1,217 med spas across 121 towns, ranked by Google rating weighted by how many people left one.
| # | Med spa | City | Rating |
|---|---|---|---|
| 1 | Habit Med Spa + Facial BarThe themes reviewers raise most are knowledgeable staff (471 reviews), brows (110) and HydraFacial (76). | Henrico | 5.0 (1,565) |
| 2 | Rêvée AestheticsGoogle reviews most often bring up lip filler (80 reviews), HydraFacial (59) and injector (37). | Richmond | 5.0 (1,317) |
| 3 | DontageReviewers most often mention injector (129 reviews), lip filler (69) and thorough explanations (34). | Fairfax | 5.0 (1,286) |
| 4 | Keep Active Health & WellnessGoogle reviews most often bring up weight loss (51 reviews), semaglutide (14) and vitamin iv (13). | Fredericksburg | 5.0 (1,136) |
| 5 | The Medi Spa at Ridgewood HillThe themes reviewers raise most are experienced staff (20 reviews), clean facility (13) and thorough explanations (13). | Salem | 5.0 (1,053) |
| 6 | Nua-The Medical Spa at Charlottesville DermatologyReviewers most often mention HydraFacial (17 reviews), dermatology (13) and acne treatment (9). | Charlottesville | 5.0 (800) |
| 7 | Mountcastle Medical Spa & Laser CenterReviewers most often mention friendly office (11 reviews), aesthetician (11) and laser treatment (8). | Ashburn | 5.0 (742) |
| 8 | NM Aesthetics | WellnessReviewers most often mention injector (100 reviews), lip filler (46) and talented staff (24). | Arlington | 5.0 (708) |
| 9 | Virginia Plastic SurgeryIts website lists Botox, dermal fillers, laser hair removal and Sciton BBL. | Virginia Beach | 5.0 (624) |
| 10 | Cassie Lane Med Spa: Richmond, VAThe themes reviewers raise most are thorough explanations (22 reviews), weight loss (20) and knowledgeable injector (16). | Richmond | 5.0 (544) |
| 11 | Youthful Beginnings Medi SpaThe themes reviewers raise most are lip filler (28 reviews), injections (20) and lash lift (7). | Mechanicsville | 5.0 (506) |
| 12 | Smooth Skin LaserThe themes reviewers raise most are kind staff (46 reviews), tattoo removal (15) and affordability (9). | Charlottesville | 5.0 (481) |
| 13 | Amy Aesthetics and WellnessReviewers most often mention injector (43 reviews), beautiful office (24) and honest recommendations (9). | Ashburn | 5.0 (468) |
| 14 | ENVI Aesthetics Medical Spa & WellnessGoogle reviews most often bring up skin care (65 reviews), welcoming staff (40) and HydraFacial (31). | Aldie | 5.0 (448) |
| 15 | Milan Laser Hair RemovalGoogle reviews most often bring up comfortable atmosphere (44 reviews), informative staff (17) and easy process (11). | Midlothian | 5.0 (412) |
| 16 | Epitome Medical Aesthetics: Norman Gonzales, MDReviewers most often mention knowledgeable doctor (33 reviews), weight loss (20) and personable doctor (9). | Virginia Beach | 5.0 (404) |
| 17 | Klar Spa Studios K-Beauty ClinicGoogle reviews most often bring up relaxing experience (58 reviews), knowledgeable esthetician (40) and customized facial (14). | Fairfax | 5.0 (397) |
| 18 | The DRIPBaR MidlothianReviewers most often mention welcoming atmosphere (36 reviews), B12 (18) and power pack (7). | Midlothian | 5.0 (373) |
| 19 | McQuiston Dental and AestheticsReviewers most often mention professional staff (99 reviews), pleasant staff (30) and hygienist (23). | Alexandria | 5.0 (362) |
| 20 | Dermestetics McLeanReviewers most often mention esthetician (21 reviews), injector (12) and treatment plan (10). | McLean | 5.0 (363) |
We list 1,217 med spas in Virginia across 121 cities and towns.
1,121 of them have a Google rating, and the average is 4.79 out of 5 (median 4.9).
A 4.8 or higher is held by 77% of the rated spas.
Together they have 161,264 Google reviews, and the typical spa has 53.
Virginia Beach has the most listings with 86, followed by Fairfax (72), Vienna (67), Alexandria (57), Arlington (56) and Richmond (55).
Among cities with 25 or more rated spas, Midlothian (4.88, 31 spas) and Chesapeake (4.85, 26 spas) have the highest average Google ratings.
Botox is the most offered treatment (68% of listings), followed by facials (65%), dermal fillers (65%), chemical peels (65%) and microneedling (64%).
The median posted Botox price is $11 per unit across 43 spas, and half of posted prices fall between $10 and $13.
That is about the same as the national median of $11 per unit in our directory.
| Treatment | Median posted price | Middle half | Spas posting |
|---|---|---|---|
| Botoxper unit | $11US $11 | $10 to $13half of prices | 43 |
| Microneedlingper session | $350US $325 | $175 to $850full range | 15 |
| Dermaplaningper session | $75US $75 | $40 to $225full range | 20 |
Each price is the lowest one a spa posts for that treatment on its own website, and we show a treatment only when 15 or more spas post a price for it.
Only 86 of the 1,217 Virginia spas we list post any price, so ask for a written quote before you book.
We rank Virginia 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 833 of the 1,217 Virginia listings have.
No spa pays to be listed or to rank higher.
Across 43 Virginia med spas that post a Botox price, the median is $11 per unit.
Half charge between $10 and $13.
That is about the same as the $11 national median in our directory.
Most spas do not post prices, so ask for the per-unit price and the number of units in writing.
The services are.
Virginia law does not use the term "med spa", but the Department of Health Professions says the services and staff involved may be regulated by one or more licensing boards.
Only physicians, physician assistants and advanced practice registered nurses with the required agreements or authorization may evaluate, diagnose and prescribe for med spa patients.
The business is expected not to interfere with its clinicians' judgment.
Physicians, physician assistants under a practice agreement and advanced practice registered nurses with the required agreement or authorization may evaluate patients and recommend aesthetic procedures.
Registered nurses may give injections only under a valid order from a licensed prescriber and may not decide the dose.
Unlicensed staff may not give injections.
A person licensed to perform the procedure and manage emergencies should always be on site.
A doctor may delegate laser hair removal to a properly trained person under the doctor's supervision, and the doctor does not have to be physically present.
Anyone other than a licensed PA or nurse practitioner must be trained in areas such as laser safety, device operation and complication management.
Virginia law defines esthetics to include hair removal by nonlaser devices.
Virginia's boards expect a licensed prescriber to evaluate each patient and issue patient-specific orders, rather than relying on standing orders.
The evaluation may happen by telemedicine, but a questionnaire alone is not enough.
Without real-time interaction with the prescriber, no valid relationship exists.
Virginia Beach has the most listings (86), followed by Fairfax (72), Vienna (67) and Alexandria (57).
Among cities with 25 or more rated spas, Midlothian (4.88, 31 spas) and Chesapeake (4.85, 26 spas) have the highest average Google ratings.
We list 1,217 med spas in 121 Virginia cities and towns, and 833 of them have 20 or more Google reviews.
What Virginia 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.