The short answer · US med spa listings, November 2026
- Largest chain
- 79LaserAway locations listed
- Brands with 3+ locations
- 141across 41 states
- Locations in those brands
- 870of 7,588 listings
- Share of all listings
- 11%the rest are smaller or independent
LaserAway is the largest med spa chain we list in the US, with 79 locations in 17 states. SkinSpirit follows at 38, and 4Ever Young, Advanced Dermatology and Cosmetic Surgery and VIO Med Spa each have 35.
Even so, the US med spa market is still mostly local. The 141 brands with three or more locations account for 870 of our 7,588 listings, about 11%. To browse them all, see our med spa brands directory. For the wider picture, see our US med spa statistics.
The 15 largest chains
- LaserAway17 states79
- SkinSpirit13 states38
- 4Ever Young11 states35
- Advanced Dermatology and Cosmetic Surgery6 states35
- VIO Med Spa16 states35
- OVME17 states29
- NakedMD6 states23
- Schweiger Dermatology Group5 states23
- dermani MEDSPA3 states20
- Elase Medical Spa5 states17
- It's A Secret Med Spa3 states15
- Goldfingers Aesthetics1 state13
- Skin Pharm4 states9
- Aurora Medical Spa3 states7
- Couture Med Spa3 states7
Locations listed on AuraVenu, grouped by the website each listing shares, so a chain may have locations not yet listed. Follow a name to see every location.
The list includes more than one kind of business. Some brands, such as LaserAway and VIO Med Spa, are built around aesthetic treatments, while Advanced Dermatology and Cosmetic Surgery and Schweiger Dermatology Group are dermatology practices that also offer cosmetic care.
Which chains reach the furthest
Location count and geographic reach are different things. LaserAway and OVME are each in 17 states, and VIO Med Spa is in 16, so these brands are spread across the country. Goldfingers Aesthetics has 13 locations, all in one state, and dermani MEDSPA has 20 across three.
The 15 largest brands hold 385 locations, a little under half of the 870 in all brands with three or more. Outside the top 15, every brand has seven locations or fewer.
What this means if you are choosing a clinic
A chain and an independent clinic can both be a good choice, and the same questions apply to either. With any location, check who will treat you, what training and license they hold, and that location’s own Google reviews. Our guide to checking that a med spa is legitimate walks through it.
How we got these numbers
- The sourceAuraVenu’s US listings as of November 3, 2026: 7,588 med spas and aesthetic clinics.
- How locations are groupedListings join a brand when they share a website domain and are plainly the same business. Booking and site-builder hosts are excluded, because they put unrelated clinics under one domain. A listing with no website never joins a brand.
- Listed, not totalThese are locations listed on AuraVenu. A chain may operate locations we have not listed, so its true size can be larger.
- ThresholdA brand needs at least three listed locations to count.
- Coverage changed this monthWe added thousands of listings in November, mostly in ten large metros. Do not compare these counts with our October figures: a chain’s count may have risen because we listed more of it, not because it opened new locations.
These figures are free to reuse with credit to AuraVenu. The statistics page has the same chain table, and each brand page lists its locations.
Frequently asked questions
What is the largest med spa chain in the US?
LaserAway, with 79 locations in 17 states listed on AuraVenu as of November 2026. SkinSpirit is next with 38. A chain may have locations we have not yet listed, so these are minimum counts.
How many med spa chains are there?
We count 141 brands with three or more listed locations, across 41 states, holding 870 locations between them. That is about 11% of our 7,588 US listings. Groups with only two locations are not counted.
Are most med spas independent?
In our data, yes. About 89% of listings are not part of a brand with three or more listed locations. Some of those may belong to small groups, or to chains whose other locations we have not listed.
Which med spa chain is in the most states?
LaserAway and OVME, at 17 states each, followed by VIO Med Spa at 16 and SkinSpirit at 13. These counts cover locations listed on AuraVenu as of November 2026.
