The report, issued by 5W AI Communications, analyzed how major AI engines like ChatGPT, Claude, and Google AI Overviews route potential patients to providers. The findings reveal a stark consolidation of market influence, where AbbVie/Allergan leads with 47% of citation share, followed by Galderma at 33%. Smaller competitors Merz Aesthetics and Revance manage to capture the remainder of the top-tier visibility.

This concentration of influence creates a significant "Visibility Gap" for the roughly 12,000 facilities operating nationwide. While individual brands like Botox maintain near-total dominance—scoring 95 out of 100—independent med spas and even large chains like LaserAway struggle to gain traction against pharmaceutical marketing power. The data underscores a shift in consumer behavior where AI-driven answers serve as the primary gatekeeper for medical consultations, often excluding local providers before a patient makes a single inquiry.