Natural Facelift Surgery in Harley Street, London

There are various descriptions that are used to describe a facelift. Numerous facelift terms have been described, trademarked and marketed, often they are variations of the techniques.

Classical SMAS Facelift
The older and conventional facelift used an incision that followed the hairline beginning at the temple and going down, behind the ears and back up to the other ear and returning into the hair. After completing the incision, the skin is lifted, pulled upwards and backwards. The underlying muscles termed SMAS is usually elevated with a mixture of techniques in front of the ear. The excess skin that overlaps will now be trimmed away and re-stitched where the cut was originally made. The skin was closed with the use of stitches or metal clips. A hospital stay for a minimum of one day was required, and most patients had general anaesthesia. Many general plastic surgeons continue to use this technique

Deep Plane Facelift
The face is organised in layers of tissue that includes the skin, underlying SMAS and skeletal structure.This technique requires detailed understanding of the facial anatomy, to enable the surgeon to lift deeper soft tissues restoring anatomy to where it used to be. This surgery is more natural than SMAS facelift surgery and there is some evidence it lasts longer and has less recovery time. Dr De Silva uses a modified double imbrication deep plane lift to maximise the elevation of the face in natural planes, avoiding unnecessary injury to vessels and speeds up recovery. 

Customised Vertical Deep Plane Facelift

Dr De Silva developed a customised vertical deep plane facelift from over 10 years of experience that enhances natural results by lifting anatomy to where it originally dropped from, this gives a more natural facelift and neck lift, hiding scars in the natural curves of the ears. Key is releasing natural ligaments that represent ageing tethering the face down with gravity and increased laxity. Often ageing is substantially affected by menopause and hypermobility, diminished collagen, lifting the face up naturally in a vertical deep plane restores a natural appearance. Patients notice a substantial improvement in their neck and jaw line, hours after the surgery, often the morning after the procedure the neck looks good. Swelling is the main aspect of healing, and measures can be taken to focus on reducing swelling and most patients have a good appearance within weeks of surgery. 

Endoscopic or Pony tail Facelift

Keyhole surgery in which a telescope is used to evaluate the soft tissues and muscle layer that underlies the skin, enabling smaller incisions to be used and hidden scars within the hair. This is generally suitable for younger patients with minimal loose skin. The advantage of Dr De Silva’s deep plane is an improved lift that is longer lasting lifting of the face, added safety and reduced recovery time.

Mini Facelift or Short-Scar Facelift
A Mini Facelift is a cosmetic procedure performed that involves a shorter incision around the ear; it is useful in treating younger patients with facial ageing with soft tissue changes of the lower part of the face and jowl area. This surgery does not treat any sagging of vertical banding of the platysma muscle in the neck. Dr De Silva’s approach is a modified deep plane mini facelift makes the best of lifting the face to where it has dropped from and improved the neck at the same time without needing any scars in the neck area. 

MACS lift (Minimal Access Cranial Suspension)
A MACS lift involves smaller incisions than the traditional surgical method. In this procedure, slits are made in the temple and in the front part of the ears, which is followed by permanent re-stitching. The MACS lift is suitable for relatively mild facial ageing as the surgery involves the use of 2-3 sutures to lift the face, the support to the face is substantially less than other facelift types. This facelift has a shorter duration than deeper facelifts that result in lifting the underlying muscle/ SMAS tissue.

Midface Lift
A midface lift is a cosmetic surgery that is used to elevated the area of the cheeks and can be formed with open incisions under the eyelid or hidden incisions in the hair or mouth. Elevation of the midface does improve the middle third of the face; however, facial ageing tends to also affect the upper and lower thirds of the face.

Neck lift

In some patients, the predominant features of facial ageing are laxity of the neck; this is seen as creases, folds and neck bands. A neck lift is a modified facelift in which the platysma muscle underlying the skin is tightened. Although there are different ways in which the platysma muscle can be tightened the key to low downtime is lifting of the muscle and strengthening its attachments. Dr De Silva utilises deeper plane elevation and double stitching method to give a longer-lasting result. By supporting the deeper tissues, the excess loose skin can be trimmed without tension, leading to a softer look by avoiding scars. Although some surgical techniques have suggested that only a single stitch is necessary to support the neck platysma, this will not be able to support the neck from gravity long-term. Dr De Silva believes that a good result is one that has a quick recovery and also gives a good long-term result. In patients that have increased volume of soft tissue, this can be substantially improved with the use of reshaping soft tissues, Dr De Silva often combines with 3D telescopic imageing to aid in dissection and recovery.

