Top med spas in Texas, ranked by ChatGPT answers

Places ChatGPT showed

• Nia Aesthetics MD · 5.0★ · Medical spa
• SkinSpirit Houston - Rice Village · 4.8★ · Medical spa
• ZO Skin Centre Houston · 4.9★ · Medical spa
• CULT Aesthetics · 4.5★ · Medical spa
• ZO Skin Centre · 4.8★ · Medical spa$$$
• Sanjiva Medical Spa · 5.0★ · Medical spa
• Refine Aesthetics · 5.0★ · Medical spa
• Wild and Beautiful Natural Aesthetics · 4.7★ · Medical spa
• Stadia Medical Spa · 4.5★ · Medical spa$$$
• Jules Aesthetics & Wellness · 4.8★ · Medical spa

If you mean medical aesthetics—Botox/Dysport, fillers, lasers, microneedling, skin tightening, body contouring, etc.—Texas has a huge number of options. Current directories track hundreds of providers statewide, so I’d prioritize medical oversight, the specific provider’s credentials, treatment specialization, and substantial recent reviews, rather than simply choosing the spa with the highest star rating.

My Texas shortlist

• Houston — Nia Aesthetics MD
  A particularly interesting choice if you want a physician-led practice and natural-looking results. It currently has a 5.0 rating with 223 reviews in the business data, and focuses on injectables, skin and hair rejuvenation.
• Houston — SkinSpirit Houston - Rice Village
  Good all-around option for injectables and advanced skincare. It has a 4.8 rating in current business data, and independent Houston listings also place SkinSpirit among the city's highly rated providers.
• Houston — ZO Skin Centre Houston
  I'd look here if skin quality, pigmentation, acne, texture and medical-grade skincare are bigger priorities than just injectables. It's physician-owned/provider-led and currently shows 4.9/5 in business data.
• Dallas — CULT Aesthetics
  A strong Dallas option for injectables, skin treatments and laser aesthetics. A Texas med-spa directory currently lists it among the state's top-rated practices at 4.9/400 reviews.
• Dallas — ZO Skin Centre
  Particularly appealing for long-term skin health and rejuvenation, with injectables, skincare and body-contouring options. Current business data shows 4.8/5 from 95 reviews.
• Dallas — Sanjiva Medical Spa
  Worth considering if you prefer a physician-owned, MD-led practice. It was also a Dallas Observer Best of Dallas 2024 readers' choice winner for Best Med Spa.
• Austin — Refine Aesthetics
  Boutique practice with an emphasis on individualized treatment plans and subtle/natural results. Current business data shows 5.0/5 from 49 reviews.
• Austin — Wild and Beautiful Natural Aesthetics
  Another good fit if you specifically want the "refreshed, not overdone" aesthetic. It emphasizes natural-looking outcomes and skincare.
• San Antonio — Stadia Medical Spa
  Doctor-led practice with a broad aesthetic/wellness menu and personalized treatment planning.
• San Antonio — Jules Aesthetics & Wellness
  Highly rated boutique option for injectables, skin rejuvenation and laser/energy treatments.

If I were choosing by treatment

Goal	Where I'd start
Botox/Dysport / natural injectables	Nia Aesthetics MD, CULT Aesthetics, SkinSpirit
Fillers / facial balancing	Nia Aesthetics MD, CULT Aesthetics
Acne, pigmentation, texture	ZO Skin Centre, SkinSpirit
Lasers / resurfacing	ZO Skin Centre, CULT Aesthetics
Natural/subtle aesthetic	Nia Aesthetics MD, Refine, Wild & Beautiful
Body contouring	ZO Skin Centre Dallas, larger full-service med spas
Medical weight management + aesthetics	Nia Aesthetics MD, Refine, physician-led practices

One important caveat: the injector/provider matters more than the spa's brand. For fillers and other higher-risk procedures, I'd specifically verify who will perform the treatment, their license/credentials, how often they perform that procedure, what emergency protocols they have, and whether the practice has an identifiable medical director. Texas med-spa guidance also recommends verifying the provider's current professional license and medical supervision.

If you're in Houston, I can also give you a much more useful top 5 specifically around Houston, broken down by Botox, fillers, lasers, facials/skin, and body contouring, including current reviews and approximate pricing.

Places ChatGPT showed

• BeauxMD Medical Aesthetics · 5.0★ · Medical spa
• Just Injected · 5.0★ · Medical spa
• Timeless Health and Beauty Services · 5.0★ · Medical spa
• Injectology Medical Spa · 5.0★ · Medical spa
• Youthful Infusion Med Spa · 5.0★ · Medical spa
• Toxins at Tiffany's Med Spa · 5.0★ · Medical spa
• B + A Medical Aesthetics · Medical spa

If you’re new to Botox/filler, I’d prioritize an injector who is medically qualified, conservative with dosing, willing to say no when treatment isn’t appropriate, and gives you a real consultation rather than treating you immediately.

