2018 Beauty Capitals: U.S. Cities With The Most Aesthetic Treatment Providers Per Capita

2018 Beauty Capitals: U.S. Cities With The Most Aesthetic Treatment Providers Per Capita

1024 576 The RealSelf Team

According to a new RealSelf data analyzing U.S. metro areas with the most plastic surgeons and medaesthetic providers per capita, more people in markets nationwide are exploring the benefits of plastic surgery and medaesthetic procedures outside of coastal cities traditionally thought to be plastic surgery hot spots.

Plastic surgery moves mainstream

Looking at metro areas with the highest concentration of plastic surgeons, Miami topped the list with 8.3 plastic surgeons per 100,000 residents. And although Los Angeles still came in at No. 2 with 7.6 plastic surgeons per capita, New Orleans came in at No. 3 with 7.4 plastic surgeons per 100,000 residents.

“Plastic surgery treatments will always be the gold standard because, despite some downtime, they offer more predictable results,” says Dr. Jules Walters, a New Orleans plastic surgeon. “In my practice, cosmetic breast surgery, mommy makeovers, BBLs [Brazilian butt lifts], and rhinoplasty are the most requested plastic surgery procedures.”

Salt Lake City is also an intriguing market for plastic surgery. Coming in at No. 5, it remains one of the strongest markets in the country.

“Mommy makeover procedures are very popular in Utah, as many women who’ve had multiple children want to regain their pre-pregnancy bodies to participate in the active lifestyle here,” says Dr. Renato Saltz, a plastic surgeon in Salt Lake City.

Texas and California still hold top spots in our plastic surgeons per capita report. California has four cities in the top 10: Los Angeles (2) with 7.6 plastic surgeons per 100,000 residents, San Jose (6) with 6.4, San Francisco (7) with 6.3, and San Diego (8) with 5.9. Austin, Texas, takes the No. 4 spot with 6.7 plastic surgeons per 100,000 residents.

Medaesthetic interest also on the rise

As interest in minimally invasive treatments grows, RealSelf is seeing a trend toward medspas being added to plastic surgeons’ practices.

According to the American Society of Plastic Surgeons, in 2017 nonsurgical procedures outpaced surgical ones at a rate of 8:1 with a total of 17.5 million aesthetic procedures reported.

“Consumer demand for medical aesthetic treatments is growing as new technologies and treatment options have made aesthetics more accessible to a wider audience,” said Dr. Lara Devgan, RealSelf Chief Medical Officer and board-certified plastic surgeon. “As a result, many plastic surgeons, including myself, have expanded treatment offerings or added medical spas to meet the growing needs of our patients. As innovation and medical advancements continue to disrupt this market, I expect consumer interest to grow and expand beyond major metros into suburbs and other smaller markets.”

RealSelf also looked at the number of medaesthetic providers per 100,000 people in U.S. markets over 1 million in population. Just as with plastic surgeons, Miami is the U.S. metro area with the most medaesthetic providers per capita, at 10.9 per 100,000 people.

Southern California is also a hot spot for medaesthetic providers, with Los Angeles at No. 2 with 10.3 providers per capita, and San Diego (3) at 9.6.  

Dr. Brent Moelleken, a plastic surgeon in Beverly Hills, says that plastic surgery still accounts for half his business, but he has also expanded his practice with a medspa to accommodate the growing demand for medaesthetic services.

“While minimally invasive treatments have greatly increased, there are many patients who still need more long-lasting, permanent treatments that only surgeries can provide,” Dr. Moelleken says. “So, the number of surgeries has risen as well. In Beverly Hills, patients are interested in what is new and different!”

Tech hubs hotbeds for medaesthetic growth

The demand for more natural-looking treatments with less downtime is on the rise in cities known for their active, outdoorsy populations that are also driven by the tech industry.

Five out of the top 10 metro areas for medaesthetic providers per capita are also known for being centers of technology: Seattle, San Francisco, Austin, San Jose, and Denver, respectively. Seattle leads the tech pack at No. 4, with 9.3 providers per 100,000 residents. San Francisco takes the No. 5 spot with 9.2, followed by Austin (6) with 9.1, San Jose (7) with 8.9, and Denver (9) with 8.6.

“We perform significantly more nonsurgical than surgical procedures today,” says Dr. Wayne Larrabee, a facial plastic surgeon in Seattle. “We operate three days a week and perform about two surgical procedures per day, but perform an average of 30 medaesthetic procedures per day among our physicians, nurse injectors, and aestheticians.”

“The San Francisco Bay Area has always been home to urban professionals who want to look their best, and my practice has increasingly attracted these industry leaders,” says Dr. David Mabrie, a facial plastic surgeon in San Francisco. “As the tech business areas expand their borders from Silicon Valley to the East Bay and within the City of San Francisco, our tech industry patient base continues to grow.

As breakthroughs in science and beauty continue, medaesthetics will continue to be a fascinating market to watch.


To calculate providers per capita, RealSelf first calculated the number of plastic surgeons and medaesthetic providers in a metro area. For the purposes of this analysis, RealSelf defined metro areas according to the United States Office of Management and Budget Core Based Statistical Area (CBSA) definitions, released in 2010. Both metropolitan and micropolitan areas were included. Plastic surgeons and medaesthetic providers were assigned to an area based on the ZIP code of their primary office location. Population data was calculated by adding the 2017 U.S. Census Bureau population estimates for individual counties within a CBSA. For the purposes of the list above, only areas with a population 1 million and above were included.