OpenLoop Health|2/12/2026|5 min read

5 MedSpa Service Add-Ons to Boost Revenue and Client LTV

A pocket guide to the services clients already expect—and how to offer them without overextending staff, scope, or operations.

the 5 high-demand add-ons for medspas to drive revenue and LTV

Why Medspas Are Expanding Their Service Offerings

Clients today are looking for more convenient, affordable, and accessible care, like weight loss, hormone optimization, and longevity. What they don’t want is to juggle multiple providers or start over every time a new health need comes up. The question is: Why are you sending your clients to someone else? 

GLP-1 Search Data: Search demand for GLP-1s is up 127% YoY (Google Ads Keyword Planner Search Data, Dec. 2024–Nov. 2025).

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Sermorelin NAD+ Search Data: Searches for “sermorelin” are up 173%, and NAD+ are up 49% YoY (Google Ads Keyword Planner Search Data, Dec. 2024–Nov. 2025).

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Related Content: How to Add Sermorelin and NAD+ to Your Longevity Clinic

Client Expectations Are Shifting

Clients are looking for a provider who offers it all. They don’t want to visit five different offices for five different treatments.

Once one problem is solved, new questions emerge:

  • How do I increase my energy?

  • How can I live healthier for longer?

  • Why do sleep, weight, or mood issues keep interfering with how I feel and look?

This reflects a broader shift toward quality-of-life concerns that unfold over months or years—not visits. Clients increasingly expect whole-health support that integrates aesthetics, performance, and longevity.

The Operational Constraint

Medspas traditionally grow revenue by increasing visit volume—often requiring more staff, more treatment rooms, and higher fixed overhead.

While add-on services seem like a solution, delivering them fully in-house can introduce operational complexity that strains lean teams.

Program-based services change the model.

Recurring, membership-style offerings create predictable revenue without increasing treatment room utilization, staffing requirements, or physical capacity. Instead of adding more appointments, you add continuity.

In this mini-guide, we’ll cover:

  • The 5 most popular add-ons for medspas

  • Why your clinic is uniquely positioned to offer them

  • How each add-on can expand revenue and increase client lifetime value

The Top 5 Add-On Services for Medspas

  • Medical Weight Management

  • Longevity-Focused Care

  • Hormone Replacement Therapy (HRT)

  • Testosterone Replacement Therapy (TRT)

  • Preventive Support Programs: Supplements 

1. GLP-1 Weight Management

GLP-1 programs have become a core competitive offering across the medspa landscape.

Market Snapshot

  • 60% of U.S. medspas offer GLP-1 programs, compared with 35% of aesthetic physician offices (Guidepoint Qsight, U.S. Medical Aesthetics Market Update, 2024)

  • Weight-loss–specific GLP-1 segment is projected to reach $150B+ by 2030 (Grand View Research, GLP-1 Receptor Agonist Market Size | Industry Report, 2033, 2025)

Why Medspas Are Well-Positioned (And Why This Matters)

McKinsey found that 63% of patients seeking facial aesthetic procedures after GLP-1 use were not previously active medical aesthetics consumers, many of whom had never considered aesthetics before weight loss.

In other words, adding GLP-1s doesn’t just serve existing client demand; they introduce new clients to aesthetics, increasing downstream demand for injectables, skin treatments, and body contouring.

Revenue & Growth Potential

GLP-1 programs are typically structured as monthly memberships, creating recurring revenue without increasing treatment room utilization.

For medspas, this means:

  • Predictable, subscription-style income

  • New client acquisition pathways

  • Expanded cross-sell into aesthetics

  • Increased client lifetime value

Rather than being a standalone service, GLP-1 programs often act as a gateway into a broader aesthetic and optimization journey.

2. Longevity Care

Longevity care has evolved from fringe biohacking into a structured, marketable category, often positioned around optimization, recovery, and aging well.

Market Snapshot

  • 2026 projected longevity market size is $35.4B (Grand View Research, Anti-Aging Market Size | Industry Report, 2026)

  • The peptide therapeutics market was $117.3B in 2024 (Grand View Research, Peptide Therapeutics Market Size | Industry Report, 2024)

  • The NAD+ IV niche was $281–289M in 2023 (QYResearch, NAD+ Intravenous Therapy Market Report, 2023)

Why Medspas Are Well-Positioned (And Why This Matters)

Longevity fits naturally on a medspa menu, often framed as “age management” that complements, not replaces, aesthetics. Pairing longevity protocols (e.g., Sermorelin, NAD+, select peptides) with body contouring, skin, and recovery services can create clear bundles and upgrades that help increase stickiness, lift average order value, and drive predictable subscription revenue. 

