Medical Spa Market Review 2011: The Changing - Feed

Transcription

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:
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.
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
Staffing
The Dermatology Market
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)
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
71
71
74
77
Procedures
Staff
Notes
82
85
87
Dermatology Practices
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
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
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
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
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
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
•
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
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
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
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
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
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
9
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
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
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
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%
--
--
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
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%
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
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
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
7 locations
N/A
6 franchises
20 locations
14 locations
N/A
37 locations
N/A
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
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
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
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
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
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.
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
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
• 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Table 6
Extrapolated U.S. Medical Spa Closure Estimates & Forecasts, 2006 - 2014
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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
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
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
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
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
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
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
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
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
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.
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
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
"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
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"
43
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
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
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
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.
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%).
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
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
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
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"
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
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%
Licensed Massage
Therapists
Certified Laser
Technicians
19%
Medical Assistants
Surgical Assistants
49
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.
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
Figure 14
Multi-Location Dermatology Practices (2011)
13%
5%
Single location
3%
2 - 4 locations
5 - 9 locations
79%
10 or more locations
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
51
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
52
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"
53
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%
62.0%
12.1%
Licensed Massage
Therapists
Certified Laser
Technicians
Medical Assistants
Surgical Assistants
54
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.
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
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
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
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
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
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procedure categories)
59
Table 8
The U.S. Cosmetic / Plastic Surgeon Non-Invasive
Aesthetic Procedure Market, 2010 - 2014
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Table 9
The U.S. Dermatologist Non-Invasive
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60
Table 10
The U.S. Otolaryngologist Non-Invasive
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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
•
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
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%
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
•
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
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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
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
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
Table 13
The U.S. Skin Care Product Market, 2008 - 2013
H
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X £v ¥v
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£v £v
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vv
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v v
v¡ ¢
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v £v
y¡ ¢
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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
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
"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
"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
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
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
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
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
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
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/
Med
Spa
# of
Locations
# of
MDs
1
1
1
1
ABPS / ASAPS
1
1
ABPS / ASPS
2
1
Otolaryngology
1
2
1
1
1
ABPS / ASPS
ASPRS / ASAPS
1
Name of Facility
Physician "Credentials"
2
1
FACS / ASAPS
2
1
FACS / ABPS / ASAPS
1
1
ABPS / ASAPS
5
1
ABPS / ASPS
1
3
1
FACS / ABPS / ASPRS
1
1
1
FACS / ABPS / ASAPS / ASPS
1
2
1
ABPS / ASAPS
1
1
FACS / ABPS / ASPS / ASAPS
3
3
Ophth / AACS / ABPS
1
2
1
ASPRS
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
1
1
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
1
1
ABO / ABFPRS
Boris M. Ackerman
1
1
ABPS / ASPS
Bruce Carter
1
1
ABS / ABPS
1
1
FACS / ASPS
2
2
ABS / FACS / ABPS / ASPS
1
1
74
1
1
ABPS
1
1
ASPS / ASAPS
AAFPRS / ABO
2
1
1
1
2
1
2
ABPS
1
1
1
ACS / ASPS
1
1
1
ASPS / ASAPS
1
3
ABPS / ASAPS / ASPS
1
1
ABPS
1
2
FACS / ABO
1
1
ABPS / ASPS / ASAPS
2
1
ABPS
1
1
ABPS / FACS
1
1
AAO
1
1
AAO / AAFRPS / ACS
1
1
ASPS
Dr Ellen Janetzke
1
1
ASPS
Dr James Clayton
1
1
ASPS / FACS
Dr. John Farella
3
1
ASAPS / ASPS / FACS
2
3
ASAPS / ASPS / FACS
1
1
ACS / ABPS / ASAPS / ASPRS
2
2
ABS / ABPRS / ASPS
2
1
AACS / AAMOS / ADA
3
2
1
3
ABPS / APSP
1
3
ABPS / ASPS
Gregory Herbich Inc
1
1
AACS / ABCS /
1
2
ASPS / FACS
1
1
1
1
1
AACS / ABFPRS
1
1
ACS / ASPS / ASAPS
1
1
ACS / ASCS / ASOPRS / FACS
Image by Design
1
1
ASPS / FACS
1
1
ASAPS / ASPS
Jon Bishop MD
1
1
ABPS / ASPS
1
1
ASAPS / ASPS
1
1
1
ABPS / ASPS
1
1
ASPS
1
1
1
ABPS / ASAPS / FACS
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
1
75
1
2
ASAPS / ASPS / FACS /
1
1
ABPS / ABFPRS / AAOHNS
1
2
1
ABPS / ASAPS
1
1
AAFPS / AAOHNS / ABPS
1
1
1
Scot A Martin MD
Sensational Skin
3
2
ABS / ABPS / ASPS
1
1
ABP / ACS / ASPS
1
1
ABFPRS / ABO / ACS
1
2
FACS
1
1
ABO / ABPS / ASPS
1
1
AACS / AAO / ACS
ACS / ASAPS
1
1
2
1
1
1
ABPS
1
1
ABPS / ASAPS / ASPS
1
3
ASAPS / ASPS
1
1
ASAPS / ASPS / FACS
2
2
ABPS
1
2
ASAPS / ASPS
2
4
ASAPS / ASPS
1
1
ABPS / ASPS / FACS
1
4
ASAPS / ASPS
1
1
ABPS / ASPS / FACS
2
4
ABPS
134
151
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
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1
3
1
1
1
2
Alexander G. Nein
1
1
2
1
1
1
4
1
1
1
1
1
1
3
1
1
1
1
1
5
1
1
2
1
2
Arthur Rosenstock
2
Boris M. Ackerman
Bruce Carter
1
1
77
1
1
3
1
1
1
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Dr Ellen Janetzke
3
1
1
2
Dr James Clayton
1
Dr. John Farella
1
1
1
1
1
1
1
6
1
1
1
1
1
1
1
1
Gregory Herbich Inc
1
1
1
1
2
1
1
1
1
Image by Design
1
2
1
Jon Bishop MD
1
1
1
1
1
1
1
1
1
1
1
1
1
3
1
78
1
1
1
1
1
1
Scot A Martin MD
4
1
Sensational Skin
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
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?
