Best Med Spas in South Dakota

81 med spas across 20 towns, ranked by Google rating weighted by how many people left one.

Photo: Colin.faulkikngham, CC0

Top-Rated Med Spas in South Dakota

Rating weighted by review count · at least 20 reviews
#Med spaCityRating
1Milan Laser Hair RemovalGoogle reviews most often bring up kind staff (80 reviews), answering questions (48) and flexible scheduling (14).Sioux Falls 5.0 (758)
2Refined AestheticsReviewers most often mention personable staff (103 reviews), thorough explanations (80) and lip filler (52).Sioux Falls 5.0 (758)
3Milan Laser Hair RemovalReviewers most often mention welcoming staff (53 reviews), effective treatments (10) and east side location (8).Sioux Falls 5.0 (468)
4Cicily's AestheticsGoogle reviews most often bring up injector (30 reviews), honest staff (7) and skilled injector (5).Rapid City 5.0 (248)
5Novo AestheticsGoogle reviews most often bring up flexible scheduling (5 reviews), ease of use (5) and easy to talk to (4).Sioux Falls 5.0 (234)
6Infinity Medical AestheticsThe themes reviewers raise most are friendly team (9 reviews), diamond glow facial (7) and tailored treatments (6).Sioux Falls 5.0 (228)
7Sunshine Medical AestheticsThe themes reviewers raise most are personalized experience (7 reviews), diamond glow facial (6) and no pressure (6).Spearfish 5.0 (195)
8Liv Med Spa | Sioux Falls, SDThe themes reviewers raise most are tattoo removal (19 reviews), lip filler (11) and cute space (8).Sioux Falls 5.0 (172)
9LiveWell Medical AestheticsThe themes reviewers raise most are skincare (14 reviews), fun team (10) and talented staff (6).Rapid City 5.0 (168)
10The Confidence CollectiveGoogle reviews most often bring up personable staff (20 reviews), lip filler (10) and explains procedures (6).Sioux Falls 5.0 (154)
11Longevity Aesthetics, PLLCGoogle reviews most often bring up answers questions (9 reviews), injections (5) and supportive staff (4).Rapid City 5.0 (114)
12Skin Sanctuary Wellness Spa & Aesthetic StudioReviewers most often mention skin care (12 reviews), acne treatment (6) and wedding makeup (3).Tea 5.0 (75)
13iv&co.The themes reviewers raise most are friendly staff (38 reviews), relaxing atmosphere (25) and infusions (12).Sioux Falls 5.0 (64)
14JMISKO surgical design mdReviewers most often mention welcoming staff (50 reviews), injector (12) and lip flip (11).Sioux Falls 4.9 (474)
15Encompass Wellness & AestheticsGoogle reviews most often bring up friendly staff (110 reviews), kind staff (29) and welcoming atmosphere (10).Sioux Falls 4.9 (419)
16Kalon Aesthetics & SurgeryThe themes reviewers raise most are welcoming staff (12 reviews), skincare (8) and laser (5).Sioux Falls 5.0 (59)
17Legacy Med SpaGoogle reviews most often bring up head spa (13 reviews), scalp analysis (4) and massage chair (3).Tea 5.0 (54)
18Lycia Thornburg, MD DermatologyReviewers most often mention professional staff (37 reviews), knowledgeable doctor (18) and thoroughness (16).Rapid City 4.9 (217)
19Glow Aesthetics Med SpaReviewers most often mention skin care (5 reviews), clear explanations (4) and lip filler (3).Yankton 5.0 (46)
20LazadermThe themes reviewers raise most are skin care (17 reviews), tattoo removal (10) and lasers (7).Sioux Falls 4.9 (143)

South Dakota Med Spas by the Numbers

81med spas in 20 cities and towns
4.79average Google rating across 74 rated spas
88%of rated spas hold a 4.8 or higher
85%list Botox or another wrinkle relaxer

We list 81 med spas in South Dakota across 20 cities and towns.

74 of them have a Google rating, and the average is 4.79 out of 5 (median 5.0).

88% of rated South Dakota spas hold a 4.8 or higher.

Together they have 7,164 Google reviews, and the typical spa has 19.

Sioux Falls has the most listings with 27, followed by Rapid City (17), Watertown (5), Brookings (3), Spearfish (3) and Aberdeen (3).

Botox is the most offered treatment (85% of listings), followed by dermal fillers (78%), microneedling (74%), chemical peels (64%) and facials (62%).

Just 5 of the 81 spas post a price online, so ask for a written quote before you book.

11 spas (14%) name a patient financing plan on their site, most often Cherry (7) and CareCredit (3).

6 spas (7%) name a physician on their site, 17 name a registered nurse, 27 a nurse practitioner and 6 a physician assistant.

How We Rank South Dakota Med Spas

We rank South Dakota med spas by Google rating, weighted by how many people left one.

A 5.0 from 1,400 reviews ranks above a 5.0 from 12, because each rating is blended toward a 4.6 baseline until it has about 25 reviews behind it.

The statewide list only includes spas with at least 20 Google reviews, which 39 of the 81 South Dakota listings have.

No spa pays to be listed or to rank higher.

Med Spas in South Dakota: Questions People Ask

Are med spas regulated in South Dakota?

Med spa services are covered by the rules for each type of license.

South Dakota law treats using a laser to cut or alter tissue as the practice of medicine.

The Board of Nursing has guidelines for nurses who do aesthetic procedures, but those guidelines do not have the force of law.

Nurses who own an aesthetic business must register it with the Board of Nursing as a nursing corporation.

