Blog
Industry trends

15 Med Spa Treatments Popular With U.S. Clinic Owners

What are the most popular medical spa services? We break down the top 15 treatments, why they’re in demand, and how to decide which ones your med spa should offer.

On this page

    Want to know which med spa treatments are the most popular in the U.S.? If you’re a provider or clinic owner, offering these top-requested procedures can help you stay competitive and boost your revenue. Here’s a breakdown of the most popular medical spa services in the United States, why patients ask for them, and how you can use this info to create a treatment menu that keeps your business thriving.

    The Top 15 Most Popular Medical Spa Treatments in the United States

    Here are the top 15 treatments people ask for most at med spas across the U.S. Each therapy offers specific benefits. Lots of clients combine several treatments for bigger results.

    1. Botox and Other Wrinkle Relaxers

    Botox, Dysport, Xeomin, and Daxxify are neurotoxins used to smooth dynamic wrinkles. There were over 9 million Botox treatments performed worldwide in 2024. This procedure makes up more than half of non-surgical medical aesthetics.

    • Targets muscles that cause forehead lines, frown lines, and crow’s feet
    • Results show in a few days and last about three to four months
    • Works for brow lifts, lip flips, and jawline definition too

    One provider summed it up: “My top requested aesthetic treatment is Botox and Dysport. Everyone wishes they'd started sooner.”

    2. Dermal Fillers

    Dermal fillers, especially those made with hyaluronic acid, are used to restore lost volume and contour the face. Over 4.3 million filler procedures took place globally in 2022. The market reached $3.3 billion in 2024.

    • Add volume to cheeks, lips, nasolabial folds, and under-eye hollows
    • Soften facial lines and build facial contours
    • Results are instant and can last several months to years, depending on product

    Most visits take less than an hour, with almost no downtime.

    3. Laser Hair Removal

    Laser hair removal gives long-term reduction in unwanted hair. Concentrated light energy targets melanin in hair follicles, damaging them so hair can’t regrow as easily. Common areas include legs, arms, back, bikini line, and face.

    • Clients usually need four to six sessions, a few weeks apart
    • Works best when tailored to specific skin and hair types
    • No downtime and safe for most skin tones with skilled providers

    4. Chemical Peels

    Chemical peels use acids to exfoliate the skin’s outer layers. This triggers cell turnover, resulting in smoother, fresher skin. Peels come in light, medium, and deep strengths. Lighter peels are “lunchtime” options, needing little recovery. Medium and deep peels deliver stronger results but involve more downtime.

    • Help with fine lines, uneven tone, acne scars, and sun spots
    • Each peel is customized to skin type and concern

    5. Microdermabrasion

    Microdermabrasion is a gentle exfoliation treatment. It removes dead skin cells and leaves complexions bright and refreshed. A device with crystals or a diamond tip buffs away the outermost layer.

    • No pain or recovery, just softer and smoother skin after a 30 to 60-minute session
    • Works as a regular maintenance procedure for almost anyone

    6. Microneedling

    Microneedling (collagen induction therapy) uses tiny needles to make small punctures in the skin. This triggers the body’s wound-healing process and boosts collagen and elastin. Providers use microneedling to treat acne scars, surgical scars, stretch marks, and large pores.

    • Usually causes redness for a day or two, then skin begins to heal and remodel
    • Results appear over weeks as collagen is rebuilt

    7. Platelet-Rich Plasma (PRP) Therapy

    PRP therapy harnesses the growth factors in your own blood. After drawing a small sample, staff spin it to separate the platelets. They inject or apply PRP during microneedling or directly into the scalp for hair restoration.

    • Boosts cell renewal and produces more collagen for smoother skin
    • Helps dormant follicles regrow hair without surgery
    • Especially helpful for thinning hair or uneven skin texture

    8. Cryolipolysis (Fat Freezing)

    CoolSculpting and similar treatments freeze fat cells in targeted areas. The body removes these dead cells naturally over two to three months, which can reduce fat in treated spots.

    • Most common for abdomen, love handles, inner and outer thighs, and chin
    • Sessions last 35 to 60 minutes
    • No recovery needed and results keep improving for months

    9. Ultrasound-Based Skin Tightening

    Ultherapy uses focused ultrasound waves to target deep skin layers. This stimulates collagen production for gradual tightening over several months. It’s popular for lifting the brows, tightening jawlines, and smoothing the chest area.

    • Great alternative to surgery for skin laxity
    • Optimal results develop in three to six months

    10. Radiofrequency Treatments

    Radiofrequency (RF) uses electromagnetic waves to heat tissue and build collagen. Providers can use surface devices or add microneedling for deeper effects. TruSculpt and Morpheus8 are some examples.

