Last updated: April 2026
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. MedSpa treatments — including injectables, laser procedures, and body contouring — should be performed by licensed medical professionals. Always consult with a board-certified dermatologist or physician before undergoing any aesthetic procedure. Individual results vary, and all treatments carry potential risks and side effects.
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Quick Answer: Texas is the second-largest med spa market in the United States, with over 3,200 licensed day spas and medical spas statewide. Dallas, Houston, Austin, and San Antonio each offer distinct spa cultures — from luxury resort retreats to cutting-edge aesthetic clinics. Budget $135–$375 for premium day spa treatments and $300–$1,500+ for medical spa procedures. The state's combination of no income tax, booming population growth, and an appearance-conscious culture makes it one of the most competitive (and value-rich) spa markets in the country.
Texas doesn't do small. That applies to its spa scene too.
The U.S. medical spa market reached $21.4 billion in 2025, growing at 14.6% annually according to Grand View Research. Texas sits right at the center of that growth — the state added more new med spa locations between 2023 and 2025 than any state except California. And unlike California or New York, Texas prices run 15–30% lower for comparable treatments. That gap matters when you're spending $1,200 on a Halo laser series or $400 on a round of Botox.
What makes the Texas spa market different isn't just size. It's depth. Houston has the Texas Medical Center — the largest medical complex on earth — feeding a pipeline of nurses, physicians, and aestheticians into the aesthetic space. Dallas has developed one of the strongest hybrid day spa-MedSpa ecosystems anywhere. Austin brings a wellness-forward, holistic approach that blends traditional spa culture with medical aesthetics. And San Antonio offers some of the best value in the state, with board-certified dermatologists running MedSpas at prices that would make coastal clients weep.
This guide covers the best options across every major Texas metro, from five-star resort spas to neighborhood clinics doing quietly excellent work.
What Makes Texas Such a Strong Spa Market in 2026?
Texas has structural advantages that most states can't match. Understanding them helps explain why the quality is so high and why prices stay competitive despite explosive demand.
First, the population story. Texas added 562,000 new residents in 2024 alone, according to U.S. Census estimates — more than any other state. The Dallas-Fort Worth metroplex alone grew by over 170,000 people. More people means more demand, which means more providers competing for your business. Competition drives quality up and holds prices in check.
Second, the medical infrastructure. Houston's Texas Medical Center employs over 120,000 people across 60+ institutions, creating the densest concentration of medical talent in the country. Many nurse practitioners and physician assistants trained in clinical settings transition into aesthetic medicine, bringing clinical rigor to MedSpa treatments that might be performed by less experienced providers in other markets.
"Texas has a unique advantage in that our medical spa practitioners often come from major hospital and research systems," says Dr. Rajani Katta, a board-certified dermatologist and clinical professor at Baylor College of Medicine. "The training pipeline here produces providers who understand skin pathology at a level that directly benefits aesthetic outcomes."
Third, the regulatory environment. Texas requires physician oversight for medical spa procedures, with specific delegation rules for nurse practitioners and physician assistants performing injectables and laser treatments. The Texas Medical Board updated its telemedicine supervision guidelines in 2025, tightening requirements for remote physician oversight of MedSpa procedures — a move that consumer advocates have largely applauded.
Finally, cost of living. Texas has no state income tax, and commercial real estate costs — while rising — remain 25–40% below equivalent spaces in New York, Los Angeles, or San Francisco. Those savings get passed through to treatment pricing. A unit of Botox runs $10–$14 in Houston versus $15–$22 in Manhattan. Multiply that across 40–60 units for a full forehead-and-crow's-feet treatment, and the difference adds up fast.
The International Spa Association reported that the Dallas-Fort Worth metro alone generates approximately $1.3 billion in annual spa revenue, ranking fourth nationally. Houston isn't far behind. Combined, the top four Texas metros account for roughly $3.8 billion in spa and aesthetic services annually — a number that's grown 28% since 2023.
Best Day Spas in Dallas-Fort Worth
Dallas has quietly become one of the most interesting spa cities in America. The culture here values appearance, rewards loyalty to local businesses, and supports hybrid concepts that blend relaxation with results. More than any other Texas city, Dallas is where the line between day spa and MedSpa has nearly disappeared.
