Orange Twist
OrangeTwist is a privately held U.S. med spa platform operating 24 retail locations across six states, offering 50+ non-invasive aesthetic treatments including injectables, body contouring, skin tightening, and a GLP-1 weight loss program to individual consumers.
- Company typePrivate
- Founded2015
- HeadquartersCosta Mesa, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Orange Twist does
OrangeTwist is a privately held U.S. med spa platform founded in 2015 and headquartered in Costa Mesa, California, operating 24 owned retail treatment centers across six states (California with 9 locations, Texas with 8, Colorado with 3, Nevada with 3, plus single locations in Washington and New Jersey). The company delivers non-invasive aesthetic services to individual consumers through licensed providers (RNs and NPs), covering injectables (Botox, Juvéderm, Restylane Kysse, Sculptra, Radiesse, SKINVIVE), facial treatments (HydraFacial, Glo2Facial, chemical peels, microneedling via SkinPen), body contouring (CoolSculpting Elite, Emsculpt Neo), skin tightening (Sofwave, Ultherapy, ZenTite), laser and IPL services, hair restoration, and laser hair removal — a menu of 50+ treatments powered by FDA-cleared third-party devices.
The business model combines per-treatment unit pricing (e.g., Botox from $295 per area, Radiesse $800 per syringe, Sofwave $1,122) with two recurring-revenue layers: the TwistUp membership program (15% retail discount, $99 monthly Beauty Bank credit, TwistMode points) and the TwistOff GLP-1 medical weight loss program (provider-supervised Semaglutide/Tirzepatide starting at $339.15 per month). The company monetizes through direct-to-consumer channels — website, iOS app, in-center bookings — supplemented by financing partnerships with CareCredit, Alle Cherry, and PatientFi. Marketing is multi-channel: website content, Instagram/Facebook/LinkedIn, SMS/email, and the TwistX experiential event. The company claims 5M+ treatments annually across its network and 101-250 employees.
OrangeTwist's go-to-market is omnichannel consumer with a partnership layer on top. In January 2026, SBC Medical Group Holdings (Nasdaq: SBC) made a strategic minority equity investment as Phase 1 of its U.S. market entry, with existing investors Hildred Capital and Athyrium Capital participating. Concurrent with the SBC partnership, OrangeTwist acquired six additional med spa locations in Colorado and Nevada. Prior M&A includes the 2019 acquisition of Pure Aesthetics Wellness, indicating a roll-up expansion strategy. The company is led by CEO Paul Gainer, with founder Clint Carnell serving as founder and chairman.
Orange Twist firmographics
Firmographics- Name
- Orange Twist
- Legal name
- OrangeTwist
- Website
- https://orangetwist.com
- Company type
- Private
- Founded year
- 2015
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- OrangeTwist is a privately held U.S. med spa platform operating 24 retail locations across six states, offering 50+ non-invasive aesthetic treatments including injectables, body contouring, skin tightening, and a GLP-1 weight loss program to individual consumers.
- Ownership category
- akta.pro rank
Orange Twist industry classification
Industry- Product category
- Medical Spa / Aesthetic Wellness Services
- NAICS
- Hair, Nail, and Skin Care Services (81211)
- SIC
- Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Sensitive Skin & Rosacea-Calming Treatments (HSALADAF)
Keywords
Where Orange Twist is headquartered
LocationHeadquarters
- HQ city
- Costa Mesa
- HQ country
- United States
- HQ region
- North America
Offices24 records
Markets served
Orange Twist business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Supply Chain, Infrastructure
Revenue model
- Aesthetic Treatment Services: One-time treatment services including Botox, dermal fillers, CoolSculpting, Hydrafacial, laser treatments, microneedling, and skin tightening. Pricing varies by treatment type with per-visit charges ranging from $295 for Botox to $1,122 for Sofwave.
- TwistUp Membership: Monthly subscription membership offering 15% off retail, $99 monthly Beauty Bank credit, additional 5% off packages, and seasonal perks. Recurring monthly revenue from membership fees.
