Spas with upscale

Napa Valley, California

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

Asheville, North Carolina

Adults-only hotel spa in Asheville with a fiber-optic-starred lap pool, waterfall pools, saunas and an electronics-free policy; day passes are limited and

Calistoga, California

A 20-treatment hotel day spa in Santa Rosa with an indoor caldarium plunge pool, eucalyptus steam rooms, and walk-in or reserved day passes for adults 18+.

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.

Nashville, Tennessee

Upscale day spa in Franklin outside Nashville offering facials, massages, a salt room, infrared sauna and hydrotherapy tub, open daily by reservation.

Charleston, South Carolina

An upscale day spa in Charleston's Harleston Village offering facials, massages and a couples suite, open daily 11am–5pm.

Miami, Florida

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

San Diego, California

A Carmel Valley day spa focused entirely on scalp care, with head-spa rituals from 60 to 120 minutes plus a beard-detox option for men.

Lake Como, Lombardy

Hotel spa and fitness club at Hilton Lake Como in Como, open daily 9am-9pm with day passes for non-guests, adults only.

Soufrière

Hotel spa at Ladera on the Pitons ridge in Soufrière, with day passes, couples treatments and volcanic mineral pool access.

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.

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.

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.