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Medspa • Best Practice

How To Open a Medical Spa: A Step-by-Step Guide to Get Started

A client chair in a medspa patient room.

How To Open a Medical Spa: Your Guide for a Successful Launch

TL;DR — How To Open a Medspa

Want to know how to open a medical spa? There are several steps you’ll need to take to set yourself up for success:

  • Conduct market research and competitive analyses to define your niche.

  • Calculate medspa startup costs to ensure financial viability.

  • Build a detailed medical spa business plan that includes financial projections.

  • Adhere to medical director requirements for your state.

  • Create an “opening a medical spa checklist” that includes securing licenses, permits, and insurance.

  • Choose a location and design that appeals to your target patient base.

  • Invest in high-quality equipment and technology like medspa software.

  • Hire and train qualified, licensed staff to deliver treatments.

  • Create marketing strategies and loyalty programs that will attract and retain patients. 

  • Launch your medspa with a strong grand opening.

  • Track KPIs to assess performance and develop growth strategies.

Follow this checklist to balance a smart business strategy with careful compliance practices and start your medspa off right in a competitive market.

The medspa industry is growing rapidly. Modern spa-goers are noticing and are more likely than ever to take advantage of the latest medical tech for their beauty and wellness treatments.

If you're wondering how to open a medical spa to join this booming industry, then you’re in the right place. Launching a medspa requires a lot of planning: You’ll need to sharpen your business strategies to meet legal requirements while driving revenue and holding onto a passion for helping patients look and feel like their best selves.

In this guide, we’ll lay out the most important steps necessary to open your business, from meeting legal medical spa requirements to hiring qualified staff. We’ll also explore how Boulevard’s medspa features can help you manage day-to-day operations long after opening day.

What’s a Medical Spa and Who Can Open One?

A medical spa, or medspa, is a service-based business that blends the luxury of a spa with the structure of a medical clinic. Unlike traditional spas, which typically focus on services like massages and facials, medspas offer medical-grade aesthetic treatments performed by licensed professionals.

Treatments commonly offered in medspas include:

  • Cosmetic injectables (like neurotoxins and dermal fillers)

  • Laser hair removal

  • Non-surgical body contouring

  • Advanced skin treatments (like microneedling and chemical peels)

In most cases, who can open a medical spa depends on your region and higher education. States have different rules about who can own a medspa, with many requiring owners to have a medical license. Others, like Arizona and Florida, simply require you to work with a licensed physician who acts as a medical director for medical spa services.

Planning Your Medical Spa: Market Research and Business Plans

Before you start scouting out locations and acquiring equipment, you need to know the details of your local market. Many successful medspas start with a niche specialization—think acne care or non-surgical fat reduction—to get their footing. Look into the competition: What are they charging? What services are they offering? Early market research helps you find how you’ll stand out from the competition. 

Once you have an idea of how your medspa will fit into the local scene, it’s time to develop a strong medspa business plan. This document should outline how you’ll run your business, including your target market, services and prices, and revenue projections. It’s important that this document is very clear and detailed, because this is what you’ll show third parties to secure outside funding.

One of the most important things your business plan needs to include are your startup costs. These figures vary substantially, depending on what you’re offering and the cost of living where you’re located. Typically, it takes anywhere from $10,000 to open a small medspa and up to $500,000 for large, full-service operations.

Medspas have to follow much stricter regulations than salons and traditional spas. Because these businesses perform medical services and collect protected health information (PHI) from their patients, they need to carefully follow HIPAA regulations. Using a HIPAA-compliant software can help you ensure every part of your notes are kept private and secure.

Another legal doctrine you’ll have to pay attention to is the Corporate Practice of Medicine, which is designed to keep business interests from interfering with a patient’s medical needs. Other legal requirements for medspas vary by state, so look closely at the medical spa requirements in your area and talk to an attorney well-versed in healthcare before you accept your first patient.

Setting Up Your Medspa: Location and Tools

Find a location that’s convenient and attractive to your target market. This usually includes suburban and urban areas near large populations of high-income, aesthetic-driven potential patients. Unless you’re launching a major operation, it’s generally best to start with a small suite, then scale as your business grows. Look for a building with some flexibility, like adjacent suites you can add to your lease, so it’s less likely you’ll have to uproot and move later.

Once you have a rental contract signed, it’s time to gather your equipment. Your exact needs will depend on your treatment menu, but start with the basics, like a front desk and reception chairs, as well as more expensive investments in medical tech that serve that menu, like hydrodermabrasion machines.

Something that isn’t always thought of alongside equipment, but will save you time and resources as you get started, is medical spa management software. Using a program like Boulevard can help you streamline daily tasks by handling HIPAA-compliant charts and intake forms, payment processing, and scheduling all in one convenient platform.