1
79
1
1
6
19
1
1
1
1
1
Alexander G. Nein
1
Arthur Rosenstock
1
1
Boris M. Ackerman
Bruce Carter
1
1
1
1
1
1
1
3
1
1
80
Dr Ellen Janetzke
Dr James Clayton
Dr. John Farella
1
1
1
1
Gregory Herbich Inc
1
Image by Design
1
1
Jon Bishop MD
1
1
1
1
1
1
Scot A Martin MD
1
Sensational Skin
1
1
1
1
1
1
81
1
1
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
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
82
2
4
3
2
1
4
4
1
5
6
2
6
11
1
4
4
1
Alexander G. Nein
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Arthur Rosenstock
1
1
1
1
1
1
Boris M. Ackerman
Bruce Carter
1
0
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
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
1
1
Dr Ellen Janetzke
Dr James Clayton
1
Dr. John Farella
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
83
4
2
8
2
2
4
6
4
2
1
Gregory Herbich Inc
1
1
1
Image by Design
1
1
1
1
1
1
Jon Bishop MD
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Scot A Martin MD
Sensational Skin
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
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
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
11
Totals
1
1
1
61
1
1
1
1
65
1
1
1
98
84
2
4
4
5
8
359
Staff
Name of Facility
Esth
RN /
NP
PA
LMT
CLT
CPN
CMA
/ MA
SA/T
Other
1
1
2
1
1
1
2
2
2
2
1
1
2
1
1
1
1
Alexander G. Nein
2
1
1
1
3
4
3
1
2
1
Arthur Rosenstock
1
2
1
5
2
1
Boris M. Ackerman
6
Bruce Carter
1
3
1
1
2
1
1
1
1
1
1
1
2
2
1
1
1
1
2
3
85
1
2
3
1
1
1
1
2
2
2
1
Dr Ellen Janetzke
3
Dr James Clayton
Dr. John Farella
3
3
1
6
2
3
1
2
3
10
3
Gregory Herbich Inc
2
2
1
1
1
3
1
2
1
1
2
Image by Design
1
3
2
Jon Bishop MD
1
2
3
2
1
4
1
2
1
2
2
2
1
6
1
2
2
4
8
1
1
2
Scot A Martin MD
1
2
Sensational Skin
3
1
86
1
6
2
1
1
3
1
2
1
1
1
1
2
5
2
1
4
4
4
2
3
6
13
118
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
Emphasis on surgery / No product or staff Info
Esth / LMT position
No medical staff info /
Biomedic / Surgical / Latisse
Teamine / Revision / Surgical / MedSpa Prices
Biomedic® / Skin Care Clinic / Latisse / Surgical / No staff info
No product or staff info / Clarisonic / Rosa Graf
Med Spa offers products, store, & services (massage, hair, etc.)
87
Med Spa / No staff info
No staff position info / Physicians Complex® / Latisse® / Clarisonic®
No staff info / Parisian Peel
Epionce / NuCell / Latisse
Aesthetique, An Advanced Cosmetic and Laser Surgery Ctr.
ECHO2 / La Stone
Rhytec / Portrait Plasma / Aesthera
Alexander G. Nein
Neocutis / Revale / Skin Renu / Latisse / Revision / Lycogel
Lipolysis, Mesotherapy
BENEV / Neova / Vivite / Latisse /Home maintenance / No staff info
Mostly surgical procedures / No staff information
Latisse / VIVITE / Clarisonic / No staff information
Latisse / Cosmetic consultants / Certified ophthalmic assistants
SkinTyte / Latisse / Visia
Arthur Rosenstock
Primarily surgical procedures / No skin care products lists
NuSkin / Clarisonic / Revisions / www.RenewBeautyCenter.com
Latise / No staff information
Skin Deep / Calidora / Ulthera / No staff info
7 unspecified staff / Ulthera / Latisse / ColoreScience / Neocutis
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 /
Latisse / Titian laser /
Latisse / ScarGuard MD / Dermaplane / Retin-A / Perm make up
Thermaderm
Vibraderm / Permanent make up / eMAX ELOS laser
Clarisonic / IPL
Elite / Topix / Avene / Revale / TNS / Latisse / Vivite
Clarisonic / Eye Crème / Massage / VascuLight / Vivite / Latisse
"Online store coming soon"
Latisse / Camoflauge make up / Resurfacing
IPL / Skin tightening / Teamine / Talika Eye Patch
Resurfacing / Tightening / Latisse®
Exoderm / Latisse® / Melanage / LaserTight / No product or staff info
No product information / Emphasis on surgical procedures
IPL / No skin care product info (fillers and injectables only) / No staff info
Primarily surgical / No skin care product info
No staff information / Several laser brands mentioned
Surgical procedures only / Minimal web site / No product or staff info
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
Retin-A / Thermaderm / Physicians Choice / DermaSweep / Latisse
IPL / No staff information / Procyte Home Care Regimen
88
Products &staff info / "What's New?" / Latisse® / Image skin care
Photo suggests 3 clin. staff / No skin products / Primarily facial & oral surg
IPL / Fraxel / Latisse® / Necutis / Phys. Form. / Clarisonic / Blue Lizard
Primarily surgi. / GLY DERM / Laser resurfacing / Various fillers / Latisse
Gregory Herbich Inc
Primarily surgical / Tatoo removal / Scar reduction / Latisse / Retin-A
Surg & med spa sites / Sciton® laser / Latisse / Environ / Colorescience
Primarily surgical
Various lasers / Revision / Latisse / Make up
Latisse / SkinTyte / Omnilux / Gentle Waves / Retin-A only
Image by Design
Latisse / Resurfacing / Works with derm / No skin product or staff info
Permanent make up / IPL / Teamine / Ti-Silc
Jon Bishop MD
Dermabrasion / Primarily surgical / No product information
IPL / Perm make up / TNS / "#1 & #2 skin care lines in US" (Obagi & ?)
