With respect to facial anatomy, there are measurements and positions of the eyebrows that are regarded as normal. In women, a youthful feminine brow is considered to be at the level or above the upper boney margin and has a higher arch towards the outside tail of the brow.
With facial ageing, there can be the descent of the brow as a combination of gravity and facial expressions that results in a lower and flatter brow. In men, the eyebrow position is youth is lower than in women with a flatter shape.
Although we know these are common positions of the eyebrows, the natural position of the brow is very variable and any brow lift procedures need to be customised for an individual based on their unique changes with facial ageing.
In the past brow surgery was over-used as a substantial proportion of people naturally have low eyebrows, including may famous actors and actresses, George Clooney, Tom Cruise, Nicole Kidman and Grace Kelly. In people who always had low eyebrows, it is unwise to have brow lift surgery as this procedure can change a person’s appearance by giving them a surprised look.
Grace Kelly had relatively low eyebrows in her youth. Dr De Silva would advise against forehead or brow lift surgery in patients with naturally occurring low eyebrows and the surgery can change one’s appearance.
Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.
“My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all my associates. My mission is to help every patient be the very best version of themself with World-Class services, life-long follow up with complimentary facial aesthetic procedures.”
In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.
By focusing entirely on only facelift & facial cosmetic surgery procedures, Dr De Silva is able to provide the expertise that can only come with specialisation: facelift and neck lift, blepharoplasty, rhinoplasty and chin implants.
Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.
Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.
Dr De Silva also teaches other surgeons internationally and has contributed to the development of advanced surgical techniques, laser technology and stitch-less tissue adhesives.
Dr De Silva has transformed thousands of faces through his unique surgical techniques. Below is a small sample of some of his transformations.
“I couldn’t recommend Dr. De Silva more highly as plastic surgeon. From my first interaction with Dr. De Silva he’s been consideration, compassionate, honest and professional. His skills are second to none.”
Most patients have minimal discomfort after the procedure that settles within 24-48 hours with oral analgesia. The recovery period can be reduced with the use of ice packs (bag of peas in a zipper container) every hour while awake for the first three days, resulting in a reduction in the amount of postoperative swelling.
All patients will have some numbness in the forehead after the procedure, by using the hidden incision endoscopic techniques this is reduced, and improves after around 6-weeks and may be accompanied by some temporary itchiness.
Usually, the patient may return to normal non-strenuous activities 1 week after the procedure and by 2 weeks the forehead and eyelids are on average 90% improved. Initially, the eyebrows may be higher after surgery and then the eyebrows lower to their normal height, the final result is between 6-12months after surgery.