Key statistics
- 72% of US med spas offer Botox (38,113 spas), according to MedSpaStandard directory data for October 2026.
- 68% of US med spas offer dermal fillers (36,051 spas), according to MedSpaStandard directory data for October 2026.
- 64% of US med spas offer microneedling (34,079 spas), according to MedSpaStandard directory data for October 2026.
- 61% of US med spas offer chemical peels (32,437 spas), according to MedSpaStandard directory data for October 2026.
- 49% of US med spas offer laser hair removal (26,194 spas), according to MedSpaStandard directory data for October 2026.
- 44% of US med spas offer facials (23,390 spas), according to MedSpaStandard directory data for October 2026.
- ASPS estimates that 1,523,330 cosmetic surgical procedures were performed in the US in 2025, up 7% from 1,425,390 in 2024 (its restated 2024 figure). This counts plastic-surgeon cosmetic surgery only, not injectables or med spa treatments. [1]
- ASPS's 2025 statistics are based on member-surgeon data, its partner CosmetAssure and a national claims-based dataset, together representing more than 3,000 board-certified plastic surgeons, statistically extrapolated to national estimates. [1]
- Women accounted for 1,431,257 and men for 89,617 of ASPS's 2025 cosmetic surgical procedures (about 94% vs 6%); the male total was flat (0%) while the female total rose 7%. [1]
- In a CosmetAssure database study of 129,007 US cosmetic surgery patients (183,914 procedures, 2008-2013), major complications needing an ER visit, hospital admission or reoperation within 30 days occurred in 1.3% of patients in accredited office-based suites, 1.9% in ambulatory surgery centers and 2.4% in hospitals. [6]
- 75% of US med spas offer injectables, according to MedSpaStandard directory data for October 2026.
- 65% of US med spas offer laser and energy treatments, according to MedSpaStandard directory data for October 2026.
Non-surgical cosmetic treatments at US med spas
72% of US med spas offer Botox (38,113 spas).
68% of US med spas offer dermal fillers (36,051 spas).
64% of US med spas offer microneedling (34,079 spas).
61% of US med spas offer chemical peels (32,437 spas).
49% of US med spas offer laser hair removal (26,194 spas).
44% of US med spas offer facials (23,390 spas).
44% of US med spas offer lip filler (23,190 spas).
40% of US med spas offer body contouring (21,228 spas).
38% of US med spas offer dermaplaning (20,188 spas).
37% of US med spas offer Dysport (19,753 spas).
36% of US med spas offer acne scar treatment (19,244 spas).
35% of US med spas offer sun spot removal (18,817 spas).
Injectables vs lasers
75% of US med spas offer injectables.
65% of US med spas offer laser and energy treatments.
What published research says
These numbers come from outside sources, not our directory; each one links to its source below.
- ASPS estimates that 1,523,330 cosmetic surgical procedures were performed in the US in 2025, up 7% from 1,425,390 in 2024 (its restated 2024 figure). This counts plastic-surgeon cosmetic surgery only, not injectables or med spa treatments. [1]
- In ASPS's 2025 data the five most common cosmetic surgeries were liposuction (317,196, -1%), breast augmentation incl. implant revisions (304,234, +11%), tummy tuck (173,251, +2%), breast lift (156,131, +8%) and eyelid surgery (118,978, +19%). [1]
- ASPS 2025: the biggest percentage rises in cosmetic surgery were facial fat grafting (+39%), forehead/brow lift (+29%), upper body lift (+22%), arm lift and neck lift (+21% each) and thigh lift (+20%); declines were male breast reduction (-8%), rhinoplasty (-5%) and Brazilian butt lift (-5%). [1]
- ASPS's 2025 statistics are based on member-surgeon data, its partner CosmetAssure and a national claims-based dataset, together representing more than 3,000 board-certified plastic surgeons, statistically extrapolated to national estimates. [1]
- ASPS's previous (2024) report counted 28,243,407 cosmetic minimally invasive procedures in 2024, including 9,883,711 neuromodulator injections and 5,331,426 hyaluronic-acid filler treatments. [2]
- Women accounted for 1,431,257 and men for 89,617 of ASPS's 2025 cosmetic surgical procedures (about 94% vs 6%); the male total was flat (0%) while the female total rose 7%. [1]
- ASPS 2025: male breast reduction (gynecomastia surgery) remained the most common cosmetic surgery for men at 20,879 procedures (down 12%), followed by liposuction (18,938) and eyelid surgery (14,327). [1]
