BOTOX Cosmetic: 84/288 (29.2%; 95% interval 24.2–34.7%). JUVÉDERM: 57/288 (19.8%; 95% interval 15.6–24.8%). Their 95% intervals overlap. LaserAway (57/288) is also within the margin.
HEALTH
Med Spa Index 2.0: BOTOX Cosmetic, JUVÉDERM and LaserAway Lead
Published June 28, 2026 · Updated November 3, 2026
AI answers analyzed across ChatGPT, Claude, Gemini and Perplexity
of answers named BOTOX Cosmetic, the most-named (84 of 288)
tracked brands named at least once (of 53)
of Google searches showed an AI Overview (46 of 55)
Version 2. This version replaces the first version of this study, first published June 28, 2026. It uses measured counts, so the two versions are not comparable. Version 2 asks 24 questions three times each on ChatGPT, Claude, Gemini and Perplexity (288 answers) and adds Google AI Overviews. Every rate comes with its count and a 95% interval.
What the data shows
84/288 (29.2%)
60/288 (20.8%)
41/285 (14.4%)
46/55 (83.6%)
12/46 (26.1%)
43/285 (15.1%)
Appearance rate across 288 four-engine answers. The bar is the 95% confidence interval; overlapping bars cannot be told apart at this sample size.
Which brands AI engines name
| # | Name | Named in | Appearance rate | 95% interval |
|---|---|---|---|---|
| 1 | BOTOX Cosmetic | 84/288 | 29.2% | 24.2–34.7% |
| 2 | JUVÉDERM | 57/288 | 19.8% | 15.6–24.8% |
| 3 | LaserAway | 57/288 | 19.8% | 15.6–24.8% |
| 4 | Restylane | 52/288 | 18.1% | 14.0–22.9% |
| 5 | InMode | 50/288 | 17.4% | 13.4–22.2% |
| 6 | Dysport | 48/288 | 16.7% | 12.8–21.4% |
| 7 | RealSelf | 46/288 | 16.0% | 12.2–20.6% |
| 8 | XEOMIN | 46/288 | 16.0% | 12.2–20.6% |
| 9 | Morpheus8 | 44/288 | 15.3% | 11.6–19.9% |
| 10 | Sculptra | 44/288 | 15.3% | 11.6–19.9% |
| 11 | CoolSculpting | 42/288 | 14.6% | 11.0–19.1% |
| 12 | Cutera | 37/288 | 12.8% | 9.5–17.2% |
| 13 | BTL Industries | 36/288 | 12.5% | 9.2–16.8% |
| 14 | DAXXIFY | 32/288 | 11.1% | 8.0–15.3% |
| 15 | EMSCULPT | 29/288 | 10.1% | 7.1–14.1% |
The full list
Own-domain citation is the share of 285 grounded answers that cited the tracked name's own domains (subdomains included). Citation share is of all 2,424 citations.