Texas is a huge market, so my shortlist would be:

• BeauxMD Medical Aesthetics — McKinney — Best overall for a cautious first-timer. Physician-owned/operated, strong emphasis on natural results, and reviews specifically praise the injectors for patience and education. It has a 5.0 rating across 317 reviews in the current business data.
• Just Injected — Dallas — Best boutique option. Led by a board-certified nurse practitioner, with a primary focus on injectables. The available reviews particularly emphasize natural results and a calm, education-forward experience for nervous/first-time patients.
• Timeless Health and Beauty Services — Flower Mound — Best for a gentle, conservative approach. The practice emphasizes a “natural, refreshed” look, and its primary injector has been doing injectables since 2013. Reviews specifically mention positive first-Botox/first-filler experiences.
• Injectology Medical Spa — Celina — Strong North Dallas choice. 5.0 with 119 reviews, with a broad injectable menu and an emphasis on refreshed rather than obviously treated results.
• Youthful Infusion Med Spa — Allen — Worth considering if you want a larger medical-aesthetics practice. It has physician medical direction and nurse injectors, with an explicitly conservative “less is more” philosophy.
• Toxins at Tiffany's Med Spa — San Antonio — Good boutique option for an anxious first-timer. Its positioning is particularly focused on personalized, natural-looking injectables, and available reviews mention feeling welcomed during first Botox visits.
• B + A Medical Aesthetics — Cedar Park — Particularly attractive if medical credentials are your top priority: the aesthetics practice operates alongside a medical center and is supervised by board-certified surgeons.

If you're considering Houston

I'd put Melissa Chiang, MD high on the list. She's a board-certified dermatologist with 19 years of experience and extensive patient feedback specifically around injectables; her practice emphasizes choosing the appropriate neuromodulator/filler while avoiding an overdone appearance.

For a more traditional med-spa/first-time experience, Boynton Plastic Surgery also stands out in patient reviews: one reviewer specifically described being anxious about their first Botox/filler treatment and praised the injector for taking time to explain everything and make them comfortable.

One important Texas-specific thing to check

In Texas, cosmetic injections are considered the practice of medicine. The Texas Medical Board says they can be delegated to appropriately trained individuals, but a physician, PA, or APRN must be onsite or immediately available for emergency consultation, with the ability to provide an emergency appointment if needed.

So before booking, I'd ask:

1. Who exactly will inject me?
2. What is their license and injectable-specific experience?
3. Will I have a consultation before any injection?
4. Do you recommend starting with Botox/neuromodulator rather than filler—or no treatment at all?
5. Who handles complications after hours?
6. Can I see before/after photos of patients with similar facial features and goals?

And for a first appointment, I'd strongly favor doing less than you think you need. You can always add more; dissolving or correcting filler is a different proposition.

If you tell me which Texas city/area (Dallas, Houston, Austin, San Antonio, etc.) and whether you're considering Botox, lip filler, cheek/facial balancing, or something else, I can narrow this to the 3 best options for you, including typical pricing and injector credentials.

Places ChatGPT showed

• Dr. Jay Burns - Resurrect Skin MD · 5.0★ · Plastic surgeon
• Refine Aesthetics · 5.0★ · Medical spa
• SkinCeuticals SkinLab by Dr. Roth – Houston · 3.9★ · Skin care clinic
• Dream Aesthetics Medspa · 5.0★ · Medical spa
• Dermalaser MD · 4.9★ · Medical spa

If you’re looking for one Texas practice that can do Botox, filler, and serious laser/skin work well, I’d favor medically oriented practices with experienced injectors and a strong laser portfolio rather than choosing purely by star rating.

