty.com Heavenly Cosmetic Medical Spa www.heavenlycosmetic.net Heavenly Skin Medical Day Spa www.myheavenlyskin.com 117 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Hela www.helaspa.com Ideal Image Facial Plastic Surgery www.drweissman.com Institute Dermed at Buckhead www.idermed.com IntelliDerm Medical Spa www.intelliderm.com Iowa Plastic Surgery www.iowaplasticsurgery.com Jardin de Jeunesse Medical Spa www.jardinmedical.com Jawani Medical Spa www.myjawani.com Juva MediSpa www.juvaskin.com Kai the medical spa www.kaimedspa.com Kansas City Med Spa greatskinkc.com Key Laser Institute for Aesthetic Medicine www.keylaserinstitute.com La Look Inc. www.marthaslalook.com Laser Clinique www.laser-clinique.com L'Azur La Vie www.lazurlavie.com Le Beau Visage Medical Spa www.lebeauvisagemedspa.com Le Med Spa www.lemedspa.com Longevity Medical Spa www.longevityspa.net Madsen Medical Spa www.madsenmedspa.com Medi-spa at Knoxville Dermatology Group www.knoxdermmedispa.com Medical Aesthetics, LLC www.medical-aesthetics.org Medical Spa at Nova www.novamedspa.com Millennium Medical www.anythingcosmetic.com Mona Spa & Laser Center www.monaspaandlaser.com Monarch Bay Laser www.monarchbaylaser.com Mondello Medical Spa www.mondellomedicalspa.com Neos Med Spa www.neosmedspa.com NLI Med Spa www.nlimedspa.com Northwest Medi Spa www.northwestmedispa.com Odyssey Medispa www.odysseymedispa.com Ology Spa www.ologyspa.com Papillon Medi Spa www.papillonmedispa.com Park Avenue Medical Spa www.parkavenuemedicalspa.com Pelage Spa and Skin Centre www.pelagecenter.com Petroff Center www.petroffcenter.com Pigalle Salon & Medspa www.pigallesalon.com Platinum Medical Spa platinummedicalspa.com Premier Medi-Spa www.premedspa.com Q Medical Spa at Lindsay House www.qmedspa.com Radiant Clinic www.radiantcliniccolorado.com Reflections MedSpa www.reflectionsmedspa.com Rejuvalife Vitality Institute www.rejuvalife.md/ Rejuvine MedSpa - Solana www.rejeuvine.com Result Spa www.resultspa.com SaJune Medical Center www.sajune.com 118 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Saratoga Dermatology Spa City Spa www.sanctuarysaratoga.com Shanti Medical Spa and Wellness Center www.shantimedspa.com SIA Spa www.siaspas.com SK Sanctuary Day Spa www.sk-sanctuaary.com Skin Care By Design MediSpa www.skincarebydesign.com Skin Deep & Beyond Spa www.skindeepandbeyond.com Skin Deep Laser MedSpa www.skindeeplaser.com Skin Plus Medical Spa www.plasticsurgeryct.com Skin Reflections Medical Spa www.srmedspa.com SkinLogicSkin Center www.skinlogic.md SkinMedic www.skinmedic.com Smooth Aesthetics Medical Spa www.smoothmedspa.com Smooth Synergy Cosmedical Spa www.smoothsynergy.com Smoothskin Cosmetic Laser Center www.smoothskinonline.com Spa 35 www.spa35.com Spa 415 www.spa415.com Spa Bella Medical Day Spa www.spabellaonline.com Spa Belle Meade www.spabellemeade.com Spa City Spa www.spacityspa.com Spa ME www.spameonline.com SpaDerma Medical Skin Care www.spaderma.com Still Waters Medical Day Spa www.stillwatersmedspa.com Sura Spa www.suraspa.com The Cardiff Medical Spa www.thecardiffmedicalspa.com The Institute, A Medical Spa www.thestevensinstitute.com The Lifestyle Center www.thelifestylecenter.com The Medical and Skin Spa www.medicalandskinspa.com The Spa at Waldorf Center for Plastic Surgery www.waldorfcenter.com Turner Medical Spa www.turnermedicalspa.com Turquoise, A Medical Day Spa www.turquoisemedicalspa.com U Boutique and Med Spa www.umedspa.com Ultra Derm Medical Spa www.ultraderm.com Vermont Center for Plastic Surgery & Dermatology ww.plasticsurgeryvermont.md/ Vibrance Medical Spa www.freedplasticsurgery.com Visage Spa freedlandmd.com Visage Spa www.visagemedispa.com Vitahl Medical www.vitahl.com Wellness Institute and Medical Spa www.wellnessii.com Westside Medical Spa www.westsidemedicalspa.com Young Medical Spa www.youngmedialspa.com YOUnique Medical Spa www.youniquemedicalspa.com Z. Medical Spa & Rejuvenation Center zmedspaonline.com/ 119 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Locations, Physicians, Credentials, & Medical Practice Affiliation Name of Facility A Bloom Medical Spa # of Sites # of MDs 1 1 Med. Prac.? A New You Medical Spa 2 A Perfect Finnish Medical Spa 1 Acqua Blu Medical Spa & Skin Care Ctr 1 1 1 Advanced Aesthetics Medi Spa Advanced Medical Spa 1 1 1 1 1 Med. Dir.? Physician Affiliations / Credentials 1 MD 1 ABPS / FAAD ABD Osteopath Advanced Skin and Body Solutions 1 Aesthetic Surgical Arts and Skin Enhancement 1 1 1 Ajune 1 1 1 Alani Medical Spa 2 2 1 MD Alegria Medspa 1 1 1 "Board cert MD" Allure Image Enhancement 1 2 1 AACS ASPS ABFPRS Aluna Aesthetics & Day Spa 4 1 American Aesthetics Med Spa 2 1 1 1 1 MD Anara MedSpa & Cosmetic Laser Center 1 1 1 MD Anew Medspa 2 2 1 MD Aphrodite's Grecian Medical Spa 1 1 Ardan Med Spa & Salon 1 Artisan MedSpa 1 1 Aurora De Juliis, M.D. European Medical Spa 1 1 RN 1 MD anti-aging / ageless Avalon Salon & Spa 1 2 1 Int. med Aventine Medspa 1 1 1 "plastic surgeon" AYA - Northside Location 2 1 ABPS Azani Medical Spa 1 1 anti-aging Aziz Salon and Day Spa, Skin and Wellness Center 1 