Research report · 2026 edition
The State of Aesthetic Devices 2026
The first independent census of the US aesthetic device market. We catalogued every device we could verify as sold, serviced or operated in the United States, then checked each one against the FDA 510(k) database and the fleets the largest medspa chains actually run.
Headline findings
Seven numbers that define the market, recomputed from the live index.
459
Devices in the US census
191
Manufacturers tracked
303
Devices with FDA 510(k) clearance
48
Registered — cosmetic devices
36
Not FDA cleared for US sale
72
FDA status under review
66
Device pairings across 37 chain fleets
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