Tipping at a Medical Spa

I do not understand what a medical spa is - is it a spa or a clinic? If it is a placed staffed by nurses and doctors that seems to me to be more of a medical practice - whereas a spa is staffed by technicians like nail techs and massage therapists.

IKWYM, Deanie! I already pay an up charge to have my Derm. do my injections in her med spa, and I don't even consider tipping her on top of that. When an esthetician in the same med spa does a peel or microdermabrasion, I occasionally add a tip since it's a "beauty" treatment, but I don't tip the RN "nurse injector" either when she does it.

I agree, it's sort of tipping gone wild lately.

On 6/23/2014 happy housewife said:

I do not understand what a medical spa is - is it a spa or a clinic? If it is a placed staffed by nurses and doctors that seems to me to be more of a medical practice - whereas a spa is staffed by technicians like nail techs and massage therapists.

In my derm's practice, there are two entrance doors, one to the medical side, one to the spa side -- they are connected, once you're inside. If you have a medical issue (i.e., insurance will be paying), you go on the medical side. If you have an elective, cosmetic service done, you go to the spa side. The same dr. will administer your treatment there, or specially trained RNs and estheticians.

It is at a MD's office if so I would not tip

If its a ""medical spa"" then I would tip

Settle down Deanie. If the procedure is done in a MD office with MD & staff, of course you don't tip. If they have a sign about tipping I would be very skeptical about this type of practice.

However, if you get the procedure in a spa, no MD or MD staff, it's a spa. Tip accordingly.

Thanks for your feedback. It appears that the difference is that one is run by a physician with practices accordingly and one is a regular spa. Well, it appears that this is "blended". I think that like Skylands suggested, to be wary. OBTW, Skylands, do you want to know what Judge Marilyn Milian says that a man should never say to a woman, "settle down?" I wonder what she would say about a woman saying this to another woman?

Perhaps the name of the thread needs to be"Tipping gone Wild" as said by WhateverLolaWants. What kind of injections do you get, by the way? I am curious and of a certain age. If you are OK with sharing amongst a few of your closest friends.

On 6/23/2014 Deanie said:

Thanks for your feedback. It appears that the difference is that one is run by a physician with practices accordingly and one is a regular spa. Well, it appears that this is "blended". I think that like Skylands suggested, to be wary. OBTW, Skylands, do you want to know what Judge Marilyn Milian says that a man should never say to a woman, "settle down?" I wonder what she would say about a woman saying this to another woman?

Perhaps the name of the thread needs to be"Tipping gone Wild" as said by WhateverLolaWants. What kind of injections do you get, by the way? I am curious and of a certain age. If you are OK with sharing amongst a few of your closest friends.

Oh, the usual ... for ladies of a certain age ... botox, fillers, you know.

Thanks WhateverLola wants, I may have to consider something, although, I believe I will look at another Medispa.

I go to a Med Spa for my botox and had a recent laser procedure and I did not even consider tipping. The person I see is an Aesthetics RN. To me, this would be like offering a tip to the nurse who does my mammogram.