The Ritz-Carlton Spa, Dallas sets the luxury benchmark in Uptown. The 12,000-square-foot facility rotates its treatment menu seasonally, and the current signature — the Texas Botanical Ritual ($375 for 100 minutes) — uses locally sourced prickly pear, bluebonnet extract, and Texas cedar essential oils. Rooftop pool access comes with any spa booking, turning a single treatment into a half-day affair. The attention to detail here is genuine, not performative. Therapists spend 10–15 minutes on pre-treatment consultations rather than rushing into a standard protocol.
Hiatus Spa + Retreat deserves special mention for what it's built across Texas. With nine locations statewide — including flagship spots in Dallas's Knox-Henderson and Uptown neighborhoods — Hiatus has become the most accessible premium spa brand in the state. Their consistency is the real achievement: a 60-minute custom massage ($135) and signature facials ($150–$275) deliver the same quality whether you walk into the Galleria location or the Park Cities one. They also hold MedSpa certification, meaning you can get Botox, fillers, and microneedling at the same place you book your monthly massage. That convenience factor alone makes them worth considering.
The Joule Spa in downtown Dallas occupies a different niche — boutique, design-forward, and curated. Inside the Joule Hotel, the spa pulls from the hotel's art-centric identity. Treatments lean toward European techniques with Texas ingredients. The 90-minute Deep Hydration Facial ($285) uses a multi-step protocol incorporating enzymatic peels, hyaluronic infusion, and LED light therapy. The space itself is intimate — only four treatment rooms — so book early, especially on weekends.
Spa Habitat has three Dallas-area locations and takes an eco-conscious, ingredient-focused approach. Every product used is organic or wildcrafted, and their signature Ayurvedic treatments (Shirodhara, Abhyanga massage) draw from traditions that most Dallas spas don't touch. The 90-minute Ayurvedic Ritual ($210) includes warm herbal oil poured over the forehead in a steady stream — deeply meditative and genuinely effective for stress-related tension. If your idea of spa culture extends beyond the standard facial-and-massage playbook, Spa Habitat is worth exploring.
AWAY Spa at W Dallas caters to a younger demographic with a treatment menu that leans playful and social. Their "Detox Retox" packages pair spa treatments with cocktails — a concept that purists might roll their eyes at, but that reflects how a significant portion of the Dallas market actually wants to experience wellness. The 75-minute Glow Facial ($225) incorporates microcurrent and oxygen infusion for an immediate visible lift that photographs well. Not the deepest treatment on this list, but honest about what it is.
Best MedSpas in Houston: Clinical Excellence at Texas Prices
Houston is where the serious clinical work happens. The city's proximity to the world's largest medical center creates a talent pool that no other Texas city can match. MedSpa providers here tend to have deeper medical training, and the competitive density — over 800 day spas and MedSpas across the metro — keeps everyone sharp.
Aspira Medical Spa operates under direct physician oversight and has built a following for injectable work that looks refreshed rather than frozen. Their approach to facial balancing treats the entire face as a system rather than chasing individual wrinkle lines. Botox runs $12–$13 per unit (below the national average of $15), and their structured filler packages for full-face rejuvenation start at $2,400. The consultation process includes 3D facial imaging — you see projected results before committing to anything.
Skin Essentials Med Spa in the Woodlands serves Houston's sprawling northern suburbs with a laser-focused specialty (literally). Their Halo laser program — typically three sessions spaced four to six weeks apart at $1,200 per session — is one of the better hybrid fractional laser values in the state. Staff includes board-certified nurse practitioners with dermatological specialization, and post-treatment follow-up is built into every package rather than billed separately. If you're weighing laser versus IPL for pigmentation concerns, their team provides honest guidance on which technology fits your skin type and goals.
Ever/Body represents the growing med spa chain model done well. Their Houston locations offer standardized pricing, rigorous provider credentialing, and a treatment menu focused on the highest-demand procedures: Botox ($14/unit), filler ($750+/syringe), and CoolSculpting packages. The trade-off versus a boutique MedSpa is less customization, but the quality floor is high and the experience is efficient. They're a solid choice if you value predictability.
Premiere Surgical Arts extends beyond standard MedSpa into surgical and non-surgical body contouring. Their CoolSculpting Elite and Emsculpt Neo programs are backed by before-and-after portfolios that are unusually well-documented. Houston's lower overhead translates directly here — expect to pay 15–25% less than equivalent procedures in Miami or New York. The free consultation includes body composition analysis and a treatment plan with realistic timelines.
