Spas with adults only

Piešťany, Trnava Region

Spa Irma on Piešťany's spa island offers historic mud and mirror thermal pools, a hydrotherapy circuit and a 60-treatment medical spa menu, adults only.

Austin, Texas

A day spa and med spa in North Burnet offering massage, facials, and injectables, with walk-ins and day passes accepted.

Tbilisi

A medical spa in Old Tbilisi built around natural sulfur-mineral water and volcanic mud, operating since 1938, open daily 10am–9pm.

Charleston, South Carolina

A King Street medical spa in Charleston's Harleston Village offering injectables, laser and skin treatments through nurse-practitioner-led membership plans.

Napa Valley, California

Adults-only hotel spa in downtown Napa with thermal circuits, sauna, steam and cold plunge, plus massages, facials and medical aesthetics.

San Diego, California

A Bankers Hill medical spa in an 1887 Victorian house, focused on HydraFacials, acne treatments and facials with its own in-house skincare line.

Boston, Massachusetts

A medical spa in East Boston focused on facials, peels, microneedling and laser treatments for skin concerns like acne and pigmentation.

Austin, Texas

Combined day spa and med spa in Bryker Woods, Austin, with 42 treatments spanning massage, facials, and injectables like Botox and fillers.

Austin, Texas

A combined day spa and med spa in Round Rock offering massages, facials, and injectable or laser treatments, open daily from 9am to 9pm.

Asheville, North Carolina

Nurse practitioner-led medical spa in West Asheville offering injectables, regenerative skin treatments, massage, acupuncture and hormone or weight management

Aspen, Colorado

A medical spa in downtown Aspen offering facials, laser treatments and RF skin tightening, with its signature XERF™ service for adults only.

Miami, Florida

Medical spa in Miami's Edgewater doing Botox, fillers and facials, plus a sauna, steam room and thermal pool for aftercare.

Austin, Texas

Day spa and medspa inside The Loren Hotel by Lady Bird Lake, open to both hotel guests and the public, with massage, facials and injectables.

Palm Beach, Florida

A medical spa in West Palm Beach offering FDA-cleared facials, body contouring, IV therapy and injectable treatments, open daily except Saturday.

New York City, New York

Medical spa in Mountainside, NJ offering body sculpting, Botox and IV drip treatments alongside a sauna, steam room and pool, by reservation only.

San Diego, California

A La Jolla medical spa specializing in lymphatic drainage, colon hydrotherapy and detox treatments, open since 1993, adults only, by reservation.

New York City, New York

A TriBeCa medical spa offering body contouring, injectables and massage alongside a day-spa menu, open daily 9am-9pm.

Philadelphia, Pennsylvania

Essent Spa is a physician-led medical spa in Bryn Mawr, on Philadelphia's Main Line, offering Botox, fillers, laser treatments and body contouring by

Rogaška Slatina, Savinjska

A reservation-only medical spa and clinic in Rogaška Slatina combining diagnostics, wellness treatments and the region's magnesium-rich Donat mineral water.

Sun Valley, Idaho

A medical spa and wellness retreat in Ketchum offering multi-day longevity programs, practitioner-led recovery and aesthetics, by reservation only.

Asheville, North Carolina

A medical spa in Asheville offering Botox, fillers, laser treatments and Hydrafacials, with board-certified providers and payment plans.

Chicago, Illinois

Medical spa in River North, Chicago, offering lymphatic treatments, IV therapy, cryo and float tanks in a renovated historic building.

Seattle, Washington

A med spa and beauty bar inside Seattle's Fairmont Olympic Hotel, open daily with facials, injectables, massage and nail services by appointment.

Mariánské Lázně, Karlovy Vary Region

Medical spa resort in Mariánské Lázně combining balneology, physiotherapy and Ayurveda programs, open only to overnight hotel guests aged 18+.