Texas med spas on Google: Dallas, Houston and Austin compared (2026)

It depends. The Act took effect on July 1, 2024 and treats personal data revealing a mental or physical health diagnosis as sensitive data, which generally needs the consumer's consent before processing. It does not apply to HIPAA covered entities or business associates, but many cash-pay med spas are not HIPAA covered. Businesses that qualify as small under federal Small Business Administration standards are largely exempt, yet still may not sell sensitive data without consent. Confirm where your med spa falls with Texas counsel.

Work backward from the local bar. Find the review counts of the med spas that appear beside you in map results, pick a target count, and divide the gap by the number of months you are willing to spend closing it. Then check that the monthly figure is realistic against how many clients you actually see. If it is not, extend the timeline rather than pushing staff to pressure clients. Steady requests to every client beat a one-off campaign in a market this review-heavy.

Use them as a guide, not a rule. The study reports metro-level figures, and suburban competition can look quite different from the urban core. Google weighs distance heavily, so a suburban med spa mostly competes with the businesses closest to its own clients. Search for your main treatments from your own neighborhood, note who appears in the map results and their review counts and hours, and set targets against that list. Metro figures are most useful for spotting broad gaps, such as weekend hours.

Thank the reviewer and invite them to call, without confirming they are a client or discussing what was done. If the med spa is a HIPAA covered entity, revealing a patient's information in a public reply can be an impermissible disclosure. The HHS Office for Civil Rights reached a settlement in 2019 with a Dallas dental practice that disclosed patient information in responses to reviews. Train whoever handles replies, keep a few approved templates, and move any detailed conversation offline.

Sometimes. Google allows separate profiles for individual practitioners who are public-facing and have their own client base, alongside a separate profile for the practice location itself. A practitioner should not create multiple profiles for different specialties. For many med spas, one strong location profile is easier to manage and gathers reviews faster. Separate practitioner profiles make more sense when an injector is widely known by name and clients search for them directly. Agree up front on who controls those profiles if staff leave.