    • RF melts fat cells and tightens skin at the same time
    • Useful for stretch marks, surgical scars, face, neck, and body
    • Most people need several sessions for best results

    11. Facial and Skin Rejuvenation Therapies

    Advanced facials like HydraFacials are in demand. They account for over 32 percent of all med spa services in 2025. HydraFacials combine cleansing, exfoliation, extraction, hydration, and antioxidant infusion.

    • Instantly leaves skin hydrated, clear, and smooth
    • No downtime and suitable for almost everyone
    • LED and oxygen facials target specific skin problems, like acne or redness

    12. Laser Skin Resurfacing

    Laser resurfacing helps with pigmentation, sun damage, wrinkles, scars, and uneven tone. High-energy lasers remove damaged outer skin and trigger collagen formation below. Fractional lasers speed healing by treating only some of the skin at once. Each treatment is customized for your needs and downtime tolerance.

    • Dramatically improves sun damage, acne scars, and lines
    • Multiple settings for different skin types and goals

    13. Lip Enhancements

    Lip augmentation with hyaluronic acid fillers is one of the most requested treatments. Fillers plump thinning lips, add definition, and create more symmetrical borders.

    • Results look natural and can last from several months to over a year
    • Most people want subtle, natural-looking volume
    • Sessions take just 15 to 30 minutes

    14. Body Contouring Injections

    KYBELLA is the only FDA-approved injectable for eliminating submental fat under the chin. It uses deoxycholic acid to rupture fat cells, which your body then clears out.

    • Takes two to six rounds of small injections a month apart
    • Results are permanent when you reach the desired look
    • No surgery needed

    15. IV Therapy and Wellness Shots

    IV therapy and wellness shots are popular for quick hydration and a nutrient boost. The IV therapy market reached $2.71 billion in 2024 and could surpass $5.84 billion by 2034.

    • Myers’ Cocktail is a common IV drip that boosts energy and supports immunity
    • Delivers fluids, electrolytes, and nutrients right into your bloodstream for rapid results
    • Vitamin shots (like B12, D, or lipotropics) are a quick wellness pick-me-up

    Regional Differences in Med Spa Treatments

    Treatment trends depend on where you are. Every region has its own preferences based on culture, climate, and what people think looks best. A treatment that’s hot in Miami might not be in demand in New York or Seattle.

    • Dallas: Popular treatments include CO2 resurfacing, dermal fillers, KYBELLA, and RF microneedling. Non-invasive body contouring like CoolSculpting and EMSCULPT is also big here.
    • Los Angeles: Known for procedures like jawline contouring, laser resurfacing, eyelifts, and of course, neurotoxins like Botox.
    • New York City: Clients love combination protocols, such as Ultherapy or Thermage with Silhouette Instalift and fillers. Botox and KYBELLA are also highly requested.
    • Miami: Skincare services are popular, plus lots of requests for Botox and lip filler. The sunny lifestyle drives demand for anti-aging and rejuvenation.

    If you tailor your service menu to your local clients, you’ll be the go-to med spa in your area.

    Choosing Services That Suit Your Practice

    You don’t have to offer every treatment. Build your menu around your patients, what local competitors are doing, and your brand identity.

    • Create clear categories and keep service descriptions brief and easy to understand
    • Use “Signature Service” or “Best Seller” tags to make choices easier
    • Offer options in good-better-best tiers to reach both new and loyal clients
    • Use transparent pricing with breakdowns by area, number of units, or necessary equipment

    This helps clients see value and builds trust. Always offer complimentary consultations. These let clients ask questions and create tailored plans based on medical standards and client needs. Never skip a consult as it’s essential for safety and great results every time.

    Your Next Step for a Thriving Med Spa Business

    Offering the most popular medical spa treatments lets your practice attract clients of all ages, from those wanting prevention to those targeting aging. But to keep things running smoothly, your operations matter as much as your treatment menu.

    A good practice management platform like Portrait can make everything easier. You can easily update your menu, keep track of packages, manage consults, and handle all your scheduling and client notes in one spot. The right software means you spend less time on admin and more time caring for patients.

    Stay ahead by matching high-demand services with easy-to-use business tools. When you combine the most-requested treatments with smooth, organized operations, you’ll see more happy clients and sustainable growth for your med spa.

    Related reading

    Save up to 60% on select products

    Portrait brings marketplace purchasing and practice software together to support your daily operations. Actual savings vary by product and purchasing needs. See your supply pricing.

    Patrick Blake, MD, FAAD

    Medical review

    reviewed this article for medical and regulatory accuracy. He is a board-certified dermatologist, Fellow of the American Academy of Dermatology, and co-founder and Chief Medical Officer at Portrait. His training includes Cleveland Clinic Lerner College of Medicine, research at the National Institutes of Health as a Howard Hughes Medical Institute research scholar, and dermatology residency at UT Southwestern.

    Keep reading

    No items found.

    One platform

    Everything you need to run your practice

    Portrait combines the technology, support and savings to run and grow an independent medical wellness practice.

    Book Demo