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I recently visited the Dorchester Spa and had the Rose Treatment, which involves a full-body exfoliation, massage, and a facial. Overall, this was the best spa experience I've had in London. The staff were friendly and accomodating, and the overall quality of the experience was impeccable. My aesthetician was very friendly and professional. Due to work stress, I've been having shoulder pains and tension headaches - when I told her this, she tailored the massage to focus on my shoulders and scalp, and I've been headache-free since! Also, the facial was excellent - my skin is always very dry, and I've noticed a marked improvement since the treatment.
Overall, the experience was excellent. The one area that I feel could be improved on was the actual facilities themselves - while very clean and luxurious, the place is a complete maze and I got lost (twice!) on the way to the locker room. In addition, the waiting area is the same area that they seat you in after the treatment for the complimentary glass of champagne, which is not ideal, as it was very noisy. However, my aesthetician informed me that the spa is currently starting renovations and that the facilities will be laid out in a more straightforward manner, and that there will be separate waiting and relaxtion areas. I think that once these changes are made, the Dorchester Spa will be as close to perfect as a spa can get!