Medspa Industry Sees Double-Digit Growth Despite Flat New-Patient Volume: Report
Key Takeaways
Median medspa revenue increased 17.4% in Q3 2026, driven largely by existing patients and newer locations rather than new-patient acquisition.
Existing patients generated approximately 82% of revenue, while membership and rebooking metrics revealed substantial differences in patient retention.
Wellness-integrated practices reported stronger forward bookings vs pure aesthetics operators, but wellness was a small share of overall revenue.
Revenue across medical aesthetics practices increased during the third quarter of 2026, with existing patients and newer clinic locations accounting for much of the growth, according to CorralData's latest State of Aesthetics report.
The report, based on operator systems data rather than surveys, found that median revenue increased 17.4% compared with Q3 2025. Same-store revenue among locations operating for at least two years rose 7.0%, while new-patient counts remained relatively flat.
Patient Retention and Membership Shape Revenue Trends
Existing patients generated more than 80% of total revenue, with revenue from this population increasing 8.4% year on year. Meanwhile, revenue from new patients declined 6.9%.
Patient retention metrics showed that 71.0% of completed appointments resulted in another booking within 90 days. Average patient lifetime revenue was $1,628, with the highest-spending 10% of patients accounting for 35.5% of revenue.
During the quarter, 90.4% of members returned compared with 50.6% of nonmembers. Membership enrollment varied considerably across operators, ranging from 14.3% to 40.7% of active patients.
Injectables represented 44% of revenue at the median operator and was the largest treatment category. Wellness services comprised 9.0% of revenue.
Average transaction values also differed by business model, reaching $498 for pure aesthetics practices, $366 for wellness-integrated operators, and $276 for wellness-led businesses.
Source
CorralData. The State of Aesthetics: Q3 2026. Company-reported industry analysis, 2026.