Med Spa Market Report: Macomb County, MI
31 med spas, 5,377 Google reviews, and a 4.85 average rating. Real data on every provider, city-by-city density, and where the gaps are.
Market snapshot
Data: Google Places API & US Census Bureau · Updated 2026-03-16Top med spas by Google reviews
Ranked by review count. Ratings and review counts from Google as of 2026-03-16.
| # | Business | City | Rating | Reviews |
|---|---|---|---|---|
| 1 | Allure Medical (Shelby) | Shelby Township | 4.6 | 1,012 |
| 2 | Edn Skin & Spa | Sterling Heights | 5 | 878 |
| 3 | Treuvis | Clinton Township | 4.8 | 535 |
| 4 | Pure Beauty & Wellness | St Clair Shores | 4.9 | 506 |
| 5 | Accents Cosmetic Surgery and Medical Spa | Sterling Heights | 4.8 | 233 |
| 6 | Beauty By Reanne (BBR Med Spa) | Sterling Heights | 5 | 229 |
| 7 | Iridescent | Clinton Township | 4.3 | 208 |
| 8 | The Dragonfly Esthetics | Sterling Heights | 5 | 177 |
| 9 | Evolution Medical Spa | Shelby Township | 4.5 | 166 |
| 10 | Allure Medical (Warren) | Warren | 4.3 | 149 |
| 11 | SkinRejuv Aesthetics | Clinton Township | 5 | 135 |
| 12 | CWC Medical Spa | Shelby Township | 4.9 | 135 |
| 13 | ReAwaken Med Spa | Shelby Township | 4.9 | 131 |
| 14 | AvaBella Aesthetics | Mt Clemens | 5 | 124 |
| 15 | XO Aesthetics | Shelby Township | 5 | 115 |
Med Spas by city
How providers are distributed across Macomb County.
| City | Count | Avg rating | Total reviews |
|---|---|---|---|
| Sterling Heights | 10 | 4.9 | 1,721 |
| Clinton Township | 9 | 4.8 | 1,164 |
| Shelby Township | 6 | 4.8 | 1,583 |
| Warren | 2 | 4.7 | 162 |
| St Clair Shores | 1 | 4.9 | 506 |
| Mt Clemens | 1 | 5 | 124 |
| Chesterfield | 1 | 5 | 74 |
| Utica | 1 | 4.7 | 43 |
Nearby competitors (outside Macomb County)
These providers in adjacent counties pull demand from the same market.
| Business | City | Rating | Reviews |
|---|---|---|---|
| Front Door Medspa | Rochester | 5 | 603 |
| VIO Med Spa | Rochester | 5 | 203 |
| Be Medi Spa | Rochester Hills | 4.9 | 195 |
| The Spa MD | Rochester Hills | 5 | 163 |
| Mosaic Luxury Medical Spa (Berkley) | Berkley | 4.9 | 117 |
| Revitalize Medical Spa | Troy | 4.9 | 62 |
Market analysis
Geographic concentration
Sterling Heights and Clinton Township account for 61% of all med spas in the county. Shelby Township adds another 19%. Southern Macomb (Warren, Roseville, Eastpointe) and northern areas (New Baltimore, Richmond) are significantly underserved.
Rating landscape
The median rating is 5.0 — the market is saturated with high-rated providers. Differentiation on Google reviews alone is nearly impossible. Providers with fewer than 100 reviews are invisible against leaders like Allure Medical (1,012) and Edn Skin & Spa (878).
Demographics
Macomb County's 135,000+ women aged 25-54 represent the core med spa demographic. With a median household income of $77,837, the market can support premium pricing. The county's population density is highest along the M-59 and Hall Road corridors — where most providers have clustered.
Market gaps
- Warren has only 2 med spas for 139,000+ residents — the lowest density of any major Macomb city
- Harrison Township, Roseville, and Eastpointe have zero dedicated med spas despite combined populations over 100,000
- Only 3 providers appear to offer IV therapy or wellness services alongside traditional aesthetics
- Few providers have optimized Google Business Profiles with complete service menus and booking links
What this data means for your med spa
The numbers above aren't just interesting — they tell you exactly what it takes to compete in this market. Here's how to read them.
Reviews are the moat — and the gap is widening
The top 3 providers hold 45% of all Google reviews in the county. Allure Medical alone has more reviews than the bottom 20 providers combined. In a market where 93% of consumers read reviews before booking, this creates a compounding advantage: more reviews → more trust → more bookings → more reviews. If you're under 100 reviews, you're functionally invisible in the map pack for competitive searches like "med spa near me" or "Botox Sterling Heights."
A 5-star rating isn't a differentiator anymore
When the median rating is 5.0, a perfect score doesn't set you apart — it's table stakes. The providers winning in this market differentiate through volume (review count), recency (fresh reviews every week), and completeness (fully optimized Google Business Profile with photos, services, booking links, and regular posts). Most med spas in Macomb County are missing at least two of those three.
61% of providers are clustered in two cities
Sterling Heights and Clinton Township are saturated. If your med spa is in one of those cities, you're competing with 9-10 other providers for the same local searches. That means your GBP optimization, content strategy, and review velocity need to be sharper than average just to maintain visibility — let alone grow it. If you're in an underserved area like Warren or Harrison Township, the opportunity is massive but only if people can actually find you online.
Oakland County competitors are pulling your patients
Front Door Medspa in Rochester (603 reviews), VIO Med Spa (203 reviews), and Be Medi Spa in Rochester Hills (195 reviews) all rank for Macomb County searches. They're close enough geographically that Google shows them to Macomb residents. Without strong local SEO anchoring you to your service area, you're losing potential clients to providers across the county line.
How we help med spas win in competitive local markets
We run local SEO and Google Business Profile optimization specifically for med spas. No generic marketing playbook — everything is built around how people actually search for aesthetic treatments in your area.