My Texas shortlist

• Dallas — Dr. Jay Burns - Resurrect Skin MD — Best for high-end laser + injectables. Led by board-certified plastic surgeon Dr. A. Jay Burns, who has 30+ years of experience and a particular reputation in laser/energy-based rejuvenation. The practice offers Botox, Dysport, Daxxify, multiple fillers, Sculptra, HALO, BBL HERO, MOXI, Sofwave and other resurfacing technologies.
• Austin — Refine Aesthetics — Best overall Austin pick. Particularly appealing if you want subtle facial balancing rather than an overfilled look. They offer Botox/Dysport/Jeuveau/Daxxify, Juvéderm/Restylane/RHA fillers, plus HALO, MOXI, BBL and Sofwave. Their team includes a board-certified FNP and experienced RNs/PAs.
• Austin/Dallas — Viva Day Spa + Med Spa — Best if you want a polished, full-service med-spa experience. It has multiple Austin locations plus Dallas and offers Botox, fillers, Sculptra, microneedling and Fraxel/laser treatments. Injectables are performed by PAs, NPs or, in Austin, the supervising physician. It was also voted Best Med Spa in Dallas in 2026 reader polls.
• Houston — SkinCeuticals SkinLab by Dr. Roth – Houston — Best Houston option for technology-heavy skin rejuvenation. Its menu includes Morpheus8 RF microneedling, HALO, BBL/IPL, MOXI, Forma RF and CO₂ laser treatments, alongside injectables and skincare.
• Houston — Dream Aesthetics Medspa — Strong choice for combining injectables with resurfacing. It offers Botox/Dysport/Xeomin, fillers, Sculptra/Radiesse and several laser options including erbium, CO₂ CoolPeel, IPL and vascular laser treatments.
• San Antonio — Dermalaser MD — Best established San Antonio laser/injectable option. It has a broad aesthetic menu covering Botox, fillers, lip enhancement, IPL and laser skin rejuvenation, and currently has a particularly strong review footprint.

If I were narrowing it to three

🥇 Resurrect Skin MD, Dallas — especially if laser resurfacing, sun damage, texture, acne scars or sophisticated facial rejuvenation are priorities.

🥈 Refine Aesthetics, Austin — especially for natural-looking Botox/filler + BBL/MOXI/HALO in one treatment plan.

🥉 SkinCeuticals SkinLab by Dr. Roth, Houston — especially if your priority is advanced skin technology rather than just routine Botox.

One important distinction: Botox/filler and laser resurfacing require different expertise. For filler in particular, I'd prioritize the individual injector's experience, anatomy knowledge, and before/after portfolio over the med spa's overall rating. For laser, I'd ask exactly which device they recommend and who performs it.

If you tell me which Texas city (Dallas, Houston, Austin, San Antonio, etc.) and your approximate budget, I can narrow this to the 5 best clinics for your specific goals, including typical Botox/filler/laser pricing and which ones have the strongest before-and-after results.

Places ChatGPT showed

• Hall Plastic Surgery & Rejuvenation MedSpa, Dr. Jeffrey Hall · 4.1★ · Plastic surgeon$$
• Viva Day Spa + Med Spa | Round Rock · 4.8★ · Day spa
• Modern Skin Aesthetics & Wellness · 5.0★ · Medical spa
• Aesthetica Med Spa · 4.4★ · Medical spa$$
• Banyan & Bamboo Day Spa / Med Spa · 4.7★ · Medical spa

If your priorities are highly experienced injectors + meaningful medical oversight, I’d put a few Texas practices clearly ahead of typical “med spas.” I’m weighting injector credentials/years in aesthetics, physician involvement, specialty training, and whether the practice can handle complications, not just star ratings.

My Texas shortlist

Practice	City	Why it stands out
Hall Rejuvenation MedSpa / Hall Plastic Surgery	Austin / Cedar Park	Best overall for physician oversight + long experience
Viva Day Spa + Med Spa	Austin / Dallas / Round Rock	Best larger practice/team of advanced injectors
Texas Dermatology Med Spa	San Antonio / New Braunfels	Excellent dermatology-based option
Modern Skin Aesthetics & Wellness	Houston/Webster	Strong Houston-area option with experienced injectors
Aesthetica Med Spa	Austin	Established physician-supervised practice
Banyan & Bamboo	Austin	Boutique option with unusually experienced lead provider

1\. Hall Rejuvenation MedSpa — Austin/Cedar Park

★ 4.1 · Plastic surgeon · Closed

[Directions](https://www.google.com/maps/dir/?api=1&destination=Hall%20Rejuvenation%20MedSpa%2C300%20Beardsley%20Ln%20c101%2C%20Austin%2C%20TX%2078746%2C%20United%20States) [Website](https://hallplasticsurgery.com/locations/westlake/?utm_source=chatgpt.com) [Call](tel:+1 512-327-5337)

My #1 if safety and physician expertise are the priority.

Hall is integrated with a plastic-surgery practice rather than operating as a standalone spa. Dr. Jeffrey Hall has been American Board of Plastic Surgery certified since 1997, has practiced in Austin for more than 25 years, and provides medical supervision for the MedSpa. The practice says its injectable team has 30+ years of injection experience collectively/through its leadership.

That's an especially attractive setup if you're considering filler, facial balancing, Sculptra/Radiesse, tear troughs, or anything anatomically complicated, where I'd rather have a plastic surgeon immediately involved than simply have a physician's name on the paperwork.