| # | Brand | Named in | Appearance rate | 95% interval | First mention | Own-domain citation | Citation share |
|---|---|---|---|---|---|---|---|
| 1 | BOTOX Cosmetic | 84/288 | 29.2% | 24.2–34.7% | 1.4 | 0.4% (1/285) | 0% |
| 2 | JUVÉDERM | 57/288 | 19.8% | 15.6–24.8% | 2.1 | 2.1% (6/285) | 0.2% |
| 3 | LaserAway | 57/288 | 19.8% | 15.6–24.8% | 2.1 | 5.3% (15/285) | 0.9% |
| 4 | Restylane | 52/288 | 18.1% | 14–22.9% | 2.7 | 0% (0/285) | 0% |
| 5 | InMode | 50/288 | 17.4% | 13.4–22.2% | 2.7 | 4.9% (14/285) | 0.6% |
| 6 | Dysport | 48/288 | 16.7% | 12.8–21.4% | 2.4 | 0% (0/285) | 0% |
| 7 | RealSelf | 46/288 | 16% | 12.2–20.6% | 1.4 | 14.4% (41/285) | 2.1% |
| 8 | XEOMIN | 46/288 | 16% | 12.2–20.6% | 3.6 | 0.7% (2/285) | 0.1% |
| 9 | Morpheus8 | 44/288 | 15.3% | 11.6–19.9% | 1.7 | 4.9% (14/285) | 0.6% |
| 10 | Sculptra | 44/288 | 15.3% | 11.6–19.9% | 3.2 | 0% (0/285) | 0% |
| 11 | CoolSculpting | 42/288 | 14.6% | 11–19.1% | 1.4 | 1.8% (5/285) | 0.2% |
| 12 | Cutera | 37/288 | 12.8% | 9.5–17.2% | 3.6 | 0.7% (2/285) | 0.1% |
| 13 | BTL Industries | 36/288 | 12.5% | 9.2–16.8% | 3.6 | 1.1% (3/285) | 0.1% |
| 14 | DAXXIFY | 32/288 | 11.1% | 8–15.3% | 3.7 | 0% (0/285) | 0% |
| 15 | EMSCULPT | 29/288 | 10.1% | 7.1–14.1% | 2.7 | 1.1% (3/285) | 0.1% |
| 16 | SkinSpirit | 29/288 | 10.1% | 7.1–14.1% | 2.3 | 3.2% (9/285) | 0.4% |
| 17 | BELOTERO | 28/288 | 9.7% | 6.8–13.7% | 3.6 | 0% (0/285) | 0% |
| 18 | Milan Laser Hair Removal | 28/288 | 9.7% | 6.8–13.7% | 1.4 | 6.3% (18/285) | 0.9% |
| 19 | Lutronic | 24/288 | 8.3% | 5.7–12.1% | 3.5 | 0.7% (2/285) | 0.1% |
| 20 | Solta Medical | 21/288 | 7.3% | 4.8–10.9% | 2.1 | 0.4% (1/285) | 0% |
| 21 | Sev Skin | 16/288 | 5.6% | 3.4–8.8% | 3.3 | 0.7% (2/285) | 0.1% |
| 22 | Schweiger Dermatology Group | 12/288 | 4.2% | 2.4–7.1% | 2.3 | 4.6% (13/285) | 0.7% |
| 23 | BodyTite | 11/288 | 3.8% | 2.1–6.7% | 5.5 | 4.9% (14/285) | 0.6% |
| 24 | KYBELLA | 10/288 | 3.5% | 1.9–6.3% | 3.3 | 0% (0/285) | 0% |
| 25 | Ever/Body | 8/288 | 2.8% | 1.4–5.4% | 2.6 | 0.7% (2/285) | 0.1% |
| 26 | Forefront Dermatology | 8/288 | 2.8% | 1.4–5.4% | 3.4 | 2.1% (6/285) | 0.2% |
| 27 | U.S. Dermatology Partners | 6/288 | 2.1% | 1–4.5% | 4.5 | 1.8% (5/285) | 0.2% |
| 28 | Sono Bello | 3/288 | 1% | 0.4–3% | 1 | 0% (0/285) | 0% |
The full list (continued)
None means no own site is tracked for that name.