Partnered with Consultaive Skin Care / Massage / Primarily plastic surg
Staff specifics not posted / Latisse / IPL / Permanent make up
IPL / Massage / Tinting / Wax / Obagi "Condition and Enhance System"
Dermabrasion / Primarily surg / Spa body & skin (massage, wax, etc.)
Opalus affiliation / Resurf., tattoo, etc. / Dermatologica / Youngblood
Skin spa with "esth." and "licensed med. technicians" / Vein / Latisse
No staff specifics (photo of four clinicians)
Primarily surgical with spa for non-surg and skin / Laser resurfacing
No skin product or staff information
Permanent make up / Veins / Waxing / LexiLi® skin care
Combo surg & non-surg / Facial, scar, vein laser / IPL / Latisse / Wax
Scot A Martin MD
Primarily surg. / Lastisse / Tint / Wax / elos / Dermatologica
No staff information / Laser resurfacing / Viatmin C / TCA peels
Sensational Skin
No staff information / Acne, vein, PDT / Photo Facial
MicroPeel / Thermaderm / Physician's Choice / Laser resurfacing
Gly Med
ZERONA / Retin-A
Dermabrasion and vein / No staff information / Retin-A® / Resurf.
No skin product or staff information / Vein
Sclerotherapy / Latisse
Computer imaging / Latisse / Permanent make up / Massage
Practice and medspa / Massage / Latisse / Xtreme Lashes
Primarily surgical with good blend of non-invasive procedures and products
Latisse / VIVITE / IPL
Latisse / Endermologie / Photofacial
Photofacial / Vein / Pgmentation / Specific skin care products not named
IPL / No staff information
Resurfacing / Specific skin care products not named / No staff info
Latisse / "Medical Spa Services" / Resurfacing / Vein
VIVITE / Environ / Clarisonic / minence (organic) / Perm. make up / Etc.
89
Laser resurfacing, tightening, scar, vein, etc. / No staff information
Many laser & others / "Innovative Skin Care formulas" / IPL / LED
Dermatology Practices
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
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
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
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
Name of Facility
Med Spa
# of Locations
# of Doctors
A Plus Dermatology
1
1
2
5
2
1
1
1
ADA Dermatology
1
1
2
1
51
119
1
2
1
6
1
1
1
2
Aesthetic Kansas City Laser & Lipodissolve Center
1
1
93
1
1
1
1
1
4
1
1
4
Associated Dermatologists of West Bloomfield
2
4
5
17
5
14
2
4
1
1
1
1
1
1
2
1
1
1
3
1
2
1
1
1
1
Boulder Dermatology
1
1
3
1
2
1
1
1
2
1
1
1
4
2
2
1
1
1
1
1
1
1
1
1
4
1
1
1
1
1
5
Dermaesthetica
1
1
1
1
1
4
1
1
15
12
1
1
1
1
7
2
12
1
4
1
1
1
2
1
5
1
4
94
11
21
1
7
1
3
Dermatology Center
1
1
1
1
1
3
1
1
Dermatology Clinic
1
3
3
3
1
1
3
8
1
2
2
3
1
1
Kevin L. Dawson MD
1
1
1
1
1
9
4
5
1
1
1
1
12
7
N Eugene Morrow MD
1
4
1
1
7
14
2
2
1
1
1
9
1
2
2
4
1
1
1
2
3
3
2
2
1
2
2
1
Peter Goodkin M.D.
1
1
1
1
1
6
Rodgers Dermatology
2
Rutland Skin Center
1
Sensational Skin
1
1
3
7
Skin Care-MD
1
1
Skin Fitness Center
2
2
95
1
Skin MD
1
2
9
6
1
1
3
6
Steve Harlan MD
1
1
1
1
1
1
2
4
1
2
1
2
1
2
2
1
1
1
1
8
1
1
1
4
2
6
1
1
1
3
1
1
1
5
1
2
1
2
9
Woodson Dermatology
2
2
1
2
2
6
The Skin Institute
1
1
1
1
1
1
1
1
Johnson Dermatology
1
2
1
1
1
2
1
1
1
1
1
1
5
3
2
2
1
1
1
Darst Dermatology
1
1
1
2
1
4
96
1
2
2
3
1
1
1
1
5
8
1
1
Fanny M. Berg, MD
1
1
303
556
1
7
Totals:
Key:
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
1
O
t
h
e
r
1
1
1
97
P
C
A
1
ADA 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
Boulder Dermatology
1
1
1
1
1
1
1
1
12
1
8
1
2
1
1
4
6
1
1
3
1
1
Dermaesthetica
1
2
1
2
1
3
98
1
1
1
1
1
1
1
1
1
5
1
1
1
1
1
1
1
1
1
10
1
1
1
1
1
1
1
1
1
3
8
Dermatology Center
1
3
1
1
Dermatology Clinic
1
8
1
1
1
9
1
4
1
1
1
1
1
1
Kevin L. Dawson MD
1
1
1
1
1
N Eugene Morrow MD
1
1
1
1
1
1
1
1
1
1
5
4
1
1
Peter Goodkin M.D.
1
1
1
99
12
4
1
1
Rodgers Dermatology
Rutland Skin Center
Sensational Skin
1
1
Skin Care-MD
1
1
1
1
1
Skin Fitness Center
Skin MD
1
1
1
1
1
1
1
1
Steve Harlan MD
1
1
1
1
1
1
1
1
1
1
3
1
1
1
2
1
2
1
1
1
1
1
1
2
1
7
1
4
1
1
4
1
1
1
1
2
1
1
1
1
1
1
29
1
5
Woodson Dermatology
1
1
3
1
1
1
3
6
The Skin Institute
1
4
1
16
Johnson Dermatology
1
1
100
9
1
1
1
1
6
1
1
1
8
Darst Dermatology
1
3
1
1
1
3
1
1
1
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
1
1
1
ADA 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
101
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
Boulder Dermatology
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Dermaesthetica
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
102
Dermatology Center
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Dermatology Clinic
1
1
1
1
1
Kevin L. Dawson MD
1
1
1
N Eugene Morrow MD
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Peter Goodkin M.D.