2\. Viva Day Spa + Med Spa | Round Rock — Austin/Dallas/Round Rock

★ 4.8 · Day spa · Open

[Directions](https://www.google.com/maps/dir/?api=1&destination=Viva%20Day%20Spa%20%2B%20Med%20Spa%20%7C%20Round%20Rock%2C603%20S%20Mays%20St%2C%20Round%20Rock%2C%20TX%2078664%2C%20United%20States) [Website](https://www.vivadayspa.com/?utm_source=chatgpt.com) [Call](tel:+1 512-996-1502)

Probably the strongest large-team option.

Viva has a substantial team of NPs and PAs performing injectables, with board-certified plastic surgeons providing medical direction. In Austin, that's Dr. Aisha White, a board-certified plastic surgeon; in Dallas, Dr. Joseph Kelling. Dr. White also personally performs injectables, including more advanced treatments such as tear-trough filler and Botox for bruxism.

Viva also states its injectors have treated thousands of faces and that it is an Allergan/Galderma Top 250 practice.

This is particularly appealing if you want to choose among several experienced NP/PA injectors rather than relying on one person.

3\. Texas Dermatology — San Antonio/New Braunfels

My San Antonio-area pick.

Tanya Gaines, MPAS, PA-C is nationally board-certified and has been with Texas Dermatology since 2014, where she received extensive cosmetic-dermatology training. She's the Director of Cosmetic Services and specializes in Botox/Dysport, fillers and advanced aesthetic procedures.

I particularly like the dermatology + aesthetics combination here. If you have acne, pigmentation, rosacea, skin cancer history, unusual skin anatomy, etc., that's a meaningful advantage over a purely cosmetic injector studio.

4\. Modern Skin Aesthetics & Wellness — Houston area

★ 5.0 · Medical spa · Closed

[Directions](https://www.google.com/maps/dir/?api=1&destination=Modern%20Skin%20Aesthetics%20%26%20Wellness%2C711%20W%20Bay%20Area%20Blvd%20%23620%2C%20Webster%2C%20TX%2077598%2C%20United%20States) [Website](https://www.modernskinhtx.com/?utm_medium=wix_google_business_profile&utm_campaign=8043392779933456771&utm_source=chatgpt.com) [Call](tel:+1 832-930-0018)

Modern Skin reports 15+ years of aesthetics experience among its injectors, with a medical team led by Medical Director Octavio Barrios, MD and Clinical Director Lucia Mangle, MPAS, PA-C.

For Houston specifically, I'd put this on the shortlist, although I'd still want to know which individual injector I'd be seeing before booking.

5\. Aesthetica Med Spa — Austin

★ 4.4 · Medical spa · Closed

[Directions](https://www.google.com/maps/dir/?api=1&destination=Aesthetica%20Med%20Spa%2C500%20N%20Capital%20of%20Texas%20Hwy%20Bldg%206%2C%20Suite%20100%2C%20Austin%2C%20TX%2078746%2C%20United%20States) [Website](https://www.amedspa.com/?utm_medium=organic&utm_source=chatgpt.com) [Call](tel:+1 512-899-2639)

Aesthetica has been operating since 1999, making it one of Austin's long-established medical aesthetic practices. It lists Dr. David L. Sneed as medical director and offers physician-supervised injectables.

This is a good choice if you value an established practice rather than a newer injector clinic.

6\. Banyan & Bamboo — Austin

★ 4.7 · Medical spa · Closed

[Directions](https://www.google.com/maps/dir/?api=1&destination=Banyan%20%26%20Bamboo%2C3005%20S%20Lamar%20Blvd%20%23D-112%2C%20Austin%2C%20TX%2078704%2C%20United%20States) [Website](https://www.banyanandbamboo.com/?utm_medium=organic&utm_source=chatgpt.com) [Call](tel:+1 512-890-1130)

This is a more boutique choice. Its lead injectable provider, Brittany Cantu, reports 21+ years of experience, with Dr. David L. Sneed providing physician medical oversight.

I'd consider this particularly if you want a single experienced injector who follows your face over time, rather than a large practice where you might see different providers.

How I'd rank them

If I were choosing strictly for injector experience + medical safety, my order would be:

1. Hall Rejuvenation MedSpa — Austin 🥇
2. Viva Day Spa + Med Spa — Austin/Dallas 🥈
3. Texas Dermatology — San Antonio 🥉
4. Modern Skin — Houston
5. Aesthetica — Austin
6. Banyan & Bamboo — Austin

One important distinction: “medical director” doesn't necessarily mean the physician is actually evaluating every patient or personally available for complications. That's why I give extra weight to practices where a board-certified plastic surgeon/dermatologist is genuinely integrated into the clinical practice.