Revenue & Growth Potential

Longevity services are commonly delivered as ongoing monthly or annual plans, supporting:

  • Longer client engagement

  • Subscription-based revenue

  • Higher average order value

  • Increased retention through optimization programs

Instead of one-off procedures, longevity care builds continuity into your client relationships.

3. Menopause/HRT (Hormone Replacement Therapy)

Hormone optimization continues to expand due to menopause awareness, cash-pay access, and telehealth normalization. 

Market Snapshot

  • Global HRT market valued at $23B in 2024 with projections reaching $39B+ by the early 2030s (Grand View Research, Hormone Replacement Therapy Market, 2025-2033)

Why Medspas Are Well-Positioned

Many medspas build client relationships for years, and HRT is increasingly viewed as part of maintaining energy, sleep, and quality of life—all of which may influence aesthetic outcomes. 

Nearly 90% of medspa clients are women (American Med Spa Association, 2024 Medical Spa State of the Industry Report), making menopause-related care a natural adjacency as clients age within a practice over many years.

Revenue & Growth Potential

HRT programs often span multiple years, supporting:

  • Durable, long-term client relationships

  • Steady recurring revenue

  • Strong retention among midlife and menopausal clients

  • Expanded premium service tiers

For practices serving women 40+, hormone care represents both a natural adjacency and a retention strategy.

4. TRT (Testosterone Replacement Therapy)

Testosterone therapy  has transitioned from niche men’s clinics into mainstream performance and aging optimization.

Market Snapshot

  • Global TRT market valued at $3.62B by 2033 (Market Data Forecast, Testosterone Replacement Therapy Market Report, 2033, 2025)

Why Medspas Are Well-Positioned (And Why This Matters)

While women make up the majority of medspa clientele, demand for men’s optimization services has grown alongside broader cultural focus on performance, body composition, and aging. TRT is increasingly marketed alongside strength, recovery, and body composition, categories already familiar to male medspa clients.

Revenue & Growth Potential

TRT programs are typically structured as ongoing, cash-pay monthly offerings with monitoring and continuity.

For medspas, this supports:

  • Predictable recurring revenue

  • Expansion into men’s services

  • Increased engagement among male clients

  • Cross-selling opportunities into aesthetic treatments

Adding TRT allows medspas to diversify their client base while deepening service offerings.

5. Outcome Support: Supplements & Meals

Supplements and nutrition are no longer viewed as one-off retail items. Clients increasingly expect guided, structured programs tied to outcomes.

Market Snapshot

  • 74% of U.S. adults use dietary supplement (Ipsos, Nine-Ten Dietary Supplement Users Survey, 2024)

  • The global clinical nutrition market size was estimated at $32.32B in 2024 and is projected to reach $55.92B by 2033, growing at a CAGR of 6.37% from 2025 to 2033. (Grand View Research, Clinical Nutrition Market Size & Growth Report, 2033, 2025)

Why Medspas Are Well-Positioned (And Why This Matters)

Medspas already retail skincare. Extending into structured supplement programs aligns with existing behavior, especially when positioned around skin quality, recovery, body composition, and optimization.

Common categories include collagen and beauty-from-within support, antioxidant and recovery supplements (such as glutathione or NAC), and body composition or performance support (including protein and creatine), frequently positioned alongside GLP-1 or longevity programs.

Revenue & Growth Potential

Preventive support programs naturally lend themselves to:

  • Subscription-based models

  • Repeat purchasing behavior

  • Bundled program tiers

  • Add-ons to existing memberships

These programs increase client lifetime value without increasing appointment volume.

Add On New Services in as Little as a Week

Medspas are already capital-intensive businesses. Equipment investments are made upfront, competition drives constant reinvestment, and utilization determines profitability.

Your clients are already asking for these services. The next phase of growth isn’t about adding more devices or increasing treatment hours. It’s about expanding service menus in ways that don’t add operational drag.

The challenge: prescribing, hiring medical staff, or managing compliance, labs, or follow-ups.

That’s exactly what OpenLoop is built for.

OpenLoop is the behind-the-scenes clinical infrastructure that powers add-on services for chiropractic practices. We enable you to offer GLP-1 weight management, HRT, TRT, longevity, and nutrition programs—without changing your scope, staffing, or operations.

  • You keep your brand and client relationships

  • Clients get access to the services they already expect

  • OpenLoop handles clinicians, labs, prescribing, and compliance

  • You build predictable, cash-pay revenue without operational sprawl

You don’t change how your medspa runs. You expand what it can support—responsibly.

If you’re ready to add high-demand services without adding operational complexity, OpenLoop can help you get launched in as little as a week.

Talk to our team today.

*This content is intended for general informational purposes only and should not be construed as legal advice. For guidance on your specific situation, please consult a licensed attorney.