10/19/2026
FACIAL ENHANCEMENT @
Dr. Hal London
Faces age similarly in most patients. Facial aging involves both the skin and deeper structures.
The skin naturally loses elasticity with age and this is accelerated by sun exposure. Skin aging is manifested primarily by wrinkling and pigment changes. Aging skin tends to sag with the downward pull of gravity. One very overlooked contributing factor is motion from expression. Look at anyone over age 50 and you will see the characteristic lines caused by expression. Frown lines between the brows, accordion lines on the cheeks from smiling, and Christmas tree patterns on the chin from lower face expressions.
I treat skin changes with prescription medication, mainly tretinoin, and resurfacing using laser, peels, and microneedling. Expression lines are the hardest to treat because of their habitual nature. Most patients make voluntary expressions but can’t stop them no matter how hard they try. Fortunately, there are areas of the face where toxins like Botox or Dysport can effectively stop the motion of expression without making you look wierd. I can then apply my restorative treatments without continued skin damage from excessive movement.
Under the skin are the supporting structures of bone, fat, and connective tissues. With age these supporting structures degrade. Bone is lost, fat pads shrink/ fall and cutaneous ligaments loosen. Losing these supportive structures causes the face to sink and sag in predictable patterns.
I treat this structural volume loss with FDA approved fillers. The skill comes in knowing how the face ages and where to inject the filler to restore natural looking contours. It takes years of experience to do it safely and effectively. Like almost every process, go to someone who has at least 10 years of doing it to get your best result.
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UNFILTERED PHOTOS TODAY
Before and after treatment photos of my patient. Filler in the mid and lower face with skin resurfacing takes years from her facial appearance.
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LONDON MEDICAL SPA- physician only treatments.
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Dr. Hal London -Artistry and Excellence in every treatment
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LONDON MEDICAL SPA
19 South 6th Street
Fernandina Beach, Florida 32034
phone 904-729-4567
www.londonmedicalspa.com
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