Azura Medical Spa 1 2 Be Lifestyle Medspa 1 4 Beau Visage Medical Cosmetic Centre & Spa 1 1 1 Neurology 1 DO; FAAFP 1 Int. med. Beautopia Spa Medica 1 2 Belaya Anti-Aging & Aesthetic Ctr 1 1 Bell Tower Salon, Medi-Spa and Store 1 1 Bella Fontana Spa Ltd 1 1 Bella Pelle Medical Spa 1 1 Bella Visage 1 2 Belladerm MedSpa 1 1 Belle Medical Skin Spa 1 1 Belle Vie MedSpa 1 1 Biro Venus Medical Spa 1 1 Blu Cocoon MedSpa 1 1 Blue Water Spa 1 1 1 MD MD 1 Ob-gyn / ASPS Internal medicine 1 1 1 AAAM FACS ASPS 120 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Boise Image Enhancement Centre 1 1 1 AAAM Bougainvillea Clinique 1 1 1 1 ASPS / ASAPS Candessa Surgical & Laser Aesthetics 1 1 1 1 FACS Capri Medical Spa 2 1 1 Internal medicine Carolina Medi-Spa 1 1 1 MD, DO, MPH Internal medicine Center for Plastic Surgery 2 4 1 CFMA & MediSpa 1 3 1 Clarity Medical Spa 1 1 1 Clear Waters Salon and Day Spa 1 1 1 Cosmetique Med Spa 1 1 Cosmic Creations 2 Cultura Medical Spa 1 1 FACS Emergency Medicine 1 AAD Déjà Vu Med Spa 2 Dermalounge 2 1 1 ABPRS Devenu Medical Rejuvenation Center 1 1 1 MD Dormer Lawrence Medical Spa 2 1 Dr. David Glick 3 1 Dreams Med Spa 1 3 Emerge Medical Day Spa 1 1 1 Otolaryngologist Eshaan Laser & Skin Care Medical Spa 1 1 1 D.O. Essential Beauty Medical Spa 1 Essex Medspa 3 1 1 MD Esteem MedSpa 3 2 1 FACS Estetica Cosmetic & Reconstructive Surgery of Scottsdale 1 1 1 1 ABCS Euro Day Spa and Laser Center 1 1 1 1 AAD 1 Evolutions Medical Spa 1 1 Focus Medical Spa 1 1 Forest Medical Spa 1 1 Pulmonary Medicine 1 1 ABPRS MD 1 1 AAFPRS 1 Emergency Medicine 1 Derm Forever Young 2 1 1 Fountain of Youth 1 1 1 Fusion Medical Spa 1 1 1 Orthopedics / "Cosmetics" Gardner Plastic Surgery 2 1 1 1 ABS / ABPS Genesis Cosmetic Surgery & Laser Center 1 1 1 1 ASAPS / ASPRS Genesis Medspa 1 2 1 MD Healing Waters Medical Day Spa 2 4 1 Neuro / Oto / Family / Emerg Heavenly Cosmetic Medical Spa 1 1 Heavenly Skin Medical Day Spa 1 1 1 ASAPS Hela 2 1 1 ABPS Ideal Image Facial Plastic Surgery 1 2 1 1 AAFPRS Institute Dermed at Buckhead 1 1 1 1 ABPS 1 MD, MBA, MDH 1 Ophthalmology / FACOS IntelliDerm Medical Spa 1 1 Iowa Plastic Surgery 1 1 Jardin de Jeunesse Medical Spa 1 2 121 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Jawani Medical Spa 2 1 Juva MediSpa 1 4 1 Kai the medical spa 2 1 Kansas City Med Spa 1 1 Key Laser Institute for Aesthetic Medicine 1 1 1 AAD / FACS 1 ABPS 1 La Look Inc. 1 1 Laser Clinique 1 1 L'Azur La Vie 1 1 1 MD Le Beau Visage Medical Spa 1 1 1 Internal Med. / Pediatrics Le Med Spa 1 1 Longevity Medical Spa 4 4 Madsen Medical Spa 1 1 Medi-spa at Knoxville Dermatology Group 2 2 Medical Aesthetics, LLC 1 1 Medical Spa at Nova 1 1 Millennium Medical 1 1 Mona Spa & Laser Center 1 1 Monarch Bay Laser 1 1 Mondello Medical Spa 1 1 Neos Med Spa 3 1 NLI Med Spa 2 2 1 1 1 1 AACS AAD ABPS 1 1 D.D.S., Ph.D., M.D. AAD AAAM 1 1 1 AACS ASAPS / ASPS DO / MBA / AAAM 1 1 1 ASPS 1 Anesthesiologist 1 ABPS / ABOMS Northwest Medi Spa 2 1 Odyssey Medispa 1 3 Ology Spa 2 1 Papillon Medi Spa 1 4 Park Avenue Medical Spa 3 3 Pelage Spa and Skin Centre Petroff Center 1 1 1 1 Pigalle Salon & Medspa 1 1 Platinum Medical Spa 1 Premier Medi-Spa 1 1 1 1 ASPS Q Medical Spa at Lindsay House 1 1 1 1 AAFPRS Radiant Clinic 1 1 1 Gerontology / Family / AAAM Reflections MedSpa 1 1 Rejuvalife Vitality Institute 1 1 Rejuvine MedSpa - Solana 1 1 Result Spa 1 1 SaJune Medical Center 1 4 Saratoga Dermatology Spa City Spa 1 Shanti Medical Spa and Wellness Center 2 SIA Spa 1 2 SK Sanctuary Day Spa 1 1 Skin Care By Design MediSpa 1 1 Skin Deep & Beyond Spa 1 AAD 1 FACS 1 1 AAMA / Oncologist / AAFPRS 1 1 Holistic Med. / AAAM ABFPRS 1 ASCS? RN Am Board of Min Inv Spine Med Emergemcy / Int. Med. / AACS 1 1 ABPS 1 1 Ob-gyn / Int. Med. / Anti-Ag / Cancer 1 FACS 1 Anesthesiologist 1 1 122 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Skin Deep Laser MedSpa 1 1 Skin Plus Medical Spa 1 1 1 Skin Reflections Medical Spa 1 1 SkinLogicSkin Center 2 SkinMedic 1 2 Smooth Aesthetics Medical Spa 1 2 2 Smooth Synergy Cosmedical Spa 1 1 1 1 1 1 FACS ASPS 1 Osteopath D.0. Ob-gyn / ABPS Smoothskin Cosmetic Laser Center 1 Spa 35 1 Spa 415 1 1 Spa Bella Medical Day Spa 1 1 1 Spa Belle Meade 1 3 1 Spa City Spa 1 1 AAD Spa ME 1 1 Family / Ob. Gyn SpaDerma Medical Skin Care 1 1 1 Emergency Med. / Family Med. Still Waters Medical Day Spa 1 1 1 Otolaryngologist Sura Spa 1 2 1 DDS / FAGD The Cardiff Medical Spa 1 1 1 D.O. / FACS 1 ASAPS/ASPS The Institute, A Medical Spa 2 1 The Lifestyle Center 1 1 The Medical and Skin Spa 1 1 AACS AACS 1 1 FACS FACS 1 AACS 1 AAAM / AAAAM The Spa at Waldorf Center for Plastic Surgery 1 2 Turner Medical Spa 1 2 1 FACS / ASPS 1 Family Medicine Turquoise, A Medical Day Spa 1 2 1 U Boutique and Med Spa 1 Ultra Derm Medical Spa 1 1 1 1 FACS Vermont Center for Plastic Surgery & Dermatology 1 2 1 1 AAD / ASPRS / FACS Vibrance Medical Spa 1 2 1 1 ABPS Visage Spa 1 1 1 1 ASPS Visage Spa 1 Vitahl Medical 1 Otolaryngologist 2 Internal Med. / Plastic Surgeon Wellness Institute and Medical Spa 1 1 Westside Medical Spa 2 3 1 1 Young Medical Spa 1 