London Facial Plastic Surgeon Facelift, Blepharoplasty, Rhinoplasty - Harley Street
Facelift in London, Harley Street | Dr Julian De Silva image 1

Facelift in London - for Natural, Youthful Results

At our custom-built luxury surgical centre on world-renowned Harley Street, Dr. Julian De Silva personally performs every procedure—specialising exclusively in facial surgery, where precision is measured in millimetres, not centimetres. With over 1,000 five-star reviews, Dr. De Silva is trusted worldwide for delivering subtle, natural enhancements that restore and rejuvenate
Book a consultation

What is Facelift Surgery?

Facelift surgery, or rhytidectomy, is a highly effective procedure designed to combat sagging skin, wrinkles, and other visible signs of ageing in the face and neck. Dr De Silva specialises in personalising facelifts to suit each patient’s individual anatomy, ensuring a natural and balanced result.

As a double board-certified facial plastic surgeon with extensive training and a deep knowledge of facial anatomy, Dr De Silva remains at the forefront of his field by incorporating the latest surgical advancements. His approach to facelift surgery is both artistic and precise, enhancing your natural beauty while preserving facial harmony.

Dr De Silva is an expert in the Vertical Deep Plane facelift technique, renowned for lifting and repositioning the deeper facial tissues, providing a more natural and longer-lasting rejuvenation. By combining this advanced technique with meticulous skin closure methods, he achieves more natural results with reduced recovery time.

FACELIFT SURGERY IN HARLEY STREET

What Facelift Surgery Can Treat

What Facelift Surgery Can Treat

As you age a combination of gravity, skin laxity and some volume loss occurs. This results in loose skin around the jawline and neck, bands and a more tired appearance.  The natural elasticity of our skin diminishes. This results in fine lines and wrinkles, sagging skin, and a tired, aged appearance. A rhytidectomy offers a permanent solution for many common facial concerns.

Deep Nasolabial lines

A facelift can effectively treat deep nasolabial lines by lifting and repositioning the underlying facial tissues, smoothing these folds, and restoring a more youthful, natural contour to the face.

Jowls

By tightening and lifting the skin and deeper facial tissues,  a facelift reduces sagging along the jawline, creating a more defined, youthful facial contour.

Excess skin

A facelift addresses excess skin by excising redundant tissue and tightening the underlying facial structures. This procedure improves skin laxity, enhances facial definition, and reduces sagging, particularly in the lower face and neck.

Marionette lines

Dr De Silva treats marionette lines by lifting and repositioning the deeper facial tissues, which helps smooth the vertical creases extending from the mouth to the chin, restoring a more youthful facial appearance.

Are You Suitable Candidate for A Facelift?

Answer 30 KEY questions (take less than 5 mins) and receive free customised results and advice

Interested in a Facelift in London? Discover Our Patient Results

Dr De Silva avoids a “one-size-fits-all” approach, focusing instead on subtle enhancements that bring out your best features while addressing areas of concern. Discover our real-life patient transformations.

Patient face, before and after Facelift treatment, front view, patient 1

A more youthful natural appearance was restored by Dr Julian De Silva’s using his signature Vertical Deep Plane Facelift Restore.

A refreshed, natural transformation. This lovely patient underwent Dr. Julian De Silva’s signature facelift, neck lift, and fat transfer to restore youthful volume, smooth loose skin, and redefine her jawline—achieving a beautifully rejuvenated look witho

A refreshed, natural transformation. This lovely patient underwent Dr. Julian De Silva’s signature facelift, neck lift, and fat transfer to restore youthful volume, smooth loose skin, and redefine her jawline—achieving a beautifully rejuvenated look without changing her unique features.

Facelift and Neck Lift 82 Ba2

This lovely patient in her 50s wanted a fresher look. Dr. De Silva performed a deep plane facelift and neck lift to restore her jawline, lift her cheeks, and smooth her neck. She looks rejuvenated—and most importantly, natural.

Types of Facelifts Offered
by Dr. De Silva

While non-surgical treatments offer temporary improvements, a facelift provides a more durable solution to ageing signs, with results that can last for many years. There are a number of different types of facelifts available. As part of your consultation, Dr De Silva will thoroughly assess your skin and facial characteristics, and discuss your cosmetic goals with you, as well as the reasons for wanting to see an improvement in your looks.

Types of Facelifts  Offered by Dr. De Silva Images

Primary Facelift

For many years, the conventional facelift has been a staple for those who want to look younger. The procedure generally starts with an incision near the temples, going down and encircling the ear, and culminating at the lower scalp.