| # | Brand | Named in | Appearance rate | 95% interval | First mention | Own-domain citation | Citation share |
|---|---|---|---|---|---|---|---|
| 29 | Allē | 2/288 | 0.7% | 0.2–2.5% | 2 | 0.7% (2/285) | 0.1% |
| 30 | Riverchase Dermatology | 2/288 | 0.7% | 0.2–2.5% | 3.5 | 0% (0/285) | 0% |
| 31 | Hydrafacial | 1/288 | 0.3% | 0.1–1.9% | 3 | 0% (0/285) | 0% |
| 32 | Skinney Medspa | 1/288 | 0.3% | 0.1–1.9% | 2 | 0.4% (1/285) | 0% |
| 33 | AEDIT | 0/288 | 0% | 0–1.3% | – | 2.1% (6/285) | 0.2% |
| 34 | AIRE Aesthetics | 0/288 | 0% | 0–1.3% | – | None | None |
| 35 | Advanced Skin Fitness | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
| 36 | Aesthetica | 0/288 | 0% | 0–1.3% | – | None | None |
| 37 | Ageless MD | 0/288 | 0% | 0–1.3% | – | None | None |
| 38 | Alchemy 43 | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
| 39 | Allure MedSpa | 0/288 | 0% | 0–1.3% | – | None | None |
| 40 | Beverly Hills Rejuvenation Center | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
| 41 | BodyBeautiful | 0/288 | 0% | 0–1.3% | – | None | None |
| 42 | Buckhead Plastic Surgery | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
| 43 | DermSurgery Associates | 0/288 | 0% | 0–1.3% | – | 0.4% (1/285) | 0% |
| 44 | Epione Beverly Hills | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
| 45 | Houston Aesthetic Center | 0/288 | 0% | 0–1.3% | – | None | None |
| 46 | MD Aesthetics | 0/288 | 0% | 0–1.3% | – | None | None |
| 47 | Memorial Aesthetics | 0/288 | 0% | 0–1.3% | – | None | None |
| 48 | Skin Phoenix | 0/288 | 0% | 0–1.3% | – | None | None |
| 49 | SkinMedic | 0/288 | 0% | 0–1.3% | – | None | None |
| 50 | Smooth Synergy | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
| 51 | Spa Bella | 0/288 | 0% | 0–1.3% | – | None | None |
| 52 | Spa Botanica | 0/288 | 0% | 0–1.3% | – | None | None |
| 53 | Tribeca MedSpa | 0/288 | 0% | 0–1.3% | – | 0% (0/285) | 0% |
The top eight, side by side
| # | Name | Appearance rate | Answers and interval | Other measures |
|---|---|---|---|---|
| 1 | BOTOX Cosmetic | 29.2% | 84/288 answers · 95% CI 24.2–34.7% | first-mention position: 1.4; owned-domain citation (1/285): 0.4%; citation share: 0% |
| 2 | JUVÉDERM | 19.8% | 57/288 answers · 95% CI 15.6–24.8% | first-mention position: 2.1; owned-domain citation (6/285): 2.1%; citation share: 0.2% |
| 3 | LaserAway | 19.8% | 57/288 answers · 95% CI 15.6–24.8% | first-mention position: 2.1; owned-domain citation (15/285): 5.3%; citation share: 0.9% |
| 4 | Restylane | 18.1% | 52/288 answers · 95% CI 14–22.9% | first-mention position: 2.7; owned-domain citation (0/285): 0%; citation share: 0% |
| 5 | InMode | 17.4% | 50/288 answers · 95% CI 13.4–22.2% | first-mention position: 2.7; owned-domain citation (14/285): 4.9%; citation share: 0.6% |
| 6 | Dysport | 16.7% | 48/288 answers · 95% CI 12.8–21.4% | first-mention position: 2.4; owned-domain citation (0/285): 0%; citation share: 0% |
| 7 | RealSelf | 16.0% | 46/288 answers · 95% CI 12.2–20.6% | first-mention position: 1.4; owned-domain citation (41/285): 14.4%; citation share: 2.1% |
| 8 | XEOMIN | 16.0% | 46/288 answers · 95% CI 12.2–20.6% | first-mention position: 3.6; owned-domain citation (2/285): 0.7%; citation share: 0.1% |
The four engines named the leading names at similar rates.
ChatGPT
72 asked · 72 returned · 72 grounded
Same questions, different answers
Claude
72 asked · 72 returned · 69 grounded
Gemini
72 asked · 72 returned · 72 grounded
Perplexity
72 asked · 72 returned · 72 grounded
Google AI Overviews were captured through 55 U.S. desktop searches and scored only where an overview appeared, so five-engine figures use 288 + 46 = 334 answers.