Non-Surgical Facelift

Non-surgical facelift procedures include injectables, laser treatments, radiofrequency ultrasound technology and temporary thread stitches, which means there are no incisions or scars. Recovery time is significantly shorter than surgical procedures, allowing patients to resume their normal activities within a week in most circumstances. These procedures are generally less expensive than surgical options and can be customised to address specific concerns such as fine lines, wrinkles, and mild skin laxity. Non-surgical treatments are not true facelifts, as there is no lifting of anatomy it is however marketed in this way. Typically offer more modest results compared to surgical facelifts, making them less effective for individuals with sagging or skin laxity (more than a few millimetres). The effects are temporary, often lasting from several months to one year, necessitating regular maintenance treatments to sustain the results. Moreover, non-surgical procedures may not be suitable for everyone, especially those with severe skin laxity or those looking for more dramatic, long-lasting improvements. It’s essential to have realistic expectations and consult with a qualified specialist to determine the most appropriate treatment plan based on individual needs and goals. Non-Surgical treatments have a role in maintenance after facelift surgery as they will ensure the procedures last for longer periods of time. 

Link to Video on the Different Types of Facelift

Facelift surgery was traditionally all performed in a hospital under general anaesthesia with an overnight stay. However, with modern-day techniques, utilised in New York and Los Angeles, facelift surgery is performed in private operating theatres under sedation and as day-case procedures. Sedation is also termed “twilight” anaesthesia and is generally regarded as safer than general anaesthesia, patients’ breath on their own, have rapid recovery after sedation and are able to home quicker without symptoms of nausea or the hangover of general anaesthesia. There is no need to stay in hospital as a hospital stays are associated with issues such as infection and MRSA.

Traditionally all facelift surgery was performed under general anaesthesia; many patients do not like the idea of general anaesthesia, it is often associated with feelings of nausea and sickness, slow recovery, hospital stays and issues such as deep vein thrombosis. Dr De Silva prefers the use of sedation as this is safer, enables rapid recovery and avoids side effects of general anaesthesia with no nausea or sickness. Dr De Silva only performs surgery in private hospital and treatment centres that have full accreditation by the Care Quality Commission.

Sedation anaesthesia is also known as Monitored Anaesthesia Care or MAC. The main advantages of sedation are: (1) it does not require putting a breathing tube in the throat as for General Anaesthesia (2) it does not require a breathing machine, (3) the recovery is much faster, (4) there is less nausea after surgery. All of these elements mean a better experience for patients with greater comfort and safety.

Dr De Silva only operates in CQC accredited facilities and has pioneered the use of sedation anaesthesia for facelift and neck lift surgery in the UK. He has been awarded a patent for his innovation in sedation anaesthesia. 

Facelift surgery does require some form of anaesthesia; there are three principal types of anaesthesia – local, sedative anaesthesia and general anaesthesia.

• Local anaesthesia involves injecting numbing medicine at the area to be operated on. The face is a sensitive area of the body, and local anaesthesia alone is not usually sufficient for facelift and neck lift surgery.
• General anaesthesia means that the patient is completely unconscious, requires a breathing tube and the recovery is slower, taking a minimum of 4-6 hours. For facelift surgery, general anaesthesia is safe, though rarely there can be serious complications including clot in the legs (Deep Vein Thrombosis), severe reaction to inhaled anaesthesia. Approximately one third of patients have nausea or sickness after this form of anaesthesia. 
• Sedative anaesthesia, also known as twilight anaesthesia means an anaesthesiologist gives you some medications that make you sleep during the surgery. This is a newer more innovative form of anaesthesia and is more commonly used in US. Dr De Silva has pioneered the use of sedation anaesthesia for facelift and neck lift surgery, this gives patients  a comfortable experience, as patients have a rapid recovery and wake up approximately thirty minutes after the surgery. Dr De Silva has pioneered an innovative technique of sedation/ twilight sedation and has been awarded a patent for this innovation. His patients recovery quickly without nausea or sickness, being able to walk out of the operating theatre 30 minutes after a procedure. 
• The ideal choice of anaesthesia for facelift surgery does differ for each patient, as depending on your medical history, previous experiences of anaesthesia and allergies, different types of anaesthesia are best suited.

