Updated 23 October 2026
Aesthetic and dermatology device distributors in the United States: 169 licensed establishments
The United States has 7 independent distributors in the Index so far.
The Bastion Hale Distributor Index lists 169 establishments in the United States whose registry records include aesthetics, dermatology and lasers: 7 independent distributors (a channel role such as importer, distributor, wholesaler or authorised representative, and no manufacturing of their own), 70 manufacturers' own import or sales entities, 0 regulatory representatives, and 92 manufacturers or exporters, out of 10,187 medical device establishments in the United States overall. The records come from US FDA (openFDA), Health Canada and MHRA UK, last seen on 23 October 2026.
Listed
Independent distributors in the Index here, ranked by the lines each distributor carries, then registrations, then size.
- 1CARTESSA AESTHETICSMelville, NY0 lines1 registrationsize 26.7
- 2FOREO INCLas Vegas, NV0 lines1 registrationsize 26.3
- 3LIFE PRPDallas, TX0 lines1 registrationsize 24.1
- 4GALDERMA LABORATORIES, L.P.Fort Worth, TX0 lines1 registrationsize 22.0
- 5WICKI MEDICAL, LLCPittsburgh, PA0 lines1 registrationsize 21.1
- 6NEOCONCEPTS LLCLewis Center, OH0 lines1 registrationsize 20.0
- 7REVANCE THERAPEUTICS, INC.Newark, CA0 lines1 registrationsize 16.5
Include manufacturers, their own sales entities and regulatory representatives (162)
Manufacturers, companies that are a manufacturer's own import or sales arm, and regulatory representatives (authorised representatives, sponsors or registration holders with no import or distribution role). They are registered here but are not independent distributors.
- 1MERIT MEDICAL SYSTEMS, INC.South Jordan, UT0 lines199 registrationssize 77.4
- 2ASPEN SURGICAL PRODUCTS, INC.Caledonia, MI0 lines113 registrationssize 75.3
- 3MEDTRONIC SOFAMOR DANEK USA, INC.Memphis, TN0 lines109 registrationssize 77.0
- 4Avanos Medical, Inc.Alpharetta, GA0 lines104 registrationssize 70.4
- 5Kerr CorporationORANGE, CA0 lines92 registrationssize 73.7
- 60 lines55 registrationssize 59.4
- 7REMEL, INC.LENEXA, KS0 lines39 registrationssize 67.1
- 8PULPDENT CORPORATIONWatertown, MA0 lines39 registrationssize 61.8
- 9Sol-Millennium Medical, Inc.Chicago, IL0 lines34 registrationssize 61.6
- 10COLTENE/WHALEDENT, INC.CUYAHOGA FALLS, OH0 lines32 registrationssize 64.3
- 11CYNOSURE, LLCWestford, MA0 lines31 registrationssize 62.3
- 12Keystone Dental Inc.Irvine, CA0 lines28 registrationssize 62.3
- 13BIOHORIZONS IMPLANT SYSTEMS INC.BIRMINGHAM, AL0 lines27 registrationssize 65.2
- 14Therabody, Inc.Los Angeles, CA0 lines21 registrationssize 50.2
- 150 lines20 registrationssize 50.9
- 16HIOSSEN, INC.Fairless Hills, PA0 lines17 registrationssize 55.2
- 17THE ARGEN CORPORATIONSAN DIEGO, CA0 lines16 registrationssize 60.2
- 18SUMMIT MEDICAL, INC.FRANKLIN, MA0 lines14 registrationssize 53.7
- 19Merz North America, Inc.FRANKSVILLE, WI0 lines11 registrationssize 49.6
- 20Carol Cole Company dba NuFACEVista, CA0 lines10 registrationssize 42.9
See Canada: 769 independent distributors
Distributor in the United States? Add your company, free
Aesthetics, dermatology and lasers covers energy-based devices, fillers and skin treatment equipment sold mainly to clinics. Many products sit at the boundary between medical device and cosmetic, and classification varies by market. The segment is the smallest in the Index because registries tag it inconsistently.
By role
| Role | Establishments | Share | What it means |
|---|---|---|---|
| Importer | 72 | 43% | Named as importer in a registry: EUDAMED importer, FDA initial importer, or a Gulf import licence. |
| Distributor | 14 | 8% | Holds a distribution licence or is listed as distributor (Health Canada MDEL, SFDA, Oman MOH). |
| Registration holder | 64 | 38% | Holds device licences or registrations in its own name (Health Canada MDALL licence holder). |
| Manufacturer | 156 | 92% | Registered as a manufacturer with an address in this market, including foreign registrations. |
| Exporter | 21 | 12% | Registered with the US FDA as an exporter of devices made for export. |
An establishment can hold several roles, so the shares add to more than 100%.
Who holds the registration in the United States
In the United States the manufacturer registers its own establishment with the FDA and lists its devices; there is no local holder requirement. A US importer must also register as an initial importer, and the 510(k) or PMA stays in the manufacturer's name, so a distributor can be replaced without losing market access.
This is the general rule, not legal advice. The registration clause in the first distributor contract decides who controls the market later. The Next 10 Markets report covers who holds the registration in each of your ten markets.
Questions about aesthetics, dermatology and lasers distributors in the United States
How many aesthetics, dermatology and lasers distributors are there in the United States?
The Index counts 169 establishments in the United States with aesthetics, dermatology and lasers in their registry record, of which 7 are independent distributors (a channel role and no manufacturing of their own). The number comes from US FDA (openFDA), Health Canada and MHRA UK and was last refreshed on 23 October 2026.
Who can hold an aesthetics, dermatology and lasers device registration in the United States?
In the United States the manufacturer registers its own establishment with the FDA and lists its devices; there is no local holder requirement. A US importer must also register as an initial importer, and the 510(k) or PMA stays in the manufacturer's name, so a distributor can be replaced without losing market access.
How do I find an aesthetics, dermatology and lasers distributor in the United States?
Open the top establishments on this page and check their roles, principals and registration counts. Then search the Index for your device and the United States to see the top three names. For a ranked shortlist for your device, see the Next 10 Markets report.
What does the Distributor Index count as an aesthetics, dermatology and lasers distributor in the United States?
A company that appears in a public regulatory registry with an address in the United States and whose linked device listings fall in the aesthetics, dermatology and lasers segment, in any of the roles importer, distributor, wholesaler, authorised representative, registration holder, manufacturer or exporter. Each company is counted once.
Other segments in the United States
Aesthetics, dermatology and lasers in other North America markets
Sources
- US FDA Establishment Registration and Device Listing, openFDA bulk download: 157 establishments, last seen 23 October 2026. US government work, public domain.
- Health Canada MDALL active licence listing and MDEL establishment licence listing: 67 establishments, last seen 23 October 2026. Contains information licensed under the Open Government Licence, Canada.
- UK MHRA Public Access Registration Database (PARD): 35 establishments, last seen 23 October 2026. Public register.
Index build 23 October 2026. Each establishment is counted once per country after resolving names across sources. Company records only, as the registries publish them.
Registry data. Bastion Hale does not vouch for any establishment.