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Natural Facelift & Neck Lift Surgery

World Renowned Harley Street

Dr Julian De Silva #1 Specialist Facelift & Neck Surgeon

Signature Natural Vertical Deep Plane Facelift

Over 1000 5-Star Patient Experiences

Fast Recovery Technology

Natural Artistry

Specialist in Natural Facelift & Neck Lift Surgery in London


What is a Facelift?

A facelift, also called a rhytidectomy, is a surgical procedure that enhances the cosmetic appearance of the face. Dr Julian De Silva developed a Signature Vertical Deep Plane Natural Facelift & Neck lift from his +10years experience, this gives a Natural Result and fast recovery.  Natural surgery requires a combination of technical precision and artistry, no two people have the same facial characteristics and facial surgery needs to be tailored to the individual 

Specifically, a Vertical Deep Plane Facelift can help with these common changes:

  • Natural Fresher appearance with a more youthful jawline and neck
  • More V shaped jaw line Vs squarer jaw line associated with gravity and ageing
  • Lift sagging skin
  • Improve neck definition, No more turkey neck
  • Remove loose skin
  • Decrease wrinkles and lines
  • Younger patients often have hyper mobility (Dr De Silva will show you what this means and how it can be addressed)
  • Mini Facelift may be adequate for some patients, depending on changes in neck area. 
  • Many patients feel a disparity in how they feel about themselves and how they look
  • Some patients feel looking in the mirror they are starting to look like their parents
  • Often patients benefit from additional procedures to get the very best results e.g. Fat transfer, Skin resurfacing, Buccal fat reshaping, Regenerative Medicine…

The Benefits of Having a Vertical Deep Plane Facelift

As you age your a combination of gravity, skin laxity and some volume loss occurs. This results in loose skin around the jaw line 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 many benefits, including:

  • Natural results, means the best version of you.
  • Many of our patients feel young inside however do not feel their appearance matches how they feel. A natural facelift enables you to feel more confident and more like yourself.
  • The anatomy that has dropped is lifted back to where it used to be by releasing key ligaments. Ligaments are like glue they can stop the face being elevated by conventional SMAS facelift techniques.
  • Mini Facelift, ‘Less is more approach‘ suitable for patients with less ageing
  • Detail is important, have a look at your ear lobes, approximately 5% of us have no ear lobes, and a few of us have an ear lobe on just one side
  • Many of our patients have had previous facelift surgery and not achieved the results they were looking for. Key is to lift the areas that have dropped, unfortunately there is no quick fix 2hour procedure, a long lasting natural result will take +4.5 hours however will last for 8-10years. 
  • For many professions your appearance can be key to your roles and opportunities. A natural facelift and neck lift can restore your looks which can mean better professional opportunities. 
  • It offers a more permanent solution. Some patients may be frustrated with the temporary nature of fillers and non-surgical treatments.
  • Avoid Complications with a  board certified Plastic Surgeon specialising in face only procedures, Dr Julian De Silva. Not a general plastic surgeon (completing breast & body surgery) or ENT surgeon (specialising in nasal surgery) or Maxillary-Facial surgeon specialsing in teeth). Dr De Silva wrote an extensive book that includes everything patient need to know regarding blepharoplasty which is gifted to all our patients undergoing treatment.
  • 20-30% Revision Facelift & Neck Lift, of the patients Dr De Silva treats 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.
  • World Travelled Eyelid Specialist, Dr Julian De Silva spent time working in some the very best Cosmetic centres in the World before setting up his practice over 10years 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 specializes in  Face Surgery Only and Facelift & Neck lift is the #1 Procedure he completes for his patients often with other procedures including blepharoplasty, chin implants, buccal fat reshaping, fat transfer, laser resurfacing.
  • Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance 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 & 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.
  • Beautification & facial mapping techniques based on research completed on the Golden Ratio to evaluate beauty and harmony e.g. Angelina Jolie’s face. Since Greek, then Renaissance period many works of art have incorporated this ratio in art and beauty. Dr Julian De Silva has pioneering research to use the golden ratio to evaluate beauty and to enhance elegance. Every face can be evaluated with our golden ratio process and used as a tool to enhance beauty and appearance. 
  • Dr De Silva has pioneered the use of  Faster healing technology. Hyperbaric oxygen is the elixir for healing and used in combination with regenerative medicine enhances 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.  
  • 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 recovery quickly after procedures within 30-60 minutes!

