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HEALTH

Med Spa Index 2.0: BOTOX Cosmetic, JUVÉDERM and LaserAway Lead

Published June 28, 2026 · Updated November 3, 2026

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.

288

AI answers analyzed across ChatGPT, Claude, Gemini and Perplexity

29.2%

of answers named BOTOX Cosmetic, the most-named (84 of 288)

32

tracked brands named at least once (of 53)

83.6%

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

01

84/288 (29.2%)

BOTOX Cosmetic appeared in 84 of 288 four-engine answers (CI 24.2–34.7%). JUVÉDERM appeared in 57 of 288 (19.8%, CI 15.6–24.8%). The intervals overlap, so the two cannot be separated.
02

60/288 (20.8%)

BOTOX Cosmetic was the first brand named in 60 of 288 answers, more than any other tracked brand. Its average first position was 1.4.
03

41/285 (14.4%)

RealSelf's own domains were cited in 41 of 285 grounded answers, more than any other tracked brand. Milan Laser Hair Removal followed at 18 of 285. 28 of 53 tracked brands had 0 of 285.
04

46/55 (83.6%)

Google AI Overviews appeared on 46 of 55 searches (CI 71.7–91.1%). On the other 9, no overview was shown.
05

12/46 (26.1%)

BOTOX Cosmetic was the brand named most often in AI Overviews, at 12 of 46, followed by RealSelf at 10 of 46 (21.7%). In the four-engine set, BOTOX Cosmetic was named in 84 of 288 answers (29.2%).
06

43/285 (15.1%)

pmc.ncbi.nlm.nih.gov was cited in 43 of 285 grounded four-engine answers, with 87 of 2,424 citations (3.6%). fda.gov came second with 66 citations in 47 answers (16.5%).

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

BOTOX Cosmetic
29.2%
JUVÉDERM
19.8%
LaserAway
19.8%
Restylane
18.1%
InMode
17.4%
Dysport
16.7%
RealSelf
16.0%
XEOMIN
16.0%
Morpheus8
15.3%
Sculptra
15.3%
CoolSculpting
14.6%
Cutera
12.8%
BTL Industries
12.5%
DAXXIFY
11.1%
EMSCULPT
10.1%
#NameNamed inAppearance rate95% interval
1BOTOX Cosmetic84/28829.2%24.2–34.7%
2JUVÉDERM57/28819.8%15.6–24.8%
3LaserAway57/28819.8%15.6–24.8%
4Restylane52/28818.1%14.0–22.9%
5InMode50/28817.4%13.4–22.2%
6Dysport48/28816.7%12.8–21.4%
7RealSelf46/28816.0%12.2–20.6%
8XEOMIN46/28816.0%12.2–20.6%
9Morpheus844/28815.3%11.6–19.9%
10Sculptra44/28815.3%11.6–19.9%
11CoolSculpting42/28814.6%11.0–19.1%
12Cutera37/28812.8%9.5–17.2%
13BTL Industries36/28812.5%9.2–16.8%
14DAXXIFY32/28811.1%8.0–15.3%
15EMSCULPT29/28810.1%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.

#BrandNamed inAppearance rate95% intervalFirst mentionOwn-domain citationCitation share
1BOTOX Cosmetic84/28829.2%24.2–34.7%1.40.4% (1/285)0%
2JUVÉDERM57/28819.8%15.6–24.8%2.12.1% (6/285)0.2%
3LaserAway57/28819.8%15.6–24.8%2.15.3% (15/285)0.9%
4Restylane52/28818.1%14–22.9%2.70% (0/285)0%
5InMode50/28817.4%13.4–22.2%2.74.9% (14/285)0.6%
6Dysport48/28816.7%12.8–21.4%2.40% (0/285)0%
7RealSelf46/28816%12.2–20.6%1.414.4% (41/285)2.1%
8XEOMIN46/28816%12.2–20.6%3.60.7% (2/285)0.1%
9Morpheus844/28815.3%11.6–19.9%1.74.9% (14/285)0.6%
10Sculptra44/28815.3%11.6–19.9%3.20% (0/285)0%
11CoolSculpting42/28814.6%11–19.1%1.41.8% (5/285)0.2%
12Cutera37/28812.8%9.5–17.2%3.60.7% (2/285)0.1%
13BTL Industries36/28812.5%9.2–16.8%3.61.1% (3/285)0.1%
14DAXXIFY32/28811.1%8–15.3%3.70% (0/285)0%
15EMSCULPT29/28810.1%7.1–14.1%2.71.1% (3/285)0.1%
16SkinSpirit29/28810.1%7.1–14.1%2.33.2% (9/285)0.4%
17BELOTERO28/2889.7%6.8–13.7%3.60% (0/285)0%
18Milan Laser Hair Removal28/2889.7%6.8–13.7%1.46.3% (18/285)0.9%
19Lutronic24/2888.3%5.7–12.1%3.50.7% (2/285)0.1%
20Solta Medical21/2887.3%4.8–10.9%2.10.4% (1/285)0%
21Sev Skin16/2885.6%3.4–8.8%3.30.7% (2/285)0.1%
22Schweiger Dermatology Group12/2884.2%2.4–7.1%2.34.6% (13/285)0.7%
23BodyTite11/2883.8%2.1–6.7%5.54.9% (14/285)0.6%
24KYBELLA10/2883.5%1.9–6.3%3.30% (0/285)0%
25Ever/Body8/2882.8%1.4–5.4%2.60.7% (2/285)0.1%
26Forefront Dermatology8/2882.8%1.4–5.4%3.42.1% (6/285)0.2%
27U.S. Dermatology Partners6/2882.1%1–4.5%4.51.8% (5/285)0.2%
28Sono Bello3/2881%0.4–3%10% (0/285)0%

