Home / Med Spa Consulting
Med Spa Consulting, From Ownership
Rules to the Service Menu.
A med spa is a medical practice that looks like a spa, and it is regulated as a medical practice. Our med spa consultants help you get the ownership, supervision and service menu right before you sign a lease, or fix what holds a running med spa back.
Book Your Strategy CallFree 30-minute call · No obligation
What a Med Spa Is,
and Why It Is Harder to Run Than It Looks
The American Med Spa Association describes a medical spa as a blend of an aesthetic medical center and a day spa: non-invasive, non-surgical aesthetic medical treatments under the oversight of a licensed physician or independent practitioner, delivered by skilled health care professionals in a spa-like setting. U.S. searches for “med spa near me” run 100,000 to 1 million a month (Google Keyword Planner).
- Neurotoxins and dermal fillers
- Laser and energy-based skin treatments
- Chemical peels and microneedling
- Body contouring and medical-grade skincare
- Hydration IVs, hormone and weight loss programs as the practice matures
- Injectables are prescription products
- Lasers carry state supervision rules
- Every treatment needs a provider your state allows to perform it
- A Medical Director who directs all clinical care
- Ownership, sourcing and advertising rules that differ by state
Who Works on Your
Med Spa Engagement
Every client works with a team of our clinic consultants, not a single consultant, from your first strategy call through launch or your growth plan.
The team sets your brand positioning, core offer and go-to-market plan and covers marketing strategy, operations and launch. Meet the clinic consultants on our team.
ACG is a consulting and advisory firm, not a medical practice.
The Med Spa Rules
Our Consultants Plan Around
Ownership, supervision, sourcing and advertising rules differ by state. Here is where they stand in October 2026.
Several states require a physician to own the practice or a management-company structure. We structure for yours, with your healthcare counsel.
Injector and aesthetician scope of practice follows state rules, and so does who must examine the patient and supervise injectables and laser treatments.
Federal law requires providers who dispense or administer prescription drugs to buy them only from authorized sources. In 2024 the FDA warned that counterfeit Botox had been found in multiple states, apparently bought from unlicensed sources. Supplier introductions are made at no additional charge through our clinic supplier network.
Not every product or use on a med spa menu is FDA-approved. A compliant GLP-1 program runs on FDA-approved products; compounding belongs only inside an FDA-regulated study (an IRB-approved protocol and an IND), and a study drug is never promoted or sold commercially. Exosomes for therapeutic use are not FDA-approved at all, and we steer you away from them. LegitScript certification affects where you can advertise.
Current as of October 2026. Confirm with your Medical Director and qualified counsel; this is not legal or medical advice.
What Our Med Spa
Consultants Deliver
- Market validation and a go or no-go recommendation before you sign
- An ownership structure for your state's rules, with a management-company model where required, mapped with your healthcare counsel
- Introductions to vetted Medical Directors
- A scope-of-practice map: who may inject or run lasers, under whose supervision
- A service menu and equipment plan sized to your market
- Supplier introductions at preferred pricing; your providers buy prescription products only from authorized sources
- Staff hiring criteria and clinic staff training plans, on protocols your Medical Director approves
- Brand identity and positioning, and a launch marketing plan
- 60 days of post-launch advisory after opening
- An assessment with specific, prioritized findings
- Consultation, conversion and front office training plans
- Your supplier pricing and sources reviewed
- An operations review of patient flow, roles and retention
- A med spa marketing audit across six areas, with the strategy that follows
See how our clinic growth consulting works.
Websites and marketing execution are separate engagements.
The same five-phase plan every clinic gets: see the launch plan we run for new med spas. We target a 60-day launch window from clinic keys received, market and regulatory conditions permitting.
Is a Med Spa Right for You?
- You want to own the business and build a brand patients choose by name
- You would rather keep your brand and pay no royalties than buy a franchise, which typically charges royalties of 5 to 8% of revenue for the life of the agreement (compare independent clinic vs. franchise)
- You want the compliance right before opening day, not after the first letter from a state board
- A structure your state allows: some states require physician ownership or a management company
- Startup capital: ACG's planning estimate for the startup investment in any of the 13 clinic types we support is about $107,000 to $130,000, our consulting fee included; working capital sits above it.
- Pricing for our engagement itself is discussed once the scope is clear.
Not sure a med spa is the right model? Compare the 13 clinic types by patient demand, read how to open a med spa, or ask on the 30-minute strategy call.
Questions About
Med Spa Consulting
Straight answers on ownership, supervision and Medical Directors. Anything else, ask on the strategy call.
View All FAQsWhat does a med spa consultant do?
Do I need a med spa consultant?
Who can own a med spa?
Who can perform Botox and fillers at a med spa?
What startup investment should I plan for a med spa?
How long does a med spa engagement take?
Is ACG a med spa franchise?
Does ACG provide medical services?
Work With a Med Spa Consultant From the Team Behind Hundreds of Launches
Talk with Grayson Miller about med spa demand in your market, your service mix and what opening or growing takes. No pitch. No obligation.
- Local demand review
- Service mix and suppliers
- An honest read on fit
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.
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.