1
1
1
1
1
Rodgers Dermatology
Rutland Skin Center
Sensational Skin
1
1
Skin Care-MD
1
1
1
1
Skin MD
1
1
1
1
1
1
1
1
Skin Fitness Center
1
1
103
1
1
Steve Harlan MD
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
Woodson Dermatology
1
1
The Skin Institute
1
1
1
1
1
1
1
1
Johnson Dermatology
1
1
1
1
1
Darst Dermatology
1
1
1
104
1
1
1
1
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
1
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
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
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
105
1
1
1
1
1
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
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
2
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
Dermaesthetica
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
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
Dermatology Center
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Dermatology Clinic
1
1
1
1
1
1
1
1
1
1
1
1
2
106
1
1
1
1
1
1
1
1
1
1
1
1
Kevin L. Dawson MD
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
N Eugene Morrow MD
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
5
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
Peter Goodkin M.D.
1
1
1
1
Rodgers Dermatology
1
Rutland Skin Center
Sensational Skin
1
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
1
1
1
1
1
1
1
1
1
1
Steve Harlan MD
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
1
1
1
1
1
107
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
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
The Skin Institute
1
1
1
1
1
1
Johnson Dermatology
1
1
1
1
1
1
1
1
1
1
1
1
Woodson Dermatology
1
1
1
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
7
1
3
1
10
1
7
1
2
1
1
6
1
5
1
1
2
1
1
2
1
1
3
1
1
1
1
1
Darst Dermatology
1
1
1
1
1
1
1
1
1
1
4
1
1
1
1
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
1
1
Fanny M. Berg, MD
1
1
Totals:
108
Staff
Name of Facility
Esth
A Plus Dermatology
RN /
NP
PA
LMT
CLT
CMA
/ MA
SA/T
1
2
1
2
1
ADA Dermatology
1
1
3
26
6
24
3
2
1
4
1
1
4
1
2
1
2
2
4
2
2
2
2
2
Boulder Dermatology
2
1
2
1
1
2
2
1
3
1
1
109
3
1
Dermaesthetica
2
2
1
11
3
1
4
1
3
2
1
1
1
3
3
5
1
2
Dermatology Center
1
1
Dermatology Clinic
1
6
1
5
2
3
1
Kevin L. Dawson MD
1
1
N Eugene Morrow MD
4
2
1
1
1
110
1
3
3
2
2
2
2
1
2
Peter Goodkin M.D.
2
1
1
Rodgers Dermatology
Rutland Skin Center
4
Sensational Skin
1
Skin Care-MD
1
Skin Fitness Center
1
3
1
Skin MD
2
4
1
3
Steve Harlan MD
2
1
2
1
3
4
1
1
1
1
1
1
2
1
1
2
1
5
1
4
Woodson Dermatology
3
1
2
4
2
111
The Skin Institute
1
2
3
1
Johnson Dermatology
1
1
1
2
2
4
2
2
2
Darst Dermatology
1
1
1
2
1
1
5
1
1
1
3
142
58
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
Mini face lift
" Philadelphia College of Osteo Med" - DO / No product or staff information
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
Private label products / Northeastern state locations (NJ / NY / PA
Blog
No procedure or staff information
No procedure or staff information
Pain and vein procedures
No staff information
No product or staff information
No staff information other than physician
Signature Medical Spa
No staff information other than physician
112
Med Spa affiliate / Aesthetic Alternatives / Avene skin products
Photocetuicals / Formerly iS Skin care products
Revision Skin Care products
Gen. derm. (acne, eczema, moles, psoriasis, rashes, etc.) No product or staff info
Affiliate of Beautiful Skin Can Be Yours Med Spa / No information on other staff
No information on other staff
Gen. derm.. / permanent make-up / VIA brand / "specially formulated"
Mesotherapy
Boulder Dermatology
No product information
No product information, no staff info
DiamondTome
No staff info, incomplete list of services
Thermage, ClearLight, no specific number of extra staff
Zerona laser fat reduction, no info on staff or products
Massage services
No cosmetic services
LifeSculpt, Mesoderm
No product or staff info.
Dermaplaning, ear piercing, no brand listing.
Dermaesthetica
Thermal Rejuvenation Facial, online store only sells their in-house formula
No staff or product information
Online store offers over 3000 skin care products, but only 3 brands are at office
No staff info
No info about cosmetic services - unsure if they are offered
Day spa, body work, medical, and skin / Facility upgrade Jan 2011 / Hair, nails, etc.
Thermage, no product information
Little to no info on product or extra staff
Velashape
Microdroplet silicone for acne scars
IsoLaz / Store has 231 "Other" brands.
Offers "Add-On" services using paraffin wax; No product info
Dermatology Associates PSC Cosmetic Skin Care Ctr.
Ear piercing, No additional staff info
Pearl laser treatment
Dermatology Center
Sculptra
113
No product or staff info
No service or staff info / Private label products only
No staff info
Dermatology Clinic
Skin Master Rejuvenation System, Arasys
No product information other than make-up brands
Permanent makeup / Paraffin treatments / No product information
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
Specializes in skin cancer treatments and cosmetic procedure
No information on products
No information on products
Mohs Micrographic Surgery; no information on products
N Eugene Morrow MD
No information on doctors
Hair and skin expertise/for African Americans and other Peoples of Color
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
No information on products; ODA’s Signature Aqua Surge Treatment
No information on products.
Offers many in-house products.
Only offers Medical services.
Selphyl, non-surg. nose-jobs, teeth whitening, wt. loss, hair loss / Ltd. staff info.
Peter Goodkin M.D.
Little info on staff
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
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
114
Steve Harlan MD
Dermaplaning / No product information
There ARE estheticians but no indication of how many.