"What sets the Houston market apart is the depth of clinical training," says Maria Torres, NP, a nurse practitioner and aesthetic medicine specialist in the Memorial area. "Many of us trained in oncology, wound care, or reconstructive settings before moving into aesthetics. That clinical foundation means we understand tissue healing, vascular anatomy, and complication management in ways that directly improve patient outcomes."
For day spa experiences in Houston, Trellis Spa at The Houstonian remains the gold standard. The outdoor relaxation garden — soaking tubs, fire pit, canopy beds — is worth the trip alone. Their Signature Facial ($225 for 75 minutes) combines enzyme exfoliation, oxygen infusion, and custom masking. Non-hotel guests can purchase day passes ($65) for facility access.
Milk + Honey in River Oaks bridges the boutique day spa and full-service MedSpa gap. Their membership model ($150/month for one 50-minute service plus discounts) is one of the better spa membership values in any major U.S. city, especially if you're booking consistently.
How Much Do Spa and MedSpa Treatments Cost in Texas?
Pricing transparency matters, and Texas offers real advantages here. The absence of state income tax and lower commercial rents translate into treatment prices that run 15–30% below comparable coastal markets. Here's what to expect across the major metros as of early 2026.
Day Spa Treatments:
- Swedish or deep tissue massage (60 min): $115–$175
- Signature facial (60–75 min): $150–$275
- Hydrafacial: $175–$325
- Body wrap or scrub: $135–$225
- Full spa day package (massage + facial + add-on): $300–$500
MedSpa Injectables:
- Botox: $10–$14 per unit (40–60 units typical for forehead + crow's feet = $400–$840)
- Dysport: $4–$6 per unit (requires 2.5x more units than Botox for equivalent effect)
- Dermal filler (Juvederm, Restylane): $600–$850 per syringe
- Lip filler: $550–$800 per syringe
- Sculptra: $800–$1,000 per vial (2–3 vials typical)
MedSpa Laser and Energy Treatments:
- Laser hair removal (single area): $150–$350 per session
- IPL photofacial: $300–$500 per session
- Halo laser: $1,000–$1,500 per session
- Clear + Brilliant: $350–$500 per session
- Morpheus8 RF microneedling: $800–$1,200 per session
- CoolSculpting (per applicator): $600–$900
MedSpa Body Contouring:
- CoolSculpting Elite (full treatment plan): $2,000–$4,000
- Emsculpt Neo (4-session package): $3,000–$4,000
- Kybella (per vial): $600–$800
The lowest prices tend to cluster in San Antonio and suburban Houston. The highest are in Dallas's Park Cities and Highland Park neighborhoods, and in Austin's downtown corridor. That said, higher price doesn't always mean better results. Some of the most skilled injectable providers in Texas work out of suburban clinics where their overhead — and therefore their pricing — is significantly lower.
A smart strategy: get consultations at two or three MedSpas before committing. Most offer free initial consultations, and comparing treatment plans side-by-side reveals a lot about each provider's philosophy and pricing approach.
What Are the Most Popular MedSpa Treatments in Texas Right Now?
The 2026 Texas MedSpa scene reflects broader national trends, but with some distinctly Texan twists. Understanding what's trending helps you ask better questions during consultations and recognize when a provider is pushing outdated techniques.
Neuromodulators remain king. Botox, Dysport, and Xeomin collectively represent the highest-volume MedSpa treatment in every Texas metro. The American Society for Dermatologic Surgery reported that neuromodulator injections increased 18% year-over-year in 2025, with the fastest growth among adults aged 25–34 — the "prejuvenation" demographic. In Texas, Baby Botox (lower doses for subtle, preventive results) has become the entry point for first-time clients at most MedSpas. If you're new to injectables, this is a solid place to start — understanding the difference between Botox and fillers helps you walk in informed.
RF microneedling is the treatment of the moment. Morpheus8, Vivace, and Secret RF devices combine radiofrequency energy with microneedling to tighten skin, reduce pore size, and improve texture with less downtime than ablative lasers. Texas providers report that RF microneedling consultations increased roughly 35% from 2024 to 2025. The treatment works well in Texas's diverse population because it's safe across a wider range of skin tones than many laser options.
