Spas with upscale

Scottsdale, Arizona

Medical spa in South Scottsdale offering skin and wellness treatments, led by a board-certified plastic surgeon, open weekdays and Saturday mornings.

Nashville, Tennessee

A medical spa in South Nashville focused on noninvasive body sculpting and skin treatments, run by a former nurse, open most weekdays until 7pm.

Napa Valley, California

A medical spa in downtown Napa offering Botox, fillers, weight-loss injections, laser treatments and facials, open Thursday through Saturday by appointment.

Scottsdale, Arizona

Medical spa in Old Town Scottsdale offering injectables, laser treatments, facials and lymphatic drainage massage, by appointment only.

Santa Fe, New Mexico

A reservation-only medical spa in downtown Santa Fe focused on injectables, laser treatments and skin rejuvenation, open Monday through Thursday.

Punta Cana, La Altagracia

Upscale day spa in Punta Cana offering massages, facials, a thermal pool and ocean-view relaxation lounges, open daily 9am-7pm.

New York City, New York

A French skincare brand's spa on the 7th floor of The Dominick hotel in SoHo, open daily for facials, massages and body treatments by reservation.

Sonoma, California

Medical spa in Sonoma, CA offering Botox, dermal fillers, microneedling and chemical peels by appointment, run by RN Tiffany Nunez.

Sonoma, California

Physician-led medical spa in downtown Sonoma offering Botox, fillers, laser and RF treatments, open weekdays by appointment.

Key West, Florida

Hotel day spa at Casa Marina in Key West offering ocean-view massages, facials and beachside yoga, walk-ins welcome.

Lake Tahoe, California

Medical spa in Stateline near Kingsbury Grade offering Botox, fillers, PDO threads and laser skin treatments, by appointment only.

Barcelona, Catalonia

Rooftop day spa at Casa Bonay hotel in Eixample with dry sauna, hammam, ice bath and a Japanese ofuro, booked by small-group circuit or free use.

Houston, Texas

Physician-guided medical spa on the second floor of the Blossom Hotel in Houston's Medical Center Area, offering aesthetics, laser and recovery-focused

Vichy, Auvergne-Rhône-Alpes

Adults-only thermal baths in Vichy using the town's mineral spring water, with a hydrotherapy circuit and thermal pool, booking required.

Los Angeles, California

Japanese-style day spa in Beverly Hills offering massage and bodywork for solo visitors and couples by reservation.

Kyoto

Hotel spa on the 2nd floor of Dhawa Yura Kyoto in Higashiyama, offering private-suite treatments by Banyan Tree Academy-trained therapists.

Key West, Florida

A hotel spa at Pier House Resort in Key West for guests only, offering couples treatments for ages 14 and up with advance reservations.

Glenwood Springs, Colorado

A Sanctuary Spa & Salon is an adults-only day spa and salon in downtown Glenwood Springs open daily except Sunday.

Philadelphia, Pennsylvania

A reservation-only hotel spa inside W Philadelphia's Ritz-Carlton Residences in Center City West, open daily with a day-pass option.

Kauai, Hawaii

Open-air hotel spa at Grand Hyatt Kauai in Poipu, offering massage, facial and body treatments with Hawaiian botanical ingredients, by reservation.

Sonoma, California

Upscale day spa in Sonoma offering facials, bodywork, Endermologie and sound healing, with a relaxation lounge and membership option.

Miami, Florida

Upscale day spa in Downtown Miami offering massage, facials, laser hair removal and a relaxation lounge, open Tuesday through Saturday.

Hudson Valley, New York

Hotel spa at a small Hudson Valley inn on 75 riverside acres in Milton, NY, open to overnight guests by reservation while the spa undergoes renewal.

Portland, Oregon

Adults-only hotel and thermal springs on NE Alberta St in Portland, with vitality pools, a day-pass option, and spa treatments.