NEWThe April issue is live, laundromats, self-storage, and pet services business models.Read this issue
Business Model · Health & Wellness

The Med Spa

A cash-pay, high-ticket medical-aesthetic clinic - Botox and filler, laser and devices, medical-grade skincare - run under a physician medical director. This is beauty plus medicine: marketing-driven demand, heavy consumables, and a repeat-treatment cadence that membership and skincare turn into recurring revenue. Here is how it actually pencils, and whether it fits you.

15 min experienceInteractive economicsBuilt from operator research
01

The Snapshot

Is this worth your attention?

$1M-$3M+
Typical annual revenue
single-site, multi-provider
15-25%
Owner cash margin (SDE)
share of revenue, well-run
2-4x SDE
Typical sale multiple
recurring base lifts it
$250k-$700k
Build-out & devices from scratch
lasers, rooms, working capital
Medium-High
Day-to-day difficulty
medical compliance, staff, marketing
Low-Medium
Absentee potential
a managed medical business, not passive

A fit if you...

  • Want a high-ticket, cash-pay business, not insurance billing
  • Can secure a physician medical director and licensed injectors
  • Will run marketing and a membership program like an engine
  • Have or can finance real device and build-out capital
  • Respect that this is a medical practice with real compliance

Probably not if you...

  • Want low capital or a quick, cheap start
  • Dislike medical compliance and provider supervision
  • Expect demand without heavy, sustained marketing
  • Want a passive, absentee investment from day one
02

Step Inside the Layout

A live look at one tool inside

This is the actual 3D floor from the full model - drag to explore it. Inside, you configure the space yourself and watch the economics move with every choice.

Loading configurator…

This is just the surface

The full model is the complete, interactive deep-dive, and every business here is built to the same standard: a live economics simulator you tune to your own numbers, an interactive 3D walkthrough, a location scorecard, an owner-fit assessment, buy-versus-build guidance, and the full breakdown of how it makes money and what quietly kills margin.