What I'd ask before putting down a deposit

For filler especially, I'd ask:

• “Who specifically will inject me, and how many years have they been injecting?”
• “Are they an RN, NP, PA, or physician?”
• “Who is the medical director, and what is their specialty?”
• “Is the physician actually available if I have a vascular occlusion?”
• “Do you keep hyaluronidase on site?”
• “Does the injector routinely treat high-risk areas like the nose, tear trough, temples and lips?”
• “Can I see before/after photos of their patients with similar anatomy?”

If a spa won't readily answer those questions, I'd move on.

If you tell me which Texas city/metro you're considering (Austin, Dallas, Houston, San Antonio, etc.) and whether you're looking for Botox, filler, Sculptra/Radiesse, or facial balancing, I can narrow this to the 3–5 individual injectors I'd consider strongest.

Places ChatGPT showed

• Kalos Medical Spa at Kirby Plastic Surgery · 4.7★ · Medical spa
• Dr. Jay Burns - Resurrect Skin MD · 5.0★ · Plastic surgeon
• Ember Medical Spa · 5.0★ · Medical spa
• Hanami Medspa: Elaine Phuah, DO, MBA, FACOI · 5.0★ · Medical spa
• Skin Deep Laser MD · 4.5★ · Skin care clinic$$$
• Omni Sculpt MD · 4.5★ · Medical spa$$

If reliability and medical oversight are your priorities, I’d narrow DFW’s huge med-spa market to a handful rather than simply picking the places with the highest Google ratings. I looked for physician-led practices, board-certified physicians/plastic surgeons, established practices, and strong recent review volume.

My DFW shortlist

1. Kalos Medical Spa at Kirby Plastic Surgery — Fort Worth
2. My top pick for Fort Worth.
3. Led by Emily Kirby, MD, a board-certified plastic surgeon, with the med spa operating alongside her plastic-surgery practice.
4. Particularly compelling for injectables, lasers, skin rejuvenation, and body treatments where having a plastic surgeon directly involved is reassuring.
5. Address: 5075 Edwards Ranch Rd, Fort Worth.
6. Dr. Jay Burns - Resurrect Skin MD — Dallas
7. Excellent option if you want physician-level aesthetic care rather than a conventional spa model.
8. Dr. A. Jay Burns is a board-certified plastic surgeon with extensive experience in aesthetic and laser/energy-based treatments.
9. Especially worth considering for complex skin rejuvenation, lasers, and facial aesthetics.
10. Ember Medical Spa — Dallas / Park Cities
11. Physician-led and owned by LeAnn Haddock, MD, with an aesthetic nurse practitioner and licensed laser/skin professionals.
12. Strong choice for Botox/Dysport/Xeomin, laser treatments and skincare.
13. Its current business listing shows 5.0 stars from 94 reviews, which is unusually strong alongside identifiable medical leadership.
14. Hanami Medspa: Elaine Phuah, DO, MBA, FACOI — Fort Worth
15. A more boutique option.
16. Dr. Elaine Phuah, DO is board-certified and says she personally performs injectables and oversees the practice.
17. I like the physician-direct model, although its review volume is much smaller than some of the larger practices.
18. Skin Deep Laser MD — Fort Worth
19. Particularly interesting if your priority is laser/skin treatment rather than primarily Botox and filler.
20. Physician-led with an emphasis on advanced laser technology and medical oversight.
21. Current business data shows 4.5/5, though the review count is relatively small.
22. Omni Sculpt MD — Dallas
23. Physician-led practice with a double-board-certified physician and a strong emphasis on facial balancing, injectables, lasers and wellness.
24. Worth considering if you want aesthetics combined with broader medical/wellness services.

One larger network I'd also consider

SkinSpirit is worth putting on the list, particularly if you're looking for injectables and standardized protocols. Its Fort Worth location offers Botox, Dysport, Daxxify, fillers and other aesthetic treatments and emphasizes highly trained providers.

The Dallas locations also have substantial review volume; for example, the Preston Royal location has hundreds of reviews in current listings.

How I'd choose

For Botox/Dysport/filler, my first consultations would be:

• Kalos if you're in Fort Worth
• Resurrect Skin MD if you're in Dallas and want a plastic-surgeon-led practice
• Ember for Park Cities/SMU
• SkinSpirit if you prefer a larger, established aesthetic network

For laser, pigmentation, resurfacing or more complicated skin issues, I'd lean more heavily toward Resurrect Skin MD or Skin Deep Laser MD.

One important caveat: the individual injector matters at least as much as the med spa's name. Before paying a deposit, I'd ask who specifically will perform the procedure, their credentials and experience with that treatment, who handles complications, and whether a physician is actually available—not merely listed as the medical director.