During the aesthetic procedure, the surgeon carefully adjusts the facial skin. They then address and enhance the underlying structures. The excess skin is then removed, and the remaining skin is neatly arranged for a rejuvenated appearance.

Signature Vertical Deep Plane

The deep plane facelift is the most advanced technique, providing natural results by repositioning the facial layers to restore volume and address sagging. While this is one of Dr De Silva’s surgical specialities, this type of facelift is performed by less than 5% of facial plastic surgeons due to its complexity and the requirements for deep anatomical expertise.

SMAS Facelift

An SMAS facelift addresses the superficial musculoaponeurotic system (SMAS) – the thin layer of fibres that covers the face and the neck. This procedure lifts towards the ears and adjusts sagging cheeks and jowls by excising both skin and facial tissue to produce a naturally ‘lifted’ look. In some cases, fat deposits can be removed for further definition.

Revision Facelift

20-30% of the patients Dr De Silva treats have previously had facelift or neck lift surgery elsewhere and were unsatisfied with the results from their previous surgeon. There can be many reasons for this, inadequate improvement, recurrence, loose skin and puffiness, short longevity and visible scars.

A Skin-Only Facelift

This procedure involves only lifting the skin, rather than the skin and tissue underneath. A more traditional technique is used when only some skin needs to be excised without disturbing any underlying muscles. A skin-only rhytidectomy is generally performed on younger patients who have not had any advanced ageing set in.

S-Lift, MACS Lift

The S-Lift is named after the ‘S’ shape of its incision. Both the S-Lift and MACS (Minimal Access Cranial Suspension) lift are known for their shorter incisions. They are also quicker to perform, with less downtime. These procedures focus on the middle and lower third of the face to erase jowls, wrinkles, and other sagging skin.

One Stitch Facelift

The one-stitch facelift draws inspiration from old Hollywood, where celebrities use tape to pull their skin on the upper face upward. It targets the sideburn area where the skin is pulled and anchored using the patient’s own skin tissues.

Mini Facelift

The mini facelift is similar to the s-lift in that smaller incisions are used. In this case, only the SMAS muscle is altered, for a lift that provides a refreshed look but less dramatic results than more traditional or invasive surgery. This procedure is suitable for those with early facial ageing.

​Endoscopic or Ponytail 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.

Male Facelift

Dr Julian De Silva’s male facelift restores a strong jawline, tightens sagging skin, and preserves masculine features, using tailored techniques that avoid feminization while ensuring discreet scars and natural results.

What our patients say about us!

Verified GoogleReview

I would like to share my experience of my face and neck lift with Dr De Silva. First and foremost I will tell you truthfully, that with all I now know for my experience, I would go through it all again tomorrow if I had too. It was so different from what you hear, and all the botched jobs you see. I picked Dr De Silva after much research, and the fact that he only specialises on the face, I made my appointment. From my first consultation till my 1yr check up, I can only but give him and his team 100% Dr De Silva has an extremely calming way with him. He puts you at your ease and explains EVERYTHING in minuet detail. He leaves nothing out, everything he said happened in that way. From having pre op’s till the day of surgery nurses Ellie and Josie were fantastic, so helpful and friendly. I was told by Dr De Silva that It would not be painful, just a bit uncomfortable, that was true. I had no pain at all at anytime from start till now, Swollen and bruised yes, the bruising had all gone in 2 weeks. Swelling took a little longer. I was also told it would be quite numb for some time. It was, but it didn’t bother me, and now I have very little numbness left. It can take up to 9 months I think. I didn’t want to look different, I didn’t want to change anything, all I wanted was to look rested and fresher, a better version of myself. I am soooo happy with my lovely tight neck and no more loose skin and hanging jowls. It has made the biggest difference to my confidence. No one has asked have I had work done, they just say “ you are looking great”. If you are thinking of a face lift or any facial work done, I can 100% guarantee you will not find a better surgeon… anywhere. My extreme gratitude to Dr De Silva, Dr Andre (anaesthetist). Nurse’s Ellie & Josie and to Sarah who sorted all the paperwork etc.

Why Choose  Dr. De Silva 
for a Harley Street Facelift?

Why Choose Dr. De Silva 
for a Harley Street Facelift?