The fifth engine
Trigger rate: 46 of 55 searches
Google AI Overviews appeared on 46 of 55 searches (83.6%, CI 71.7–91.1%). The other 9 searches showed no overview. Within the 46 overviews, BOTOX Cosmetic was named in 12 (26.1%), RealSelf was named in 10 (21.7%), Morpheus8 was named in 10 (21.7%), JUVÉDERM was named in 9 (19.6%). google.com was the most-cited source, with 51 citations and an appearance in 24 of 46 overviews.
| Five-engine rank | Name | Five-engine rate | Four-engine rank |
|---|---|---|---|
| 1 | BOTOX Cosmetic | 28.7% | 1 |
| 2 | JUVÉDERM | 19.8% | 2 |
| 3 | LaserAway | 18.3% | 3 |
| 4 | Restylane | 18.0% | 4 |
| 5 | RealSelf | 16.8% | 7 |
| 6 | InMode | 16.5% | 5 |
| 7 | Dysport | 16.5% | 6 |
| 8 | Morpheus8 | 16.2% | 9 |
| 9 | XEOMIN | 15.9% | 8 |
| 10 | Sculptra | 15.9% | 10 |
Who each question surfaces first
Six questions from the set. Each tile uses that question's own four-engine answers as the denominator.
| Question | Leader | Next | AI Overview |
|---|---|---|---|
| Q01 · 12 answers | BOTOX Cosmetic 100.0% | Dysport 100.0%; XEOMIN 100.0% | AI Overview shown on 3 of 3 searches |
| Q02 · 12 answers | BOTOX Cosmetic 100.0% | Dysport 100.0%; XEOMIN 100.0% | AI Overview shown on 2 of 2 searches |
| Q03 · 12 answers | Restylane 100.0% | JUVÉDERM 100.0%; BELOTERO 41.7% | AI Overview shown on 3 of 3 searches |
| Q04 · 12 answers | JUVÉDERM 100.0% | Restylane 100.0%; BELOTERO 83.3% | AI Overview shown on 0 of 2 searches |
| Q05 · 12 answers | CoolSculpting 100.0% | EMSCULPT 83.3%; BTL Industries 83.3% | AI Overview shown on 3 of 3 searches |
| Q06 · 12 answers | CoolSculpting 100.0% | RealSelf 66.7%; EMSCULPT 16.7% | AI Overview shown on 3 of 3 searches |
The four engines produced 2,424 citations in total. pmc.ncbi.nlm.nih.gov was cited most often, with 87 citations (3.6%) across 43 answers. Next came fda.gov (66), realself.com (51), prospyrmed.com (43), accessdata.fda.gov (37), en.wikipedia.org (27).
Four AI engines · share of 285 grounded answers
Most-cited domains
Google AI Overviews · share of 46 overviews
Citation share by source type
Share of all citations by the type of site cited.
| Source type | Four AI engines (of 2,424 citations) | Google AI Overviews (of 253 citations) |
|---|---|---|
| Other / unclassified | 1,418 (58.5%) | 110 (43.5%) |
| Official / government | 309 (12.7%) | 8 (3.2%) |
| Company / brand sites | 247 (10.2%) | 69 (27.3%) |
| General news / business press | 129 (5.3%) | 7 (2.8%) |
| Community / social | 69 (2.8%) | 44 (17.4%) |
| Directories / rankings | 63 (2.6%) | 1 (0.4%) |
| Health publishers | 56 (2.3%) | 6 (2.4%) |
| Research / data providers | 49 (2%) | 5 (2%) |
| Reference | 32 (1.3%) | 0 (0%) |
| Trade / specialist press | 25 (1%) | 0 (0%) |
| Institutions / trade bodies | 21 (0.9%) | 3 (1.2%) |
| Review / comparison publishers | 6 (0.2%) | 0 (0%) |
How can brands improve their AI visibility?