Smart Lipo
Skin Tyte
Ultherapy / DiamondTome
No information on staff
Isolaz, Silk Peel, CoolTouch. No info. on other staff aside from mention of Esth.
Hand & Foot PUVA, ReLume
Micrograft Hair Transplants
No information on products or other staff.
Lightsheer Duet Hair Removal
Micrograft Hair Transplants
No information on products or other staff.
Lightsheer Duet Hair Removal
Woodson Dermatology
GentleWaves
The Skin Institute
No info on staff aside from MD
CoolSculpting; Staff tab empty. No Product Info.
Mohs, Photofacial, PDT, Scler. Thermage, Visia / Staff photo only but no info.
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.
IS Clinical, Visual Changes, Vivite / Formerly Atlantic Skin & Cos. Surg. Grp.
No product or esthetician staff info.
$65 - 85 per tx
General derm as well
Gen. derm. ( acne, eczema, moles, psoriasis, rashes, etc.) No prod or staff info
Darst Dermatology
Vivite Skin Care, La Roche-Posay, Clinique Medical, Vanicream,
Products not listed / Web site for a large health system (Avera Health Foundation)
Login required for shopping cart to work / RevaleSkin, Avene, & Clarisonic
Revale, Vivite, Latisse
115
Medical spas at two locations / Blue Lizard, Anthelios, Tri-Luna, Vivite
Neocutus, TNS, Tensage
Fanny M. Berg, MD
Replenix / Location opened January 2011
2011 FRS Medical Spa Database
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
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
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
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
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
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
Locations, Physicians, Credentials, & Medical Practice Affiliation
Name of Facility
A Bloom Medical Spa
#
of
Sites
# of
MDs
1
1
Med.
Prac.?
2
1
1
1
1
1
1
1
1
1
Med.
Dir.?
Physician Affiliations /
Credentials
1
MD
1
ABPS / FAAD
ABD
Osteopath
1
1
1
1
Ajune
1
1
1
Alani Medical Spa
2
2
1
MD
Alegria Medspa
1
1
1
"Board cert MD"
1
2
1
AACS
ASPS
ABFPRS
4
1
2
1
1
1
1
MD
1
1
1
MD
Anew Medspa
2
2
1
MD
1
1
1
Artisan MedSpa
1
1
1
1
RN
1
MD
anti-aging / ageless
Avalon Salon & Spa
1
2
1
Int. med
Aventine Medspa
1
1
1
"plastic surgeon"
2
1
ABPS
Azani Medical Spa
1
1
anti-aging
1
Azura Medical Spa
1
2
Be Lifestyle Medspa
1
4
1
1
1
Neurology
1
DO; FAAFP
1
Int. med.
1
2
1
1
1
1
1
1
1
1
Bella Visage
1
2
Belladerm MedSpa
1
1
1
1
Belle Vie MedSpa
1
1
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
1
1
1
AAAM
1
1
1
1
ASPS / ASAPS
1
1
1
1
FACS
Capri Medical Spa
2
1
1
Internal medicine
Carolina Medi-Spa
1
1
1
MD, DO, MPH
Internal medicine
2
4
1
CFMA & MediSpa
1
3
1
Clarity Medical Spa
1
1
1
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
1
1
1
MD
2
1
Dr. David Glick
3
1
Dreams Med Spa
1
3
1
1
1
Otolaryngologist
1
1
1
D.O.
1
Essex Medspa
3
1
1
MD
Esteem MedSpa
3
2
1
FACS
Estetica Cosmetic & Reconstructive Surgery of
Scottsdale
1
1
1
1
ABCS
1
1
1
1
AAD
1
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"
2
1
1
1
ABS / ABPS
1
1
1
1
ASAPS / ASPRS
Genesis Medspa
1
2
1
MD
2
4
1
Neuro / Oto / Family / Emerg
1
1
1
1
1
ASAPS
Hela
2
1
1
ABPS
1
2
1
1
AAFPRS
1
1
1
1
ABPS
1
MD, MBA, MDH
1
Ophthalmology / FACOS
1
1
1
1
1
2
121
Jawani Medical Spa
2
1
Juva MediSpa
1
4
1
Kai the medical spa
2
1
Kansas City Med Spa
1
1
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
1
1
1
Internal Med. / Pediatrics
Le Med Spa
1
1
4
4
Madsen Medical Spa
1
1
2
2
1
1
Medical Spa at Nova
1
1
Millennium Medical
1
1
1
1
Monarch Bay Laser
1
1
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
3
3
Petroff Center
1
1
1
1
1
1
1
Premier Medi-Spa
1
1
1
1
ASPS
1
1
1
1
AAFPRS
Radiant Clinic
1
1
1
Gerontology / Family / AAAM
Reflections MedSpa
1
1
1
1
1
1
Result Spa
1
1
1
4
1
2
SIA Spa
1
2
1
1
1
1
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
1
1
1
1
1
1
1
2
SkinMedic
1
2
1
2
2
1
1
1
1
1
1
FACS
ASPS
1
Osteopath
D.0.
Ob-gyn / ABPS
1
Spa 35
1
Spa 415
1
1
1
1
1
Spa Belle Meade
1
3
1
Spa City Spa
1
1
AAD
Spa ME
1
1
Family / Ob. Gyn
1
1
1
Emergency Med. / Family Med.
1
1
1
Otolaryngologist
Sura Spa
1
2
1
DDS / FAGD
1
1
1
D.O. / FACS
1
ASAPS/ASPS
2
1
1
1
1
1
AACS
AACS
1
1
FACS
FACS
1
AACS
1
AAAM / AAAAM
1
2
Turner Medical Spa
1
2
1
FACS / ASPS
1
Family Medicine
1
2
1
1
1
1
1
1
FACS
1
2
1
1
AAD / ASPRS / FACS
1
2
1
1
ABPS
Visage Spa
1
1
1
1
ASPS
Visage Spa
1
Vitahl Medical
1
Otolaryngologist
2
Internal Med. / Plastic Surgeon
1
1
2
3
1
1
Young Medical Spa
1
2
1
1
1
1
D.O.