Why Choose Dr Julian De Silva?

Dr Julian De Silva is a widely credited and celebrated facial plastic surgeon who specialises Only in the Face. Facial surgery is intricate, your eyes, nose, face and neck areas, and is known for Natural Results and Fast Recovery technology. 

“We are proud to have over 1000 5* reviews. My focus has always been to be the very best at what I do, to continually innovate to provide World Class leadership with my team, my patients and 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.”  Dr. Julian De Silva

Author of the Facelift Book, The Patient Guide to Facelift & Neck lift Surgery, to help our patients make the best decisions we gift this book to all our patients.  In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.

As an Artist, all of Dr De Silva’s paintings are decorated in the World Class Facility at 23 Harley Street, custom built for Facial surgery. 

Dr Julian De Silva has Taught Facelift Surgery to other surgeons in the USA for over 8 years. “I have always been a passionate teacher and as director of the course I am committed to inspiring the next generation of surgeons.”

As a father and a Family Man he understands how important our appearance, health and well being is for happiness. Our staff are experienced, trained and supportive, as important as the result is your experience, journey and care.

Dr De Silva is in demand, please be patient if we are unable to offer you an appointment immediately, Dr De Silva is a detailed surgeon, he takes extra time with every patient to understand your needs and expectations, facial treatment is a blend of both precision and artistry, and takes time.  


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Only the Face

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.

Natural Looking Results

Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.

Fast Recovery

Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.

World Class Expertise

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.

Latest Face Lift & Necklift Patient Reviews

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.

Join us as one of our lovely patients shares her heartfelt journey after undergoing a transformative face & neck lift plus chin implant surgery with Dr. Julian De Silva. In this touching testimonial recorded six weeks post-surgery, she opens up about her long-standing desire for a chin implant and her journey to regain confidence in her appearance.

Join us as we sit down with one of our amazing patients who underwent a deep plane facelift, lower blepharoplasty, and full face laser procedure. In this heartfelt testimonial, she shares her honest thoughts and feelings about her experience before, during, and after the surgery.

Facial Surgery Procedures

What to Expect

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 facility and prepared for your procedure. Dr De Silva will see you before surgery and put specific markings that are unique to you.

For the surgery itself, you will be asleep with gentle yet powerful sedation 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.

Preparing for  Facelift Surgery

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 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.

Recovering After Surgery

The length of recovery will depend on which surgery or treatment has been completed. However, 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.

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

Speeding Up Facelift Recovery

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.

Patient experiences with Dr De Silva

World Class Facial Cosmetic and Plastic Surgery

Facelift Before & Afters

Dr De Silva has transformed thousands of faces through his unique surgical techniques. Below is a small sample of some of his transformations.

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What our patients say about us…

