Why Your Medspa Needs More Than 100 Google Reviews

Quick Summary

If your medspa has fewer than 100 five-star Google reviews, you're almost certainly not in the top three results on Google for your area. The aesthetics industry has exploded over the past few years and standing out is harder than ever. This article covers why 100 reviews is the practical minimum to compete, what Google actually looks at when ranking medspas, and what to do if you're below that threshold.

The Industry Has Exploded

According to the American Med Spa Association's 2024 trend report, there are now around 10,500 medspas in the United States, up from just 1,600 in 2010. AmSpa projects there could be as many as 13,000 medspas by the end of 2026. For comparison, there are around 14,000 McDonald's locations in the entire country.

Think about that for a second. There are almost as many medspas in America as there are McDonald's. That's the level of competition you're up against in your city, and it's only getting more crowded.

If you're not pressing the gas on your marketing and your online reputation right now, another medspa in your city is. They're going to rank above you on Google, get more calls, get more bookings, and grow faster than you, simply because they're not afraid to actively build their review count.

Where 100 Reviews Sits in the Ranking Game

In our experience working with medspas across multiple cities, the number of Google reviews a practice has corresponds pretty directly to where they show up on Google.

• Under 20 reviews: You almost never show up at all in local search. Patients searching "medspa near me" or "Botox in [city]" don't see you.

• 20 to 100 reviews: You start appearing in results, but usually buried on page two or near the bottom of page one.

• 100+ reviews: You're typically on page one. In most cities, this puts you in the running for the top three results.

• 200+ reviews: You're often in the top three for your area, especially if your reviews are recent and contain relevant keywords.

In a super dense, competitive city, 100 reviews might still leave you near the bottom of page one. In a smaller city, 100 reviews could put you firmly in the top three. Either way, 100 is the floor where Google starts taking you seriously as a real business.

What Google Actually Looks At

Reviews are one piece of the ranking puzzle, but they're far from the only piece. Google looks at a few core things when deciding who to rank where:

• Reviews. How many you have, how recent they are, and your overall star rating.

• What people say in those reviews. Google reads the actual text and pulls out keywords. Reviews mentioning specific services or your city help you rank for those exact searches. We covered this in depth in our What People Say in Your Google Reviews Matters for SEO article.

• Your website and SEO. Whether your site is fast, mobile-friendly, has the right content, and is optimized for the keywords your patients are searching.

• Trust signals across the internet. Whether your business is consistently listed across other platforms like Apple Maps, Yelp, Bing, and major directories. The more places you show up with consistent information, the more Google trusts you.

Reviews are a critical piece, but you can't ignore the rest. A medspa with 500 reviews and a terrible website still won't rank as well as one with 200 reviews and a properly optimized site backed by consistent listings everywhere.

Why Reviews Specifically Carry So Much Weight

Reviews are different from the other ranking factors because they're third-party validation. You can write whatever you want on your website, but Google takes your word for it with a grain of salt. When 200 patients independently say you're great, Google believes it. That trust signal is what makes reviews one of the highest-leverage things a medspa can invest in.

This is also why it's so important to keep getting reviews consistently rather than doing one big push and stopping. Google wants to see a steady, ongoing flow because that's the pattern of a healthy, active business. We covered the full strategy on getting more reviews in How to Get More Google Reviews Fast.

If You're Below 100 Reviews

If you're sitting at fewer than 100 Google reviews right now, the priority is clear. Build a system to start getting reviews consistently, ideally daily, until you hit that threshold and then keep going. The longer you wait, the further your competitors pull ahead, and the harder it gets to catch up.

If you want help getting there fast, that's what our Reputation Booster service handles. We've taken medspas from barely any reviews to consistently getting over 50 new five-star reviews every month, which means hitting the 100 mark in just a couple of months and continuing to climb past competitors from there.

Reach out and we can talk through whether it would make sense for your practice.