These steps follow from the measured results above. They describe what the engines cited in this study and are not a guarantee of results.
| Step | What this study measured |
|---|---|
| Put your facts on your own domain. | RealSelf's own domains were cited in 14.4% of grounded answers, LaserAway's in 5.3% and Morpheus8's in 4.9%. |
| Keep your facts accurate on the sites engines cite. | The most-cited sites other than the tracked names' own were fda.gov (in 16.5% of grounded answers), pmc.ncbi.nlm.nih.gov (15.1%), prospyrmed.com (15.1%), en.wikipedia.org (9.5%) and accessdata.fda.gov (8.8%). Official and government supplied 12.7% of citations and general news and business press 5.3%. |
| Check each engine separately. | ChatGPT named RealSelf in 26.4% of answers against 8.3% on Perplexity. Gemini named JUVÉDERM in 29.2% of answers against 15.3% on Claude. |
| Do not ignore video and community sites. | Community and social sites supplied 3.3% of Google AI Overview citations against 2.8% in the four chat engines. youtube.com was cited in 30.4% of overviews, reddit.com in 15.2% and facebook.com in 8.7%. |
| Watch names outside the tracked list. | Merz Aesthetics (33 answers), SculpSure (16 answers), VIO Med Spa (16 answers), Jeuveau (13 answers), Galderma (12 answers) were named often but were not tracked. |
| Re-run the same questions every month. | Compare counts and intervals, not ranks. The 24 questions are in the appendix. |
What AI answers
Which brand do AI engines name most often?
BOTOX Cosmetic, named in 84 of 288 four-engine answers (29.2%, CI 24.2–34.7%). JUVÉDERM was second at 57 of 288 (19.8%). The intervals overlap, so the two cannot be separated statistically.
Which brand is named first most often?
BOTOX Cosmetic was the first brand named in 60 of 288 answers, with an average first position of 1.4.
How often do Google AI Overviews appear for these questions?
An overview appeared on 46 of 55 searches (83.6%, CI 71.7–91.1%). Within those 46 overviews, BOTOX Cosmetic was named most often, in 12 (26.1%).
Which sources do the engines cite?
Across 2,424 four-engine citations, pmc.ncbi.nlm.nih.gov was cited most (87 citations, in 43 of 285 grounded answers), followed by fda.gov (66 citations).
Do the four engines agree?
Largely. No tracked name differed by more than 12 points between engines.
How this study was measured
24 questions × 3 runs each × 4 AI engines = 288 answers + 55 Google searches · 46 AI Overviews
24 questions asked three times on each of ChatGPT, Claude, Gemini and Perplexity, measured October 30, 2026. United States, English; Google retrieval uses desktop results. Models: gpt-5-mini, claude-sonnet-5-5, gemini-3.6-flash only, sonar-pro. Google AI Overviews come from DataForSEO, not inferred chat answers. Appearance counts returned text, including ungrounded answers; citation rates use grounded answers. Longer overlapping names suppress shorter ones; First mention is the earliest eligible name order. Own-domain rates include declared domains and subdomains; shared parent scopes may count for multiple names and cannot be summed as unique citations.
| Engine | Model IDs called | Asked | Returned | Grounded |
|---|---|---|---|---|
| ChatGPT | gpt-5-mini | 72 | 72 | 72 |
| Claude | claude-sonnet-5-5 | 72 | 72 | 69 |
| Gemini | gemini-3.6-flash | 72 | 72 | 72 |
| Perplexity | sonar-pro | 72 | 72 | 72 |
| Google AI Overviews | DataForSEO Google SERP (live, advanced) | 55 | 46 shown | 46 |
Own-domain citations count a domain plus all its subdomains, with the same rule in every table.
Definitions
- Appearance rate: answers naming the tracked name ÷ answers returned, with Wilson 95% intervals.
- First mention: average order in which the tracked name first appears (1 = first).
- Own-domain citation: grounded answers citing the tracked name's domains ÷ grounded answers.
- Citation share: citations to the tracked name's domains ÷ all citations.
Limits
- Only 53 tracked brands are ranked; results are not an exhaustive market ranking.