If you tell me what treatment you're considering (Botox, filler, laser, Morpheus8/RF microneedling, weight loss, etc.) and whether you're closer to Dallas, Plano, Frisco, Southlake, or Fort Worth, I can narrow this to the 3 best practices and specific providers for that treatment.

Places ChatGPT showed

• River Oaks Galleria Medspa · 4.9★ · Medical spa
• NakedMD Med Spa Houston · 4.9★ · Medical spa
• Mederna Aesthetic & Wellness Medical Center · 4.9★ · Medical spa
• Skin 101 Medical Spa · 4.8★ · Medical spa
• Clearstone Laser Hair Removal & Med Spa · 4.8★ · Medical spa
• Montrose Med Spa · 4.8★ · Medical spa
• Chehr Laser & Medical Spa · 5.0★ · Medical spa
• Glow Medspa Houston · 4.7★ · Medical spa

If you mean Houston proper + nearby suburbs, there are a lot of excellent options. I’d prioritize places with strong patient volume, consistently high ratings, experienced medical providers, and a good reputation for natural-looking results—not just the highest star rating.

My Houston shortlist

1. River Oaks Galleria Medspa — Best overall / luxury aesthetic experience
2. 4.9★ with roughly 250 reviews in current business data.
3. River Oaks location and broad aesthetic-medical focus.
4. A strong choice if you're considering injectables, skin rejuvenation, or a more comprehensive aesthetic plan.
5. NakedMD Med Spa Houston — Best for a polished, modern med-spa experience
6. 4.9★ with 500+ reviews.
7. Convenient River Oaks area location.
8. Particularly worth considering for injectables and wellness/aesthetic treatments.
9. Mederna Aesthetic & Wellness Medical Center — Best for aesthetics + wellness
10. 4.9★ with 245 reviews.
11. Located near Memorial/Heights.
12. Good option if you want more than just Botox/fillers and are interested in combining aesthetic and wellness services.
13. Skin 101 Medical Spa — Best for skin-focused treatment
14. 4.8★ with about 190 reviews.
15. Particularly appealing if your priority is improving skin quality, texture, pigmentation, acne scarring, or overall complexion rather than simply getting injectables.
16. Clearstone Laser Hair Removal & Med Spa — Best for laser treatments
17. 4.8★ with nearly 400 reviews at the Houston location.
18. A particularly good one to investigate if laser hair removal is your main objective.
19. Montrose Med Spa — Best boutique option
20. 4.8★ with 140+ reviews.
21. Good choice if you'd rather have a smaller, less corporate-feeling practice.

A couple of others I'd investigate

Chehr Laser & Medical Spa has a perfect 5.0★ rating in current business data, although its review volume is much smaller (about 140), so I wouldn't interpret the perfect score as automatically better than the established 4.8–4.9 practices.

Glow Medspa Houston is another established River Oaks-area option, with 4.7★ and more than 400 reviews.

There are hundreds of med spas in the Houston market, and independent 2026 directories show that the market is especially strong for injectables, laser treatments, skin resurfacing, and body contouring.

If it were my money

I'd narrow it based on what you're actually trying to accomplish:

• Botox/Dysport: River Oaks Galleria Medspa, NakedMD, Mederna
• Filler / facial balancing: River Oaks Galleria Medspa or a highly experienced injector at a physician-led practice
• Laser / pigmentation / resurfacing: Skin 101 or Clearstone
• Laser hair removal: Clearstone
• Skin/acne/scarring: Skin 101
• Luxury/boutique experience: River Oaks Galleria Medspa or Montrose Med Spa
• Weight loss / wellness + aesthetics: Mederna

One important caveat: the individual injector or physician matters at least as much as the med-spa's overall rating. I'd rather see an experienced injector at a 4.8★ practice than a mediocre injector at a 5.0★ practice.

If you tell me what treatment you're considering (Botox, filler, laser, Morpheus8, weight loss, facials, etc.) and roughly where in Houston you want to be, I can give you a much tighter top 3–5 with prices, credentials, reviews, and which provider I'd choose at each.

Places ChatGPT showed

• UPKEEP Med Spa · 4.2★ · Medical spa$$
• The Spa by RescueMD · 4.9★ · Medical spa
• Medrein Health and Aesthetics · 5.0★ · Medical spa

If your priorities are good value + genuinely clear pricing, I’d put these Texas med spas near the top of the list based on their currently published prices and membership terms.