Finding the most reputable facelift expert is never easy. Therefore, you should always research the best surgeons in your area and ask plenty of questions. Dr De Silva is a double-board certified facial cosmetic and plastic surgeon, author and global educator, with a track record of doing procedures for top celebrities. He is based at world-renowned Harley Street in Central London and specialises in four main procedures: Facelift and Neck lifts, Blepharoplasty, and Rhinoplasty. By specialising in only the face, you can rest assured knowing that you’re getting premier results.

Over 1000 5* reviews
Author of the Facelift Book
International teacher of facelift & neck lift surgery at ASOPRS/ AAO
What Sets Dr De Silva Apart

What Sets Dr De Silva Apart

Dr De Silva is a double board certified in the UK and USA and has spent time working in some of the very best Cosmetic centres in the World before setting up his practice over 10 years ago. His extensive knowledge of cosmetic surgery places him among an elite group of facial plastic surgeons, not just on Harley Street and Central London, but in the world. In addition to working as a facial plastic surgeon, he has also spent 8 years teaching fellow plastic surgeons in the USA.

World-Class Facelift Surgeon

UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York.

“I have always been a passionate teacher and as director of the course Iam committed to inspiring the next generation of surgeons”

State-of-the-Art Technology

Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance the recovery or longevity of the procedure. These include a US-manufactured CO2 laser or monopolar electrocautery, to establish meticulous control of bleeding which is key to preventing both bruising and preserving good vision after surgery.

Discrete Scars

Key to world-class facelift 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 save time for surgeons as they don’t need to be removed, can create additional scarring.

Faster Healing Technology

Dr De Silva has pioneered the use of  Faster healing technology. Hyperbaric oxygen is the elixir for healing and is used in combination with regenerative medicine to enhance recovery after surgery. This innovation is preferred by his patients, as it enables natural growth factors to aid healing, improve the speed of recovery and reduce bruising. 

Advanced Sedation Anaesthesia

Dr De Silva has pioneered and patented our Advanced Sedation Anaesthesia. This means patients can avoid the risks, complications and longer recovery associated with general anaesthesia. All of Dr De Silva’s patients recover from sedation quickly after procedures within 30-60 minutes!

In the Press

Eyelid Surgery in London: Harley Street Blepharoplasty image 14
In the Press: TATLER
In the Press: VANITY FAIR
In the Press: TATLER (2020)
In the Press: Vogue
In the Press - Cosmopolitan
In the Press - TATLER
Eyelid Surgery in London: Harley Street Blepharoplasty image 14
In the Press: TATLER
In the Press: VANITY FAIR
In the Press: TATLER (2020)
In the Press: Vogue
In the Press - Cosmopolitan
In the Press - TATLER

What To Expect From Your Facelift in London

On the day of your surgery, you will be welcomed into The Centre for Advanced Facial Cosmetic and Plastic Surgery’s state-of-the-art CQC accredited facility and prepared for your procedure. This is what you can expect:

During your initial consultation, Dr De Silva employs advanced imaging technology to simulate potential outcomes, allowing for a collaborative discussion of your goals. This visual tool helps in setting realistic expectations and refining your personalised treatment. He will discuss your medical history, aesthetic goals and create a personalised procedure plan catered to your desired outcome.

Prior to your surgery, we will complete everything you need in our specialised clinic.

  1. Safety first approach, we always complete safety checks prior to surgery
  2. Advice on what will give the fastest recovery
  3. Detailed information on what you can do to get the best healing and recovery time
  4. 24-7 Support & care during healing and recovery

You will be advised on which exact actions you must take before your surgery to aid in both the surgery itself and your recovery afterwards.

Dr De Silva will see you before surgery to mark your face. You will then be guided to the operating theatre where he uses a patented Twilight Sedation Anaesthesia, which eliminates the risks and side effects associated with general anaesthesia. Dr De Silva is meticulous and will ensure that he takes the time and care to complete your surgery to allow for invisible scars and minimal downtime. CO2 laser or monopolar electrocautery is used during the procedure to establish meticulous control of bleeding which is key to preventing both bruising and preserving good vision after surgery.

Follow-up appointments with Dr De Silva after a facelift in London are crucial for monitoring your recovery, addressing any concerns, and ensuring optimal healing while achieving the best possible results. Dr De Silva will see you 24 hours after surgery to assess the initial stages of healing and then at various intervals throughout the recovery period.

You can expect to have a period of rest and recovery of approximately one to two weeks and return to social and professional activities after one to three weeks.

Am I a Good Candidate for Facelift Surgery?

