Oakland County, Michigan has 147 med spas competing for 1.27 million residents. We pulled every listing from the Google Places API and the competitive dynamics are fascinating.
The Numbers
- 147 med spas in Oakland County, MI
- 24,716 total Google reviews (avg 168 per business)
- 4.88 average rating (highest of any industry we track)
- Birmingham leads with 18 med spas in a city of ~22,000 people
For comparison, neighboring Macomb County (877K population) has just 31 med spas with 5,377 reviews.
What the Data Shows
1. Birmingham is the aesthetics capital of Michigan
18 med spas in a city of ~22,000 people. That's roughly 1 med spa per 1,200 residents. Troy (15), Clarkston (13), West Bloomfield (12), and Novi (11) round out the top 5. The Birmingham-Troy corridor is where the money is — and where the competition is fiercest.
2. The review leaders
| Provider | City | Rating | Reviews |
|---|---|---|---|
| Rivage Day Spa Birmingham | Birmingham | 4.8 | 1,321 |
| Spa Mariana | Birmingham | 4.9 | 818 |
| COMPLEXION Med Spa | West Bloomfield | 5.0 | 779 |
Rivage leads with 1,321 reviews — more than 8x the average provider. But unlike HVAC or dental where one player dominates, the med spa market has a much flatter distribution. The top 3 hold only 12% of all reviews.
3. A 4.88 average means ratings don't differentiate
When the average rating is 4.88 and most providers sit at 4.9-5.0, a perfect score doesn't set you apart. Differentiation comes from:
- Review volume (168 avg, but top performers have 700+)
- Before-and-after content (the trust signal unique to aesthetics)
- Treatment-specific search visibility ("Botox Troy MI" vs generic "med spa near me")
4. Northern Oakland County is underserved
Oxford, Lake Orion, and the northern suburbs have significantly fewer options despite growing populations. A med spa with strong local SEO in these areas faces a fraction of the competition.
Why This Matters for Marketing
If you're a med spa owner in Oakland County, the data tells you:
- You can't win on rating alone — everyone has 4.8+. Reviews volume and recency matter more.
- Treatment-specific pages are essential — "HydraFacial Birmingham" and "Botox Troy" are different markets with different competition levels.
- Instagram creates awareness, Google captures intent — 70% of med spa searches have local booking intent.
- Before-and-after galleries are your highest-converting SEO asset — with consent, obviously.
We publish the full data for free:
- Oakland County Med Spa Market Data — every provider ranked
- Macomb County Med Spa Market Data — 31 providers ranked
Data collected via Google Places API, April 2026. Published by WebPossible — local SEO for small businesses in Southeast Michigan.
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