Sedation Anaesthesia from Dr De Silva Textbook on Facelift & Neck Lift Surgery 

Meticulous surgical technique:

• Surgeon’s complete facelift surgery using different techniques. Meticulous care and attention are required to hide facelift incisions.
• Location of the incision: The incision and thus the scar in front of the ear can be hidden in women by placing the visible portion of the incision inside the ear canal, or opening behind the little lump in front of you rear called the Tragus. In men, this is not ideal as it means the beard hair will grow up towards the ears which are not ideal long-term, Dr De Silva will often use a natural crease that lies in front of the ear to mask this incision. Other steps were taken by meticulous surgical technique to hide incisions
• Multiple-layered meticulous closure, ensuring that there are deep stitches to support the soft tissues once the superficial skin stitches are removed, is key to avoid widened scars, it does take additional time to complete the procedure and is more challenging for the surgeon. Dr De Silva always closes the incisions with multiple layers to give the best possible final result.
• Additional techniques include careful bevelled incision in the hairline to avoid hair loss, SMAS or Deep Muscle Tightening before skin closure and avoiding tension on the skin on closing the incision are all important aspects of the surgery.
• The method used to close the skin. Dr De Silva will avoid the use of staples in skin areas as the best healing is from the use of fine sutures in non-hair bearing skin, this takes additional time and meticulous care to complete. Dr De Silva does not compromise time for giving the best final result.

What can you do to improve your facelift scars?

• Follow your surgeon’s instructions & advice
• Keep your incisions clean and dry
• Begin gentle massage of the incisions after two weeks
• Avoid strenuous exercise and stress during your recovery
• Eat healthy-protein and high antioxidant containing foods
• Supplemental Vitamin C
• Choose a surgeon specialising in facial cosmetic & plastic surgery
• All surgical scars are red to pink for 6-12 months after surgery; most scars are white after this time period. When the scars are pink, they can be effectively covered with makeup or concealer or hair.
• Avoidance of sun exposure with the use of hats and a high-quality sunblock of SPF 30 is important for 12-months after surgery to avoid redness and darkening of the incision sites.

Video on how to avoid visible facelift scars?

Video on the fastest ways to heal facelift scars.=

Avoid Facelift scars in these areas to prevent visible scars, Dr De Silva Textbook on Facelift & Neck Lift Surgery 

Deciding to undergo a facelift is a significant decision that involves evaluating several personal and physical factors. Here are detailed indicators and measures to help you determine if it’s time for a facelift:

Key Indicators:

1. Visible Signs of Aging:
• Sagging Skin: Noticeable sagging around the jawline and neck, leading to jowls and a less defined facial contour.
• Deep Wrinkles: Prominent wrinkles and creases, particularly around the nose and mouth (nasolabial folds), and along the cheeks.
• Loss of Volume: Thinning of facial tissues, resulting in a hollow or gaunt appearance, especially in the midface and under the eyes.
2. Impact on Self-Confidence:
• Self-Perception: Feeling that your appearance does not reflect your youthful spirit and energy.
• Professional and Social Situations: Concern that your ageing appearance affects your confidence in professional and social interactions.
3. Non-Surgical Treatments Are Insufficient:
• Limited Results: Non-surgical treatments like fillers, anti-wrinkle treatment, and skin resurfacing are no longer providing satisfactory results.
• Short Duration: The effects of non-surgical treatments are short-lived, requiring frequent touch-ups without achieving desired outcomes.
4. Good Overall Health:
• Medical Fitness: Being in good overall health without conditions that impair healing or increase surgical risks.
• Realistic Expectations: Having a realistic understanding of what a facelift can achieve and being mentally prepared for the surgical process and recovery.

Measures to Determine Timing:

