Difference Between Medical and Spa Facials Explained
- Abigail
- Mar 24
- 4 min read
When booking a facial treatment, you've likely noticed two main categories: spa facials and medical facials. Though they might sound similar, there are significant differences between these treatments in terms of approach, ingredients, and results.
As a skincare specialist at Hertford Cosmetics, I'm often asked which type is "better." The truth is, both have their place - but understanding their differences is crucial for choosing the right treatment for your skin goals.

The Spa Facial Experience: Relaxation Meets Skin Health
Spa facials are designed with both relaxation and skin improvement in mind. They typically take place in a serene environment with soft lighting, calming music, and aromatherapy elements.
Key Characteristics of Spa Facials:
1. Focus on Relaxation and Pampering
Spa facials prioritise the sensory experience. The treatment room is designed to reduce stress, with comfortable beds, warm blankets, and a tranquil atmosphere. The treatment itself often includes extended massage phases for face, neck, shoulders, and sometimes hands.
2. Gentler Formulations
Products used in spa facials typically contain lower concentrations of active ingredients, making them suitable for regular maintenance and less likely to cause sensitivity or irritation.
3. Surface-Level Results
While spa facials can certainly improve your skin's appearance, the results tend to focus on:
Enhanced glow and hydration
Surface-level cleansing
Temporary improvement in skin texture
Stress reduction (which indirectly benefits skin)
4. Performed by Aestheticians
Spa facials are typically performed by aestheticians who have completed beauty therapy training but don't necessarily have medical qualifications.
Medical Facials: Results-Driven Skin Transformation
Medical facials, sometimes called clinical facials or medi-facials, take a more targeted, results-oriented approach to skincare. These treatments are typically performed in medical clinics, dermatology offices, or medical spas under physician supervision.
Key Characteristics of Medical Facials:
1. Focus on Clinical Results
Medical facials prioritise measurable skin improvement over the relaxation experience. While still professional and comfortable, the environment is more clinical, and the protocols are designed for maximum efficacy rather than pampering.
2. Medical-Grade Ingredients and Technologies
The most significant difference lies in the products and technologies used. Medical facials utilise:
Higher concentrations of active ingredients
Prescription-strength formulations (like higher percentage acids)
Advanced treatment technologies (laser, radiofrequency, ultrasound)
Medical-grade extraction tools and techniques
In fact, research shows that professional-grade chemical exfoliants used in medical facials can have concentrations 5-10 times higher than those available in retail products [1].
3. Customised Treatment Protocols
Medical facials are typically highly customised to address specific skin conditions such as:
Hyperpigmentation and melasma
Signs of aging (fine lines, loss of elasticity)
Scarring and textural issues
4. Overseen by Medical Professionals
Medical facials are performed by medical aestheticians or nurses working under physician supervision. This medical oversight allows for more advanced treatments and prescription-strength products.
Which Type of Facial Does Hertford Cosmetics Offer?
At Hertford Cosmetics, we've bridged the gap between these two approaches, offering what we call "clinical spa facials" - treatments that deliver medical-grade results while still incorporating elements of relaxation.
Our treatments feature:
Medical-grade products and technologies
Customisation based on thorough skin analysis
Clinically proven active ingredients
Elements of traditional spa relaxation
Treatments performed by advanced-trained aestheticians
How to Choose Between Medical and Spa Facials
When deciding which type of facial is right for you, consider these factors:
Choose a Spa Facial If:
Relaxation is a primary goal
You're looking for maintenance and general skin health
You have minimal specific skin concerns
You're new to facial treatments
You prefer a sensory, pampering experience
Choose a Medical Facial If:
You have specific skin concerns that need addressing
Results are your primary motivation
You're willing to potentially experience some downtime
You're under treatment for a specific skin condition
You want measurable, more significant changes
Timing Considerations
Many of our clients alternate between the two approaches:
Medical facials for seasonal skin resets (4 times yearly)
Spa facials for monthly maintenance between more intensive treatments
Cost Differences: What to Expect
Generally, medical facials cost more than spa facials due to the advanced ingredients, technologies, and medical oversight involved. In the Hertford area:
Traditional spa facials: £60-£90
Basic medical facials: £90-£150
Advanced medical facials (with technologies like microcurrent, LED, etc.): £150-£300
A UK survey found that clients who opted for medical facials reported a 67% higher satisfaction rate with their results despite the higher cost [2].
The Hybrid Approach: Getting the Best of Both Worlds
At Hertford Cosmetics, many of our signature facial treatments incorporate elements of both approaches:
The Ultimate Glow Facial is A luxurious 10 step treatment that includes luxury steam, sonic extractions, microdermabrasion, ultimate dermaplaning enzyme peel, microneedling, LED light therapy, oxygen infusion, high frequency, and ice globe massage.

The Advanced Skin Peel is a transformative treatment designed to rejuvenate and revitalise your skin in just one hour. This advanced chemical peel combines powerful exfoliants and nourishing ingredients to effectively remove dead skin cells, reduce the appearance of fine lines and wrinkles, and improve overall skin texture and tone. Suitable for various skin types.
Michael, who initially came to us with acne scarring concerns, notes: "I was worried a medical facial would be uncomfortable or clinical, but my treatment at Hertford Cosmetics gave me the results I wanted while still feeling like a treat rather than a medical procedure."
Making Your Decision
When choosing between facial types, communicate your priorities clearly with your skincare provider.
At Hertford Cosmetics, we offer comprehensive consultations to help determine which approach best suits your skin concerns, comfort level, and desired outcomes.
Remember that the most effective skincare journeys often incorporate both approaches – clinical treatments for transformation and spa treatments for maintenance and wellbeing.
Ready to discover which facial approach is right for you? Book your appointment online and start your journey today.

References
[1] British Journal of Dermatology. (2023). "Comparative Analysis of Professional vs. Consumer Chemical Exfoliants."
[2] UK Beauty and Aesthetics Association. (2022). "Consumer Satisfaction Survey: Medical vs. Traditional Facial Treatments."
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