Skincare treatments range from hi-tech (laser, permanent makeup, injection therapy) to old fashioned folk remedies (herbal wraps, mud baths, aromatherapy). Traditionally, skincare specialists in the United States come from the hair industry (obtaining an esthetics license). Skincare practitioners of the future will become infinitely more sophisticated--understanding the elements of the earth with which they work (mud, seaweed, essential oils) as well as delivery mediums (manual, hydrotherapy, thalassotherapy). Places like the Bramham Institute at the PGA are offering comprehensive skincare training--200 hours of educational programming designed to close the gap between the spa as a place for pampering and the spa as a place that promotes health and well being.