1. Consult with a Specialist:
• Professional Evaluation: Schedule a consultation with an experienced facial plastic surgeon like Dr. Julian De Silva. A thorough evaluation will help determine if a facelift is appropriate and what specific techniques would be most beneficial.
• Personalized Plan: Discuss your goals and concerns to create a customized surgical plan tailored to your unique facial anatomy and ageing patterns.
2. Assess Your Skin Condition:
• Skin Elasticity: Check the elasticity and resilience of your skin. If your skin has lost significant elasticity, it may be time for a facelift.
• Bone Structure: Ensure you have a strong underlying bone structure, which is crucial for supporting the lifted tissues and achieving natural-looking results.
3. Consider Your Age:
• Typical Age Range: Most patients consider a facelift between the ages of 45 and 65. However, younger individuals with early signs of ageing or older patients in good health can also benefit.
• Complementary Procedures: Younger patients might consider less invasive options like a mini facelift, while older patients may benefit from a combination of procedures, such as a neck lift or eyelid surgery, to achieve comprehensive rejuvenation.
4. Evaluate Non-Surgical Options:
• Temporary Solutions: If you have tried non-surgical treatments and are not satisfied with the results, it may be time to consider a facelift for more lasting and dramatic improvements.
• Maintenance Treatments: Use non-surgical treatments as maintenance to prolong the results of a facelift or delay the need for surgery.

Post-Surgery Considerations:

• Recovery Time: Be prepared for the recovery period following surgery. Full recovery can take several weeks, and it is essential to follow post-operative care instructions diligently.
• Long-Term Care: Maintain your results with a healthy lifestyle, proper skincare, and regular follow-ups with your surgeon.

Conclusion: If you are experiencing significant signs of ageing, have exhausted non-surgical options, and feel that your appearance does not reflect your inner vitality, it may be time to consider a facelift. Everyone’s face ages differently, so there’s no definite age when everyone needs a facelift. Some patients as young as their late 30s and as mature as their 90s meet with Dr. Markarian for facelift consultations.

Once it is time for a facelift, we almost always recommend combining it with a neck lift to address sagging skin and excess fat in the neck, as this usually becomes visible around the same time as skin laxity in the face. Maintaining harmony between the face and neck is crucial in total facial rejuvenation.

Consulting with an expert like Dr. Julian De Silva will provide you with a comprehensive evaluation and personalised advice to achieve the best possible results. To learn more and schedule a consultation, follow our page and stay connected with Dr. De Silva’s updates and insights.

Scars from facelift surgery are important to place to ensure they are discrete and difficult to see. Dr De Silva hides the scars in your natural hairline natural curves of your ear. Dr De Silva spends meticulous time on each case to ensure the scars are hidden as far as possible, to close just one side of the fact takes 45-minutes with his technique, other techniques in front of the ear can be completed much faster, however, may result in visible scars. Many surgeons use staples to save time in the hair; these can leave track scars and are very uncomfortable to remove. Dr De Silva only uses fine stitches in the face, which take additional time to insert; however, this avoids removing staples after surgery. Although no scars are invisible, most scars once healed are relatively discrete and difficult to see, only 1% of patients have issues with scars healing that may require additional treatment, e.g. keloid scarring.

A scar from facelift surgery can include wide visible scars on the face, elongated pixie shaped ears as well as the loss of hairs or stepped pattern in the hairline, these results are avoidable by using specialised surgical techniques and meticulous attention to detail.

For a natural-looking facelift and rejuvenation that avoids scars, Dr De Silva advocates:

• Elevation of the deeper layers of the face (including the SMAS, superficial musculoaponeurotic system) this requires specialised surgical techniques and hours of surgery to complete. Elevation of the skin only is much faster to complete; however, results in widened scars.
• Meticulous attention to detail is required, to ensure that scarring is limited to a fine line and lifting does not alter natural hairlines. With meticulous techniques, these issues can be avoided. Excessive pulling of the skin can result in distortion of the ears and wide scars that are hallmarks of surgery, with meticulous surgical technique these can be avoided.
• Brow lift procedures were once fashionable to elevate the position of the brow. The majority of us have a naturally low position of brows even in youth, and brow lifts are less commonly indicated and need to be conservative. Over lifting of the eyebrows results in a surprised and unnatural appearance.
• Artistry, every surgeon has a different aesthetic, and it is worth considering this aesthetic.
• Often natural-looking rejuvenation requires additional treatments to give the best possible result. Common additional procedures include fat transfer, skin resurfacing and blepharoplasty.
• Rarely, there are medical conditions that can result in poor healing and increased scarring, such as keloid scarring. If you know that you have such a condition, always inform your surgeon.

With the factors above scarring from facelift surgery can be avoided, once scars have been made on the face, they are more difficult to treat and may require revision facelift surgery to reduce tension on the healing skin or the use of laser resurfacing.

