Quick answer
Americans searched Google for Botox about 1,103,500 times in Aug '26 — #4 of 26 med spa treatments we track and 10.0% of all med spa treatment searches. California searches the most (154k/mo), then Texas and Florida. Searches are down 12% on Sep '25.
1.1M
US Google searches in Aug '26
−4%
month over month (−12% vs Sep '25)
California
searches the most (154k/mo)
$12.78
average Google Ads cost per click
12-month trend (US)
Botox searches by state
Aug '26 Google searches. “Share” is Botox's slice of that state's med spa searches — where it's unusually popular, regardless of state size.
| # | Region | Botox searches | Share | MoM |
|---|---|---|---|---|
| 1 | California | 153,720 | 10.6% | −6% |
| 2 | Texas | 110,540 | 9.8% | +6% |
| 3 | Florida | 87,060 | 9.9% | −4% |
| 4 | New York | 85,630 | 11.1% | −10% |
| 5 | Illinois | 39,810 | 9.8% | −2% |
| 6 | Pennsylvania | 36,490 | 10.4% | −2% |
| 7 | New Jersey | 34,590 | 10.5% | −3% |
| 8 | North Carolina | 32,680 | 9.7% | +4% |
| 9 | Georgia | 29,680 | 8.2% | −5% |
| 10 | Virginia | 29,180 | 10.0% | −2% |
Show all 50 states ↓Show fewer ↑
| # | Region | Botox searches | Share | MoM |
|---|---|---|---|---|
| 11 | Washington | 28,950 | 10.4% | −4% |
| 12 | Ohio | 26,960 | 8.7% | −10% |
| 13 | Massachusetts | 26,570 | 11.3% | −7% |
| 14 | Michigan | 25,790 | 9.7% | −5% |
| 15 | Arizona | 25,070 | 9.3% | −7% |
| 16 | Colorado | 24,620 | 10.7% | −1% |
| 17 | Tennessee | 18,530 | 8.7% | +1% |
| 18 | Maryland | 17,420 | 9.0% | −5% |
| 19 | Kansas | 16,280 | 11.6% | +30% |
| 20 | South Carolina | 16,230 | 10.4% | +9% |
| 21 | Minnesota | 15,780 | 9.8% | +3% |
| 22 | Indiana | 14,990 | 9.0% | −3% |
| 23 | Missouri | 14,960 | 8.8% | −2% |
| 24 | Oregon | 14,710 | 10.9% | −5% |
| 25 | Utah | 13,940 | 10.6% | +37% |
| 26 | Wisconsin | 13,250 | 9.2% | +7% |
| 27 | Alabama | 12,520 | 9.3% | +7% |
| 28 | Oklahoma | 10,810 | 9.7% | 0% |
| 29 | Connecticut | 10,330 | 9.3% | −9% |
| 30 | Nevada | 10,320 | 8.7% | −2% |
| 31 | Kentucky | 9,800 | 8.8% | +2% |
| 32 | Louisiana | 9,690 | 8.0% | −4% |
| 33 | Idaho | 6,850 | 10.2% | +15% |
| 34 | Mississippi | 6,260 | 9.5% | 0% |
| 35 | Iowa | 6,080 | 8.2% | −4% |
| 36 | Arkansas | 5,970 | 7.6% | −6% |
| 37 | New Mexico | 4,710 | 8.3% | +8% |
| 38 | New Hampshire | 4,350 | 10.9% | +7% |
| 39 | Nebraska | 4,170 | 7.8% | −2% |
| 40 | Hawaii | 4,090 | 9.0% | −16% |
| 41 | Maine | 3,980 | 10.5% | +3% |
| 42 | West Virginia | 3,910 | 9.4% | +1% |
| 43 | Delaware | 3,400 | 11.4% | +11% |
| 44 | Rhode Island | 3,360 | 10.2% | −4% |
| 45 | Montana | 2,720 | 9.4% | +19% |
| 46 | North Dakota | 1,560 | 8.0% | +3% |
| 47 | Alaska | 1,550 | 8.5% | +2% |
| 48 | Vermont | 1,380 | 9.8% | −5% |
| 49 | South Dakota | 1,370 | 6.6% | −7% |
| 50 | Wyoming | 920 | 6.1% | −25% |
Where Botox is rising fastest
Month-over-month growth, Jul '26 → Aug '26, among states with meaningful volume.
Botox searches in Canada
| # | Region | Botox searches | Share | MoM |
|---|---|---|---|---|
| 1 | Ontario | 57,860 | 10.0% | −2% |
| 2 | British Columbia | 20,820 | 10.0% | −15% |
| 3 | Quebec | 13,990 | 11.1% | −21% |
| 4 | Alberta | 13,890 | 9.9% | −1% |
| 5 | Nova Scotia | 2,570 | 9.9% | −12% |
| 6 | Manitoba | 2,380 | 7.9% | −8% |
| 7 | Saskatchewan | 2,020 | 7.7% | +3% |
| 8 | New Brunswick | 1,390 | 8.4% | −9% |
| 9 | Newfoundland and Labrador | 960 | 8.5% | −12% |
| 10 | Prince Edward Island | 430 | 8.9% | −14% |
What this means if you offer Botox
- Check your own state first. National numbers hide big local differences — open your state's page for its full treatment mix.
- Paid clicks cost about $12.78 each. Ranking organically for Botox searches avoids paying per visit — here's what med spa SEO costs.
- Give it its own page. A dedicated, specific Botox page is what both Google and AI assistants quote when patients ask — how to get recommended by AI search.
Quick questions
Where is Botox searched the most?
California leads with 153,720 Google searches in Aug '26, followed by Texas (111k), Florida (87k), New York (86k). Bigger states naturally search more, so the "share of state searches" column shows where Botox is unusually popular relative to other treatments.
Is demand for Botox growing?
Nationally, searches fell 4% from Jul '26 to Aug '26, and are down 12% on Sep '25. Month-to-month moves are noisy — the 12-month chart is the better guide. The fastest-rising sizable state right now is Utah (+37%).
How much does it cost to advertise Botox on Google?
Botox searches averaged $12.78 per click on Google Ads nationally, with a competition index of 25/100. Ranking organically for these searches is the alternative to paying per click — see what med spa SEO costs.
Other treatments
Source: Google search volume via DataForSEO, Sep '25 – Aug '26. Methodology and the full picture in the 2026 Treatment Demand Report. Explore it on the map