AAFPS
1
Family Med. / Internal Med.
AACS
Totals:
Key:
123
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
1
5
1
14
1
7
1
1
P
C
A
1
1
1
Ajune
1
Alani Medical Spa
Alegria Medspa
3
1
1
9
Anew Medspa
1
3
5
Artisan MedSpa
1
1
124
1
Avalon Salon & Spa
Aventine Medspa
1
Azani Medical Spa
1
1
Azura Medical Spa
1
2
1
5
1
3
1
5
Be Lifestyle Medspa
0
1
2
1
1
4
6
16
1
2
1
1
Bella Visage
2
Belladerm MedSpa
1
Belle Vie MedSpa
1
4
1
6
1
4
1
7
Blu Cocoon MedSpa
Blue Water Spa
1
1
1
1
5
1
1
1
Capri Medical Spa
1
2
3
3
Carolina Medi-Spa
1
7
CFMA & MediSpa
1
Clarity Medical Spa
1
3
1
Cosmetique Med Spa
1
7
Cosmic Creations
Cultura Medical Spa
1
Déjà Vu Med Spa
Dermalounge
1
Dr. David Glick
Dreams Med Spa
1
14
1
6
1
9
1
1
1
1
Essex Medspa
1
Esteem MedSpa
1
125
2
1
1
Focus Medical Spa
1
Forest Medical Spa
1
9
1
1
1
4
Forever Young
1
Fountain of Youth
1
1
1
1
5
1
Fusion Medical Spa
Genesis Medspa
1
7
1
1
1
1
Hela
1
1
1
3
3
1
6
1
1
1
1
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
4
La Look Inc.
1
Laser Clinique
1
1
6
L'Azur La Vie
3
1
Le Med Spa
1
1
1
1
3
1
1
1
163
1
1
Madsen Medical Spa
3
1
1
1
5
2
Medical Spa at Nova
1
1
Millennium Medical
1
2
1
13
1
3
1
1
Monarch Bay Laser
1
1
Neos Med Spa
NLI Med Spa
3
Northwest Medi Spa
1
Odyssey Medispa
6
2
Ology Spa
1
1
Papillon Medi Spa
126
1
3
3
Petroff Center
1
1
4
6
2
Premier Medi-Spa
1
1
8
Radiant Clinic
2
Reflections MedSpa
4
1
3
Result Spa
1
1
1
0
1
1
1
1
8
1
187
1
15
1
1
1
SIA Spa
1
3
1
1
1
1
1
1
1
17
1
3
1
1
1
1
4
3
SkinMedic
1
1
1
1
1
3
1
4
1
17
1
0
1
7
1
3
1
5
1
1
3
1
1
Spa 35
Spa 415
1
1
1
Spa Belle Meade
Spa City Spa
1
Spa ME
0
1
1
3
1
Sura Spa
1
1
4
1
1
1
1
1
3
1
1
1
Turner Medical Spa
1
1
1
1
1
1
127
8
1
1
1
9
1
4
1
1
1
12
1
5
1
5
Visage Spa
Visage Spa
Vitahl Medical
1
1
Young Medical Spa
1
1
2
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
1
1
1
1
1
1
Ajune
1
Alani Medical Spa
1
1
1
1
1
1
Anew Medspa
1
1
1
1
1
1
1
1
1
1
Alegria Medspa
Artisan MedSpa
128
Avalon Salon & Spa
Aventine Medspa
Azani Medical Spa
1
1
1
1
1
1
1
Azura Medical Spa
Be Lifestyle Medspa
1
1
1
1
1
1
1
1
1
1
1
1
Bella Visage
Belladerm MedSpa
1
1
Belle Vie MedSpa
1
1
1
1
1
Blu Cocoon MedSpa
1
1
Blue Water Spa
1
1
1
1
1
1
Capri Medical Spa
Carolina Medi-Spa
1
1
1
1
1
1
1
1
1
CFMA & MediSpa
1
Clarity Medical Spa
1
1
1
1
1
1
1
Cosmetique Med Spa
1
Cosmic Creations
Cultura Medical Spa
1
Déjà Vu Med Spa
Dermalounge
1
1
1
1
Dr. David Glick
Dreams Med Spa
1
1
1
1
1
1
1
1
1
1
1
1
1
Essex Medspa
Esteem MedSpa
1
1
1
129
1
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
1
1
1
1
1
Genesis Medspa
1
1
1
Hela
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Jawani Medical Spa
Juva MediSpa
1
1
1
Kai the medical spa
Kansas City Med Spa
1
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
1
Le Med Spa
1
1
1
1
1
Madsen Medical Spa
1
Medical Spa at Nova
1
1
Millennium Medical
Monarch Bay Laser
1
1
1
1
1
1
1
1
Neos Med Spa
NLI Med Spa
Northwest Medi Spa
1
Odyssey Medispa
Ology Spa
1
130
Papillon Medi Spa
Petroff Center
1
1
1
1
1
Premier Medi-Spa
1
1
1
1
Radiant Clinic
Reflections MedSpa
1
1
1
1
Result Spa
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
SIA Spa
1
1
1
1
1
1
1
1
1
1
1
1
1
SkinMedic
1
1
Spa 35
1
1
1
1
1
1
1
1
1
1
1
1
Spa 415
1
1
1
1
1
1
1
1
1
1
1
Spa Belle Meade
Spa City Spa
1
1
1
1
Spa ME
1
Sura Spa
1
1
1
1
1
1
1
1
1
Turner Medical Spa
1
1
1
131
1
1
1
1
1
1
Visage Spa
Visage Spa
1
Vitahl Medical
1
1
1
1
1
1
Young Medical Spa
1
1
1
1
1
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
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