- ASPS 2025: adults 66 and older were the fastest-growing age group for cosmetic surgery (+24%), while ages 18-25 fell 9% and 26-35 fell 5%; ages 36-55 accounted for about 49% (738,000) of cosmetic procedures. [1]
- ASPS 2025 by region: the South Atlantic (e.g. Florida, Georgia, Maryland) had the most cosmetic surgery (about 548,000 procedures, +8%), followed by Mountain & Pacific (about 546,000, +7%), South Central (about 231,000), North Central (about 114,000) and New England & Middle Atlantic (about 84,000, -1%). [3]
- ASPS 2025: 82% of ASPS member surgeons reported consultation requests related to GLP-1 weight-loss medications. [1]
- The Aesthetic Society's latest public statistics (2023) estimate 1,671,147 aesthetic surgical procedures in the US in 2023, up 2.9% from 2022; liposuction (394,527), breast augmentation (249,560) and tummy tuck (194,875) led. [4]
- The Aesthetic Society's 2023 report found 93.4% of aesthetic surgical procedures were on women (1,561,385) and 6.6% on men (109,762); 64% were done in an accredited surgical center, 19% in hospitals and 17% in office-based surgery. [4]
- ISAPS estimates plastic surgeons performed 35,204,030 aesthetic procedures worldwide in 2025: 17,883,610 surgical (-0.4% vs 2024) and 17,320,420 non-surgical (-15.7%). [5]
- ISAPS estimates US plastic surgeons performed 5,461,476 aesthetic procedures in 2025 (2,229,368 surgical and 3,232,108 non-surgical); the US had the most plastic surgeons (7,749) and the most non-surgical procedures of any country, while Brazil had the most surgical procedures (2,361,010). [5]
- ISAPS 2025, US plastic surgeons: the top non-surgical procedures were botulinum toxin (1,456,812; 45.1% of non-surgical), hyaluronic acid filler (997,296; 30.9%), non-surgical skin tightening (360,329), chemical peel (139,482) and poly-L-lactic acid (84,464); the top surgeries were liposuction (355,603), breast augmentation (241,808), abdominoplasty (188,925), breast lift (155,406) and eyelid surgery (137,684). [5]
- ISAPS 2025 worldwide: the top surgeries were eyelid surgery (2,457,677, +16.2%), liposuction (1,849,828, -11.4%), breast augmentation (1,622,639), breast lift (1,143,862, +48.1%) and abdominoplasty (1,039,808); the top non-surgical procedures were botulinum toxin (7,333,647, -7.0%), hyaluronic acid (4,737,957, -25.2%), non-surgical skin tightening (1,528,552, +23.3%), hair removal (1,150,365) and chemical peel (659,942). [5]
- In a CosmetAssure database study of 129,007 US cosmetic surgery patients (183,914 procedures, 2008-2013), major complications needing an ER visit, hospital admission or reoperation within 30 days occurred in 1.3% of patients in accredited office-based suites, 1.9% in ambulatory surgery centers and 2.4% in hospitals. [6]
- In the same 129,007-patient CosmetAssure cohort, the overall major complication rate was about 2% (2.0% in smokers vs 1.9% in non-smokers), and clinically significant venous thromboembolism occurred in 0.09% (116 patients), rising to 0.20% with combined procedures. [7]
- Brazilian butt lift (gluteal fat grafting) has the highest reported mortality of any aesthetic surgery: an ASERF task force survey estimated about 1 death in 3,448 cases in 2017, and a follow-up survey after new safety recommendations estimated about 1 in 14,952 in 2019. [8]
What these numbers can't tell you
- Our numbers count providers offering a treatment, not procedures performed; surgical procedures are outside our directory.
- A treatment counts when the spa's Google listing or website names it, so a spa with an outdated menu can be over- or under-counted.
Sources and methodology
Our data. October 2026 snapshot of 53,215 US med spa Google listings and their websites. How we build these numbers
- plasticsurgery.org · American Society of Plastic Surgeons
- plasticsurgery.org · American Society of Plastic Surgeons
- plasticsurgery.org · American Society of Plastic Surgeons
- cdn.theaestheticsociety.org · cdn.theaestheticsociety.org
- isaps.org · isaps.org
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
MedSpaStandard. (2026, October 30). Cosmetic Procedure Statistics 2026. https://medspastandard.com/statistics/cosmetic-procedures/
Medical disclaimer. MedSpaStandard is for education only and is not medical advice. Talk to a licensed provider about your own health, and check any provider's license with your state board.