Spas with upscale

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.

Berlin

A saltwater thermal pool under a concrete dome near Berlin's Tempelhofer Feld, with sauna, steam room and occasional DJ nights.

Ojo Caliente, New Mexico

Historic New Mexico hot springs resort with communal mineral pools, private tubs, and day-pass soaking near Taos.

New York City, New York

Thermal bath circuit and massages in a restored 1883 Tribeca textile factory, with a skylit tepidarium and candlelit thermal pools; reservation required.

Sedona, Arizona

A resort spa at Amara in Sedona with outdoor baths, an infinity pool and a relaxation lounge, open only to hotel guests.

Rishikesh, Uttarakhand

An upscale riverside resort 18 km outside Rishikesh with an in-house spa, yoga studio and restaurant, open only to overnight guests by reservation.

San Francisco, California

Hotel spa on the 8th floor of 1 Hotel San Francisco with rooftop stone soaking tubs and Bamford skincare treatments, open daily for day visitors.

Los Angeles, California

A boutique medical spa in Pico-Robertson focused entirely on facials, from HydraFacial to microdermabrasion, with no body treatments on the menu.

Naples, Florida

A Naples medical spa in Park Shore focused on skin treatments like Morpheus8 microneedling and Lumecca IPL, with reservations required.

Milwaukee, Wisconsin

East Town Spa in Milwaukee's Juneau Town combines a full-service salon and med spa with a thermal circuit of sauna, steam, pools and cold plunge.

Nashville, Tennessee

A Belle Meade day spa and salon offering massage, facials and hair services by appointment, with no walk-in facility pass.

São Paulo

A holistic wellness center in São Paulo's Paraíso district running ayahuasca ceremonies, tarot sessions, massage therapy and weekend forest retreats with cabin

Naples, Florida

Medical spa in North Naples focused on injectables, facials, peels and skin-resurfacing treatments like Morpheus and Votiva.

Aspen, Colorado

Adults-only day spa in downtown Aspen focused on facials, microdermabrasion, micro-needling and Block Therapy fascia work by appointment.

Palm Springs, California

Adults-only day spa at Ace Hotel Palm Springs, open daily with walk-ins welcome and shorter hours early in the week.

Tucson, Arizona

A hotel spa inside the 1929 Hacienda del Sol Guest Ranch Resort in Tucson, offering facials, massages and body treatments to resort guests only.

Puyehue, Los Lagos

A forest resort spa in Puyehue, Chile, with volcanic thermal pools and outdoor baths, open only to hotel guests.

Hudson Valley, New York

A medical spa in Newburgh, NY offering injectables, laser skin treatments, facials and brow work, led by nurse injector Randi Quick, by appointment only.

Leukerbad, Valais

A 30-room hotel in Leukerbad with a private thermal pool and sauna chalet, open to overnight guests only, overlooking the Gemmi massif.

Zurich

An upscale day spa near Paradeplatz in central Zurich focused on facials, anti-aging treatments and massages for adults.

Vail, Colorado

Medical spa in Edwards, near Vail, offering injectables, lasers and skin treatments overseen by a nurse practitioner medical director.

Tucson, Arizona

Lakeside Spa at this 398-room desert resort in Tucson is open to hotel guests only, with two heated pools, a Jacuzzi and mountain views of Catalina range.

Mariánské Lázně, Karlovy Vary Region

Hotel spa inside Mariánské Lázně's Ensana resort complex, open daily 8am–5pm for guests with reservations.

Bursa

Hotel spa in Bursa's Çekirge thermal district, guests-only access, with a thermal pool, hamam rituals and massage packages tied to multi-night stays.