For many people, Botox is how aesthetic medicine begins. It is familiar, predictable, and good at what it does. It softens expression lines caused by repeated muscle movement and, for a long time, it’s enough. Then something shifts.

Botox continues to reduce lines, but it does not address broader changes in skin quality, facial support, energy levels, or how the body itself is aging. This is usually the point when someone starts looking beyond a single treatment.

Over the years, I have travelled all over the world to learn from leaders in aesthetic medicine. I trained with Dr. Marlen Sulamanidze at Aptos, the plastic surgeon who pioneered thread lifting. More recently, I spent time in Japan, training with Dr. Yuka. These experiences exposed me to different ways of thinking about aging and long term tissue health.

Today, my practice at Godley Clinic in Abbotsford and Vancouver is strongly influenced by what I have learned internationally. I focus on supporting facial structure, skin quality, and how the face changes with time. I am particularly interested in combination approaches, where treatments build on each other.

We asked Dr. Mark Godley to reflect on what defined patient care at Godley Clinic in 2025 and what he’s watching as we head into 2026.

This story is based on a real patient experience. Details have been changed for privacy and editorial purposes.

I did not expect my lips to be the thing that made me feel older. I thought it would be my forehead or my jawline. But somewhere in my thirties, the colour started fading. Now at forty three, when I look in the mirror, they have a distinct dull grey tint.

Dr. Godley Explains the Differences and Answers the Question: Is the Mini Face Lift Worth It? Before I started the Godley Clinic, I owned and operated the False Creek Surgical Centre in Vancouver. I spent years in the operating room, overseeing patient care as both the medical director and anesthesiologist. The traditional face lift was one of the surgeries we saw most often.

When our 52-year-old patient came in to see Dr. Godley, she pointed to her jawline and said, “Can you do anything about this?” She felt her jawline had changed more in the past two years than in the ten years before that. Botox still helped, but it was no longer giving the same “oomph” she enjoyed in her forties.

Learn about the P Shot, prescription based injections, and regenerative ED treatments at the Godley Clinic in Vancouver and Abbotsford. A physician-led look at what is the best injection for erectile dysfunction and what to expect.

This story is based on a real patient experience. Some details have been changed to protect patient privacy.

I wasn’t expecting much from a ten minute treatment, but the Nefertiti Neck Lift with Botox completely changed how my jawline feels and looks.

For many women, menopause is the milestone everyone talks about, but perimenopause is where the real changes begin. It is also the stage most often overlooked.

“Why do some people’s lip fillers last longer than others?”

It’s a question Dr. Mark Godley hears often. While the average lifespan is six to twelve months, many of his patients still love their results well past a year. The difference isn’t in the brand of filler — it’s in how it’s placed, how the tissue is supported, and how you care for your lips afterward.

“The most meaningful part of a thread lift is seeing how the skin responds in the months that follow. It is not only about the initial lift but about the skin rebuilding itself. Patients often notice that their results continue to improve over time, which is exactly what we aim for in regenerative medicine.”
— Dr. Mark Godley

“Plexr is one of the most precise tools I use,” says Dr. Godley. “It allows me to treat the eyelids and under eye area with exceptional control, without affecting the lashes or surrounding skin. It is gentle, yet it activates the body’s own collagen response for gradual, natural improvement.”

What if your body’s healing wasn’t limited by age or lifestyle, but guided by a precise set of signals your body already understands? That’s the idea behind Regenerative Protein Arrays (RPA), a new advancement drawing global interest in regenerative and aesthetic medicine.

Botox is one of the most common treatments people ask about at our Vancouver and Abbotsford clinics. It’s often used to treat wrinkles in the face and neck. But along with curiosity, there’s often worry: What exactly is Botox made of? Could it be bad for me? Can it cause cancer? Here’s what you should know.

Curious about what hormone therapy is really like? Christina, 47, sat down with us to share her journey and what she discovered along the way.

“I have always been health conscious and valued my wellbeing as a priority. I was curious what all the talk about HRT was and wanted to learn how to improve my vitality as I age.”

Scroll through TikTok or Instagram and you will notice a new beauty obsession lighting up the feed: PRF under eyes. The videos all look familiar — a quick blood draw, the centrifuge spinning, and the caption “liquid gold.” Then come the reveals. Eyes that looked hollow and shadowed suddenly appear smoother, brighter, and rested.

Thread lifts are an exciting option for patients who want to lift without surgery. But here’s the truth: not everyone is immediately a good candidate. If your skin has too much laxity or lacks enough density, the threads may slip or fail to hold the way they should. That doesn’t mean a lift isn’t possible. It just means your skin needs some preparation first.

“When someone develops erectile dysfunction, it is often a sign that something is out of balance in the body,” says Dr. Mark Godley. “The p shot is an excellent procedure, but it is only one piece of the puzzle. We need to understand why it is happening.”

For Dr. Godley, ED is not just a localized concern.

I’m 44 and in perimenopause. Lately I’ve been putting on weight around my stomach even though I’m eating well and staying active. I used to love doing cardio, but had to cut back because of the cortisol. I miss feeling strong in my body.

Botox is best known for softening lines, but its story started in medicine. Long before it became a household name in aesthetics, Botox was helping patients manage a range of conditions. Today, it remains an important treatment for several concerns well beyond facial rejuvenation.