Largest Med Spa Chains: Statistics 2026

The largest med spa chains in the US

1,546 US med spa locations belong to one of the 42 national chains we match by name.

That is 2.9% of the 53,215 US med spas in our directory.

Milan Laser Hair Removal has 403 locations in 38 states in our directory.

LaserAway has 232 locations in 36 states in our directory.

Restore Hyper Wellness has 203 locations in 38 states in our directory.

4Ever Young Anti-Aging Solutions has 76 locations in 18 states in our directory.

SEV Laser has 73 locations in 16 states in our directory.

VIO Med Spa has 66 locations in 21 states in our directory.

SkinSpirit has 60 locations in 18 states in our directory.

Skin Laundry has 55 locations in 13 states in our directory.

Elase Medical Spa has 44 locations in 8 states in our directory.

dermani MEDSPA has 30 locations in 9 states in our directory.

What published research says

These numbers come from outside sources, not our directory; each one links to its source below.

• Milan Laser Hair Removal says (Oct 2026) it has over 400 locations nationwide. [1]
• Sev Skin says it has more than 70 studios in the US; its pricing-page location selector (as of October 2026) lists 77 studios in 15 states, 28 of them in California. [2]
• Restore Hyper Wellness says it has 210+ studios nationwide (site also shows '220+ Studios'); studios are individually owned and operated franchises, and medical services are provided by an independently owned physician practice. [3]
• VIO Med Spa says it has over 64 locations in 20 states (about page, read 2026-10-16) and is led clinically by a board-certified plastic surgeon; it sells franchises ('Own a VIO'). [4]
• SkinSpirit says it has over 50 locations nationwide, in Arizona, California, Colorado, DC, Maryland, North Carolina, New York, Oregon, Texas, Utah and Washington (as of October 2026). [5]
• AmSpa's 2024 Medical Spa State of the Industry report (released Nov 2024; survey of med spa professionals) estimated the number of US medical spas grew from 8,899 (2022) to 10,488 (2023); 81% are single-location. [6]
• AmSpa's 2024 report also found: 89% of med spa patients are female; 73% are repeat patients; average spend per visit $527; average 245 patient visits/month; 18% of med spas opened in 2023; 67% of single-owner practices are owned by non-physicians (NPs, RNs, PAs, entrepreneurs, aestheticians); only 3% are private-equity owned; 74% of medical directors come from outside the 'core' specialties (plastic, facial plastic, oculoplastic surgery, dermatology). [6]
• Sono Bello (laser liposuction/body contouring surgery chain, often categorized as cosmetic surgery rather than med spa) says it has over 100 locations nationwide (as of October 2026). [7]
• Ageless Men's Health (testosterone replacement / men's health clinic chain) says it has 65+ locations across the country (as of October 2026). [8]

What these numbers can't tell you

• Chains are matched by business name against a list of national chains, so franchise locations trading under another name count as independents.
• Counts are Google Maps listings we classify as med spas, so they include dermatology and plastic surgery practices that offer med spa treatments and exclude spas without a Google listing.

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.