The full list (continued)

None means no own site is tracked for that name.

#BrandNamed inAppearance rate95% intervalFirst mentionOwn-domain citationCitation share
29Allē2/2880.7%0.2–2.5%20.7% (2/285)0.1%
30Riverchase Dermatology2/2880.7%0.2–2.5%3.50% (0/285)0%
31Hydrafacial1/2880.3%0.1–1.9%30% (0/285)0%
32Skinney Medspa1/2880.3%0.1–1.9%20.4% (1/285)0%
33AEDIT0/2880%0–1.3%–2.1% (6/285)0.2%
34AIRE Aesthetics0/2880%0–1.3%–NoneNone
35Advanced Skin Fitness0/2880%0–1.3%–0% (0/285)0%
36Aesthetica0/2880%0–1.3%–NoneNone
37Ageless MD0/2880%0–1.3%–NoneNone
38Alchemy 430/2880%0–1.3%–0% (0/285)0%
39Allure MedSpa0/2880%0–1.3%–NoneNone
40Beverly Hills Rejuvenation Center0/2880%0–1.3%–0% (0/285)0%
41BodyBeautiful0/2880%0–1.3%–NoneNone
42Buckhead Plastic Surgery0/2880%0–1.3%–0% (0/285)0%
43DermSurgery Associates0/2880%0–1.3%–0.4% (1/285)0%
44Epione Beverly Hills0/2880%0–1.3%–0% (0/285)0%
45Houston Aesthetic Center0/2880%0–1.3%–NoneNone
46MD Aesthetics0/2880%0–1.3%–NoneNone
47Memorial Aesthetics0/2880%0–1.3%–NoneNone
48Skin Phoenix0/2880%0–1.3%–NoneNone
49SkinMedic0/2880%0–1.3%–NoneNone
50Smooth Synergy0/2880%0–1.3%–0% (0/285)0%
51Spa Bella0/2880%0–1.3%–NoneNone
52Spa Botanica0/2880%0–1.3%–NoneNone
53Tribeca MedSpa0/2880%0–1.3%–0% (0/285)0%

The top eight, side by side

#NameAppearance rateAnswers and intervalOther measures
1BOTOX Cosmetic29.2%84/288 answers · 95% CI 24.2–34.7%first-mention position: 1.4; owned-domain citation (1/285): 0.4%; citation share: 0%
2JUVÉDERM19.8%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%
3LaserAway19.8%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%
4Restylane18.1%52/288 answers · 95% CI 14–22.9%first-mention position: 2.7; owned-domain citation (0/285): 0%; citation share: 0%
5InMode17.4%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%
6Dysport16.7%48/288 answers · 95% CI 12.8–21.4%first-mention position: 2.4; owned-domain citation (0/285): 0%; citation share: 0%
7RealSelf16.0%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%
8XEOMIN16.0%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

RealSelf
26.4%
BOTOX Cosmetic
25.0%
LaserAway
22.2%
InMode
19.4%
JUVÉDERM
18.1%
Restylane
16.7%

Claude

72 asked · 72 returned · 69 grounded

BOTOX Cosmetic
34.7%
LaserAway
19.4%
InMode
16.7%
Morpheus8
16.7%
JUVÉDERM
15.3%
Restylane
15.3%

Gemini

72 asked · 72 returned · 72 grounded

BOTOX Cosmetic
31.9%
JUVÉDERM
29.2%
LaserAway
25.0%
Dysport
25.0%
Restylane
23.6%
XEOMIN
22.2%

Perplexity

72 asked · 72 returned · 72 grounded

BOTOX Cosmetic
25.0%
JUVÉDERM
16.7%
Restylane
16.7%
Sculptra
15.3%
LaserAway
12.5%
InMode
12.5%

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

84%

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 rankNameFive-engine rateFour-engine rank
1BOTOX Cosmetic28.7%1
2JUVÉDERM19.8%2
3LaserAway18.3%3
4Restylane18.0%4
5RealSelf16.8%7
6InMode16.5%5
7Dysport16.5%6
8Morpheus816.2%9
9XEOMIN15.9%8
10Sculptra15.9%10

Who each question surfaces first

Six questions from the set. Each tile uses that question's own four-engine answers as the denominator.