2 1 YOUnique Medical Spa 1 1 Z. Medical Spa & Rejuvenation Center 1 D.O. AAFPS 1 Family Med. / Internal Med. AACS Totals: Key: AACS = American Academy of Cosmetic Surgery AAFPRS = American Academy Facial Plastic and Reconstructive Surgery AAMOS = American Association of Oral and Maxillofacial Surgeons AAO = American Academy of Ophthalmology AAOHNS = American Academy of Otolaryngology Head and Neck Surgery 123 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends ASOPRS = American Society of Ophthalmic Plastic & Reconstructive Surgery ABFPRS = American Board of Facial Plastic and Reconstructive Surgery ABOS = American Board of Orthopedic Surgery ABPS = American Board of Plastic Surgery ABS = American Board of Surgery ACS = American College of Surgeons ADA = American Dental Association ASPS = American Society of Plastic Surgery ASAPS = American Society for Aesthetic Plastic Surgery ASPRS = American Society of Plastic and Reconstructive Surgery ABPRS = American Board of Plastic and Reconstructive Surgery ABO = American Board of Ophthalmology Products G y lt o n e Name of Facility K i n e r a s e I n H o u s e J a n M a R I N I L a R o c h e M D F o r T e N e o s t r a t a N I A O b a g I O t h e r A Bloom Medical Spa 1 A New You Medical Spa 1 5 1 14 1 7 1 1 P C A A Perfect Finnish Medical Spa Acqua Blu Medical Spa & Skin Care Ctr Advanced Aesthetics Medi Spa 1 1 1 Advanced Medical Spa Advanced Skin and Body Solutions Aesthetic Surgical Arts and Skin Enhancement Ajune 1 Alani Medical Spa Alegria Medspa 3 Allure Image Enhancement 1 Aluna Aesthetics & Day Spa American Aesthetics Med Spa 1 Anara MedSpa & Cosmetic Laser Center 9 Anew Medspa 1 Aphrodite's Grecian Medical Spa 3 5 Ardan Med Spa & Salon Artisan MedSpa 1 Aurora De Juliis, M.D. European Medical Spa 1 124 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Avalon Salon & Spa Aventine Medspa AYA - Northside Location 1 Azani Medical Spa 1 Aziz Salon and Day Spa, Skin and Wellness Center 1 Azura Medical Spa 1 2 1 5 1 3 1 5 Be Lifestyle Medspa 0 Beau Visage Medical Cosmetic Centre & Spa 1 Beautopia Spa Medica 2 1 Belaya Anti-Aging & Aesthetic Ctr 1 4 Bell Tower Salon, Medi-Spa and Store 6 Bella Fontana Spa Ltd 16 Bella Pelle Medical Spa 1 2 1 1 Bella Visage 2 Belladerm MedSpa Belle Medical Skin Spa 1 Belle Vie MedSpa 1 4 1 6 1 4 1 7 Biro Venus Medical Spa Blu Cocoon MedSpa Blue Water Spa 1 1 1 1 5 Boise Image Enhancement Centre 1 Bougainvillea Clinique 1 Candessa Surgical & Laser Aesthetics 1 Capri Medical Spa 1 2 3 3 Carolina Medi-Spa 1 7 Center for Plastic Surgery CFMA & MediSpa 1 Clarity Medical Spa 1 Clear Waters Salon and Day Spa 3 1 Cosmetique Med Spa 1 7 Cosmic Creations Cultura Medical Spa 1 Déjà Vu Med Spa Dermalounge 1 Devenu Medical Rejuvenation Center Dormer Lawrence Medical Spa Dr. David Glick Dreams Med Spa 1 14 1 6 1 9 Emerge Medical Day Spa Eshaan Laser & Skin Care Medical Spa 1 Essential Beauty Medical Spa 1 1 1 Essex Medspa 1 Esteem MedSpa 1 Estetica Cosmetic & Reconstructive Surgery of Scottsdale 125 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 2 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Euro Day Spa and Laser Center Evolutions Medical Spa 1 Focus Medical Spa 1 Forest Medical Spa 1 9 1 1 1 4 Forever Young 1 Fountain of Youth 1 1 1 Gardner Plastic Surgery 1 5 Genesis Cosmetic Surgery & Laser Center 1 Fusion Medical Spa Genesis Medspa 1 7 Healing Waters Medical Day Spa 1 1 Heavenly Cosmetic Medical Spa 1 Heavenly Skin Medical Day Spa 1 Hela 1 Ideal Image Facial Plastic Surgery 1 1 3 3 1 6 Institute Dermed at Buckhead IntelliDerm Medical Spa 1 1 Iowa Plastic Surgery 1 1 Jardin de Jeunesse Medical Spa 1 Jawani Medical Spa 1 Juva MediSpa 1 6 1 1 1 1 1 3 Kai the medical spa 1 Kansas City Med Spa 1 9 Key Laser Institute for Aesthetic Medicine 4 La Look Inc. 1 Laser Clinique 1 1 6 L'Azur La Vie 3 Le Beau Visage Medical Spa 1 Le Med Spa 1 Longevity Medical Spa 1 1 1 3 1 1 1 163 1 1 Madsen Medical Spa 3 Medi-spa at Knoxville Dermatology Group 1 1 1 Medical Aesthetics, LLC 5 2 Medical Spa at Nova 1 1 Millennium Medical 1 2 Mona Spa & Laser Center 1 13 1 3 1 1 Monarch Bay Laser 1 1 Mondello Medical Spa Neos Med Spa NLI Med Spa 3 Northwest Medi Spa 1 Odyssey Medispa 6 2 Ology Spa 1 1 Papillon Medi Spa 126 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Park Avenue Medical Spa 3 Pelage Spa and Skin Centre 3 Petroff Center 1 Pigalle Salon & Medspa 1 4 6 Platinum Medical Spa 2 Premier Medi-Spa 1 Q Medical Spa at Lindsay House 1 8 Radiant Clinic 2 Reflections MedSpa 4 Rejuvalife Vitality Institute 1 3 Rejuvine MedSpa - Solana Result Spa 1 1 1 0 1 1 1 1 8 1 187 1 15 SaJune Medical Center 1 1 Saratoga Dermatology Spa City Spa 1 Shanti Medical Spa and Wellness Center SIA Spa 1 SK Sanctuary Day Spa 3 Skin Care By Design MediSpa 1 1 1 1 1 1 1 17 Skin Deep & Beyond Spa Skin Deep Laser MedSpa 1 Skin Plus Medical Spa 3 1 1 1 Skin Reflections Medical Spa 1 SkinLogicSkin Center 4 3 SkinMedic 1 1 Smooth Aesthetics Medical Spa Smooth Synergy Cosmedical Spa 1 Smoothskin Cosmetic Laser Center 1 1 3 1 4 1 17 1 0 1 7 1 3 1 5 1 1 3 1 1 Spa 35 Spa 