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Luxurious medical aesthetics treatment suite with gold procedure tray, dermal filler vials, and orchid, the type of med spa ACG helps entrepreneurs open

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Clinic Type · Aesthetics & Med Spa

Open an Aesthetics Med Spa Built to Win in Your Market.

Many markets still have room for a med spa patients choose by name. ACG helps you open the one built to win. In most states, no medical background is required to own the business; an independent, state-licensed Medical Director directs all clinical care. Some states require physician ownership, and ACG structures for yours.

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100K to 1M
Monthly U.S. “Med Spa Near Me” Searches
$17B+
U.S. Med Spa Industry Revenue
$0
Royalties. No Franchise Fees.
Hundreds
of Clinics Launched by Our Team
The Market in 2026

Med Spa Demand Is Still Growing, Despite the Competition

U.S. searches for “med spa near me” run 100,000 to 1 million a month (Google Keyword Planner), and AmSpa puts med spa revenue above $17 billion, growing by more than $1 billion a year. There is room, but not for another generic med spa.

The med spas that struggle sell the same services at similar prices. The ones that win build an identity patients choose by name and refer, and with ACG that brand is yours. A med spa franchise licenses you its brand and charges royalties for the life of the agreement; see the independent clinic vs. franchise comparison.

ACG validates your market before you commit capital, step one of our clinic launch program, and only builds clinics it believes can win where they open.

Why a Med Spa Works as a Business

Recurring visits: neurotoxin patients who trust their injector tend to return every 3 to 4 months

Strong average ticket: packages and combination protocols lift revenue per visit

Referral growth: a patient who loves their results tends to tell the people around them

Price insulation: patients choose by name, not by who runs the cheapest Botox special

The Service Menu

What a Med Spa Offers Patients

The core menu, and the adjacent services patients add over time.

Botox & Neurotoxins

The category anchor: 9.9 million U.S. neuromodulator injections in 2024, more than any other minimally invasive cosmetic procedure (ASPS). Many patients start here.

Dermal Fillers

Lip, cheek, jawline and under-eye fillers: premium pricing and a strong word-of-mouth driver.

Skin Resurfacing: Lasers, Peels & PRP Microneedling

Laser resurfacing, chemical peels and PRP microneedling, sold as treatment series. For PRP elsewhere, see Joint & Musculoskeletal and Hair Regeneration.

Body Contouring

Non-surgical fat reduction and body sculpting, a high-ticket service.

IV Hydration & Medical-Grade Skincare

Hydration and vitamin IV protocols, plus medical-grade skincare that earns revenue between appointments. For a full IV menu, see IV Therapy & Infusion.

The Adjacent Service Ecosystem

Patients who trust their provider are natural candidates for lines ACG can help you add as the clinic matures: Hormone Optimization, Medical Weight Loss and Longevity.

The ACG Process

Aesthetics Clinic Consulting,
From Market to Opening Day

Corporate practice of medicine rules bite hard in aesthetics. Several states require a physician to own the practice or a management-company structure, injector and aesthetician scope of practice follows state rules, and LegitScript certification affects where you can advertise.

ACG navigates all of it. The operator who gets this right from the start builds a clinic that scales. The one who skips it builds a liability.

01
Market Validation & Positioning

Demand, competitors and pricing in your market, mapped before you commit capital.

02
Entity Structure & Physician Relationship

Your state's ownership rules, a management-company structure where required, the Medical Director agreement and liability insurance.

03
Supplier & Equipment Access

Neurotoxin, filler, equipment and skincare suppliers at preferred pricing through ACG's vendor network.

04
Staff Hiring & Training

Injector hiring criteria, scope-of-practice compliance and consultation sales training.

05
Brand, Marketing & Launch

A brand identity patients choose by name and a marketing strategy built for aesthetics ad rules, including LegitScript. Marketing execution is a separate engagement.

Aesthetics & MedSpa Questions

Questions About Opening
a Med Spa

The questions founders ask before opening a med spa. Anything else, ask on the strategy call. No pressure, no pitch.