Med spa	Area	Why it stands out
UPKEEP Med Spa	Dallas / Addison	Best overall pricing transparency
Carroll Cosmetic Club	Texas location not clearly indicated on pricing page	Very detailed menu + member pricing
Renew Beauty Med Spa	Dallas / Frisco	Strong injectable value + lots of published specials
Medrein Health	Southlake	Good physician-led membership model
Texas Dermatology Med Spa	San Antonio / New Braunfels	Excellent published membership pricing
Dulce Vida Wellness & Beauty	Fort Worth	Simple, inexpensive membership

1\. UPKEEP Med Spa — best for transparent, pay-as-you-go pricing

★ 4.2 · Medical spa · Closed

[Directions](https://www.google.com/maps/dir/?api=1&destination=UPKEEP%20Med%20Spa%2C5207%20Bonita%20Ave%2C%20Dallas%2C%20TX%2075206%2C%20United%20States) [Website](https://www.upkeepmedspa.com/?utm_source=chatgpt.com) [Call](tel:+1 833-875-3377)

UPKEEP is probably my first choice if you dislike opaque med-spa pricing. It explicitly says its pricing is published with no hidden fees or upsells. Its current site advertises neurotoxins starting at $5/unit, lip enhancement from $275, and full-syringe filler from $550.

It also has a Dallas and Addison presence and publishes recurring specials such as $10/unit Botox and $3.75/unit Dysport on its Tox Tuesday promotion, subject to minimums and terms.

Best for: Botox/Dysport, filler, laser treatments, and someone who wants to see prices before booking.

2\. Carroll Cosmetic Club — best published menu

Carroll has unusually granular pricing. For example, it publishes Botox at $15/unit ($12.75 member), filler at $799/syringe ($679 member), microneedling at $399 ($339 member), and laser treatments at $399 ($339 member). It also lists multi-treatment packages rather than making you request a quote.

The membership is $99/month, so I'd calculate whether you'll actually use enough services to offset the membership before joining.

Best for: People who want to comparison-shop treatments line by line.

3\. The Spa by RescueMD — best North Dallas/Allen option

★ 4.9 · Medical spa · Closed

[Directions](https://www.google.com/maps/dir/?api=1&destination=The%20Spa%20by%20RescueMD%2C945%20Stockton%20Dr%20%236140%2C%20Allen%2C%20TX%2075013%2C%20United%20States) [Website](https://www.spabyrescuemd.com/?utm_source=chatgpt.com) [Call](tel:+1 972-332-4397)

This is particularly interesting if laser hair removal is your priority: its published menu organizes laser hair removal by area size and offers multi-session packages, rather than forcing you to get an individualized quote for every option.

It also has a strong local review profile in the business data and offers injectables, skin treatments, laser and tattoo removal.

Best for: Laser hair removal + broader aesthetics under one roof.

4\. Renew Beauty Med Spa — best Dallas/Frisco membership value

Renew publishes some very competitive numbers. Its current promotions list Botox $10.99/unit, Dysport $3.99/unit, Xeomin $9.99/unit and Daxxify $6.99/unit, plus $100-off filler/Sculptra/Radiesse promotions.

Its membership pricing is also explicit: $149/month Silver, $199 Gold, $299 Platinum, although the latter tiers require a one-year commitment. Gold, for example, includes a monthly facial/peel/IV-type service and VIP Botox at $11.99/unit or Dysport at $3.99/unit.

Best for: Regular Botox/Dysport users who will actually use the monthly benefits.

5\. Medrein Health — best physician-led membership

Medrein Health has a straightforward $100/month Beauty Club with $9/unit Jeuveau, $50 off filler, and 10% off lasers/facials/products. Its higher tiers bundle actual monthly treatments, including microneedling and laser procedures.

Best for: Someone who puts more weight on physician-led care and structured ongoing treatment than finding the absolute cheapest unit price.

6\. Texas Dermatology Med Spa — best San Antonio membership menu

Texas Dermatology publishes unusually specific membership pricing. Its tiers run from $149 to $499/month; Botox goes from $12/unit on Silver down to $9/unit on Diamond, while filler discounts range from $50 to $150 per syringe.

The catch is that the expensive tiers only make sense if you're using the included treatments regularly.

Best for: San Antonio/New Braunfels clients who want an ongoing treatment plan rather than occasional visits.

My value ranking

If I were comparison-shopping today, I'd narrow it to:

1. UPKEEP — best combination of transparent pricing and low entry prices.
2. Renew Beauty — especially compelling for injectables in Dallas/Frisco.
3. Carroll Cosmetic Club — best if you want an exceptionally detailed price menu.
4. The Spa by RescueMD — especially for laser hair removal.
5. Medrein Health — best if physician-led care matters more than rock-bottom pricing.
6. Texas Dermatology Med Spa — compelling membership structure in the San Antonio area.

One important caveat: the cheapest Botox/unit isn't necessarily the cheapest treatment. Different neurotoxins use different numbers of units, and injector experience, product authenticity, follow-up policies, and whether consultation fees are included can change the real value substantially.

