Portico Longevity

Portico Longevity sits on George Street in downtown Charleston and blends three services under one roof: a medical spa, a day spa, and direct primary care. The practice is led by Dr. Sarah Relyea-Logan, a board-certified family medicine physician with close to three decades of experience, including a focus on women's health and anti-aging treatments.

On the medical spa side, past clients mention Botox and microneedling as part of the treatment menu, alongside facials handled by the spa's aesthetics team. The day spa portion is framed as a slower-paced counterpart to the medical treatments, meant for standard relaxation and skin-care services rather than clinical procedures. Because the practice also runs a direct primary care arm, it's set up more like a hybrid medical office than a pure wellness spot, so expect an intake process typical of a medical visit alongside the spa menu.

The space also sells retail skincare, including AlumierMD and Valmont product lines, for continuing a routine at home. Pricing falls into the upscale tier, consistent with a physician-run medical spa rather than a budget day-spa operation.

Hours shift throughout the week, with the longest days on Tuesday and Thursday, running until 7pm, and shorter weekend windows on Saturday and Sunday. Walk-ins are accepted, but the site also notes reservations are required, so calling ahead before stopping by is the safer bet. The spa is adults-only, and given the medical-spa component, new visitors should confirm which specific treatments require a consultation first.