From rejuvenating facials to advanced skin treatments, Charleston's med spas offer a range of services. Here's how to find the best fit for you.
MHMaya Hendricks · Home Services Editor Updated June 13, 2026 · Next review July 2026
Editorially independent10 companies evaluated
cover story
★ Editor's ChoiceMagnolia Med Spa
96Score
Latest update · June 13, 2026: Initial ranking published. 10 Charleston-metro med spa businesses evaluated, top 10 ranked by Vetted Score.
In Charleston, the med spa scene is vibrant, with 10 providers evaluated and ranked based on their performance. Leading the pack is Magnolia Med Spa, boasting an impressive 5-star rating from 244 reviews, far surpassing many smaller shops in the area.
The competition is tight, with a narrow rating spread of just 0.2 stars across the ranked med spas. This means that while Magnolia Med Spa and Pearl Medspa shine brightly, other options like Charleston Medical Spa and Totality Medispa also deliver quality services, making it essential to read through review records to find the right fit for your needs.
10med spas evaluated in Charleston
4.91average rating across the field
2.0Kcustomer reviews analyzed
Cityvetted analysis of public Google review data, updated June 13, 2026.
To evaluate Charleston's med spas, we analyzed customer reviews, ratings, and overall satisfaction. Each business was assigned a Vetted Score based on these criteria, ensuring a fair and transparent ranking.
No med spa paid for placement in this ranking, and we refresh our evaluations monthly to reflect the most current customer feedback and service quality. Our goal is to provide you with the most reliable information to make informed choices.
The Vetted Score: six weighted factors
Customer sentiment25%
Rating quality20%
Review volume & velocity20%
Website trust signals15%
Service breadth10%
Business longevity10%
Sentiment is measured by AI analysis of review text, recency-weighted, with verified-pattern checks to discount suspicious review bursts.
With a perfect rating of 5 stars from 244 reviews, Magnolia Med Spa is celebrated for its personalized care and skilled staff. Clients rave about their results in services like Botox and laser treatments, making it ideal for those seeking effective aesthetic enhancements. However, high demand can lead to longer wait times for appointments.
Pearl Medspa holds a 5-star rating with 178 reviews, recognized for its affordability and high-quality treatments. Clients appreciate the friendly atmosphere and knowledgeable staff, making it a great choice for first-timers. However, some users noted that the facility can get busy, potentially affecting service speed. That is a substantial body of feedback for a local operator, enough to trust the rating rather than credit a lucky streak. Most of what reviewers hire it for is budget-friendly aesthetic treatments. It serves Charleston, SC, with $100 to $500 pricing, and the honest trade-offs are can be busy and service speed may vary.
Charleston Medical Spa features an impressive 4.9-star rating from 486 reviews, showcasing a wide variety of services from facials to injectables. Clients often commend the thorough consultations and effective treatments. However, the high volume of clients may lead to less personalized attention during busy periods. A review base that deep is hard to game, and the score barely moves across it, which is the clearest consistency signal we track. Most of what reviewers hire it for is comprehensive aesthetic services. It serves Charleston, SC, with $100 to $700 pricing, and the honest trade-offs are less personalized attention during busy times and can be crowded.
Totality Medispa has a solid 4.8-star rating from 432 reviews and is known for its advanced skin treatments and relaxing environment. Clients appreciate the knowledgeable staff and their tailored approaches. However, some have mentioned that pricing can be on the higher side for certain services. A review base that deep is hard to game, and the score barely moves across it, which is the clearest consistency signal we track. Most of what reviewers hire it for is advanced skin treatments. It serves Charleston, SC, with $200 to $800 pricing, and the honest trade-offs are higher pricing for some services and limited availability.
Shine Medical Spa boasts a 4.9-star rating from 147 reviews, praised for its expert team and innovative procedures. Clients often highlight the results of their aesthetic treatments. However, the spa's location can be tricky to find, and parking is limited. That is a substantial body of feedback for a local operator, enough to trust the rating rather than credit a lucky streak. Most of what reviewers hire it for is innovative aesthetic procedures. It serves Charleston, SC, with $150 to $700 pricing, and the honest trade-offs are difficult to find location and limited parking.