- TwistOff Medical Weight Loss Program: Provider-supervised weight loss program starting from $339.15, combining FDA-approved GLP-1 medications with ongoing provider oversight, nutritional support, and lifestyle guidance.
- Financing Services: Partnership with CareCredit, Alle Cherry, and PatientFi to offer flexible payment plans for treatments, enabling higher ticket purchases through installment payments.
- Skincare Products Retail: Sale of medical-grade skincare products including Alastin, Colorescience, Nutrafol, and ZO Skin Health. Products available in-center and online with membership discounts.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | TwistOff Medical Weight Loss Program - Starting price for GLP-1 based weight management |
| Unit Pricing | Pay-as-you-go | Botox treatment - Per treatment area pricing |
| Unit Pricing | Pay-as-you-go | Radiesse filler - Per syringe pricing |
| Unit Pricing | Pay-as-you-go | Sofwave skin tightening treatment |
| Subscription | Monthly | TwistUp Membership - Monthly subscription with perks |
| One time/ perpetual license | Pay-as-you-go | TwistX Event Ticket |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels7 records
Orange Twist product offering
Product offeringCore offering
OrangeTwist operates a multi-location med spa platform delivering non-invasive aesthetic treatments across the face, body, and skin. Its service portfolio spans injectables (Botox, dermal fillers, Sculptra, Radiesse, SKINVIVE), facials (HydraFacial, Glo2Facial, classic facials, chemical peels), body contouring (CoolSculpting Elite, Emsculpt Neo), skin tightening (Sofwave, Ultherapy, ZenTite, SkinPen microneedling), laser hair removal, and a provider-supervised medical weight loss program (TwistOff) using FDA-approved GLP-1 medications. Services are delivered through 24 owned treatment centers in six U.S. states, supported by a TwistUp membership program and an integrated online/mobile booking channel.
Product overview
OrangeTwist is a med spa platform offering a comprehensive portfolio of aesthetic treatments across 24 locations in 6 U.S. states. The core offering includes injectables (Botox, Dermal Fillers, Juvéderm, Sculptra, Radiesse, SKINVIVE), facial treatments (Hydrafacial, Glo2Facial, Classic Facial, Chemical Peels), body contouring (CoolSculpting Elite, Emsculpt Neo, Body Contouring), and skin tightening (Sofwave, Ultherapy, ZenTite, Microneedling/SkinPen). The platform is anchored by its TwistUp membership loyalty program and complemented by the TwistOff medical weight loss program featuring FDA-approved GLP-1 medications (Semaglutide and Tirzepatide). All treatments begin with a complimentary You Review consultation, and the company carries trusted clinical brands including Botox, Hydrafacial, CoolSculpting Elite, and ZO Skin Health.
Differentiator
Problem solved
Functional benefit
Brands
- TwistOff: OrangeTwist's provider-supervised medical weight loss program combining FDA-approved GLP-1 medications with ongoing provider oversight, nutritional support, and lifestyle guidance.
- TwistX
Products and services
- TwistUp Membership Monthly subscription loyalty program for OrangeTwist consumers, providing ongoing discounts, monthly beauty credits, and exclusive perks across all 24 treatment centers.
- TwistOff Medical Weight Loss Provider-supervised medical weight loss program using FDA-approved GLP-1 medications (Semaglutide and Tirzepatide) with ongoing provider oversight, nutritional support, and a personalized treatment plan for adults seeking sustainable weight loss.
- Botox Injectable Treatment Purified injectable that temporarily relaxes muscles responsible for expression lines, smoothing frown lines, forehead creases, and crow's feet with natural results and no downtime; starts from $295 per treatment area.
- HydraFacial Three-step facial that cleanses, exfoliates, and hydrates skin in one session using patented vortex technology, delivering an instant healthy glow.
- Dermal Fillers Hyaluronic acid fillers (including Juvéderm and Restylane Kysse) placed by licensed providers to smooth lines and restore volume for natural, lasting results.
- CoolSculpting Elite FDA-cleared fat freezing technology that permanently removes stubborn pinchable fat through controlled cooling, with no surgery and no downtime.
- Emsculpt Neo Non-surgical treatment that simultaneously builds muscle and reduces fat in the same session using radiofrequency and high-intensity focused electromagnetic energy, with no surgery and no downtime.