415 Spa Bella Medical Day Spa 1 1 1 Spa Belle Meade Spa City Spa 1 Spa ME 0 SpaDerma Medical Skin Care 1 1 3 Still Waters Medical Day Spa 1 Sura Spa 1 The Cardiff Medical Spa 1 4 The Institute, A Medical Spa 1 The Lifestyle Center 1 The Medical and Skin Spa 1 The Spa at Waldorf Center for Plastic Surgery 1 1 3 1 1 1 Turner Medical Spa 1 1 1 1 1 1 Turquoise, A Medical Day Spa U Boutique and Med Spa 127 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 8 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Ultra Derm Medical Spa 1 1 9 1 4 1 1 1 12 1 5 1 5 Vermont Center for Plastic Surgery & Dermatology Vibrance Medical Spa Visage Spa Visage Spa Vitahl Medical 1 1 Wellness Institute and Medical Spa Westside Medical Spa Young Medical Spa 1 YOUnique Medical Spa 1 2 Z. Medical Spa & Rejuvenation Center 1 Totals: P r e V a g e Name of Facility A Bloom Medical Spa S k i n c e u t i c a l s S k I n M e d i c a S u n s c r e e n E y e C r è m e M a K e U p J a n e I r e d a l e Onine Store? 1 A New You Medical Spa 1 1 A Perfect Finnish Medical Spa 1 Acqua Blu Medical Spa & Skin Care Ctr Advanced Aesthetics Medi Spa 1 1 1 Advanced Medical Spa Advanced Skin and Body Solutions Aesthetic Surgical Arts and Skin Enhancement Ajune 1 Alani Medical Spa 1 1 1 1 Anara MedSpa & Cosmetic Laser Center 1 1 Anew Medspa 1 1 1 1 1 1 1 1 1 1 Alegria Medspa Allure Image Enhancement Aluna Aesthetics & Day Spa American Aesthetics Med Spa Aphrodite's Grecian Medical Spa Ardan Med Spa & Salon Artisan MedSpa 128 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aurora De Juliis, M.D. European Medical Spa Avalon Salon & Spa Aventine Medspa AYA - Northside Location Azani Medical Spa 1 1 1 1 Aziz Salon and Day Spa, Skin and Wellness Center 1 1 1 Azura Medical Spa Be Lifestyle Medspa Beau Visage Medical Cosmetic Centre & Spa 1 1 Beautopia Spa Medica 1 1 1 1 1 1 Belaya Anti-Aging & Aesthetic Ctr 1 Bell Tower Salon, Medi-Spa and Store 1 Bella Fontana Spa Ltd 1 Bella Pelle Medical Spa 1 Bella Visage Belladerm MedSpa 1 Belle Medical Skin Spa 1 Belle Vie MedSpa 1 1 1 1 Biro Venus Medical Spa 1 Blu Cocoon MedSpa 1 1 Blue Water Spa 1 1 1 Boise Image Enhancement Centre 1 1 Bougainvillea Clinique Candessa Surgical & Laser Aesthetics 1 Capri Medical Spa Carolina Medi-Spa 1 1 1 1 1 1 1 1 1 Center for Plastic Surgery CFMA & MediSpa 1 Clarity Medical Spa 1 Clear Waters Salon and Day Spa 1 1 1 1 1 1 Cosmetique Med Spa 1 Cosmic Creations Cultura Medical Spa 1 Déjà Vu Med Spa Dermalounge 1 1 1 Devenu Medical Rejuvenation Center Dormer Lawrence Medical Spa 1 Dr. David Glick Dreams Med Spa 1 1 1 1 1 1 1 1 Emerge Medical Day Spa Eshaan Laser & Skin Care Medical Spa 1 Essential Beauty Medical Spa 1 1 1 1 Essex Medspa Esteem MedSpa 1 1 1 129 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Estetica Cosmetic & Reconstructive Surgery of Scottsdale 1 Euro Day Spa and Laser Center Evolutions Medical Spa 1 1 1 Focus Medical Spa Forest Medical Spa 1 1 Forever Young 1 1 1 Fountain of Youth 1 1 1 1 Fusion Medical Spa Gardner Plastic Surgery 1 1 1 1 1 Genesis Cosmetic Surgery & Laser Center Genesis Medspa Healing Waters Medical Day Spa 1 1 Heavenly Cosmetic Medical Spa 1 Heavenly Skin Medical Day Spa Hela 1 Ideal Image Facial Plastic Surgery 1 1 1 Institute Dermed at Buckhead 1 1 1 IntelliDerm Medical Spa Iowa Plastic Surgery 1 1 1 1 1 1 Jardin de Jeunesse Medical Spa 1 1 1 Jawani Medical Spa Juva MediSpa 1 1 1 Kai the medical spa Kansas City Med Spa 1 Key Laser Institute for Aesthetic Medicine 1 1 1 1 1 1 1 0 La Look Inc. Laser Clinique 1 1 1 1 1 1 1 1 1 1 1 1 L'Azur La Vie Le Beau Visage Medical Spa 1 Le Med Spa Longevity Medical Spa 1 1 1 1 1 Madsen Medical Spa Medi-spa at Knoxville Dermatology Group Medical Aesthetics, LLC 1 Medical Spa at Nova 1 1 Millennium Medical Mona Spa & Laser Center Monarch Bay Laser 1 1 1 1 1 1 1 1 Mondello Medical Spa Neos Med Spa NLI Med Spa Northwest Medi Spa 1 Odyssey Medispa Ology Spa 1 130 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Papillon Medi Spa Park Avenue Medical Spa Pelage Spa and Skin Centre Petroff Center 1 1 1 Pigalle Salon & Medspa Platinum Medical Spa 1 1 Premier Medi-Spa 1 1 Q Medical Spa at Lindsay House 1 1 Radiant Clinic Reflections MedSpa 1 1 1 Rejuvalife Vitality Institute 1 Rejuvine MedSpa - Solana Result Spa 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SaJune Medical Center Saratoga Dermatology Spa City Spa Shanti Medical Spa and Wellness Center SIA Spa SK Sanctuary Day Spa 1 Skin Care By Design MediSpa 1 1 Skin Deep & Beyond Spa 1 Skin Deep Laser MedSpa 1 Skin Plus Medical Spa 1 1 Skin Reflections Medical Spa 1 SkinLogicSkin Center 1 1 1 1 1 SkinMedic 1 Smooth Aesthetics Medical Spa Smooth Synergy Cosmedical Spa Smoothskin Cosmetic Laser Center 1 Spa 35 1 1 1 1 1 1 1 1 1 1 1 1 Spa 415 1 Spa Bella Medical Day Spa 1 1 1 1 1 1 1 1 1 1 Spa Belle Meade Spa City Spa 1 1 1 1 Spa ME SpaDerma Medical Skin Care Still Waters Medical Day Spa 1 Sura Spa 1 The Cardiff Medical Spa 1 The Institute, A Medical Spa 1 1 The Lifestyle Center 1 1 1 1 The Medical and Skin Spa The Spa at Waldorf Center for Plastic