Medical weight management programs have exploded. The GLP-1 medication boom (semaglutide, tirzepatide) has driven many Texas MedSpas to add weight management services. An estimated 40% of Texas MedSpas now offer some form of medical weight loss program, up from roughly 15% in 2023. These programs typically combine prescription medications with body contouring treatments like CoolSculpting or Emsculpt Neo, creating a bundled approach to body transformation.
Exosome and regenerative facials represent the clinical frontier. A growing number of Texas MedSpas — particularly in Houston and Dallas — now offer exosome-infused facials and PRP treatments that go beyond standard microneedling. The science is still evolving, but early clinical data from the Journal of Cosmetic Dermatology (2025) suggests exosome therapy accelerates skin cell regeneration by up to 300% compared to PRP alone. These treatments run $500–$1,500 per session and remain primarily available at physician-led MedSpas. Check out our breakdown of top trending spa treatments for 2026 for a deeper dive.
Hyperhidrosis treatment with Botox is quietly one of the fastest-growing services in the Texas market. Given the state's climate — Houston averages 90+ degree days from May through September — excessive sweating is a practical concern, not just a cosmetic one. Botox for hyperhidrosis is FDA-approved and covered by many insurance plans when documented as medically necessary. Multiple Texas MedSpas now offer it as a standalone service.
Best Spas and MedSpas in Austin
Austin's spa scene reflects the city's identity: wellness-oriented, slightly unconventional, and willing to experiment. You'll find more holistic and integrative approaches here than in Dallas or Houston, alongside a growing MedSpa market that serves Austin's booming tech-worker population.
Lake Austin Spa Resort is the crown jewel — not just of Austin, but arguably of the entire Texas spa landscape. Consistently ranked among the top destination spas in the country by Travel + Leisure and Condé Nast Traveler, the resort sits on 19 acres along Lake Austin's shoreline. Day spa packages start at $350 and include facility access, a garden-to-table lunch, and one treatment. The signature LakeFit program combines outdoor fitness classes, paddleboarding, and yoga with afternoon spa treatments. If you're doing one splurge spa experience in Texas, this is it.
Milk + Honey Austin (South Congress and Domain locations) brings the same quality as the Houston outpost but with a distinctly Austin vibe. The SoCo location is particularly well-designed — the interior feels like a high-end loft apartment rather than a clinical space. Their Austin-exclusive CBD Massage ($195 for 60 minutes) uses locally sourced hemp-derived CBD oil and has a devoted following among the city's tech and creative communities.
Viva Day Spa + Med Spa is Austin's strongest hybrid concept. The day spa side offers classic treatments in a beautiful space, while the connected MedSpa handles injectables, laser treatments, and skin rejuvenation under physician oversight. Viva's strength is their skincare programs — structured multi-visit plans that combine professional treatments with prescribed at-home regimens. The approach produces better long-term results than one-off visits, and their aestheticians are among the most experienced in the city. A customized facial series (three sessions, six weeks) runs $600–$750.
Westlake Dermatology operates multiple Austin-area locations and represents the gold standard for medically supervised aesthetic treatments. As a full dermatology practice with integrated MedSpa services, they offer the deepest clinical expertise in the market. Their laser programs — particularly for sun damage and melasma — benefit from in-house dermatologists who can diagnose underlying skin conditions before designing treatment plans. You pay a premium (Botox at $14/unit, fillers from $800/syringe), but the clinical safety net is genuine.
Sana Vida Wellness targets Austin's wellness-minded demographic with a menu that blends medical aesthetics with functional health. IV therapy, hormone optimization, and regenerative treatments sit alongside Botox and laser hair removal. It's a one-stop concept that appeals to clients who want their aesthetic care integrated with broader health goals.
Best Spas and MedSpas in San Antonio
San Antonio consistently delivers the best value in the Texas spa market. The city's lower cost of living translates directly into treatment pricing, but don't mistake affordability for compromised quality. Several of the state's most credentialed providers practice here.