QuestionLeaderNextAI Overview
Q01 · 12 answersBOTOX Cosmetic 100.0%Dysport 100.0%; XEOMIN 100.0%AI Overview shown on 3 of 3 searches
Q02 · 12 answersBOTOX Cosmetic 100.0%Dysport 100.0%; XEOMIN 100.0%AI Overview shown on 2 of 2 searches
Q03 · 12 answersRestylane 100.0%JUVÉDERM 100.0%; BELOTERO 41.7%AI Overview shown on 3 of 3 searches
Q04 · 12 answersJUVÉDERM 100.0%Restylane 100.0%; BELOTERO 83.3%AI Overview shown on 0 of 2 searches
Q05 · 12 answersCoolSculpting 100.0%EMSCULPT 83.3%; BTL Industries 83.3%AI Overview shown on 3 of 3 searches
Q06 · 12 answersCoolSculpting 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

fda.gov
16.5%
pmc.ncbi.nlm.nih.gov
15.1%
prospyrmed.com
15.1%
realself.com
14.4%
en.wikipedia.org
9.5%
accessdata.fda.gov
8.8%
plasticsurgery.org
6.7%
cosmeticinjectables.com
6.0%
aad.org
6.0%
facebeautyscience.com
6.0%

Google AI Overviews · share of 46 overviews

google.com
52.2%
youtube.com
30.4%
americanboardcosmeticsurgery.org
19.6%
reddit.com
15.2%
facebook.com
8.7%
realself.com
8.7%
goodrx.com
8.7%
pmc.ncbi.nlm.nih.gov
6.5%
aad.org
6.5%
allure.com
6.5%

Citation share by source type

Share of all citations by the type of site cited.

Source typeFour AI engines (of 2,424 citations)Google AI Overviews (of 253 citations)
Other / unclassified1,418 (58.5%)110 (43.5%)
Official / government309 (12.7%)8 (3.2%)
Company / brand sites247 (10.2%)69 (27.3%)
General news / business press129 (5.3%)7 (2.8%)
Community / social69 (2.8%)44 (17.4%)
Directories / rankings63 (2.6%)1 (0.4%)
Health publishers56 (2.3%)6 (2.4%)
Research / data providers49 (2%)5 (2%)
Reference32 (1.3%)0 (0%)
Trade / specialist press25 (1%)0 (0%)
Institutions / trade bodies21 (0.9%)3 (1.2%)
Review / comparison publishers6 (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.

StepWhat 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.

EngineModel IDs calledAskedReturnedGrounded
ChatGPTgpt-5-mini727272
Claudeclaude-sonnet-5-5727269
Geminigemini-3.6-flash727272
Perplexitysonar-pro727272
Google AI OverviewsDataForSEO Google SERP (live, advanced)5546 shown46

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.

#QuestionGroupSource
01What is the best wrinkle injection?Med Spa IndexCore question
02Botox vs Dysport vs Xeomin which lasts longest?Med Spa IndexCore question
03What is the best dermal filler for lips?Med Spa IndexCore question
04What is the best filler for cheeks and under-eyes?Med Spa IndexCore question
05What is the best non-surgical fat reduction treatment?Med Spa IndexCore question
06Is CoolSculpting worth it?Med Spa IndexCore question
07What is the best laser hair removal chain in the US?Med Spa IndexCore question
08Which med spa chains are most trusted?Med Spa IndexCore question
09How do I find a safe, qualified injector?Med Spa IndexCore question
10What is the best skin tightening treatment without surgery?Med Spa IndexCore question
11Is radiofrequency microneedling worth it?Med Spa IndexCore question
12Where can I read honest reviews of cosmetic treatments?Med Spa IndexCore question
13Should I go to a dermatologist or a med spa for Botox?Med Spa IndexCore question
14Which cosmetic neurotoxin brands are approved for use in the United States?Med Spa IndexAdded question
15Which dermal filler brands publish approved treatment indications?Med Spa IndexAdded question
16Which biostimulator brands are used in US aesthetic medicine?Med Spa IndexAdded question
17Which non-surgical body contouring brands publish clinical evidence?Med Spa IndexAdded question
18Which laser hair removal chains operate across multiple US states?Med Spa IndexAdded question
19Which med spa chains publish information about clinical supervision?Med Spa IndexAdded question
20Which dermatology groups offer cosmetic treatments across multiple locations?Med Spa IndexAdded question
21Which skin tightening device brands publish clinical trial results?Med Spa IndexAdded question
22Which radiofrequency microneedling device brands are used in US clinics?Med Spa IndexAdded question
23Which cosmetic treatment marketplaces list verified patient reviews?Med Spa IndexAdded question
24Which aesthetic treatment providers publish information about practitioner credentials?Med Spa IndexAdded 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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