Top 10 Medical Office Architects and Contractors for Med Spas (2026)

For med spa and clinic owners planning a buildout. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not buildings, and none of the firms below is a Prospyr product or partner. Each summary reflects what the firm publishes on its own website, checked October 2026. Fees, schedules and license details change, so confirm everything in a written proposal and check each license with your state before you sign.

What does a medical office architect or contractor do for a med spa?

A medical office architect designs your space and produces the stamped drawings your city needs to issue a permit. A contractor builds it. For a med spa, that means treatment rooms sized for your devices, dedicated electrical circuits and cooling for lasers, sinks and plumbing where your state requires them, ADA-compliant restrooms, and a reception area patients find calm. Design-build firms do both under one contract. The differences that matter: how many aesthetic or surgical spaces they have built, whether they know your state's health facility rules, and how they price the job.

The 10 architects and contractors at a glance

How we chose this list

We searched for firms that name med spas, aesthetic practices or plastic surgery facilities on their own websites, then checked four things a practice owner can verify before a site visit:

1. Aesthetic or surgical work. Does the firm describe med spa, dermatology or plastic surgery projects, not just "medical offices"?
2. Scope. Does it design, build, or both, and does it handle permits?
3. Published proof. Does it state a track record you can ask about: years, project counts, license numbers, named projects?
4. Transparency. Does it publish pricing, cost ranges or timelines?

National design-build firms come first, then regional specialists. Most buildout work is local, so a regional firm near you may be the better call. The order is our editorial view, not a measure of results.

1. Kohan Inc.

Kohan Inc. is a design and construction firm that works on medical spas, dental offices, medical offices and surgical facilities. It lists services across architecture and design, interior design, design-build construction, project management and master planning, and says it serves cities across the US, including Los Angeles, the San Francisco Bay Area, Houston, Dallas, Miami, New York City and Chicago.

What stands out:

• Surgical suites. Kohan states it designs for ambulatory surgery center (ASC), QUAD A, Joint Commission, AAAHC and office-based surgery requirements, which matters if your practice adds a procedure room or an operating room.
• Aesthetic projects. Its portfolio lists Eastern Shore Cosmetic Surgery and Gallery of Cosmetic Surgery & Aesthetic Lounge among its surgical projects.
• California health facility rules. It says it can integrate HCAI (California Department of Health Care Access and Information) requirements when a project needs them.

Right for: plastic surgery practices and larger med spas planning surgical space alongside treatment rooms. Ask: who holds the architecture license on your project in your state, and which recent aesthetic projects you can visit.

2. RWE Design Build

RWE Design Build is a healthcare design-build firm with a national office in Downers Grove, Illinois, and offices in Florida, Connecticut, North Carolina and Wisconsin. It reports 25+ years of experience, 500+ projects delivered and work in 24 states. Its medical practice list names aesthetics and med spas alongside dental, veterinary and specialty centers.

What stands out:

• One contract. RWE describes a six-step process (consultation, needs analysis, design, bidding, build and closeout) under one team and one contract.
• Med spa specifics. Its medical office page describes soft lighting, sound insulation, distinct treatment zones and equipment storage for aesthetic practices.

Right for: practices that want a single accountable firm and may build in more than one state. Ask: how many med spa projects RWE has completed, whether design is in house or through its planning affiliate, and how bidding works under its design-build contract.

3. International Design Concepts

International Design Concepts (IDC) designs medical spas, surgical facilities and wellness centers, as well as day spas and resort spas. On its homepage it reports more than 40 years designing spa facilities and work on more than 500 spas and wellness facilities worldwide. Its medical spa page lists plastic surgery centers, dermatology practices and medical aesthetics spaces among its project types, and it offers consulting and feasibility work.

Right for: practices that want the patient experience of a spa, with layout and flow planned by a team that has designed many spas. Ask: whether IDC produces permit drawings or works with a local architect of record, and who builds the project.

4. Apex Design Build

Apex Design Build describes itself as an integrated design, architecture and construction firm for healthcare facilities. It is based in Rosemont, Illinois, with offices in Dallas, Denver, Nashville, New York City, Phoenix, Tampa and Toronto, and reports 400+ completed projects and 35+ years in healthcare development. Its sectors are surgery centers, medical practices, hospital systems, dental and veterinary.

Its portfolio includes the Warner plastic surgery project in Northfield, Illinois: an 8,000 sq ft redevelopment of a 1970s building into a surgical facility, where Apex served as architect and builder and handled zoning approvals.

Right for: plastic surgery practices buying or redeveloping a whole building. Ask: whether Apex takes on smaller med spa tenant improvements, and which offices staff a project in your area.

5. Gordon & Associates Architects

Gordon & Associates Architects is based in Mount Dora, Florida. It reports designing nearly 300 ambulatory surgery centers and over 350 medical clinics in 30 years. It lists aesthetic plastic surgery center projects in Ocala, Venice and Vero Beach, Florida, plus Conservatory Plastic Surgery Center in Coral Gables. Services include programming, design, construction documents and construction contract administration.

Right for: Florida plastic surgery practices that need an architect experienced with surgery centers. Ask: which projects were full-service and which were design only, and which contractors it has worked with recently.

6. Prestige 360 Design

Prestige 360 Design is a commercial interior design and buildout firm in San Antonio, led by Hugo Ramirez, that serves San Antonio, Austin, Houston and Dallas-Fort Worth. Its med spa page covers space planning, treatment room layout, MEP coordination for aesthetic equipment, plumbing, permits, construction management and finishes, with local contractors doing the build.