- Sofwave Skin Tightening FDA-cleared ultrasound technology that lifts and tightens skin on the face, neck, and brow by stimulating new collagen production, with no downtime; priced at $1,122 per treatment.
- Ultherapy Ultrasound energy treatment that lifts and tightens the deeper layers of the face, neck, and brow, with no downtime.
- SkinPen Microneedling FDA-cleared microneedling device that prompts the skin to rebuild collagen for smoother texture and softer scars through controlled micro-injuries.
- Glo2Facial Oxygenating three-step facial that cleanses, infuses, and revitalizes skin using massage and gentle extraction for an immediate, lasting glow.
- Sculptra Collagen Stimulator Collagen-building injectable that restores volume and firmness gradually, with results that can last around two years.
- Radiesse Collagen Stimulator FDA-approved injectable made from calcium hydroxylapatite microspheres that delivers immediate volume while stimulating the body's own collagen and elastin production; results last 12-18 months at $800 per syringe.
- SKINVIVE Microdroplet injectable treatment that boosts smoothness and hydration in the cheeks for a glow rather than added volume.
- Forever Young BBL Broadband light therapy that targets sun damage and redness while helping skin appear younger over time.
- ZenTite Radiofrequency Microneedling Radiofrequency microneedling treatment that firms and rebuilds skin from within, addressing laxity, scars, and texture in one course.
- Laser Hair Removal Laser-based hair removal treatments providing long-lasting reduction in unwanted hair across various body areas.
- Body Contouring Non-surgical treatments that reduce stubborn fat and refine body shape without requiring an operating room.
- PRX-T33 No-Peel Peel No-peel peel treatment that firms, brightens, and smooths skin with no peeling and no downtime.
- Classic Facial Hands-on facial that cleanses, exfoliates, and nourishes skin, customized to individual skin needs.
- Chemical Peels Customized chemical peels that resurface skin to improve tone, texture, and clarity, with results that build over time.
- HydraFacial Keravive Scalp Treatment Three-step scalp treatment that cleanses, nourishes, and hydrates to support fuller, healthier hair.
- You Review Consultation Complimentary personalized consultation where licensed OrangeTwist providers assess individual goals, discuss treatment options, and create customized treatment plans.
Companies that use Orange Twist
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles3 records
Orange Twist technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Orange Twist partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered flagship and minor.
- SBC Medical Group HoldingsflagshipStrategic minority equity investment and alliance partnership. SBC Medical Group Holdings, a Japanese aesthetic medicine company, invested in OrangeTwist as Phase 1 of its U.S. market entry strategy. The partnership enables cross-border synergies across clinical protocols, technology adoption, operational efficiency, and commercial strategy. Collaboration focuses on clinical protocol development, advanced technology integration, and operational scalability to support long-term growth in both U.S. and Asian markets.
- Botox (Allergan)minorBrand partner featured at TwistX consumer aesthetics event. Botox is one of the signature brands carried at OrangeTwist locations.
- HydrafacialminorBrand partner featured at TwistX consumer aesthetics event and offered at all OrangeTwist locations as a signature treatment.
- ZO Skin HealthminorSkincare brand partner carried at OrangeTwist for retail sale and recommended for post-treatment care.
- Glo2FacialminorBrand partner featured at TwistX event and offered as signature oxygenating facial treatment at OrangeTwist locations.
- CareCreditminorHealthcare and wellness credit card partner enabling flexible financing options for treatments with pay-over-time plans.
- Alle CherryminorFinancing partner offering flexible payment plans starting at 0% interest for qualified applicants to fund aesthetic treatments.
- PatientFiminorPatient financing partner providing installment payment options for medical aesthetic treatments.
Scale indicators10 records
Recent moves9 records
Expansion highlights6 records
Orange Twist competitors and assessment
Company assessmentDirect peers
- European Wax Center: Publicly traded (EWCZ) franchise-based personal care chain offering waxing, laser hair removal, and skincare services across 900+ U.S. locations. Comparable subscription-based membership model and franchise/retail roll-up structure.