View All FAQs
Do I need to be a physician to open a med spa?+
In most states, no. No medical background is required to own the business; an independent, state-licensed Medical Director directs all clinical care. Some states require physician ownership under corporate practice of medicine rules, usually met with a management services organization paired with a physician-owned practice, and injectables and lasers often require an RN, NP, PA or physician. ACG maps your state's rules and structures the clinic to match.
How much does it cost to equip a med spa?+
It depends on the service mix. An injectables-focused med spa needs little equipment; laser hair removal adds a major purchase, and a full device package (lasers, RF, body contouring) multiplies the equipment budget. ACG's vendor network includes equipment partners with portfolio pricing and financing to phase capital.
Should I buy a med spa franchise or open my own?+
A med spa franchise licenses you its brand and system for a franchise fee plus royalties, typically 5 to 8% of revenue for the life of the agreement. Opening your own med spa with ACG costs one consulting fee plus your buildout and equipment, and the brand and its value are yours, with no royalties. Compare both paths in the independent clinic vs. franchise breakdown.
How long does it take to open a med spa?+
ACG targets 60 days from receiving your clinic keys to your first patient, market and regulatory conditions permitting. Entity setup, state compliance and space sourcing come first, and their timing depends on your state, lease and suppliers. For the full sequence, read how to open a med spa.
Should I offer memberships or single treatments?+
Both. Many med spas layer a tiered membership (monthly recurring revenue) with single-treatment and package pricing. Memberships are designed to create predictable revenue and improve retention, single treatments capture price-sensitive walk-ins, and packages improve margin on series such as laser hair removal. ACG provides tested pricing templates and membership structures.
Illustrative only. Results depend on market conditions, patient volume, and operational execution.
How do med spas attract patients?+
This category relies heavily on Instagram and social proof: paid social with before-and-after content (within Meta's rules), local SEO, Google ads for high-intent searches, and partnerships with salons, gyms and nearby businesses. Referral programs and memberships drive lifetime value. ACG's marketing playbook includes templates calibrated for aesthetics.
Do I need a consultant to open a med spa?+
No. Many med spas open without one. A good consultant helps most where med spas run into trouble: the ownership structure your state requires, who may perform injectables and laser treatments and under whose supervision, and an equipment budget that fits your service mix. Ask any firm whether its team has opened med spas, and get what its fee covers in writing. Our med spa consulting covers each of these, and you can meet the clinic consultants who lead it.
Grayson Miller, Head of Sales and Growth Strategy at Altos Consulting Group
Free 30-Minute Strategy Call

Open Your Med Spa With the Team Behind Hundreds of Launches

Talk with Grayson Miller about med spa demand in your market, your service mix and what opening takes. No pitch. No obligation.

  • Local demand review
  • Service mix and suppliers
  • An honest read on fit
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ACG is a consulting and advisory firm, not a medical practice; an independent, state-licensed Medical Director directs all clinical care. Results are not guarantees of income. Individual outcomes vary. The 60-day target begins from clinic keys received, market and regulatory conditions permitting.

Built for Compliance

Structured to keep you on the right side of the line.

Knowing the rules is the foundation of every clinic we help launch.

Your Medical Director Directs Care

You own and run the business. An independent, state-licensed Medical Director makes every clinical, prescribing and treatment decision, structured for your state's Corporate Practice of Medicine laws. We connect you to a vetted network; you retain your own provider.

We Know the Regulatory Lines

PRP, peptides, GLP-1 medications and cellular products each carry federal and state rules, and not every product or use is FDA-approved. Exosomes for therapeutic use are not FDA-approved at all, and we steer you away from them. Your menu and marketing are built to hold up to FDA, FTC and state medical board scrutiny.

No Hype. No Guarantees.

We show real ranges and never promise an income or a clinical outcome. What you earn depends on your market, your capital and your execution.

Altos Consulting Group is a business consulting and advisory firm, not a medical practice, and does not provide, prescribe or sell any drug, biologic, device or therapy. The FDA has stated there are currently no FDA-approved exosome products for the treatment of any disease; clinic owners are responsible for the compliance of every product, therapy and claim. See the full regulatory notice below.

Built by operators. Our team has launched hundreds of clinics.