Spas with upscale

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.

Asheville, North Carolina

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

Santa Fe, New Mexico

Hotel spa at the Eldorado in downtown Santa Fe offering massage and bodywork treatments; appointments required, no day pass.

Chicago, Illinois

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

Key West, Florida

A small, adults-only hotel spa on Sunset Key near Key West, open daily 9am–4pm with massages, mineral scrubs and HydraFacial treatments.

Amalfi Coast, Campania

An adults-only day spa in Minori on the Amalfi Coast built around a thermal pool, open daily 11am to 8pm by reservation.

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+.

New Orleans, Louisiana

A medical spa in downtown New Orleans offering Botox, laser, and body contouring treatments by appointment, with free consultations to start.

San Francisco, California

Upscale day spa on Union Street in San Francisco's Cow Hollow, offering around 20 facial and massage treatments, including a signature Quadruple Lift Facial.

Oaxaca

A traditional four-door temazcal steam ceremony about 15-20 minutes outside Oaxaca city, paired with an ice-water plunge and overnight rooms.

Chicago, Illinois

A reservation-only medical spa in Streeterville, Chicago offering around 43 aesthetic and wellness treatments under a surgeon's medical direction.

Charleston, South Carolina

Medical spa in West Ashley, Charleston offering facials, medical-grade skincare and body contouring like CoolSculpting Elite and Pixel8 RF, by appointment.

Las Vegas, Nevada

Adults-only hotel spa at Green Valley Ranch in Henderson, open daily 8am-8pm with day passes available to non-guests.

Las Vegas, Nevada

Adults-only day spa inside Red Rock Resort in Summerlin, open daily 8am-8pm with walk-ins accepted but reservations recommended.

Palm Springs, California

Downtown Palm Springs day spa built around a natural hot mineral spring, with private mineral baths, sauna, steam room and massage.

Sonoma, California

Hotel spa at The Lodge at Sonoma with an outdoor terrace, soaking pool, plunge pool and barrel sauna, open daily 9am-5pm, adults-only, reservation required.

Vail, Colorado

Medical spa in Eagle-Vail combining acupuncture, massage, facials and detox tech like infrared sauna and red light therapy, by appointment.

Washington, D.C., District of Columbia

Dupont Circle medical spa offering Botox, Sculptra, IV therapy, laser and skin treatments, with complimentary consultations and walk-in availability.

Dallas, Texas

A medical spa on Lovers Lane in Bluffview offering injectables, laser treatments, and skin tightening by reservation, no day passes.

Portland, Oregon

Adults-only day spa in Portland's Hosford-Abernethy neighborhood offering facial treatments by appointment in private suites, no walk-ins or day passes.