America's top spas gathered in New York recently for the annual meeting of the International Spa Association.
But nobody at the meeting used the word "beauty."

Instead, today's spas are integrating cosmetic treatments like facials and manicures into holistic approaches to well-being.

You can still get that pedicure, but your spa visit will also include fitness, health, relaxation and even spirituality.

"Beauty is almost a given," said Nina Smiley, spokeswoman for The Spa at Mohonk Mountain House in New Paltz, N.Y. "But it's superficial. It's external. I'd say what's internal is as important as the beauty aspect."

Spa-goers want more than a massage that feels good for 20 minutes. They want advice on skin care and diet; products to recreate the spa experience at home; and techniques they can use on their own to relax and stay fit, from exercise to yoga to aromatherapy.

At some spas, guests are no longer sent from one treatment room to another. They sit in one spot, and specialists come to them.

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