/ THE AESTHETIC CREDIBILITY INDEX™ · VOLUME I · 2026
Letter grades for every major medspa in America.
A unified rating system for the U.S. medspa, aesthetic medicine, and physician-aesthetics market — built from state medical board enforcement records, FTC consumer complaints, federal court filings on PACER, BBB profiles, state licensing boards, and NASAESTHETICS' proprietary patient survey. 59 chains, practices, and platforms rated across five dimensions. Updated quarterly.
Grade
Practice
Score
Risk Band
D+
Ideal Image
National Chain
48/100
High Risk
→
C
LaserAway
National Chain
62/100
Mixed
→
C+
Milan Laser
National Chain
66/100
Mixed
→
D
Sono Bello
National Chain
42/100
High Risk
→
B-
European Wax Center
National Chain
75/100
Good
→
C-
SEV Laser Aesthetics
National Chain
56/100
Mixed
→
B-
Ever/Body
National Chain
74/100
Good
→
B-
Skin Laundry
National Chain
74/100
Good
→
B-
Heyday
National Chain
73/100
Good
→
B
Skin Pharm
Regional Chain
80/100
Good
→
B
SkinSpirit
Regional Chain
81/100
Good
→
C+
Bluemercury (Med Bar)
Regional Chain
68/100
Mixed
→
C
Sephora Beauty Studio (Brow / Skincare Services)
Regional Chain
63/100
Mixed
→
C-
Massage Envy Med Spa
Regional Chain
58/100
Mixed
→
A-
Dr. Lara Devgan Cosmetic Dermatology
Physician-Owned Premium
91/100
Excellent
→
A-
Dr. Sheila Nazarian Plastic Surgery
Physician-Owned Premium
90/100
Excellent
→
A-
Dr. Andrew Jacono Plastic Surgery
Physician-Owned Premium
89/100
Excellent
→
B+
Dr. Catherine Chang Cosmetic Dermatology
Physician-Owned Premium
87/100
Good
→
B+
Pearlman Aesthetic Surgery
Physician-Owned Premium
85/100
Good
→
B+
Neinstein Plastic Surgery
Physician-Owned Premium
86/100
Good
→
B+
Dr. Barbara Sturm Molecular Cosmetics
Physician-Owned Premium
85/100
Good
→
B
Dr. Dennis Gross Skincare Studio
Physician-Owned Premium
82/100
Good
→
B
Joanna Vargas Skin Care
Physician-Owned Premium
80/100
Good
→
A
Mount Sinai Plastic Surgery
Hospital-Affiliated
93/100
Excellent
→
A
Cleveland Clinic Cosmetic & Plastic Surgery
Hospital-Affiliated
94/100
Excellent
→
A
Mayo Clinic Plastic Surgery
Hospital-Affiliated
94/100
Excellent
→
A
UCLA Cosmetic Surgery
Hospital-Affiliated
93/100
Excellent
→
C
Hims & Hers (Aesthetic Telehealth)
DTC Telehealth
63/100
Mixed
→
C+
Ro (Roman / Rory / Zero)
DTC Telehealth
64/100
Mixed
→
B-
Curology
DTC Telehealth
74/100
Good
→
B-
Apostrophe
DTC Telehealth
75/100
Good
→
C+
Peachy
DTC Telehealth
67/100
Mixed
→
D+
CoolSculpting Provider Network (Allergan)
Procedure Network
48/100
High Risk
→
C
Emsculpt / Emsculpt NEO Provider Network (BTL)
Procedure Network
62/100
Mixed
→
C+
Morpheus8 Provider Network (InMode)
Procedure Network
67/100
Mixed
→
B-
Keeps
Hair Restoration DTC
74/100
Good
→
C
Bosley Hair Restoration
Hair Restoration
62/100
Mixed
→
B-
Hims (Hair Loss Product Line)
Hair Restoration DTC
75/100
Good
→
C-
Cenegenics Elite Health
Wellness / HRT
56/100
Mixed
→
C+
Defy Medical
Wellness / HRT
65/100
Mixed
→
C
The Hydration Room / IV Therapy Chains
Wellness / IV
62/100
Mixed
→
C+
Restore Hyper Wellness
Wellness / IV
65/100
Mixed
→
C+
Allē / Allergan Aesthetics
Manufacturer Network
68/100
Mixed
→
C+
Galderma Aspire Galderma Rewards
Manufacturer Network
67/100
Mixed
→
C+
Revance Daxxify Provider Network
Manufacturer Network
66/100
Mixed
→
F
Sona MedSpa (Legacy / Restructured)
Defunct / Legacy
28/100
Critical
→
F
American Laser Skincare (Defunct 2014)
Defunct / Legacy
22/100
Critical
→
F
Lifestyle Lift (Defunct 2015)
Defunct / Legacy
24/100
Critical
→
F
Tickle Lipo / Nutational Infrasonic Liposculpture (Defunct)
Defunct / Legacy
26/100
Critical
→
D+
Modern Age (Sold / Restructured)
DTC / Restructured
47/100
High Risk
→
C+
Strut Health
DTC Telehealth
68/100
Mixed
→
B-
Iconic Medical (Premium MedSpa)
Regional Chain
75/100
Good
→
B-
Younger Aesthetics (Regional)
Regional Chain
74/100
Good
→
C+
Tahz Aesthetics
Regional Chain
68/100
Mixed
→
B+
Olansky Dermatology Group
Physician Practice
83/100
Good
→
B-
Laser Skin Care of Greater Toronto
Regional Chain
74/100
Good
→
B
Westside Aesthetics
Regional Premium
80/100
Good
→
B-
Tatcha Skin Studio
Specialty / DTC
74/100
Good
→
A
Johns Hopkins Cosmetic Surgery
Hospital-Affiliated
93/100
Excellent
→
Choose a practice that treats you like a patient. Not a transaction.
Every medspa takes your face seriously — but not every medspa has the credentials, safety record, and regulatory standing to justify that trust. The Aesthetic Credibility Index makes the difference visible.