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“Best of the Best! – I went to see Dr Julian De Silva for a deep plane facelift, upper and lower bleph and eyebrow lift for Ptosis. I had originally seen Dr Julian De Silva for a consultation back in 2017 and had followed his work for years, so I was familiar with his style of surgery and artistry. I had studied his work of the ‘Golden Ratio’ and even bought his book years ago. When I turned 40, I started noticing my jowls getting really bad , loose skin over my eyelids to the extent that I could no longer wear eyeshadow any longer, as it just creased every time I tried to wear it. At my first consultation, Dr Julian and his team immediately made me feel at ease. His wonderful team – Sarah, Mags, Mackez, Adam and the lovely nurses Alice, Josie and Kelly were all very kind and welcoming. I instantly felt at home. Dr Julian De Silva’s kind, humble and calm nature made him stand out from the rest of surgeons that I had seen over the years. I didn’t feel rushed, and he listened and understood my concerns. He explained to me about hypermobility, where the skin can stretch at a younger age and this made sense why I was seeing premature signs of ageing such as ptosis and jowls forming. I felt relieved that finally a surgeon understood how I was feeling and didn’t immediately turn me away dismissing me because of my age saying I was too young etc. I knew that he was the surgeon for me. – I knew of his natural looking results from his previous work with other patients. He is truly an artist and has very fine attention to detail in his work. – Just look at his analysis of Renee Zellweger video on YouTube and you’ll understand what I mean. The morning of the surgery I was very excited and a bit nervous. I met with Will, the Anesthetist who was very nice and reassuring and put my mind at ease about the local anesthetic and sedation. I was not nervous about what Julian would do to my face as I trusted him and his work but more the fact of the anesthetic and sedation – losing control. I have had anesthetic in the past and been very sick afterwards throwing up numerous times, but Will assured me that this would not happen as they used sedation and local anesthetic instead of General anesthetic. I remember going into the theatre and seeing Julian, Joanna the other doctor who was very reassuring and Will. Kelly the nurse who was looking after me was also there and I remember they had a big picture of me on a screen, next to another picture of me when I was 29 years old for comparison. The last thing I remember was holding the nurse Kelly’s hand and feeling nervous about the sedation and losing control. She was very kind, holding my hand and reassuring me throughout and I don’t remember anything else! I was asleep throughout the whole surgery and then remembered waking up at the end. I had no sickness and no grogginess at all! I had regular follow ups at 23 Harley Street and was very well taken care of by Dr Julian De Silva and his team. I was offered complimentary red light therapy and oxygen therapy which helped the swelling and bruising and was relaxing at the same time. It is just over 3 months now since I had the operation and I am delighted with the results! It looks so natural and fresh. I still look like me but a fresher younger version of me that no longer looks tired. My jowls have completely gone and I have my v shape jawline back. Dr Julian told me that the skin had dropped 2.5 centimeters and that is how much he had to lift it up again, which is a lot for someone my age and testament to the hyper mobility. I can now wear eyeshadow without it creasing and my eyebrows are back to where they were pre ptosis! My experience with Dr Julian De Silva and his team was second to none – No other surgeon could have a better job. What I like about Dr Julian De Silva is his humbleness and integrity. He is a true artist – He will look at the symmetry of your face and treat it like a work of art – this goes beyond just surgery, this is artistry. From my results, especially around my eyes I can see how intricate and finely done with attention to detail he has done everything which makes for such natural results. The whole experience from the first consultation right through to the 3 month mark with several visits in between has been so enjoyable for me. I truly loved the whole experience of my trips up to 23 Harley Street. He has a wonderful team who make you feel at home and comfortable straight away, they are very accommodating and always on hand with any questions or concerns you may have. It’s a lovely energy there. I have had consultations with other top surgeons in London and their teams over the last few years but none have been on this level. I’m so pleased and grateful I picked Dr Julian De Silva and his team – I want to go back and get more things done for the joy of the whole experience, which says a lot!!”


Facelift Frequently Asked Questions

How long does a facelift take?

Depending on the facelift type and if any other treatments are being undertaken, surgery can take anywhere from two to four hours or more.

What type of facelift is best for me?

Using his experience as a facial plastic surgeon, the current state of your face and skin, and information gained from discussion during your consultation, Dr De Silva will recommend the optimal surgery to undergo in order to achieve your desired outcome.

How do I choose a facelift surgeon in London?

One of the most important parts of surgery is choosing your surgeon, especially for surgery on the delicate and complex face. There are a few things to ensure when it comes to making your choice:

  • That they are a specialist facial plastic surgeon
  • That they are detail-oriented and meticulous
  • That they understand facelifts require not just medical technique but an artists’ touch
  • That you have a good rapport and feel comfortable with them

Patients come from all over London, the UK, and the world to be treated by Dr De Silva and his team, who treat each patient like family.

Can I combine a rhytidectomy with other procedures?

As part of your procedure, we may recommend other treatments, such as a neck lift, blepharoplasty (eyelid lift) or fat transfer to supplement and enhance the end result.

These will be conducted during your surgery to combine recovery time.

Will I have visible scars?
Where possible, Dr De Silva hides incisions within the natural creases in the face. 99% of scars are virtually invisible, achieved by using meticulous technique and 3 levels of stitches.

Is surgery painful?

Before surgery is commenced, you are put to sleep, before having a local anaesthetic applied.

Aside from mild discomfort, many patients report having very little pain after surgery, and often only require basic pain relief, if any.

Am I a good candidate?

A good candidate for a facelift has 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 have realistic goals of rejuvenating their face.

What age is suitable for a facelift?

There is no fixed age limit to undergo cosmetic surgery; the person must have good health and be a non-smoker as safety always comes first

Contact Details
Call: 020 8748 2860
Email: info@drjuliandesilva.co.uk

23 Harley Street
London, W1G 9QN, UK

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Dr Julian De Silva
5 stars based on 458 reviews

5 Star Ratings for Dr Julian De Silva

Renowned expert in Facelift/Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results

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