Who can do Botox in South Dakota?

The Board of Nursing says registered nurses may inject Botox and temporary dermal fillers.

Licensed practical nurses with training, a medical order and appropriate supervision may inject Botox, but the Board's list for them does not include fillers.

A protocol for the procedure must state the level of supervision.

Who can do laser hair removal in South Dakota?

The Board of Medical and Osteopathic Examiners ruled in 2012 that using lasers and other light-emitting devices is surgery, that certified nurse practitioners, certified nurse midwives and physician assistants may use them under training and agreement requirements, and that physicians may not delegate laser procedures.

The Board of Nursing says the medical board determined that only physicians, nurse practitioners and physician assistants may use lasers.

The Cosmetology Commission says working in a medical office under physician supervision does not change an esthetician's scope.

Do I need an exam before Botox in South Dakota?

When a nurse gives the treatment, the Board of Nursing expects a physician, certified nurse practitioner or physician assistant to review your history and do a medical assessment first.

This applies to each episode of care and can be done in person or by telehealth.

That provider must also write the medical order before the nurse treats you.

What is the best city for med spas in South Dakota?

Sioux Falls has the most listings (27), followed by Rapid City (17), Watertown (5) and Brookings (3).

How many med spas are in South Dakota?

We list 81 med spas in 20 South Dakota cities and towns, and 39 of them have 20 or more Google reviews.

Med Spa Rules in South Dakota

What South Dakota law and its licensing boards say about who may do med spa treatments, each with its source. This is a plain-English summary, not legal advice.

  1. South Dakota law treats using a laser to cut or otherwise alter human tissue as surgery that counts as the practice of medicine. [1]
  2. The South Dakota Board of Nursing says registered nurses and licensed practical nurses may perform medical aesthetic services as part of a medically prescribed plan of care, though its guidelines do not have the force of law. [2]
  3. The Board of Nursing says certified nurse practitioners or registered nurses who own a business offering medical aesthetic services must register it with the Board as a nursing corporation. [2]
  4. The Board of Nursing says registered nurses may inject FDA-approved neuromodulators such as Botox and temporary dermal fillers such as Restylane and Juvederm. [2]
  5. The Board of Nursing says licensed practical nurses with training, a medical order and appropriate supervision may inject neuromodulators such as Botox, but its list for them does not include dermal fillers. [2]
  6. The Board of Nursing calls for a medical order or protocol for each aesthetic procedure a nurse performs, and says a protocol must be written, dated and signed, reviewed every year and state the level of supervision required. [2]
  7. The Board of Nursing expects a physician, certified nurse practitioner or physician assistant to review the client's history and do a medical assessment, in person or by telehealth, for each episode of care before a nurse performs an aesthetic procedure. [2]
  8. In a 2012 ruling, the South Dakota Board of Medical and Osteopathic Examiners held that using lasers and other light-emitting devices is surgery, and that certified nurse practitioners, certified nurse midwives and physician assistants may use them if they meet the ruling's agreement and training requirements. [1]
  9. The same 2012 ruling says physicians may not delegate laser procedures. [1]
  10. South Dakota law limits estheticians to noninvasive, superficial skin care confined to the nonliving cells of the stratum corneum, not to treat medical disorders, and never altering, cutting or damaging living cells. [3]
  11. The South Dakota Cosmetology Commission says its licensees may not use dermaplaning, dermabrasion, ultrasound equipment or tools that invade the skin, and working in a medical office under physician supervision does not change an esthetician's scope. [4]
  12. The Cosmetology Commission says South Dakota cosmetology law does not recognize the titles medical esthetician or paramedical esthetician. [4]
  13. The Board of Nursing says giving elective IV hydration and vitamin or mineral infusions is within a licensed nurse's scope, but the nurse needs a medical order and may not prescribe or procure the drugs. [5]
  14. The Board of Nursing says that for elective IV therapy, the ordering provider must assess the client or write a protocol defining the history and assessment the nurse must perform. [5]
  15. The Board of Nursing says licensed practical nurses may start peripheral IVs for clients 12 and older under supervision, but may not give IV push medications outside a Department of Health-licensed facility. [5]
  16. South Dakota certified nurse practitioners may assess, diagnose, and prescribe and administer drugs, including Schedule II drugs, within their role and population focus. [6]
  17. You can check a South Dakota physician or physician assistant license with the Licensee Lookup on the Board of Medical and Osteopathic Examiners website. [7]
  18. You can check a South Dakota nurse license with the Board of Nursing's license lookup. [8]
Sources
  1. sdbmoe.gov/docs/Declaratory%20Ruling_Lasers.pdf
  2. sdbon.org/userfiles/files/DermatologicalProceduresLicensedNurses.pdf
  3. sdlegislature.gov/api/Statutes/36-15-2.2.html
  4. dlr.sd.gov/cosmetology/resources/esthetics_handout.pdf
  5. sdbon.org/userfiles/files/ElectiveInfusionAndMediGuide.pdf
  6. sdlegislature.gov/api/Statutes/36-9A-12.html
  7. sdbmoe.gov
  8. sdbon.boardsofnursing.org/licenselookup

Med Spas by City in South Dakota

Sioux Falls · 27Rapid City · 17Watertown · 5Brookings · 3Spearfish · 3Aberdeen · 3Madison · 2Mitchell · 2Harrisburg · 2Pierre · 2Tea · 2North Sioux City · 2Chamberlain · 2Yankton · 2Hartford · 2Eagle Butte · 1Corsica · 1Huron · 1Winner · 1Dakota Dunes · 1