- Only the tracked brands were scored. Untracked names that appeared often were not scored, including Merz Aesthetics (33 answers), SculpSure (16 answers), VIO Med Spa (16 answers), Jeuveau (13 answers), Galderma (12 answers).
- 343 of 360 planned results were returned. 17 AI Overview lookups were excluded after at most three total attempts.
- 55 successful Google searches: 46 overviews shown; 9 without an overview. Failures are excluded, not scored as zero.
- 3 chat answers had no search sources and are left out of the citation figures.
- Names with no tracked own site are shown as None. Source types use Company / brand sites only for verified official organisations; other unresolved sites are Other / unclassified.
- Wilson 95% intervals are descriptive; overlapping leading intervals do not establish a sole leader. Measurements do not endorse medical, legal, financial or product claims.
- Ideal Image is not tracked: it closed, and Elase and Perfect Dose took over some former locations. SEV Laser is counted as Sev Skin, its current name. Twelve providers from the original report are counted only by their exact names because several local businesses may share them; none was named in these answers.
- Two Core questions name brands: "Botox vs Dysport vs Xeomin which lasts longest?" and "Is CoolSculpting worth it?" Without them, BOTOX Cosmetic is named in 72 of 264 answers, still the most. This study counts names in AI answers; it makes no safety or efficacy claim about any treatment or provider.
- Answers came from each engine's API (model IDs above); the consumer apps can answer differently.
Appendix: The 24 questions
Questions marked "Core question" are the original study questions, asked word for word. The others are added neutral questions.
| # | Question | Group | Source |
|---|---|---|---|
| 01 | What is the best wrinkle injection? | Med Spa Index | Core question |
| 02 | Botox vs Dysport vs Xeomin which lasts longest? | Med Spa Index | Core question |
| 03 | What is the best dermal filler for lips? | Med Spa Index | Core question |
| 04 | What is the best filler for cheeks and under-eyes? | Med Spa Index | Core question |
| 05 | What is the best non-surgical fat reduction treatment? | Med Spa Index | Core question |
| 06 | Is CoolSculpting worth it? | Med Spa Index | Core question |
| 07 | What is the best laser hair removal chain in the US? | Med Spa Index | Core question |
| 08 | Which med spa chains are most trusted? | Med Spa Index | Core question |
| 09 | How do I find a safe, qualified injector? | Med Spa Index | Core question |
| 10 | What is the best skin tightening treatment without surgery? | Med Spa Index | Core question |
| 11 | Is radiofrequency microneedling worth it? | Med Spa Index | Core question |
| 12 | Where can I read honest reviews of cosmetic treatments? | Med Spa Index | Core question |
| 13 | Should I go to a dermatologist or a med spa for Botox? | Med Spa Index | Core question |
| 14 | Which cosmetic neurotoxin brands are approved for use in the United States? | Med Spa Index | Added question |
| 15 | Which dermal filler brands publish approved treatment indications? | Med Spa Index | Added question |
| 16 | Which biostimulator brands are used in US aesthetic medicine? | Med Spa Index | Added question |
| 17 | Which non-surgical body contouring brands publish clinical evidence? | Med Spa Index | Added question |
| 18 | Which laser hair removal chains operate across multiple US states? | Med Spa Index | Added question |
| 19 | Which med spa chains publish information about clinical supervision? | Med Spa Index | Added question |
| 20 | Which dermatology groups offer cosmetic treatments across multiple locations? | Med Spa Index | Added question |
| 21 | Which skin tightening device brands publish clinical trial results? | Med Spa Index | Added question |
| 22 | Which radiofrequency microneedling device brands are used in US clinics? | Med Spa Index | Added question |
| 23 | Which cosmetic treatment marketplaces list verified patient reviews? | Med Spa Index | Added question |
| 24 | Which aesthetic treatment providers publish information about practitioner credentials? | Med Spa Index | Added question |
About 5W
5W is an independent PR, creative and AI Visibility agency founded in 2003, and we get you in the chatbox. All of our work is done in house, including media relations, site building and content. Learn more about our GEO practice or write to info@5wpr.com.
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