Hiring, Services, and Marketing

When designing your treatment menu, think about the most popular and profitable medspa services that people consistently look for, such as laser hair removal and body contouring. It’s often a good idea to start small in one or two niches, then scale over time.

Hiring the right people to provide those services is the single best way to set your medspa up for success. A friendly, licensed staff improves the patient experience across the board. 

You’ll likely need to fill these roles:

  • Medical director (must be a licensed MD)

  • Registered nurses or nurse practitioners, depending on services

  • Physician’s assistants

  • Licensed estheticians

  • Front desk staff


Once everything’s in place and opening day is set, it’s time to focus your energy on marketing your medspa. There are some core strategies that can help you build credibility early:

  • Implementing a referral program to boost word-of-mouth recommendations

  • Promoting incentives like discounts for online reviews

  • Having a simple online booking system to get patients in the door with less friction

  • Setting up membership and loyalty programs to increase value


Once you’re ready for launch, you need to set the stage with a grand opening. Generate excitement with exclusive discounts, live events and demonstrations, and a welcoming atmosphere. And consider more than just how many appointments you can book that day: You’ll need to build strong long-term patient relationships with your medspa using recurring revenue models  like memberships and loyalty programs.

Opening a Medical Spa in 9 Steps: Checklist to Follow

It’s always complicated to open a business, especially when medical services are involved. Here’s a nine-step checklist to break the process into something more manageable and actionable.

Step 1: Define Your Concept and Conduct Market Research

What do you want your medspa to be? Who are your services for? Look into your local market to determine your niche and the clientele you want to attract.

Step 2: Build Your Business Plan and Secure Funding

Your business plan plays an important role in securing funding for your venture. Outline your plan to cover specific business details, like cash flow projections and operational structures. 

Follow your specific state’s licensing and ownership requirements to stay legally compliant. You may also want to work with a healthcare attorney so you know all of your rights and responsibilities as a medical service provider.

Step 4: Choose Your Location

Find a location that balances visibility and demographic appeal. You’ll want to rent a space that aligns with your goals for the aesthetic experience and offers some room for growth.

Step 5: Purchase Equipment and Choose Your Software

Gather high-quality equipment based on your service offerings and choose a reliable management software like Boulevard to help you run your daily operations.

Step 6: Hire and Train Your Team

Choose your team members wisely, focusing on their qualifications, experience, and company culture fit. Invest in training and ongoing education to ensure your services are always high-quality and your staff is up-to-date with the latest service trends.

Step 7: Build Your Brand and Launch Your Marketing

Flesh out your brand identity based on your goals and ideal patient persona. Design membership and referral programs that drive organic growth. Then, focus on building an online presence through social media content, SEO, and glowing reviews. 

Step 8: Plan Your Grand Opening

Opening day is your big chance to get people buzzing. Invest in one-off perks like targeted promotions and fun social events like a grand opening party to get the ball rolling.

Step 9: Track KPIs and Optimize for Growth

Once you’re officially on the map, monitor key performance indicators (KPIs) like booking rates and client retention to continuously refine your strategies and grow a stable business.

FAQ

How Much Does It Cost To Open a Medical Spa? 

Depending on the scope of your services, startup costs for a medspa can range from $10,000 to $500,000.

Who Can Own a Medical Spa?

It depends on the state. In most regions, only an MD can own a medspa. A few, such as Arizona and Florida, let a non-physician own the business, but they still need an MD to oversee the medical side of things.

Do You Need a Medical Director To Open a Medspa? 

Almost always. A majority of states require you to have a licensed medical director on staff to open and run a medical spa.

What Software Do Medical Spas Use?

Medspas generally get the best results from HIPAA-compliant, integrated management software like Boulevard to handle daily operations and EMR tasks.

How Does Boulevard Help with Opening a Medspa?

As an all-in-one software tool, Boulevard can help you with every aspect of your daily operations. This includes tasks like generating custom reports to monitor your KPIs as you get started and launching your first membership program.

Can Boulevard Handle HIPAA-Compliant Intake Forms and Client Records for a New Medspa?

Boulevard has HIPAA compliance baked into every tool. Patient intake forms, profiles, and records are all HIPAA-compliant to ensure their PHI is completely safe and secure.

Does Boulevard Support Medspa Membership Programs?

Yes. Boulevard offers integrated support for memberships and loyalty programs, which can boost recurring income and increase retention.

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Jade Alexander

Medspa Education Manager

Jade Alexander is Education Manager, Medspa at Boulevard, bringing over a decade of experience as a dual-licensed master aesthetician, educator, and consultant. She specializes in empowering medspa professionals to enhance client experiences while optimizing business performance. With a strong foundation in clinical aesthetics, Jade combines her hands-on expertise with a robust background in software onboarding, sales education, and digital marketing, helping businesses scale smarter and leverage technology for sustainable growth.

Jade Alexander . @@jadealxndr

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