P
r
o
c
1
1
1
1
1
8
1
1
1
1
1
11
1
1
1
1
1
10
1
1
1
1
1
8
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
1
1
1
1
1
12
1
1
1
1
1
6
132
1
1
1
1
1
1
1
6
1
1
7
Anew Medspa
1
1
1
1
1
3
1
1
1
1
1
7
1
1
1
1
5
Artisan MedSpa
1
1
1
1
1
5
1
1
1
1
1
12
Avalon Salon & Spa
1
1
1
1
1
9
Aventine Medspa
1
1
1
1
1
8
1
1
1
1
1
6
Azani Medical Spa
1
1
1
1
1
12
1
1
1
1
1
3
Azura Medical Spa
1
1
1
1
1
4
Be Lifestyle Medspa
1
1
1
1
1
4
1
1
1
1
1
3
1
1
1
1
1
6
1
1
1
1
1
3
1
1
1
1
1
3
1
1
1
1
4
1
1
1
1
1
7
Bella Visage
1
1
1
1
1
7
Belladerm MedSpa
1
1
1
1
1
6
1
1
1
1
1
4
Belle Vie MedSpa
1
1
1
1
1
3
1
1
1
1
1
8
Blu Cocoon MedSpa
1
1
1
1
1
5
Blue Water Spa
1
1
1
1
1
6
1
1
1
1
1
5
1
1
1
1
1
4
1
1
1
1
1
3
Capri Medical Spa
1
1
1
2
1
1
Carolina Medi-Spa
1
1
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
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
1
1
Dr. David Glick
1
1
1
1
1
1
1
1
8
1
1
1
1
1
1
133
Dreams Med Spa
1
1
1
1
1
8
1
1
1
1
1
1
1
1
1
1
1
5
1
1
1
1
1
4
Essex Medspa
1
1
1
1
1
4
Esteem MedSpa
1
1
1
1
9
1
1
1
1
1
1
1
1
1
1
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
1
1
1
1
1
4
1
11
1
6
1
1
1
1
1
9
Genesis Medspa
1
1
1
1
1
4
1
1
1
1
1
7
1
1
1
1
1
3
Hela
1
1
1
1
1
5
1
1
1
1
4
1
1
1
1
1
4
1
1
1
1
1
4
1
1
5
1
2
1
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
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
1
1
1
1
1
5
Le Med Spa
1
1
1
1
1
7
1
1
1
1
1
6
Madsen Medical Spa
1
1
1
1
1
15
1
1
1
1
1
8
1
1
1
1
1
7
Medical Spa at Nova
1
1
1
1
1
12
Millennium Medical
1
1
1
1
1
5
1
1
1
1
1
10
Monarch Bay Laser
1
1
1
1
4
134
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
1
1
1
1
1
8
1
1
1
1
1
8
Petroff Center
1
1
1
1
1
15
1
1
1
1
1
9
1
1
1
1
3
Premier Medi-Spa
1
1
1
1
1
1
1
1
1
4
5
Radiant Clinic
1
1
1
1
1
7
Reflections MedSpa
1
1
1
1
1
6
1
1
1
1
1
5
1
1
1
1
1
4
Result Spa
1
1
1
1
1
8
1
1
1
1
1
9
1
1
1
1
10
1
SIA Spa
1
1
1
1
5
1
1
1
1
6
1
1
1
1
1
1
1
1
1
1
1
14
1
1
1
1
5
1
1
1
1
1
5
1
1
1
1
1
2
1
1
1
1
1
3
1
1
1
1
5
SkinMedic
1
1
1
1
1
6
1
1
1
3
1
1
1
1
1
12
1
1
1
1
1
6
Spa 35
1
1
1
1
1
5
Spa 415
1
1
1
1
1
9
1
1
1
1
1
5
Spa Belle Meade
1
1
Spa City Spa
1
Spa ME
1
1
1
1
6
1
1
1
7
1
1
1
1
3
1
1
1
1
3
1
1
1
1
1
9
Sura Spa
1
1
1
1
1
6
1
1
1
1
1
7
135
1
1
1
1
1
11
1
1
1
1
1
5
1
1
1
1
1
12
1
1
1
1
1
3
Turner Medical Spa
1
1
1
1
1
7
1
1
1
1
1
3
1
1
1
1
1
4
1
1
1
1
1
1
1
1
1
1
1
1
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
1
1
1
1
1
4
1
Young Medical Spa
1
1
1
1
1
11
1
1
1
1
1
23
1
1
1
1
1
6
LMT
CLT
CPN
CMA
/ MA
Totals:
Staff
Esth
RN /
NP
2
1
1
Name of Facility
PA
SA/T
A Bloom Medical Spa
2
1
1
3
3
6
6
6
6
1
1
Ajune
Alani Medical Spa
Alegria Medspa
1
1
1
1
1
Anew Medspa
3
1
1
136
3
Artisan MedSpa
2
4
Avalon Salon & Spa
1
1
1
6
2
4
1
Aventine Medspa
2
7
Azani Medical Spa
6
2
7
1
6
1
Azura Medical Spa
Be Lifestyle Medspa
2
1
2
2
1
1
1
5
7
5
1
5
6
5
Bella Visage
3
5
3
Belladerm MedSpa
1
1
1
3
3
3
Belle Vie MedSpa
1
1
2
4
1
4
Blu Cocoon MedSpa
2
6
2
Blue Water Spa
1
1
1
2
1
2
1
3
3
Capri Medical Spa
Carolina Medi-Spa
2
2
CFMA & MediSpa
3
3
Clarity Medical Spa
2
4
2
Cosmetique Med Spa
Cosmic Creations
Cultura Medical Spa
1
1
Déjà Vu Med Spa
Dermalounge
1
1
3
1
2
1
1
1
1
1
3
2
3
Dr. David Glick
Dreams Med Spa
1
2
137
2
1
Essex Medspa
1
2
Esteem MedSpa
1
2
1
1
2
4
1
1
1
1
3
1
1
2
1
1
1
Focus Medical Spa
1
1
1
Forest Medical Spa
1
1
Forever Young
Fountain of Youth
2
Fusion Medical Spa
1
1
1
1
1
1
1
Genesis Medspa
1
2
2
2
3
Hela
1
1
1
1
1
1
Jawani Medical Spa
Juva MediSpa
2
2
1
1
2
1
4
Kai the medical spa
3
1
Kansas City Med Spa
4
5
1
3
1
1
1
La Look Inc.
