This area of aesthetic medicine provides management of un-wanted wrinkles, aspects of facial definition and improved skin health. Treatments can be accessed as stand-alone procedures, or as part of a synergistic and holistic pathway of care that may include surgical options.

‘Skin health is an essential component of aesthetics care. When I restore a face, be it eyelids, brow or a full facial rejuvenation, I am thinking about the ‘foundation’ of the face, but also the quality of the ‘envelope’ – the vitality of the skin. The welcome and warmth of a smile and a face is not just its proportion, but its tone, its texture and its health…’

Jonathan Britto, Chairman, RSM Aesthetics 10


Medical injectables soften facial wrinkles and the extremes of facial expression. Used sparingly and accurately with a mix of expert anatomical knowledge and artistic sense, injectables can offer subtle beauty in facial treatment and other specialist areas such as the back of the hands.

Jonathan uses a range of injectable toxins (colloquially grouped as ‘botox’) to provide gentle rejuvenation by softening muscle contraction and the wrinkles of excessive facial movement. His aim is to achieve natural facial movement without excessive wrinkling.

In addition, a range of soft gel fillers – derived from plant substrates and gently broken down by the body over time – can be used to sculpt the face, defining reflection of light and minimising shadow. Sculpting of the lip using fillers provides excellence in lip aesthetics.

The skill in filler aesthetics is to be sparing and accurate, to achieve the aesthetic ideal without courting the very real problems of indiscriminate filler use. Jonathan will often combine the surgical and non – surgical to generate a programme for aesthetic health that is greater than the sum of the parts. This may require the challenging removal of existing filler material to restore natural balance and reduce the very real problems of infection, abscess and lumpiness in the face.


Inevitably, facial rejuvenation surgery is ‘static’,  of a point in time. But we, as living breathing human beings are, thankfully, dynamic! Contemporary facial aesthetic surgery builds a relationship with the face and the person behind it – to plan for maintenance and regular aesthetic care. Skin health, ‘wrinkle busting’, and small office based walk in/walk out procedures have an important role in this…

Jonathan Britto


Lip Contouring with soft gel filler: 

Would highly recommend Mr Britto, I think he is a very conscientious and an astute gentleman. I recently have had some fillers done just to freshen myself up. Mr Britto totally understood the look that I wanted, it’s so lovely for people to say to me now that I look fresh and well which was the result I wanted to achieve. I don’t look over the top or anything. I can’t thank Mr Britto enough for the work he has done to me. I would recommend him to anybody who asked for a plastic surgeon. In my opinion he is simply the best and I will be returning in the future for more work. I can guarantee you will not be disappointed, comes highly recommended. An absolute gentleman. Thank you for the work. I am over the moon.

Created on 30 Aug 2018. RealSelf review


Jonathan has a longstanding, independent, association with the Obagi Skin Care range. Based upon the evidence, he is an advocate of the use of Obagi peels and skin preparations that optimise skin health and provide balance to the tone, colour and contour of the skin zones.

Obagi products are also used in a bespoke manner to optimise the ‘envelope’ – providing a youthful skin glow on top of the lifts and rebalances that surgery can achieve in the layers beneath.

Skin tightening techniques are very popular as stand-alone treatments, in addition Jonathan’s team often use these as a supplement to surgery in the recovery phases – to fine tune and contour the skin over the underlying surgical recontouring.

There are many other options for energy transfer to the skin in laser, ultrasound and radiofrequency forms, as well as combination techniques. Jonathan can recommend additional bespoke  non – surgical technologies to suit your skin type and these are discussed, if appropriate, as part of your individual treatment plan.


‘Synergistic’ Surgery


‘I have a long held belief that aesthetic or restorative surgery are most effective within a comprehensive plan of holistic care – to include non -surgical aesthetics and also ‘lifestyle medicine’ – a  comprehensive programme of beauty, health, wellbeing and fitness of which surgery may be only a small part’

Jonathan Britto


I recently underwent treatment for the removal of moles at the FaceMed facility in Crays Hill, Essex. I have to say that every aspect of Mr Britto and his teams work was first class. Not even the slightest discomfort post operation, rapid healing and good care throughout. Highly recommended.


24-01-2018 ‘Doctify’