Med Spa Market Report: Oakland County, MI
147 med spas, 24,716 Google reviews, and a 4.88 average rating. Oakland County's affluent demographics fuel a premium aesthetics market — here's what the data shows.
Market snapshot
Data: Google Places API & US Census Bureau · Updated 2026-04-02Top med spas by Google reviews
Ranked by review count. Ratings and review counts from Google as of 2026-04-02.
| # | Business | City | Rating | Reviews |
|---|---|---|---|---|
| 1 | Rivage Day Spa Birmingham | Birmingham | 4.8 | 1,321 |
| 2 | Spa Mariana | Birmingham | 4.9 | 818 |
| 3 | COMPLEXION Med Spa | West Bloomfield Township | 5 | 779 |
| 4 | Beautiphi Aesthetic Boutique | Rochester Hills | 5 | 775 |
| 5 | Woodhouse Spa - Rochester Hills | Rochester Hills | 4.7 | 698 |
| 6 | Skin House, Dr. Christina Barbat | Birmingham | 5 | 694 |
| 7 | Evexia Wellness Spa Clarkston | Independence Township | 4.9 | 636 |
| 8 | Front Door Medspa | Rochester | 5 | 612 |
| 9 | Ideal Image Novi | Novi | 4.6 | 556 |
| 10 | Glam Jail Med Spa | Birmingham | 5 | 525 |
| 11 | Margot European Spa | Birmingham | 4.8 | 441 |
| 12 | Float Clarkston | Village of Clarkston | 5 | 427 |
| 13 | HueVine Wellness + MedSpa | Lathrup Village | 4.8 | 388 |
| 14 | FACE Skincare Medical Wellness | Bingham Farms | 4.8 | 384 |
| 15 | FACE FOUNDRIÉ - Birmingham | Birmingham | 4.9 | 373 |
Med Spas by city
How providers are distributed across Oakland County.
| City | Count | Avg rating | Total reviews |
|---|---|---|---|
| Birmingham | 18 | 4.9 | 5,570 |
| Troy | 15 | 4.9 | 1,534 |
| Village of Clarkston | 13 | 4.6 | 1,712 |
| West Bloomfield Township | 12 | 4.9 | 1,945 |
| Novi | 11 | 4.9 | 1,640 |
| Bloomfield Hills | 10 | 4.9 | 1,433 |
| Rochester Hills | 9 | 4.9 | 2,564 |
| Rochester | 7 | 4.9 | 1,660 |
| Royal Oak | 7 | 4.9 | 1,420 |
| Ferndale | 5 | 4.9 | 1,052 |
| Farmington Hills | 5 | 4.8 | 239 |
| Lake Orion | 5 | 5 | 259 |
| Waterford Township | 5 | 5 | 270 |
| Lathrup Village | 3 | 4.9 | 472 |
| Southfield | 3 | 5 | 565 |
| Berkley | 3 | 4.9 | 242 |
| Oxford | 3 | 5 | 166 |
| Independence Township | 1 | 4.9 | 636 |
| Bingham Farms | 1 | 4.8 | 384 |
| Sterling Heights | 1 | 5 | 231 |
| Shelby Township | 1 | 4.6 | 164 |
| Orion Township | 1 | 4.9 | 156 |
| 43227 Crescent Blvd Suite 23 | 1 | 5 | 95 |
| Auburn Hills | 1 | 4.9 | 87 |
| Commerce Township | 1 | 4.9 | 86 |
| Neiman's Plaza | 1 | 4.9 | 57 |
| Waterford | 1 | 4.9 | 47 |
| Waterford Twp | 1 | 5 | 17 |
| 4823 Highland Rd | 1 | 5 | 9 |
| Commerce Charter Twp | 1 | 5 | 4 |
Market analysis
Geographic concentration
Birmingham leads with 18 med spas, followed by Troy (15), Clarkston (13), West Bloomfield (12), and Novi (11). The southern and central corridors are heavily saturated with high-end providers competing for the same affluent clientele. Northern suburbs like Oxford, Lake Orion, and Holly have minimal coverage.
Rating landscape
At 4.88 average, Oakland County's med spa market is among the highest-rated in Michigan. Rivage Day Spa Birmingham dominates with 1,321 reviews, nearly 60% more than second-place Spa Mariana (818). With 168 average reviews per provider, most med spas have enough social proof to compete — the differentiator is review velocity and GBP completeness.
Demographics
Market gaps
- Oakland County's affluent demographics ($91K median income) support premium aesthetics but northern suburbs (Oxford, Lake Orion) are underserved
- Birmingham has 18 med spas in a small geographic area — saturation is extreme, and only providers with 500+ reviews consistently appear in the map pack
- Few providers in the county are targeting wellness and IV therapy niches despite high demand from the affluent demographic
- Most med spas have incomplete Google Business Profiles — missing booking links, service menus, and pricing transparency that luxury consumers expect
What this data means for your med spa
Oakland County is Michigan's premier med spa market — affluent, educated, and willing to pay for premium aesthetics. But with 147 competitors, visibility requires more than a great service menu.
147 competitors means map pack real estate is scarce
Oakland County has nearly 5x more med spas than neighboring Macomb County. Google only shows 3 providers in the map pack for any given search. With 147 competitors, your odds of appearing organically are about 2% — unless you're actively building review velocity, posting weekly to your GBP, and targeting city-specific keywords. The providers winning this market treat local SEO as a core growth channel, not an afterthought.
Affluent consumers research more — your GBP is your storefront
With a $91K median household income, Oakland County consumers are thorough researchers. They compare providers, read reviews, check credentials, and look at before/after photos before booking. A bare-bones GBP with stock photos and no service menu loses to a complete one every time. Rivage Day Spa's 1,321 reviews didn't happen by accident — it happened because they made it easy for satisfied clients to share their experience.
Northern Oakland is the blue ocean
While Birmingham, Troy, and West Bloomfield are saturated, the northern suburbs — Oxford, Lake Orion, Clarkston's outskirts, and Holly — have minimal med spa coverage relative to their growing populations and household incomes. A well-positioned provider in these areas faces far less competition for map pack placement and can dominate local searches with a fraction of the review volume needed in southern Oakland.
Cross-county competition is real — and it cuts both ways
Oakland County med spas compete not just with each other but with high-profile providers in Detroit, Macomb, and Washtenaw counties. Google shows results based on proximity and relevance — a Troy med spa might lose a patient to a provider in Sterling Heights or Rochester Hills. Strong local SEO anchors you to your service area and prevents geographic leakage.
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.