Updated 2026-06-16 · Ranked by patient reviews
The best med spa in San Antonio, TX is Prime Vitality Total Wellness and Medical Spa, a 5★ medical spa with 92 verified patient reviews, known for injectables, fillers, and skin treatments. For 2026 it ranks #1 in San Antonio, TX, ahead of Andala Medspa and Jules Aesthetics & Wellness.
San Antonio, TX has 5 top med spas ranked below for 2026, ordered by patient rating and review volume from our directory of 72 providers in San Antonio, TX. Prime Vitality Total Wellness and Medical Spa leads the list with 5★ across 92 reviews. Each entry links to a full profile with services, pricing, hours, and reviews.
5★ from 92 patient reviews — the top review profile in San Antonio, TX.
Medical spa
| # | Med spa | Rating | Reviews | Specialties |
|---|---|---|---|---|
| 1 | Prime Vitality Total Wellness and Medical Spa | 5★ | 92 | Med spa services |
| 2 | Andala Medspa | 5★ | 20 | Med spa services |
| 3 | Jules Aesthetics & Wellness | 5★ | 20 | Med spa services |
| 4 | NakedMD Med Spa San Antonio | 5★ | 20 | Med spa services |
| 5 | Forever Bella | 5★ | 20 | Dermatology |
Prime Vitality Total Wellness and Medical Spa ranks #1 in San Antonio, TX by patient rating and review volume (5★, 92 reviews). See the full Top 5 above.
Botox in San Antonio, TX typically runs $10–$25 per unit. Most of the med spas ranked here offer it alongside fillers, laser, and skin treatments.
By patient rating combined with review volume (rating × the log of review count), the same transparent formula used across No BS Med Spa Reviews. Owner-operated locations are labeled. See /how-we-rank for the full methodology.