The 25 largest South Dakota med spas, by review count
The 25 med spas below pull more reviews than any other med spas in South Dakota. Translation: biggest patient counts, the healthiest budgets, and the highest appetite for new devices, software, and growth capital. This is the top of your call list.
- State scope. 94 active med spas across South Dakota; 95% single-location.
- The top 25 hold 90% of reviews. The other 10% spreads across the long tail.
- Sioux Falls leads the state. 22 med spas in Sioux Falls.
| Rank | Med spa | Locs | Reviews | Tags | Contacts |
|---|---|---|---|---|---|
| 01 |
Refined Aesthetics
Sioux Falls · ★5.0
|
1 | 693 | Med spa | 1 contact→ |
| 02 |
Vital Flow Infusions
Sioux Falls · ★5.0
|
1 | 259 | Med spa | 1 contact→ |
| 03 |
Cicily's Aesthetics
Rapid City · ★5.0
|
1 | 237 | Med spa | 1 contact→ |
| 04 |
Novo Aesthetics
Sioux Falls · ★4.9
|
6 | 235 | Multi-location | 3 contacts→ |
| 05 |
Sunshine Medical Aesthetics
Spearfish · ★5.0
|
1 | 180 | Med spa | 1 contact→ |
| 06 |
Infinity Medical Aesthetics
Sioux Falls · ★5.0
|
1 | 155 | Med spa | 1 contact→ |
| 07 |
LiveWell Medical Aesthetics
Rapid City · ★5.0
|
1 | 153 | Med spa | 2 contacts→ |
| 08 |
Artisan Skin And Laser Center
Sioux Falls · ★4.9
|
1 | 136 | Med spa | 1 contact→ |
| 09 |
Black Hills IV Wellness Spa
Rapid City · ★5.0
|
1 | 134 | Med spa | 2 contacts→ |
The South Dakota med spa market in 2026
Orbital tracks 94 active med spas across South Dakota, running 105 locations between them. The top 25 capture 90% of total reviews. 5 of those are multi-location footprints; the rest are single-location independents. Sioux Falls anchors the state with 22 med spas.
across South Dakota
14% of tracked med spas
single-location-dominated
5% of state
South Dakota vs. the US med spa market
South Dakota accounts for 0.2% of the US med spa market, which tracks 42,473 businesses nationally. The shape of the local market mirrors the national pattern: a small band of established names at the top, a long tail of single-location independents below.
South Dakota is 0.2% of the total
22 med spas
greenfield, pre-stack window
standard B2B sourcing misses them
Methodology
Med spas are ranked by total review count across web and social channels. Med spas revenue is notoriously hard to find publicly: most med spas are independent, privately held, and don't publish financials, and the industry has no equivalent of public same-store-sales data. Review count is the cleanest available proxy for size and how established a business is, so the med spas with the most reviews are typically the ones running the most volume.
Each row is one med spa. All of that med spa's locations are rolled up and review counts summed, applied at every geo level (metro, state, US) and across Orbital's national med spas directory.
Med spas records draw from a scan of 12+ public and private data sources and refresh weekly. Owner contact records draw from a separate scan of 20+ data sources and refresh monthly. Every med spa is independently verified against at least two of those sources, including state license rosters from the South Dakota Medical Board and benchmark industry data from the American Med Spa Association, before appearing on the list.
About Orbital
Orbital is the Zoominfo for companies selling to SMBs. Our platform enables companies to get their whole TAM (total addressable market) in a box, find contacts not on LinkedIn, and score accounts with custom ICP attributes. The med spas directory you're reading right now is one slice of that platform, covering every US metro and state. See why companies including Instacart, Classpass, and Jobber are using Orbital today.
Common questions
Why rank by review count instead of revenue?
Med spa revenue is notoriously hard to find publicly. The vast majority of med spas are independent, privately held, and don't publish financials, and the industry has no public same-store-sales feed the way restaurants or retail do. Review count is the cleanest public proxy for size and how established a business is. Med spas with thousands of reviews are running real volume, whether or not their revenue numbers ever surface.
How many med spas are in South Dakota?
Orbital tracks roughly 94 active med spas across South Dakota, running 105 locations between them. Sioux Falls accounts for the bulk at 22 med spas.
Who is this list for?
B2B vendors who sell into med spas: device manufacturers, injectables distributors, EMR and booking software, capital providers, M&A brokers, marketing agencies, and professional services. It is not a consumer directory and is not optimised for booking appointments.
How do I get owner contact info (mobile phone, email) for these med spas?
Every med spa on the list has verified owner / GM contacts available upon signing up with Orbital. You get mobile phones, work emails, and decision-maker titles, not generic front-desk numbers. Contact records come from a separate scan of 20+ public and private data sources, independently verified before unlock, and refreshed monthly.
How often does the data refresh?
Med spa records refresh weekly. Contact records refresh monthly. New med spas that pass two-source verification get added on the next refresh, and med spas that drop signals get flagged in the platform but are not silently removed from list snapshots.
How accurate is med spa verification?
Every med spa on the list is independently verified against at least two of: corporate filing, state license record, mapping data, web profile, or review platform record. The same standard applies to every business Orbital tracks.
Where else can I find a list of med spas in South Dakota?
You can pull from state license rosters, scan public mapping data by hand, or request aggregate industry data from associations like the American Med Spa Association. Each has trade-offs: license rosters only cover medical-director-licensed entities, manual scans break at scale, and association directories are members-only and aggregated rather than business-level. Orbital's med spa directory consolidates all of those into a verified, weekly-refreshed list with owner contacts attached at every location, which is what powers the rankings above.
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Related: See which South Dakota med spas are growing fastest →
Full Med Spa TAM