A good candidate for a facelift is facial ageing with symptoms of sagging of the skin and soft tissues of the face, deepening of the nasolabial folds (a line between nose and mouth) and loose skin below the neck with loss of the angle between the chin and neck. The patient should be in good health and a non-smoker with realistic goals of rejuvenating their face.

What to Expect from Facelift Recovery

You may experience bruising, which resolves over one to two weeks, and swelling, of which 80% will diminish within two weeks and continue to disappear. While you will have very little pain, you may experience numbness around the ears and chin, which can take six to 12 months to disappear completely.

It is important to rest and allow your body the time it needs to recover without putting it under extra pressure. You may be provided with a wrap for your face and head that helps with swelling and gently icing the area for ten minutes at a time encourages swelling to dissipate. Sleeping in a reclined or sitting-up position is recommended for five to seven days after surgery. It is also recommended not to do any heavy lifting or strenuous activities for at least two to three weeks after surgery.

Benefits of a Facelift in London with Dr. De Silva

A facelift can help you look as young and vibrant on the outside as you feel on the inside, turning back the clock by several years. The main benefits of a facelift are:

  • Decreased wrinkles and lines
  • Lifted profile
  • Natural, fresher appearance with a more youthful jawline and neck
  • Tighter skin
  • Natural results that boost confidence

Combine Your Facelift With Other Facial Enhancements

Buccal Fat Reshaping

Integrating a facelift with blepharoplasty rejuvenates the face by addressing sagging skin and wrinkles while also refreshing the eye area, creating a balanced and youthful appearance.

Chin Implants

Sometimes when the lower face is tightened, the chin can appear too small and out of proportion.
Dr De Silva may address this through the addition of chin implants to create a more balanced and
symmetrical result.

Blepharoplasty

Integrating a facelift with blepharoplasty rejuvenates the face by addressing sagging skin and wrinkles while also refreshing the eye area, creating a balanced and youthful appearance.

Laser Resurfacing

Dr De Silva may suggest incorporating CO2 laser resurfacing before your procedure to remove blemishes, smooth skin and create a radiant appearance that improves the overall results of your facelift procedure.

Fat Transfer

To further personalise your facial rejuvenation procedure, Dr De Silva may incorporate fat
transfer to permanently establish volume in select areas affected by facial ageing for a
harmonious and balanced result.

Patient Experiences

In this video, we'll take you through the patient's journey, starting from before the surgery, capturing her initial concerns and aspirations for the procedure. Then, witness the stunning results unfold as we reveal her post-op images taken at 10 weeks after the surgery. From addressing concerns about her appearance to regaining confidence and self-assurance, this journey exemplifies the transformative power of personalised cosmetic surgery.

Even the Best Facelifts Come With Risks

While facelift surgery is generally safe, it’s essential to be aware of potential risks and complications. However, with the extensive experience and advanced knowledge of Dr. De Silva, these risks are significantly minimized, ensuring that you’re in expert hands for a safe and successful outcome. Some potential risks include:

  • Anaesthesia Complications: Reactions to anaesthesia can occur, ranging from mild to severe, affecting breathing and heart rate.
  • Infection: As with any surgical procedure, there is a risk of infection at the incision sites, which may require further treatment.
  • Scarring: Although efforts are made to minimise scarring, some individuals may experience noticeable scars, which can take time to fade.
  • Haematoma: The accumulation of blood under the skin can lead to swelling and discomfort, potentially requiring drainage.
  • Nerve Damage: Temporary or, in rare cases, permanent nerve damage can occur, resulting in numbness or changes in sensation.

It is essential to discuss these risks thoroughly with Dr De Silva during your consultation to make an informed decision about your facelift surgery.

Book a consultation

Facelift Frequently Asked Questions

A facelift will typically last for between 5-10 years. Different surgical techniques will impact the longevity of the effect. Dr De Silva believes that a patient who is undergoing cosmetic surgery is investing in their appearance and uses a modified deep plane SMAS facelift to give patients a more durable and longer-lasting result. There are patient factors, including genetic makeup and exposure to the elements such as the sun that will influence the duration of a facelift. Dr De Silva advises all his patients on lifestyle changes that maintain the results of their facelift and may suggest referral to one of his specialist colleagues. Patients are frequently attending for 2nd, 3rd and even 4th facelifts. Other areas of the face age differently to the lower face and neck.

Book a Consultation at Our Harley Street Practice

If you’re considering facelift surgery, we invite you to schedule a consultation with Dr Julian De Silva. Discover how his expertise can help you achieve the youthful, natural-looking results you desire.

Book a consultation
Call UsBook Consultation