Who Charleston customers find first for med spas
We checked every med spa business that shows up on Google Maps across the Charleston area, then looked at Google page one and asked ChatGPT, Gemini and Perplexity who they recommend. Here is who customers actually see.
| Area covered | Tri-county Charleston: 49 map checkpoints from Summerville and Goose Creek to Mount Pleasant, James Island and Johns Island |
| Captured | 12 Nov 2026 |
| Prepared by | the CORE CONNECT Team, Mount Pleasant |
The leaderboard
Scored out of 100 on what a customer actually sees. The method is explained at the bottom of the page.
| # | Business | Score | Map of 40 | Page one of 20 | AI answers of 30 | Reviews of 10 |
|---|---|---|---|---|---|---|
| 1 | Charleston Medical Spa Charleston | 84.3 | 40.0 | 5.3 | 30 ChatGPT Gemini Perplexity | 9.0 4.9★ · 486 |
| 2 | Shine Medical Spa by Plastic Surgery of the Carolinas Charleston | 53.5 | 26.3 | 0.0 | 20 ChatGPT Perplexity | 7.2 4.9★ · 147 |
| 3 | Magnolia Med Spa Charleston | 49.9 | 21.9 | 0.0 | 20 ChatGPT Perplexity | 8.0 5.0★ · 244 |
| 4 | Pearl Medspa Charleston | 44.9 | 7.3 | 0.0 | 30 ChatGPT Gemini Perplexity | 7.6 5.0★ · 190 |
| 5 | AesthetiSpa Cosmetic Skin & Laser Center Mount Pleasant | 44.3 | 19.3 | 6.0 | 10 ChatGPT | 9.0 5.0★ · 503 |
| 6 | Totality Medispa 3 locations | 43.5 | 24.2 | 0.0 | 10 Gemini | 9.3 5.0★ · 602 |
| 7 | Summerville Medical Spa Summerville | 38.4 | 30.1 | 0.0 | 0 — | 8.3 4.9★ · 305 |
| 8 | Soulshine Aesthetics 2 locations | 34.7 | 27.3 | 0.0 | 0 — | 7.4 5.0★ · 169 |
| 9 | JAG Medical Spa 2 locations | 34.2 | 25.3 | 0.0 | 0 — | 8.9 5.0★ · 454 |
| 10 | Opal Aesthetics Johns Island | 34.1 | 27.3 | 0.0 | 0 — | 6.8 5.0★ · 110 |
| 11 | Bare Skin Medical Spa Mount Pleasant | 33.7 | 21.9 | 6.7 | 0 — | 5.1 5.0★ · 34 |
| 12 | 4Ever Young Med Spa & Wellness Center – Mt Pleasant Mount Pleasant | 31.4 | 19.3 | 3.3 | 0 — | 8.8 5.0★ · 432 |
| 13 | Cryotherapy & MedSpa Summerville | 30.1 | 20.7 | 0.0 | 0 — | 9.4 4.9★ · 647 |
| 14 | Mink Total Medical Spa & Wellness North Charleston | 29.8 | 12.6 | 0.0 | 10 Perplexity | 7.2 4.9★ · 139 |
| 15 | Dr. Ken Smile & Aesthetics North Charleston | 29.1 | 23.1 | 0.0 | 0 — | 6.0 4.9★ · 63 |
91 more local businesses scored below the top 15.
How the top three win
What we found
- 52 businesses show up in the map’s top three somewhere in the Charleston area. The map changes block by block, so a business that ranks first in West Ashley can be invisible in Mount Pleasant.
- AI assistants named 10 local businesses between them, and all three agreed on just 2: Charleston Medical Spa, Pearl Medspa.
- Some well-reviewed businesses are hard to find. Pearl Medspa has 190 Google reviews but rarely shows in the map’s top three. Reviews alone don’t win the map.
- The #1 business leads #10 by 50.2 points. For most businesses below the top three, the gap is map coverage and AI recommendations, not the quality of their work.
Who the AI assistants recommend
We asked each assistant, with live web search on: “Who are the best med spas in Charleston, SC?”
| ChatGPT | Gemini | Perplexity |
|---|---|---|
|
|
|
Listed as each assistant answered. A business only earns AI points if it is a local business that also appears on Google Maps in the area.
What Charleston customers search
| Search | Avg monthly searches | Cost per ad click |
|---|---|---|
| med spa charleston sc | 480 | $4.99 |
| botox charleston sc | 390 | $23.35 |
| med spa mount pleasant sc | too low to report | — |
Searches that name Charleston, last 12 months, Google Ads estimates; searches Google groups together are counted once in the total. Most people search “near me” or just the service, which Google doesn’t report by city, so real demand is several times higher.
How the score works
- Map (40): how much of the Charleston area sees the business in Google’s map top three, checked at 49 points across the tri-county for two searches (med spa; botox). Businesses with several locations are combined.
- Page one (20): where the business’s own website ranks in Google’s regular results for 3 Charleston searches. Directories like Yelp and Angi earn nothing.
- AI answers (30): 10 points each when ChatGPT, Gemini or Perplexity names the business.
- Reviews (10): total Google reviews on a curve, so the first hundred matter most. Ratings under 4.0 are discounted.
Who’s included: only businesses with an address in Charleston, Berkeley or Dorchester County (or a local service-area listing), in this line of work, with at least 10 Google reviews. For this board we removed 0 listings based outside the area, 5 in a different line of work, and 10 with fewer than 10 reviews, which is usually how lead-generation listings with no real local shop look.
What this score is not: a rating of quality, price or workmanship. It measures visibility only. Search results move daily, so treat this as a snapshot. Nobody paid to be included or to rank higher.
Disclosure: no business in this top 15 is a CORE CONNECT client.
Think we missed your business or got something wrong? Let us know and we’ll check it before the next update.
More Charleston boards: all Charleston industry leaderboards