Surgery 1 Turner Medical Spa 1 1 1 Turquoise, A Medical Day Spa 131 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends U Boutique and Med Spa Ultra Derm Medical Spa 1 1 1 1 Vermont Center for Plastic Surgery & Dermatology Vibrance Medical Spa 1 1 Visage Spa Visage Spa 1 Vitahl Medical 1 1 1 1 Wellness Institute and Medical Spa 1 1 Westside Medical Spa Young Medical Spa 1 YOUnique Medical Spa 1 1 1 1 Z. Medical Spa & Rejuvenation Center 1 1 Totals: Procedures L a s e r O t h e r H a i r A e s t h e t i c M i c r o d e r m a b r a s i o n R e m o v a l A Bloom Medical Spa 1 1 1 1 1 8 A New You Medical Spa 1 1 1 1 1 6 1 1 1 4 F i l l e r s F a c i a l s P e e l s l Name of Facility A Perfect Finnish Medical Spa P r o c Acqua Blu Medical Spa & Skin Care Ctr 1 1 1 1 1 8 Advanced Aesthetics Medi Spa 1 1 1 1 1 11 Advanced Medical Spa 1 1 1 1 1 10 Advanced Skin and Body Solutions 1 1 1 1 1 8 Aesthetic Surgical Arts and Skin Enhancement 1 1 1 1 1 8 Ajune 1 1 1 1 1 7 Alani Medical Spa 1 1 1 1 1 Alegria Medspa 1 1 1 1 1 10 Allure Image Enhancement 1 1 1 1 1 12 Aluna Aesthetics & Day Spa 1 1 1 1 1 6 132 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends American Aesthetics Med Spa 1 1 Anara MedSpa & Cosmetic Laser Center 1 1 1 1 1 6 1 1 7 Anew Medspa 1 1 1 1 1 3 Aphrodite's Grecian Medical Spa 1 1 1 1 1 7 1 1 1 1 5 Ardan Med Spa & Salon Artisan MedSpa 1 1 1 1 1 5 Aurora De Juliis, M.D. European Medical Spa 1 1 1 1 1 12 Avalon Salon & Spa 1 1 1 1 1 9 Aventine Medspa 1 1 1 1 1 8 AYA - Northside Location 1 1 1 1 1 6 Azani Medical Spa 1 1 1 1 1 12 Aziz Salon and Day Spa, Skin and Wellness Center 1 1 1 1 1 3 Azura Medical Spa 1 1 1 1 1 4 Be Lifestyle Medspa 1 1 1 1 1 4 Beau Visage Medical Cosmetic Centre & Spa 1 1 1 1 1 3 Beautopia Spa Medica 1 1 1 1 1 6 Belaya Anti-Aging & Aesthetic Ctr 1 1 1 1 1 3 Bell Tower Salon, Medi-Spa and Store 1 1 1 1 1 3 Bella Fontana Spa Ltd 1 1 1 1 4 Bella Pelle Medical Spa 1 1 1 1 1 7 Bella Visage 1 1 1 1 1 7 Belladerm MedSpa 1 1 1 1 1 6 Belle Medical Skin Spa 1 1 1 1 1 4 Belle Vie MedSpa 1 1 1 1 1 3 Biro Venus Medical Spa 1 1 1 1 1 8 Blu Cocoon MedSpa 1 1 1 1 1 5 Blue Water Spa 1 1 1 1 1 6 Boise Image Enhancement Centre 1 1 1 1 1 5 Bougainvillea Clinique 1 1 1 1 1 4 Candessa Surgical & Laser Aesthetics 1 1 1 1 1 3 Capri Medical Spa 1 1 1 2 1 1 Carolina Medi-Spa 1 1 Center for Plastic Surgery 1 CFMA & MediSpa 1 1 1 1 1 7 1 1 1 5 1 1 1 6 Clarity Medical Spa 1 1 1 1 1 3 Clear Waters Salon and Day Spa 1 1 1 1 1 1 Cosmetique Med Spa 1 1 1 1 1 4 Cosmic Creations 1 1 1 1 1 8 Cultura Medical Spa 1 1 1 1 Déjà Vu Med Spa 1 1 1 13 Dermalounge 1 1 1 1 Devenu Medical Rejuvenation Center 1 Dormer Lawrence Medical Spa 1 Dr. David Glick 1 1 1 1 1 1 1 1 8 1 1 1 1 1 1 133 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Dreams Med Spa 1 1 1 1 1 8 Emerge Medical Day Spa 1 1 1 1 1 1 Eshaan Laser & Skin Care Medical Spa 1 1 1 1 1 5 Essential Beauty Medical Spa 1 1 1 1 1 4 Essex Medspa 1 1 1 1 1 4 Esteem MedSpa 1 1 1 1 9 Estetica Cosmetic & Reconstructive Surgery of Scottsdale 1 1 1 1 1 Euro Day Spa and Laser Center 1 1 1 1 1 Evolutions Medical Spa 1 1 1 1 1 20 Focus Medical Spa 1 1 1 1 8 Forest Medical Spa 1 1 1 1 1 3 Forever Young 1 1 1 1 1 1 1 Fountain of Youth 1 1 1 Fusion Medical Spa 1 1 1 Gardner Plastic Surgery 1 1 1 1 1 4 1 11 1 6 Genesis Cosmetic Surgery & Laser Center 1 1 1 1 1 9 Genesis Medspa 1 1 1 1 1 4 Healing Waters Medical Day Spa 1 1 1 1 1 7 Heavenly Skin Medical Day Spa 1 1 1 1 1 3 Hela 1 1 1 1 1 5 Ideal Image Facial Plastic Surgery 1 1 1 1 4 Institute Dermed at Buckhead 1 1 1 1 1 4 IntelliDerm Medical Spa 1 1 1 1 1 4 Iowa Plastic Surgery 1 1 5 Heavenly Cosmetic Medical Spa 1 2 1 Jardin de Jeunesse Medical Spa 1 1 1 1 1 8 Jawani Medical Spa 1 1 1 1 1 5 Juva MediSpa 1 1 1 1 1 12 Kai the medical spa 1 1 1 1 1 4 Kansas City Med Spa 1 1 1 1 1 11 Key Laser Institute for Aesthetic Medicine 1 1 1 1 9 La Look Inc. 1 Laser Clinique L'Azur La Vie 1 1 1 1 4 1 1 2 1 1 6 Le Beau Visage Medical Spa 1 1 1 1 1 5 Le Med Spa 1 1 1 1 1 7 Longevity Medical Spa 1 1 1 1 1 6 Madsen Medical Spa 1 1 1 1 1 15 Medi-spa at Knoxville Dermatology Group 1 1 1 1 1 8 Medical Aesthetics, LLC 1 1 1 1 1 7 Medical Spa at Nova 1 1 1 1 1 12 Millennium Medical 1 1 1 1 1 5 Mona Spa & Laser Center 1 1 1 1 1 10 Monarch Bay Laser 1 1 1 1 4 134 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Mondello Medical Spa 1 Neos Med Spa NLI Med Spa 1 1 1 1 8 1 1 1 1 3 7 1 1 1 1 Northwest Medi Spa 1 1 1 1 1 4 Odyssey Medispa 1 1 1 1 1 8 Ology Spa 1 1 1 1 1 7 Papillon Medi Spa 1 1 1 1 1 4 Park Avenue Medical Spa 1 1 1 1 1 8 Pelage Spa and Skin Centre 1 1 1 1 1 8 Petroff Center 1 1 1 1 1 15 Pigalle Salon & Medspa 1 1 1 1 1 9 1 1 1 1 3 Platinum Medical Spa Premier Medi-Spa 1 1 1 1 Q Medical Spa at Lindsay House 1 1 1 1 1 4 5 Radiant Clinic 1 1 1 1 1 7 Reflections MedSpa 1 1 1 1 1 6 Rejuvalife Vitality Institute 1 1 1 1 1 5 Rejuvine MedSpa - Solana 1 1 1 1 1 4 Result Spa 1 1 1 1 1 8 SaJune Medical Center 1 1 1 1 1 9 1 1 1 1 10 Saratoga Dermatology Spa City Spa Shanti Medical Spa and Wellness Center 1 SIA Spa 1 1 1 1 5 1 1 1 1 6 SK