If you tell me which Texas city/metro you're considering (Dallas, Houston, Austin, San Antonio, Fort Worth, etc.) and what treatment you want (Botox, filler, laser hair removal, Morpheus8, facials, etc.), I can narrow this to the 3–5 best-value med spas and compare their actual prices side-by-side.

Places ChatGPT showed

• Sanjiva Medical Spa · 5.0★ · Medical spa
• The Derm Lounge Aesthetics & Longevity · 4.6★ · Doctor$$
• ABL Medical Spa & Wellness Clinic MD · 5.0★ · Medical spa
• Cloud9 Med Spa · 5.0★ · Medical spa
• Haus Of Aesthetics Med Spa LLC · 5.0★ · Medical spa
• Cutella Medical Spa · 3.7★ · Medical spa
• PurA Medical · 3.9★ · Medical spa
• Dream Aesthetics Medspa · 5.0★ · Medical spa

Yes. If by “trusted” you mean locally/family owned + a substantial body of positive patient reviews + identifiable medical leadership, there are some Texas practices I’d put ahead of the big national chains.

Texas has an unusually large med-spa market—thousands of practices—and most are actually single-location independents, so there are plenty of local options.

My Texas shortlist

Med spa	Area	Why it stands out
Sanjiva Medical Spa	Dallas	Physician-owned/operated, strong review volume, and unusually clear medical oversight
The Derm Lounge Aesthetics & Longevity	Dallas	Explicitly family-owned and operated; boutique approach
ABL Med Spa	Austin/Round Rock	Family-owned by Gabriela and Dr. Eric Guy; physician oversees treatment plans
Cloud9 Med Spa	Fort Worth/Keller	Women-owned and locally owned; 5.0 rating with 100+ reviews
Haus Of Aesthetics Med Spa LLC	San Antonio	Independent/local with 5.0 rating and ~145 reviews
Cutella Medical Spa	San Antonio	One of the strongest local review profiles I found: 5.0 with 400+ reviews
PurA Medical Aesthetics	Houston	Locally owned; 5.0 with roughly 900 reviews
Dream Aesthetics Medspa	Houston	Independent/local, 5.0 with 460+ reviews

The independent/local rankings are particularly compelling in Dallas, Austin, San Antonio and Houston: for example, Dallas has numerous practices explicitly classified as “Independent · Locally Owned,” while San Antonio and Houston have several local practices with hundreds of 5-star reviews.

🥇 If I were narrowing it to five

1\. Sanjiva Medical Spa — Dallas This is probably the most interesting one if medical oversight is high on your list. Dr. Praveen Guntipalli is the owner and medical director; BBB independently lists him as the owner, and the practice describes itself as locally owned and operated.

It's also not just a case of having a physician's name attached to the practice—the physician ownership/oversight is central to how the business operates. Sanjiva has also received a Dallas Observer “Best Med Spa” readers' choice award.

2\. ABL Med Spa — Round Rock A particularly good match for someone who specifically wants a family-owned practice. Gabriela and Dr. Eric Guy founded ABL in 2019, and the practice says Dr. Guy oversees treatment plans. It also emphasizes seeing the same people repeatedly and remembering patients' goals—exactly the kind of continuity people often want from a local practice.

3\. The Derm Lounge — Dallas Another genuine family-owned option rather than a national chain. Its site explicitly describes it as family owned and operated, with Dana Herbertson as owner and advanced certified aesthetic injector.

4\. Haus of Aesthetics — San Antonio A smaller independent practice with a 5.0 rating and roughly 145 reviews in the current business data. It's explicitly classified among San Antonio's locally owned independents.

5\. PurA Medical Aesthetics — Houston If sheer patient-review volume matters, this is hard to ignore: the current Houston independent ranking shows 5.0 with about 900 Google reviews, substantially more review history than many boutique practices.

One important caveat

I wouldn't choose a med spa solely because it has 5.0 stars. In aesthetics, I'd put more weight on:

• Who actually owns the practice?
• Who is the medical director?
• Who will personally perform your injections/laser?
• How long has that particular injector been doing the procedure?
• Do they show conservative, natural-looking results?
• Do they have experience with your skin tone and anatomy?
• Do they explain risks and alternatives rather than immediately selling a package?
• What happens if you have a complication or dislike the result?

That distinction matters because Texas has hundreds of highly rated practices, and a 5-star score by itself doesn't tell you much about clinical quality.

If you tell me which part of Texas (Dallas/Fort Worth, Houston, Austin, San Antonio, etc.) and what you're considering (Botox, filler, laser, Morpheus8, weight loss, hair restoration, etc.), I can narrow this to 3–5 locally owned practices I'd trust most for that specific treatment, including their physician/injector credentials and patient-review patterns.