La Cantera Resort & Spa is the luxury anchor. The 25,000-square-foot spa draws from San Antonio's Spanish Colonial heritage, with treatment rooms overlooking the Texas Hill Country. Their Signature Stone Massage ($265 for 80 minutes) uses heated river stones sourced from the nearby Guadalupe River — a nice touch that connects the experience to the landscape. The outdoor infinity pool and relaxation terrace make this a compelling half-day destination. Resort guests get priority booking, but day spa access is available with advance reservations.
Élan Med Spa + Clinic is the standout medical spa in the San Antonio market. Board-certified physician Dr. Krystal Richardson oversees all procedures, and the clinic's approach emphasizes conservative, natural results. Botox runs $10–$12 per unit here — among the lowest rates for a physician-led MedSpa anywhere in Texas. Their CoolSculpting program includes follow-up body composition scans at 8 and 12 weeks post-treatment, providing objective data on results rather than just subjective assessments.
Texas Dermatology operates from multiple San Antonio-area locations and bridges clinical dermatology with aesthetic medicine. Their MedSpa services benefit from the practice's medical foundation — laser treatments for hyperpigmentation and sun damage are handled by providers who understand the pathology behind the cosmetic concern. IPL photofacial packages (three sessions) run $900–$1,200, well below Austin and Dallas pricing for equivalent protocols.
The Shops at La Cantera corridor has seen a cluster of boutique MedSpas open in recent years, creating a competitive micro-market that benefits consumers. Providers in this area frequently run new-client specials and package deals that represent genuine value rather than bait-and-switch pricing. If you're comparison-shopping for injectables or laser treatments, scheduling consultations at two or three La Cantera-area MedSpas is a productive use of an afternoon.
San Antonio is also emerging as a medical tourism destination for aesthetic procedures. The combination of board-certified providers, significantly lower pricing than Austin or Dallas, and a vibrant tourism infrastructure (the River Walk, historic missions, excellent dining) makes it attractive for clients willing to travel for treatment. Several San Antonio MedSpas report that 15–20% of their clientele now comes from outside the metro area.
How Do You Choose Between a Day Spa and a MedSpa in Texas?
This is the question that trips up most first-time spa clients, and the answer matters more than it might seem. Choosing the wrong type of facility for your goals wastes money at best and creates safety risks at worst.
A day spa is the right choice when your primary goal is relaxation, stress reduction, or maintaining already-healthy skin. Day spas excel at massage, facials (non-medical grade), body treatments, and wellness experiences like saunas, steam rooms, and hydrotherapy. Texas day spas typically employ licensed massage therapists and estheticians — professionals trained in relaxation and skin maintenance, but not in medical procedures.
You want a day spa if you're looking for: a monthly maintenance facial, a couples massage for a special occasion, a spa day with friends, stress relief from a demanding week, or a pre-event glow-up that doesn't involve needles or lasers.
A MedSpa (medical spa) is the right choice when you want to change something — reduce wrinkles, eliminate sun damage, tighten loose skin, remove unwanted hair permanently, or reshape your body. These are medical procedures that require medical oversight, even when they're performed in a spa-like environment. Texas law requires a physician medical director for any MedSpa performing procedures beyond basic esthetics.
You want a MedSpa if you're looking for: Botox or fillers, laser treatments (hair removal, skin resurfacing, pigmentation correction), RF microneedling, chemical peels deeper than superficial, body contouring, or any treatment that penetrates beyond the skin's surface.
The hybrid model — and Texas excels at this — gives you both under one roof. Spas like Hiatus, Milk + Honey, and Viva Day Spa offer day spa relaxation services alongside MedSpa treatments, often with separate wings or floors for each. The advantage is convenience and continuity of care. Your esthetician and your injectable provider can coordinate, and your treatment plan can blend maintenance (monthly facials) with periodic medical treatments (quarterly Botox, annual laser sessions).
Red flags to watch for, regardless of spa type: providers who won't tell you who their medical director is, pricing that seems dramatically below market rate (corners are being cut somewhere), high-pressure sales tactics during consultations, and unwillingness to show before-and-after photos of their own work. The Texas Medical Board maintains a public database where you can verify any physician's license and check for disciplinary actions — use it before committing to a new MedSpa.
A thorough guide to what consumers should know about 2026 MedSpa regulations covers the oversight requirements in detail.
How We Ranked
Spa / medspa rankings combine three sources:
- Verifiable clinical signals: physician medical director on file, RN/PA injector credentials, FDA-approved device inventory (vs counterfeit / off-label devices), and state-board compliance for any device-based or injectable treatments.