Although it is difficult to compare one surgeon against another, similar to identifying the best artist, no two are identical. However we can apply objective criteria for the best is facelift and neck lift surgeon by applying, 

1. Credentials board certified specialism in the face or body plastic surgery 
2. Location of their practice in established centre of excellence 
3. Patient reviews or their experience with the surgeon. 
4. Specialism, some doctors perform mostly body surgery e.g. breast augmentation and facelift may not be surgery they perform regularly. 5. Techniques & Time. Surgery done in less that 4 hours is likely to be more SMAS and short cut techniques, best surgery takes precision, detail and time.

Dr De Silva was ranked the #1 Best UK surgeons in 2024 according to Rate MD.

Dr. Julian De Silvais a renowned, double board-certified surgeon (UK and USA) and International teacher of facelift & neck lift surgery at ASOPRS/ AAO annual course (Director of Course). He is the founder of the 23 Harley Street World-Class private facility in London. He has over 1000 5-Star reviews and based on one website criteria was voted the #1 facelift surgeon in London. 

Facial Beauty, Dr De Silva’s Golden Ratio Analysis of Beauty on Kate Moss, from Dr De Silva Textbook on Facelift & Neck Lift Surgery 

Choosing the right facelift surgeon is crucial for achieving the best results. Here are detailed measures to help you select a highly qualified and experienced surgeon:

Key Considerations:

• Board Certification: Ensure the surgeon is board-certified in plastic or facial cosmetic surgery. This certification indicates they have met rigorous standards in training and expertise.
• Specialisation: Look for a surgeon who specialises exclusively in facial surgery, as this indicates a deep understanding of facial anatomy and techniques. Dr. Julian De Silva, for example, has dedicated over 20 years to specialising in facial procedures.
• Experience and Results: Review the surgeon’s portfolio of before-and-after photos to assess their skill and the naturalness of their results. Dr. De Silva has performed thousands of facelifts and has extensive experience in revision surgeries.
• Consultation: Schedule consultations with multiple surgeons to discuss your goals and assess their approach. This will also give you an opportunity to gauge their communication style and bedside manner.
• Patient Reviews and Testimonials: Read reviews and testimonials from previous patients to understand their experiences and satisfaction levels.
• Hospital Affiliations: Check if the surgeon operates in reputable hospitals or clinics with accredited facilities. Dr. De Silva operates in top-notch state-of-the-art facility, ensuring the highest standards of care.

 Dr De Silva specialises in Face Surgery Only and Facelift & Neck lift is the #1 Procedure he completes for his patients every day. Dr De Silva customises facelift and neck lift surgery for each individual patient and often combines with other procedures including blepharoplasty, chin implants, buccal fat reshaping, fat transfer, laser resurfacing. Dr Julian De Silva travelled world-wide with fellowship in the USA and spent time working in some the best Cosmetic centres in the World before setting up his practice over 10 years ago. This included London, UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York. Dr De Silva wrote an extensive book that includes everything each patient needs to know regarding facelift and neck lift surgery. Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance recovery or longevity of the procedure including oxygen therapy and regenerative medicine. In addition Dr Julian De Silva has pioneered the use of sedation anaesthesia in the UK, and has been awarded a Patent for his innovation. Dr De Silva has always taken pride and constantly innovated on improving natural results, faster recovery with over 1000 5* reviews was voted the best in facelift and neck lift surgeon in the UK on an independent review site.

Link to video: How to choose the best facelift & neck lift surgeon for you?

Who is the top surgeon in London for facelift and neck lift surgery?

The best UK surgeons in 2024 according to Rate MD

1. Dr Julian De Silval. Plastic/ Cosmetic Surgeon

23 Harley Street, London, London, ENG, W1G 9QN

2. Dr Riccardo Frati. Plastic/ Cosmetic Surgeon
3. Dr. Ayham Al-Ayoubi. 

Milner House, 14 Manchester Square, London, ENG, W1U3PP

When considering cosmetic or plastic surgery it is essential to complete some due diligence on your potential surgeon

