Healthy medspas typically operate at 60–75% gross margins on injectables, 50–65% on laser and light-based services, and 40–55% on energy-device treatments like RF microneedling or radiofrequency skin tightening. These ranges reflect the brutal arithmetic of the business: product cost, device amortization, staff labor, and the brutal reality that not every chair is booked every hour.
The margin spread is driven by three immovable forces: product acquisition cost, labor intensity, and device capital burden. Understanding each is the difference between a practice that prints cash and one that bleeds margin.