Spas with upscale

Chicago, Illinois

Hotel spa on the lower level of the Fairmont Chicago, open to guests for massages, facials and a couples suite with an infinity-edge soaking tub.

Miami, Florida

Adults-only spa and pool complex inside Loews Miami Beach Hotel, open to hotel guests only, with sauna, steam, cold plunge and thermal circuits.

Atlanta, Georgia

Membership-based medical spa in Buckhead combining aesthetics, massage and facials, and lounge spaces for meditation and recovery.

Santa Fe, New Mexico

A medical spa in downtown Santa Fe offering injectables, laser skin treatments and hormone therapy by appointment, with no walk-in day pass.

Aspen, Colorado

A medical spa in Aspen offering evidence-based injectables, laser and body-contouring treatments, open weekdays by reservation only.

Scottsdale, Arizona

Adults-only resort spa at the Andaz Scottsdale with treatment suites, a private pool, fitness center and cabana bookings, day pass available.

Washington, D.C., District of Columbia

Facial and skincare studio in Dupont Circle, D.C., operating since 1994, focused on facials, peels and face mapping; reservation only.

Charleston, South Carolina

Downtown Charleston medical spa on Meeting Street offering HydraFacial, injectables, fillers and laser hair removal by appointment, no walk-ins or day passes.

Punta Cana, La Altagracia

Punta Cana Princess is an adults-only, all-inclusive resort spa in Bávaro, open to hotel guests only with free on-site parking.

Lombok, West Nusa Tenggara

A hotel-guest-only wellness room at Rascals in Kuta, Lombok, with a traditional sauna, dual ice baths and a magnesium pool, open daily 8am–9:30pm.

Dallas, Texas

Medical spa in Oak Lawn, Dallas offering hormone therapy, peptides, IV therapy and injectables built around lab work and a personalized protocol.

Denver, Colorado

A 14,000-square-foot hotel spa inside Gaylord Rockies in Aurora, offering massages, facials, body treatments and a couples room, adults only.

Nashville, Tennessee

A Midtown Nashville wellness studio built around cryotherapy, infrared sauna, red light therapy, IV drips and recovery treatments, run mostly through monthly

Nashville, Tennessee

Day spa and medical spa on the third floor of The Westin Nashville downtown, with nine treatment rooms, a dry cedar sauna, steam showers and walk-in access to

Mauritius

Moroccan hammam and beauty salon in Grand Baie, Mauritius, offering steam rituals, scrubs and massages with sauna and hot tub, reservation only.

Las Vegas, Nevada

Adults-only hotel spa inside Westgate Las Vegas offering massages, facials, salon services, sauna, steam room and a thermal pool, open daily 9am-6pm.

Austin, Texas

Adults-only hotel spa at the Fairmont Austin with nine treatment rooms, a hydrotherapy circuit, sauna and cold plunge, open daily with day passes available.

Lake Tahoe, California

Adults-only hotel spa at Edgewood Tahoe with gemstone massage rituals, an oxygen bar, and treatment-only access to the facility.

Palm Springs, California

Hotel spa at the Renaissance Esmeralda in Indian Wells offering desert-inspired treatments, a recovery lounge, steam rooms and day passes, 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.

Napa Valley, California

Adults-only resort spa built into a wine cave in Napa, with a vineyard-view pool, sauna, steam room and hot tub; reservations required.

Frisco, Texas

An Ayurvedic wellness center in Frisco offering oil massage, shirodhara, dosha consultations and detox packages, led by practitioner Ritu Bhalla.

London, England

A Russian-style banya bathhouse in Belgravia offering oak-lined steam rooms, cold plunge pools and leaf-massage rituals, with day passes by reservation only.

Miami, Florida

A 12,000-square-foot hotel spa at Coral Gables' Biltmore, with eucalyptus steam rooms, Himalayan salt saunas and a couples suite; adults-only, reservation