Sanctuary Day Spa 1 1 1 1 1 1 Skin Care By Design MediSpa 1 1 1 1 1 14 Skin Deep & Beyond Spa 1 1 1 1 5 Skin Deep Laser MedSpa 1 1 1 1 1 5 Skin Plus Medical Spa 1 1 1 1 1 2 Skin Reflections Medical Spa 1 1 1 1 1 3 SkinLogicSkin Center 1 1 1 1 5 SkinMedic 1 1 1 1 1 6 Smooth Aesthetics Medical Spa 1 1 1 3 Smooth Synergy Cosmedical Spa 1 1 1 1 1 12 Smoothskin Cosmetic Laser Center 1 1 1 1 1 6 Spa 35 1 1 1 1 1 5 Spa 415 1 1 1 1 1 9 Spa Bella Medical Day Spa 1 1 1 1 1 5 Spa Belle Meade 1 1 Spa City Spa 1 Spa ME SpaDerma Medical Skin Care 1 1 1 1 6 1 1 1 7 1 1 1 1 3 1 1 1 1 3 Still Waters Medical Day Spa 1 1 1 1 1 9 Sura Spa 1 1 1 1 1 6 The Cardiff Medical Spa 1 1 1 1 1 7 135 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The Institute, A Medical Spa 1 1 1 1 1 11 The Lifestyle Center 1 1 1 1 1 5 The Medical and Skin Spa 1 1 1 1 1 12 The Spa at Waldorf Center for Plastic Surgery 1 1 1 1 1 3 Turner Medical Spa 1 1 1 1 1 7 Turquoise, A Medical Day Spa 1 1 1 1 1 3 U Boutique and Med Spa 1 1 1 1 1 4 Ultra Derm Medical Spa 1 1 1 1 1 1 Vermont Center for Plastic Surgery & Dermatology 1 1 1 1 1 1 Vibrance Medical Spa 1 1 1 1 1 4 Visage Spa 1 1 1 1 1 4 Visage Spa 1 1 1 1 1 5 Vitahl Medical 1 1 1 1 1 5 1 8 Wellness Institute and Medical Spa 1 Westside Medical Spa 1 1 1 1 4 1 Young Medical Spa 1 1 1 1 1 11 YOUnique Medical Spa 1 1 1 1 1 23 Z. Medical Spa & Rejuvenation Center 1 1 1 1 1 6 LMT CLT CPN CMA / MA Totals: Staff Esth RN / NP A New You Medical Spa 2 1 A Perfect Finnish Medical Spa 1 Name of Facility PA SA/T A Bloom Medical Spa 2 1 Acqua Blu Medical Spa & Skin Care Ctr 1 Advanced Aesthetics Medi Spa 3 3 Advanced Skin and Body Solutions 6 6 Aesthetic Surgical Arts and Skin Enhancement 6 6 1 1 Advanced Medical Spa Ajune Alani Medical Spa Alegria Medspa Allure Image Enhancement 1 Aluna Aesthetics & Day Spa 1 American Aesthetics Med Spa 1 Anara MedSpa & Cosmetic Laser Center 1 1 Anew Medspa 3 1 1 136 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 3 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aphrodite's Grecian Medical Spa Ardan Med Spa & Salon Artisan MedSpa 2 Aurora De Juliis, M.D. European Medical Spa 4 Avalon Salon & Spa 1 1 1 6 2 4 1 Aventine Medspa 2 AYA - Northside Location 7 Azani Medical Spa 6 2 7 1 6 Aziz Salon and Day Spa, Skin and Wellness Center 1 Azura Medical Spa Be Lifestyle Medspa 2 1 2 2 Beau Visage Medical Cosmetic Centre & Spa Beautopia Spa Medica Belaya Anti-Aging & Aesthetic Ctr 1 1 1 Bell Tower Salon, Medi-Spa and Store 5 7 5 Bella Fontana Spa Ltd 1 Bella Pelle Medical Spa 5 6 5 Bella Visage 3 5 3 Belladerm MedSpa 1 1 1 Belle Medical Skin Spa 3 3 3 Belle Vie MedSpa 1 1 2 Biro Venus Medical Spa 4 1 4 Blu Cocoon MedSpa 2 6 2 Blue Water Spa 1 1 1 Boise Image Enhancement Centre 2 1 2 Bougainvillea Clinique 1 Candessa Surgical & Laser Aesthetics 3 3 Capri Medical Spa Carolina Medi-Spa Center for Plastic Surgery 2 2 CFMA & MediSpa 3 3 Clarity Medical Spa 2 4 2 Clear Waters Salon and Day Spa Cosmetique Med Spa Cosmic Creations Cultura Medical Spa 1 1 Déjà Vu Med Spa Dermalounge Devenu Medical Rejuvenation Center 1 1 3 1 2 1 1 1 1 1 3 2 3 Dormer Lawrence Medical Spa Dr. David Glick Dreams Med Spa Emerge Medical Day Spa 1 2 Eshaan Laser & Skin Care Medical Spa 137 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 2 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Essential Beauty Medical Spa 1 Essex Medspa 1 2 Esteem MedSpa 1 2 Estetica Cosmetic & Reconstructive Surgery of Scottsdale 1 1 Euro Day Spa and Laser Center 2 4 1 1 1 1 3 1 1 2 Evolutions Medical Spa 1 1 1 Focus Medical Spa 1 1 1 Forest Medical Spa 1 1 Forever Young Fountain of Youth 2 Fusion Medical Spa 1 Gardner Plastic Surgery 1 Genesis Cosmetic Surgery & Laser Center 1 1 1 1 1 Genesis Medspa Healing Waters Medical Day Spa 1 Heavenly Cosmetic Medical Spa 2 Heavenly Skin Medical Day Spa 2 2 3 Hela Ideal Image Facial Plastic Surgery Institute Dermed at Buckhead 1 1 Iowa Plastic Surgery 1 1 Jardin de Jeunesse Medical Spa 1 1 IntelliDerm Medical Spa Jawani Medical Spa Juva MediSpa 2 2 1 1 2 1 4 Kai the medical spa 3 1 Kansas City Med Spa 4 5 Key Laser Institute for Aesthetic Medicine 1 3 1 1 1 La Look Inc. 1 Laser Clinique 1 3 1 L'Azur La Vie Le Beau Visage Medical Spa 1 Le Med Spa 1 Longevity Medical Spa 1 1 1 Madsen Medical Spa 1 1 1 Medi-spa at Knoxville Dermatology Group Medical Aesthetics, LLC 1 2 Medical Spa at Nova 3 1 Millennium Medical 1 1 Mona Spa & Laser Center 3 1 Monarch Bay Laser 1 1 Mondello Medical Spa 1 1 3 3 1 1 1 3 1 2 Neos Med Spa 1 1 1 1 NLI Med Spa 7 2 9 138 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 7 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Northwest Medi Spa 4 Odyssey Medispa 5 Ology Spa 4 Papillon Medi Spa 2 2 1 Park Avenue Medical Spa 4 5 2 4 2 4 1 4 Pelage Spa and Skin Centre 6 2 1 Petroff Center 2 1 Pigalle Salon & Medspa 2 1 2 1 2 1 2 2 Platinum Medical Spa Premier Medi-Spa 2 Q Medical Spa at Lindsay House 2 1 Radiant Clinic 1 1 Reflections MedSpa 2 1 2 1 1 2 1 1 1 0 2 Rejuvalife Vitality Institute 1 Rejuvine MedSpa - Solana 1 Result Spa SaJune Medical Center 2 Saratoga Dermatology Spa City Spa 1 2 Shanti Medical Spa and Wellness Center SIA Spa 2 2 1 2 SK Sanctuary Day Spa Skin Care By Design MediSpa 3 1 Skin Deep & Beyond Spa Skin Deep Laser MedSpa 3 Skin Plus Medical Spa 2 3 1 Skin Reflections Medical Spa SkinLogicSkin Center SkinMedic 4 2 1 Smooth Aesthetics Medical Spa 4 1 Smooth Synergy Cosmedical Spa Smoothskin Cosmetic Laser Center Spa 35 1 Spa 415 Spa Bella Medical Day Spa 3 1 3 Spa Belle Meade Spa City Spa 2 2 Spa ME SpaDerma Medical Skin Care 2 2 2 Still Waters Medical Day Spa Sura Spa 2 The Cardiff Medical Spa 2 1 The Institute, A Medical Spa 4 1 2 The Lifestyle Center 2 2 1 4 1 The Medical and Skin Spa 1 2 139 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. 