Mink Total Medical Spa & Wellness holds a strong 4.9-star rating from 138 reviews. Clients appreciate the comprehensive wellness approach and attentive staff. Although the services are well-reviewed, some clients noted that appointment availability can be limited during peak times. That is a substantial body of feedback for a local operator, enough to trust the rating rather than credit a lucky streak. Most of what reviewers hire it for is wellness and aesthetic treatments. It serves Charleston, SC, with $100 to $600 pricing, and the honest trade-offs are limited appointment availability and higher demand.
Another location of Totality Medispa, this one scores a 4.9-star rating from 136 reviews. Clients enjoy the serene environment and effective treatments. The only downside is that some clients have reported inconsistent experiences depending on the staff member they see. That is a substantial body of feedback for a local operator, enough to trust the rating rather than credit a lucky streak. Most of what reviewers hire it for is relaxing aesthetic treatments. It serves Charleston, SC, with $200 to $700 pricing, and the honest trade-offs are inconsistent staff experiences and higher pricing.
The Spa West Ashley has an impressive 4.8-star rating from 171 reviews, known for its tranquil ambiance and skilled practitioners. Clients often highlight the effectiveness of their facials and massages. However, some have mentioned that the facility could use a bit of updating. That is a substantial body of feedback for a local operator, enough to trust the rating rather than credit a lucky streak. Most of what reviewers hire it for is facials and massages. It serves Charleston, SC, with $80 to $500 pricing, and the honest trade-offs are facility could use updating and limited service offerings.
Scarlett Hawkins MedSpa has a solid 4.9-star rating from 65 reviews, praised for its welcoming environment and effective treatments. Clients appreciate the personalized attention they receive. However, the smaller number of reviews suggests it is still building its reputation. The sample is modest but steady, with reviewers describing the same strengths instead of one-off praise. Most of what reviewers hire it for is personalized aesthetic care. It serves Charleston, SC, with $100 to $400 pricing, and the honest trade-offs are limited number of reviews and still building reputation.
Eternite Spa has a perfect 5-star rating from 21 reviews, appreciated for its intimate setting and attentive staff. Clients often commend its relaxing atmosphere. However, the small review base leaves it promising but unproven compared to more established options. The review base is still thin, so we read the rating as promising rather than proven and weighted it accordingly. Most of what reviewers hire it for is intimate and relaxing treatments. It serves Charleston, SC, with $150 to $500 pricing, and the honest trade-offs are small review base and limited service offerings.
Selecting the right med spa involves more than just a quick glance at ratings. Here are three key factors to consider.
Review Volume
Look for providers with a significant number of reviews. A higher review count can indicate consistent service quality and customer satisfaction.
Service Specialties
Different med spas may specialize in various treatments. Consider what specific services you are interested in and check which spas excel in those areas.
Customer Feedback Trends
Pay attention to common themes in reviews. Consistent praise or complaints can give you a clearer picture of what to expect.
What it costs
What med spa services cost in Charleston
Understanding the pricing structure of med spas can help you budget effectively. Here's a breakdown of typical costs.
Basic Facial Treatments$75 to $150 per session, depending on the type and duration of the treatment.
Injectables (Botox, Fillers)$300 to $600 per area, varying based on the product used and the provider's expertise.
Laser Treatments$200 to $1,000, depending on the specific treatment and the area being treated.
Comprehensive Packages$500 to $2,000, often including multiple services or a series of treatments for optimal results.
Frequently asked questions
How much does a med spa treatment cost in Charleston?
Prices for med spa treatments in Charleston can vary widely. Expect to pay anywhere from $150 to $800 depending on the service.
What is the most popular treatment at Charleston med spas?
Popular treatments include Botox, dermal fillers, and laser hair removal, with many clients seeking anti-aging solutions.
How often is this ranking updated?
We re-run the full analysis monthly with fresh review data. Last updated June 13, 2026.
Our verdict
For most Charleston residents: <strong>Magnolia Med Spa</strong>
Magnolia Med Spa leads the pack with a flawless 5-star rating from 244 reviews, proving its expertise and customer satisfaction. Following closely is Pearl Medspa, also with a perfect score but from 178 reviews, showcasing a solid reputation among clients. Rounding out the top three is Charleston Medical Spa, rated 4.9 with a significant 486 reviews, indicating strong performance and client trust. If you're looking for the best in Charleston, start with Magnolia Med Spa.