- Restore Hyper Wellness: Multi-location wellness services chain offering cryotherapy, IV therapy, infrared saunas, and aesthetic services including injectables. Comparable membership-driven, multi-modality positioning.
- Skin Laundry: Facial-focused med spa chain offering laser facials, HydraFacial, microneedling, and injectables across U.S. locations. Comparable subscription-based membership model and tech-enabled booking.
- Ideal Image: Largest U.S. med spa chain offering Botox, fillers, body contouring, laser hair removal, and skincare across 150+ locations. Direct competitor with similar multi-modality treatment menus and membership-style pricing.
- SkinSpirit: Multi-location medical spa offering Botox, fillers, body contouring (CoolSculpting), laser treatments, and HydraFacial. Similar premium positioning and provider-led service model.
- LaserAway: Major U.S. med spa chain with 100+ locations focused on laser hair removal, skin rejuvenation, injectables, and body contouring. Closely comparable service mix and California-heavy footprint.
- Hand & Stone Massage and Facial Spa: Franchise-based spa chain with 500+ U.S. locations offering massage, facials, and skincare. Comparable membership model and multi-state consumer services footprint.
- Beverly Hills Rejuvenation Center: Multi-location med spa offering injectables, hormone therapy, weight loss, body contouring, and skin rejuvenation. Directly comparable service portfolio including medical weight loss.
Broad incumbents
- Massage Envy: Largest U.S. franchised massage and skin care services chain with 1,100+ locations. Broad incumbent in personal care services with overlapping facial/skincare offerings and similar membership economics.
Others
- BeautyHealth Company (HydraFacial): Publicly traded parent of HydraFacial device and treatment brand with its own med spa locations and global provider network. Connected ecosystem participant and key brand partner for OrangeTwist.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Orange Twist social profiles
Digital presenceOrange Twist financial estimates
Financial estimateRevenue estimate
Valuation estimate
Orange Twist leadership team
Management profileNumber of profiles
Profiles4 records
Orange Twist funding detail
Funding detailFunding overview
Funding rounds3 records
Investors3 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Orange Twist M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Orange Twist
What does Orange Twist do?
OrangeTwist operates a multi-location med spa platform delivering non-invasive aesthetic treatments across the face, body, and skin. Its service portfolio spans injectables (Botox, dermal fillers, Sculptra, Radiesse, SKINVIVE), facials (HydraFacial, Glo2Facial, classic facials, chemical peels), body contouring (CoolSculpting Elite, Emsculpt Neo), skin tightening (Sofwave, Ultherapy, ZenTite, SkinPen microneedling), laser hair removal, and a provider-supervised medical weight loss program (TwistOff) using FDA-approved GLP-1 medications. Services are delivered through 24 owned treatment centers in six U.S. states, supported by a TwistUp membership program and an integrated online/mobile booking channel.
Is Orange Twist a public or private company?
Orange Twist is a private company. It is classified as venture growth investor backed and is currently operating.
When was Orange Twist founded?
Orange Twist was founded in 2015. It employs 101 to 250 people.
Where is Orange Twist based?
Orange Twist is headquartered in Costa Mesa, United States, in the North America region.
How does Orange Twist make money?
Five revenue lines are on record. Aesthetic Treatment Services are the primary driver. The others are twistUp Membership, twistOff Medical Weight Loss Program, financing Services and skincare Products Retail.
Who are Orange Twist's main competitors?
Direct peers on record are European Wax Center, Restore Hyper Wellness, Skin Laundry, Ideal Image, SkinSpirit, LaserAway, Hand & Stone Massage and Facial Spa and Beverly Hills Rejuvenation Center. Massage Envy is listed as a broad incumbent. BeautyHealth Company (HydraFacial) is listed as an others.
Does Orange Twist have an API?
No public API is recorded for Orange Twist.
What industry is Orange Twist in?
Orange Twist's product category is Medical Spa / Aesthetic Wellness Services. Its primary akta.pro industry code is HSALADAF, Sensitive Skin & Rosacea-Calming Treatments. Its NAICS code is 81211 and its SIC code is 8090.