1. Right Credentials. Specialist Board Certification, Fellowship training, publications and awards. There are general Plastic surgeons (completing breast & body surgery, members of BAAPS), Oculo-facial Plastic Surgeons (Specialising in surgery around eyes), ENT surgeon (specialising in ears, nose and throat surgery, FPS) and Maxillary-Facial surgeon specialising in teeth). 
2. Extensive Experience. Check the surgeon you are considering is completing that procedure on a daily basis. A surgeon specialising in facial surgery, completes facelift, blepharoplasty etc every day. A surgeon specialising in body surgery is likely to be completing more breast and body surgery. Medicine and surgery has become increasingly specialised over the past decade with technological advancements in all areas of medicine. Commonly general plastic surgeons completed a SMAS facelift which could be completed in 3 hours or less meaning that surgeons would complete 2 or more procedures a day. With technological advancement the most natural and longer lasting facelift surgery is completed with deep plane facelift. 
3. Artistry. No single technique will be suitable for all patients. Natural facelift and neck lift surgery needs to be tailored to the individual. Look at before and after photographs of the surgeon you are considering, to they have aesthetic that you like and fit your expectations from the procedure.
4. Detail oriented & Revision Surgery. Facial surgery is intricate as the detail is millimetres, body surgery is detail in centimetres. 20-30% of the surgery Dr De Silva complets is revision facelift & neck lift, who have had underwent facelift or neck lift surgery elsewhere and were unsatisfied with the results from their previous surgeon. There can be many reasons for this, not adequate improvement, recurrence, lose skin and puffiness remains, short longevity, visible scars.
5. Many patient reviews. A good indicator of your experience is looking at other patients experiences. You want to have a surgeon who will be there for you and support you on the recovery as well as deliver on the results that you expect from surgery. 
6. Safety. One of the most important aspects of surgery is safety. In the UK there is much regulation that is detailed and meticulously assessed to ensure patients safety and high quality of care. The CQC maintains this regulation in clinics across the country. Be cautious about going overseas for cheaper surgery, there have been many fatal and disastrous consequences of patients going to Eastern Europe (Turkey), Asian and South America. 
7. Facility. To undergo an aesthetic procedure, it would be preferred to have a procedure in a specialist aesthetic centre. Many private hospitals provide both functional (e.g. cancer, tumour procedures) and cosmetic procedures, this is not ideal. Specialise surgical centre will provide a better patient experience for the aesthetic patient. . 
8. Discrete Scars. Key to World Class facelift & neck lift surgery is discrete and virtually  invisible scars. There are many important factors to consider including, natural skin position, asymmetry, ethnicity, skin laxity, skin quality and other diagnoses. The skin incision is closed using a combination of interrupted and continuous non-dissolving fine stitches. Non-dissolving stitches are preferred as they avoid scarring and stitch lines. Dissolvable sutures although saves time for surgeons as they dont need to be removed, these can create additional scarring.
9. Use of Technology & Management of Complications. Ask about the use of technology to enhance recovery and speed up healing. Ask about the management of complications, although the chance of complications can be reduced with meticulous preoperative and postoperative care, there is no way to complete prevent all complications. Ask about these and how they would be managed.
10. Type of Anaesthetic. General anaesthetic (GA)has long been used as the anaesthesia for facelift and neck lift surgery. GA does carry a small risk of a deep vein thrombosis (DVT in the legs) or reaction to inhaled anaesthetic. Although these complications are rare with GA they are very serious. In addition after a few hours of GA, most patients recovery quite slowly and it is common to have symptoms of nausea or sickness, and to feel slight washed out. Other GA issues include shock hair loss, haematomas and longer recovery. Sedation Anaesthesia aka twilight anaesthesia offers a lower risk form of anaesthesia, and faster recovery without the risks associated with GA. 

 Dr De Silva specialises in Face Surgery Only and Facelift & Neck lift is the #1 Procedure he completes for his patients every day. Dr De Silva customises facelift and neck lift surgery for each individual patient and often combines with other procedures including blepharoplasty, chin implants, buccal fat reshaping, fat transfer, laser resurfacing. Dr Julian De Silva travelled world-wide with fellowship in the USA and spent time working in some the best Cosmetic centres in the World before setting up his practice over 10 years ago. This included London, UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York. Dr De Silva wrote an extensive book that includes everything each patient needs to know regarding facelift and neck lift surgery. Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance recovery or longevity of the procedure including oxygen therapy and regenerative medicine. In addition Dr Julian De Silva has pioneered the use of sedation anaesthesia in the UK, and has been awarded a Patent for his innovation. Dr De Silva has always taken pride and constantly innovated on improving natural results, faster recovery with over 1000 5* reviews was voted the best in facelift and neck lift surgeon in the UK on an independent review site.

Link to video: How to choose the best facelift & neck lift surgeon for you?