It publishes more than most: buildouts start at $75,000 and run to $200,000 fixed price depending on room count, equipment and finishes, with 8 to 14 weeks from signed agreement to first patient. It notes larger projects may need a separate licensed architect.

Right for: Texas med spas that want a fixed price before work starts. Ask: what triggers a change order, and when a separate architect is required.

7. QD Design

QD Design is a HUB-certified architecture and MEP (mechanical, electrical and plumbing) engineering firm in Cypress, Texas, serving Houston, Austin, Dallas-Fort Worth and San Antonio. It describes sealed engineering and architectural drawings under one contract. Its portfolio includes a med spa and wellness center in Cypress with humidity-controlled HVAC across sauna, shower and treatment areas.

It states a typical medical tenant improvement takes 3 to 5 weeks from contract to permit submittal, and that it sends a fee proposal within one business day of receiving a floor plan.

Right for: Texas practices that already have a contractor and need permit-ready drawings fast. Ask: how it coordinates with your contractor during construction.

8. Pajaziti & Associates

Pajaziti & Associates is a commercial general contractor in North Palm Beach, Florida (license CBC1265699, established 2015) that serves all of Palm Beach County. Its med spa services include treatment room and laser room buildouts, medical-grade electrical and HVAC, ADA-compliant layouts and coordination with Florida's Agency for Health Care Administration (AHCA) for licensed facilities. It reports 100+ commercial projects in the county.

It publishes local cost ranges, as of October 2026: $150 to $250 per sq ft for an aesthetic clinic without medical gas, $200 to $350 with laser rooms, $250 to $400+ for a full med spa with AHCA-licensed procedures, and $80 to $160 for a renovation or takeover.

Right for: Palm Beach County practices. Ask: which med spas it has built and who does your design.

9. Garrett Construction

Garrett Construction is a licensed general contractor in Santa Clarita, California, focused on medical and dental construction in Southern California. It offers new construction, tenant improvements, design-build and interior renovations, and its dermatology page lists work around Ventura, Pasadena, Burbank, Beverly Hills, Santa Monica and Los Angeles. Its medical gallery includes med spa projects.

Right for: Los Angeles-area dermatology and aesthetic practices. Ask: for its license number and recent med spa references.

10. CrossFields Design

CrossFields Design, based in the Atlanta area, describes bringing architecture, interior design, construction and consulting together for health and wellness practices. Its med spa page covers space planning, permit drawings, coordination with engineers and contractors, and construction management. It also sells floor plans and design packages through an online design store.

Right for: smaller or first-time practices that want guidance through design and permitting. Ask: who stamps the drawings in your state, and what the online floor plans include.

Questions to ask any medical office architect or contractor

1. Who is licensed for what? Get the architect's license and the contractor's license numbers for your state, then check them on the state licensing site.
2. How many med spas or aesthetic surgery spaces have you built in the last three years? Ask to visit one and speak with the owner.
3. What does your price include? Ask whether design, engineering, permit fees, cabinetry, low-voltage wiring and device electrical are in the number or excluded.
4. How will you handle my devices? Bring your laser and device spec sheets. Ask how circuits, cooling and room size are planned for each one.
5. What health facility rules apply? If you plan surgery, IV therapy or other regulated procedures, ask which state agency and accreditation standards apply and when they will be reviewed.
6. What is the schedule and what happens if it slips? Ask for a written timeline from lease signing to certificate of occupancy, and how delays and change orders are priced.
7. Who runs the job day to day? Get the name of your project manager and how often you will get updates.

Where Prospyr fits

Your architect and contractor decide how many treatment rooms you have and where they sit. Your practice software decides how those rooms get booked. Once the plan is set, map each room and device into your online scheduling so the front desk can't double-book a laser. If you're opening more than one site, see how Prospyr handles multi-location practices, or book a practice demo.

Frequently asked questions

How much does a med spa buildout cost?

Published ranges run from about $150 to $400+ per square foot, depending on the space and what you treat. Pajaziti & Associates lists $150 to $250 per sq ft for an aesthetic clinic without medical gas in Palm Beach County, and Prestige 360 Design quotes $75,000 to $200,000 fixed price for Texas buildouts. Laser rooms, plumbing and regulated procedures push costs up. Get at least two written bids.

Do I need an architect for a med spa?

In most cities, yes, if you are changing walls, plumbing or electrical. Building departments usually require stamped drawings for a commercial tenant improvement. Some design-build firms include an architect; others work with a separate architect of record, so ask who signs the drawings.

How long does a med spa buildout take?

Plan for a few months from signed agreement to opening. Prestige 360 Design advertises 8 to 14 weeks for its Texas med spa projects, and QD Design says permit drawings for a medical tenant improvement take 3 to 5 weeks. Permit review times vary widely by city.

Should I find a space before hiring an architect or contractor?

Bring one in before you sign the lease if you can. A short walk-through can show whether the space has the power, plumbing and room count your treatment menu needs. A healthcare real estate broker can help you find candidates; see our list of the best healthcare commercial real estate brokers.

Who designs the look of the space?

Some firms on this list include interior design. Others focus on layout, code and construction, and work with a separate designer. See our lists of med spa interior designers and med spa furniture and millwork makers.

Want your company considered?

We review this list quarterly. Architects and contractors that design or build med spas and aesthetic clinics can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each company's public website, checked October 2026 with AI-assisted research. Companies did not review this article before publication. It is not a guarantee of results or a substitute for checking references, licenses and insurance. Read our methodology or report a correction.