In Atlanta's social stratigraphy, some names appear at the top of corporate proxy statements and invitations for big-dollar fundraisers. These are women who haven't aged—a bit—despite decades of driving business and philanthropy. You might very well pass these ladies in the lobby of Institut' DERMed, which provided advanced aesthetic services long before anyone coined the term "med spa." The full-service skin- and body-care center offers doctor-monitored extras like laser resurfacing, Botox, and fillers. Want to ease into higher-tech treatments? Try the $150 HydraFacial—a machine pulses restoring serums into your skin while suctioning off old cells. It's not all clinical: Our tester's facial was paired with an exceptional shoulder massage.