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Evolution of Search Trends for Medical Spas and Cosmetic Dermatologists: A 2009 to 2019 National Comparison.

Over the past decade, the popularity of cosmetic procedures has continued to rise. A recent member survey of the American Society for Dermatologic Surgery (ASDS) found that in 2018, more than 3.7 million injectable procedures were performed. Compared with the previous 7 years, soft tissue filler treatments increased by 78%; body contouring procedures rose by about 400%; and laser, light, and energy-based treatments grew by 74%. As the demand for minimally and noninvasive cosmetic procedures continues to surge, medical spas have capitalized on this by proliferating across the country. As of 2018, there were over 5,400medical spas posting an average revenue of more than $1.5 million. These aesthetic facilities offer treatments similar to those performed in physician-based practices, often with discounted prices and shorter wait times. It is possible that these facilities could also be viewed as less intimidating than traditional medical offices and may even be more accessible to consumers in certain areas, especially rural locations. However, compared with physician practices, medical spas have been associated with deficiencies in training, improper technique, and incorrect device settings. There is also evidence to suggest an increased risk of medical professional liability claims for laser surgery performed by nonphysicians. Despite the contrast in practice environment, consumers continue to line up at these well-marketed facilities.