1 Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends The Spa at Waldorf Center for Plastic Surgery 5 1 1 1 1 5 Ultra Derm Medical Spa 2 5 Vermont Center for Plastic Surgery & Dermatology 3 2 Vibrance Medical Spa 3 Visage Spa 1 1 1 Visage Spa 2 1 2 Vitahl Medical 4 1 Wellness Institute and Medical Spa 2 3 2 1 2 Westside Medical Spa 2 3 1 1 2 Young Medical Spa 2 1 2 2 Turner Medical Spa Turquoise, A Medical Day Spa U Boutique and Med Spa YOUnique Medical Spa 2 1 3 3 4 1 Z. Medical Spa & Rejuvenation Center 1 1 Totals: Notes Name of Facility Notes A Bloom Medical Spa A New You Medical Spa Physician on call / Nurse and more than one esthetician / IMSA A Perfect Finnish Medical Spa Acqua Blu Medical Spa & Skin Care Ctr IMSA member Advanced Aesthetics Medi Spa Advanced Medical Spa Price list Advanced Skin and Body Solutions Price list Aesthetic Surgical Arts and Skin Enhancement Ajune Posted prices Alani Medical Spa Alegria Medspa Allure Image Enhancement Aluna Aesthetics & Day Spa American Aesthetics Med Spa Anara MedSpa & Cosmetic Laser Center Anew Medspa Aphrodite's Grecian Medical Spa Ardan Med Spa & Salon Artisan MedSpa 140 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Aurora De Juliis, M.D. European Medical Spa IMSA member Avalon Salon & Spa Posted prices / "Aesthetic day spa" Aventine Medspa Med spa / day spa / salon / IMSA member AYA - Northside Location Azani Medical Spa Aziz Salon and Day Spa, Skin and Wellness Center Posted prices / No staff information Azura Medical Spa Be Lifestyle Medspa Beau Visage Medical Cosmetic Centre & Spa Beautopia Spa Medica Belaya Anti-Aging & Aesthetic Ctr "Physician-directed aesthetic services" Bell Tower Salon, Medi-Spa and Store Posted prices Bella Fontana Spa Ltd Bella Pelle Medical Spa Posted prices Bella Visage Belladerm MedSpa Belle Medical Skin Spa Belle Vie MedSpa Biro Venus Medical Spa IMSA member Blu Cocoon MedSpa Posted prices Blue Water Spa Posted prices Boise Image Enhancement Centre Bougainvillea Clinique Candessa Surgical & Laser Aesthetics Online store "coming soon" Capri Medical Spa No staff information Carolina Medi-Spa Center for Plastic Surgery IMSA member / No product information CFMA & MediSpa Clarity Medical Spa "Physician-directed" / MD-performed fillers and injectables Clear Waters Salon and Day Spa Posted prices / No staff information Cosmetique Med Spa No staff information Cosmic Creations Cultura Medical Spa Limited staff information / Fillers & LHR through practice Déjà Vu Med Spa Dermalounge IMSA member / No staff information Devenu Medical Rejuvenation Center Dormer Lawrence Medical Spa No product or staff information Dr. David Glick Fillers performed in medical practice / No staff information Dreams Med Spa Emerge Medical Day Spa IMSA member Eshaan Laser & Skin Care Medical Spa No staff information Essential Beauty Medical Spa No staff or physician information Essex Medspa Esteem MedSpa 141 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Estetica Cosmetic & Reconstructive Surgery of Scottsdale Spa-like state-of-the-art facility (medical practice) Euro Day Spa and Laser Center Spa & medical practice Evolutions Medical Spa Focus Medical Spa Downloadable PDF for skin products & prices Forest Medical Spa Forever Young No staff information / "Call for prices" Fountain of Youth Some prices posted Fusion Medical Spa Unspecified physician and number of estheticians / No product information Gardner Plastic Surgery No staff profile information Genesis Cosmetic Surgery & Laser Center IMSA member / Formerly Genesis Cosmetic Surgery & Medical Spa Genesis Medspa Healing Waters Medical Day Spa Posted spa service prices / No support staff info / Facials & peels at spa Heavenly Cosmetic Medical Spa Heavenly Skin Medical Day Spa Unspecified physician and support staff / Operated by an RN Hela No specific staff info other than MD / Some prices / Non-functional cart Ideal Image Facial Plastic Surgery No specific staff information other than physician Institute Dermed at Buckhead Posted prices IntelliDerm Medical Spa Iowa Plastic Surgery No staff info / Medical practice, laser center, and medical spa Jardin de Jeunesse Medical Spa Jawani Medical Spa No physician or staff information Juva MediSpa Aestheticians referenced without profiles Kai the medical spa Kansas City Med Spa Key Laser Institute for Aesthetic Medicine Registered nurses / No