- Client-reported outcomes: Google reviews from the past 24 months, plus r/30PlusSkinCare / r/SkincareAddiction / r/Aesthetics from the past 12 months. We flag patterns in pressure-to-buy complaints, injectable result complaints, and refund disputes.
- First-hand intake calls verifying medical director, injectable training documentation, and pricing transparency.
What we never accept: paid placement, sponsorship from device manufacturers that would influence which device-based treatments we recommend. We do use affiliate links to at-home skincare devices and product brands — these never affect spa rankings.
Update cadence: quarterly spa re-verification. Email research@spalens.com for corrections.
Frequently Asked Questions
What is the average cost of Botox in Texas in 2026? Botox in Texas ranges from $10 to $14 per unit, depending on the metro area and provider type. San Antonio tends to be the most affordable market ($10–$12/unit), while Dallas's Park Cities and Austin's downtown corridor sit at the higher end ($13–$14/unit). A typical treatment for forehead lines and crow's feet requires 40–60 units, putting the total cost between $400 and $840. Many Texas MedSpas offer loyalty programs or package pricing that reduces per-unit costs for returning clients.
Do Texas MedSpas require a doctor on-site during treatments? Texas law requires a physician medical director for all MedSpa facilities, but the physician does not need to be physically present for every treatment. Registered nurses and nurse practitioners can perform certain procedures — including Botox injections and laser treatments — under a physician's delegated authority, provided the physician has established proper protocols and is available for consultation. The Texas Medical Board tightened telemedicine supervision rules in 2025, requiring more direct oversight for complex procedures. Always ask who your provider is, what their credentials are, and who the medical director is before consenting to treatment.
Which Texas city has the best MedSpa value? San Antonio consistently offers the lowest pricing for equivalent treatments, with Botox at $10–$12/unit and laser packages running 20–30% below Austin and Dallas. However, "value" isn't just about price — Houston offers an exceptional combination of clinical expertise (thanks to the Texas Medical Center talent pipeline) and competitive pricing that makes it arguably the best overall value. Suburban locations in any Texas metro typically offer lower prices than urban cores, with equivalent or better quality.
How do I verify that a Texas MedSpa is properly licensed? Check three things: (1) The facility should be registered with the Texas Department of State Health Services. (2) The medical director should have an active, unrestricted license on the Texas Medical Board's public verification site. (3) Nurse practitioners and physician assistants performing procedures should hold valid Texas licenses with prescriptive authority. You can search all Texas medical licenses at the Texas Medical Board's website (tmb.state.tx.us). If a MedSpa is evasive about any of these checks, that's a significant red flag.
Is it worth traveling to Texas specifically for MedSpa treatments? For certain procedures, yes. Texas's combination of high clinical standards, competitive pricing, and excellent travel infrastructure makes it a viable medical tourism destination for aesthetic treatments. A CoolSculpting package that costs $4,000 in New York might run $2,500–$3,000 in San Antonio — savings that can offset travel costs. Austin and San Antonio are particularly attractive because they double as vacation destinations. That said, multi-session treatments (most laser programs, Sculptra, etc.) require return visits, so factor that into your planning.
Related Reading
- Top Trending Spa Treatments of 2026
- Med Spa Regulation Changes in 2026: What Consumers Should Know
- Comparing Laser and IPL for Pigmentation
- Botox for Sweating (Hyperhidrosis)
Sources
- Grand View Research, "U.S. Medical Spa Market Size Report, 2025–2030" (2025)
- International Spa Association (ISPA), "U.S. Spa Industry Revenue by Metro, 2025" (2025)
- U.S. Census Bureau, "State Population Estimates, July 2024" (2024)
- American Society for Dermatologic Surgery, "Annual Procedure Survey, 2025" (2025)
- Texas Medical Board, "Delegation of Medical Acts — Aesthetic Procedures Guidelines" (2025)
- Journal of Cosmetic Dermatology, "Exosome Therapy in Skin Regeneration: A Comparative Analysis" (2025)
- Yelp, "Top Medical Spas in Houston, Dallas, Austin, and San Antonio" (2026)
- Spa Day Finder, "Best Wellness in Texas — 2026 Guide" (2026)
-- The SpaLens Team