1
Laser Clinique
1
3
1
L'Azur La Vie
1
Le Med Spa
1
1
1
1
Madsen Medical Spa
1
1
1
1
2
Medical Spa at Nova
3
1
Millennium Medical
1
1
3
1
Monarch Bay Laser
1
1
1
1
3
3
1
1
1
3
1
2
Neos Med Spa
1
1
1
1
NLI Med Spa
7
2
9
138
7
Northwest Medi Spa
4
Odyssey Medispa
5
Ology Spa
4
Papillon Medi Spa
2
2
1
4
5
2
4
2
4
1
4
6
2
1
Petroff Center
2
1
2
1
2
1
2
1
2
2
Premier Medi-Spa
2
2
1
Radiant Clinic
1
1
Reflections MedSpa
2
1
2
1
1
2
1
1
1
0
2
1
1
Result Spa
2
1
2
SIA Spa
2
2
1
2
3
1
3
2
3
1
SkinMedic
4
2
1
4
1
Spa 35
1
Spa 415
3
1
3
Spa Belle Meade
Spa City Spa
2
2
Spa ME
2
2
2
Sura Spa
2
2
1
4
1
2
2
2
1
4
1
1
2
139
1
5
1
1
1
1
5
2
5
3
2
3
Visage Spa
1
1
1
Visage Spa
2
1
2
Vitahl Medical
4
1
2
3
2
1
2
2
3
1
1
2
Young Medical Spa
2
1
2
2
Turner Medical Spa
2
1
3
3
4
1
1
1
Totals:
Notes
Name of Facility
Notes
A Bloom Medical Spa
Physician on call / Nurse and more than one esthetician / IMSA
IMSA member
Price list
Price list
Ajune
Posted prices
Alani Medical Spa
Alegria Medspa
Anew Medspa
Artisan MedSpa
140
IMSA member
Avalon Salon & Spa
Posted prices / "Aesthetic day spa"
Aventine Medspa
Med spa / day spa / salon / IMSA member
Azani Medical Spa
Posted prices / No staff information
Azura Medical Spa
Be Lifestyle Medspa
"Physician-directed aesthetic services"
Posted prices
Posted prices
Bella Visage
Belladerm MedSpa
Belle Vie MedSpa
IMSA member
Blu Cocoon MedSpa
Posted prices
Blue Water Spa
Posted prices
Online store "coming soon"
Capri Medical Spa
Carolina Medi-Spa
IMSA member / No product information
CFMA & MediSpa
Clarity Medical Spa
"Physician-directed" / MD-performed fillers and injectables
Posted prices / No staff information
Cosmetique Med Spa
Cosmic Creations
Cultura Medical Spa
Limited staff information / Fillers & LHR through practice
Déjà Vu Med Spa
Dermalounge
IMSA member / No staff information
Dr. David Glick
Fillers performed in medical practice / No staff information
Dreams Med Spa
IMSA member
No staff or physician information
Essex Medspa
Esteem MedSpa
141
Spa-like state-of-the-art facility (medical practice)
Spa & medical practice
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
No staff profile information
IMSA member / Formerly Genesis Cosmetic Surgery & Medical Spa
Genesis Medspa
Posted spa service prices / No support staff info / Facials & peels at spa
Unspecified physician and support staff / Operated by an RN
Hela
No specific staff info other than MD / Some prices / Non-functional cart
No specific staff information other than physician
Posted prices
No staff info / Medical practice, laser center, and medical spa
Jawani Medical Spa
No physician or staff information
Juva MediSpa
Aestheticians referenced without profiles
Kai the medical spa
Kansas City Med Spa
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"
"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
No staff info / Limited brand info / Comb. med practices, spas & MDs
Madsen Medical Spa
"Medical massage" / No skin care products listed
No staff info / Massage and many spa services
Medical Spa at Nova
Fitness trainers
Millennium Medical
Limited product information / No staff info
MD supervision / Latisse®
Monarch Bay Laser
Latisse® / RevitaLash / Some "spa-like" services (e.g., make-up) & setting
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
Papillon Medi Spa
Affiliated with WPSG (practice) / No staff or product info / Some pricing
Spa service pricing / No product information
Limited product and staff information
Petroff Center
Incorporated with a PS practice
Affiliated with Birmingham Cosmetic Surgery / Posted procedure prices
No staff information / Limited products
Premier Medi-Spa
Posted prices for some procedures / No product information
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
No product info / Eyelash extension / Fitness / Weight loss / Anti-aging
Training facility for Candela Laser / Price info upon req / No staff info
Result Spa
No product information / Posted prices for medspa treatments
Medical practice and medical spa
Operated by an RN / Posted Prices for treatments but not for products
Posted prices for procedures / No product or staff information
SIA Spa
Posted prices / No product information
No obvious spa offerings
No product or staff information / Posted service prices
Corporate membership program / Posted prices
Spa packages offered but no posted descriptions
No physician information / Posted prices
SkinMedic
Downloadable PDF for skin products & prices & some staff information
No staff information / Posted prices
Spa 35
Spa 415
Spa Belle Meade
Spa City Spa
Spa ME
Limited staff information
No product listings or staff information / Posted prices for services
Sura Spa
Posted product prices
Latisse® / Wellness
Spa is affiliated with plastic surgery center / Downloadable price list
Turner Medical Spa
Posted prices / No product or staff information
143
Posted prices / Latisse®
Visage Spa
Practice web site with link to med spa / Limited staff info / No product info
Visage Spa
Vitahl Medical
Latisse®
No product information / Posted prices
Young Medical Spa
Confusing physician and staff info / Latisse®
No staff information / Posted prices
144