physician information La Look Inc. No staff info other than owner/esthetician / Posted prices Laser Clinique Facials, peels, massage, waxing only at medical spa / Aesthetics at clinic L'Azur La Vie No MD cred. or staff info / Limited product info / Spa services / Store "soon" Le Beau Visage Medical Spa "Medical facility" / Presents as a med spa / No staff info Le Med Spa No staff info / Tons of products (branded + other) / separate store web site Longevity Medical Spa No staff info / Limited brand info / Comb. med practices, spas & MDs Madsen Medical Spa "Medical massage" / No skin care products listed Medi-spa at Knoxville Dermatology Group No staff info / Massage and many spa services Medical Aesthetics, LLC Medical Spa at Nova Fitness trainers Millennium Medical Limited product information / No staff info Mona Spa & Laser Center MD supervision / Latisse® Monarch Bay Laser Latisse® / RevitaLash / Some "spa-like" services (e.g., make-up) & setting Mondello Medical Spa Limited staff and product info / Latisse® Neos Med Spa Limited staff & product info / No "about us" page NLI Med Spa Multi-certified staff(e.g., aestheticians, laser techs, etc.) / No product info Northwest Medi Spa No staff info Odyssey Medispa No staff info / No product info / Posted prices Ology Spa Posted prices / 142 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends Papillon Medi Spa Affiliated with WPSG (practice) / No staff or product info / Some pricing Park Avenue Medical Spa Spa service pricing / No product information Pelage Spa and Skin Centre Limited product and staff information Petroff Center Incorporated with a PS practice Pigalle Salon & Medspa Affiliated with Birmingham Cosmetic Surgery / Posted procedure prices Platinum Medical Spa No staff information / Limited products Premier Medi-Spa Posted prices for some procedures / No product information Q Medical Spa at Lindsay House Two clinical facilities - cosmetic practice and hair restoration center Radiant Clinic Latisse® / Hormones / No other product information Reflections MedSpa No specific information about staff other than MD Rejuvalife Vitality Institute No product info / Eyelash extension / Fitness / Weight loss / Anti-aging Rejuvine MedSpa - Solana Training facility for Candela Laser / Price info upon req / No staff info Result Spa No product information / Posted prices for medspa treatments SaJune Medical Center Medical practice and medical spa Saratoga Dermatology Spa City Spa Operated by an RN / Posted Prices for treatments but not for products Shanti Medical Spa and Wellness Center Posted prices for procedures / No product or staff information SIA Spa Posted prices / No product information SK Sanctuary Day Spa Skin Care By Design MediSpa No obvious spa offerings Skin Deep & Beyond Spa No product or staff information / Posted service prices Skin Deep Laser MedSpa Corporate membership program / Posted prices Skin Plus Medical Spa Spa packages offered but no posted descriptions Skin Reflections Medical Spa No staff information SkinLogicSkin Center No physician information / Posted prices SkinMedic Downloadable PDF for skin products & prices & some staff information Smooth Aesthetics Medical Spa No staff information Smooth Synergy Cosmedical Spa No physician or staff information Smoothskin Cosmetic Laser Center No staff information / Posted prices Spa 35 No physician or staff information Spa 415 No product or staff information Spa Bella Medical Day Spa No staff information Spa Belle Meade No product or staff information Spa City Spa Spa ME No staff information SpaDerma Medical Skin Care Limited staff information Still Waters Medical Day Spa No product listings or staff information / Posted prices for services Sura Spa Limited staff information The Cardiff Medical Spa Posted product prices The Institute, A Medical Spa The Lifestyle Center Limited staff information The Medical and Skin Spa Latisse® / Wellness The Spa at Waldorf Center for Plastic Surgery Spa is affiliated with plastic surgery center / Downloadable price list Turner Medical Spa No staff information Turquoise, A Medical Day Spa Posted prices / No product or staff information 143 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher. Medical Retail & Medical Spa Markets: Facility, Service, & Staffing Trends U Boutique and Med Spa No product or staff information Ultra Derm Medical Spa Posted prices / Latisse® Vermont Center for Plastic Surgery & Dermatology No product information Vibrance Medical Spa Visage Spa Practice web site with link to med spa / Limited staff info / No product info Visage Spa Vitahl Medical Latisse® Wellness Institute and Medical Spa No product information / Posted prices Westside Medical Spa Young Medical Spa Confusing physician and staff info / Latisse® YOUnique Medical Spa No staff information / Posted prices Z. Medical Spa & Rejuvenation Center 144 Copyright © 2011 by Feedback Research Services / Feed-back.com. All Rights Reserved. This document may not be distributed, duplicated, retransmitted, or rewritten in part or in its entirety without permission from the publisher.