Natural Facelift & Neck Lift Surgery  FAQs

Facial ageing results in changes in all layers of the face, including the skin, the soft tissues and the underlying bone. A facelift restores soft tissue drooping and laxity of the face, neck and jowls. To give a patient a natural rejuvenation. Often to get the very best natural results facelift & neck lift surgery is combined with other procedures in order to give a fully rejuvenated natural-looking result.

Volume deflation of the mid-face and cheeks are common signs of facial ageing and can be effectively treated with a filler, fat augmentation or cheek implants. Dr De Silva prefers the use of a natural filler to restore the face using a patients’ own soft tissues, termed fat transfer, as from our experience this gives a longer-lasting natural result. Fat transfer to faces that have had a substantial loss of volume can be very effective in restoring the malar mound and curvature of the cheeks giving a natural and youthful look. When completed meticulously 50-60% fat transfer lasts for years.

Eye changes are a very common indicator of facial ageing and include drooping of the skin in the upper eyelid, dark circles and bulging pockets of fat in the upper and lower eyelids. These eyelid changes are commonly treated with blepharoplasty at the same time as a facelift in at least half of patients.

Ageing of the skin from damage by the sun and environmental elements results in lines and dark spots that may be effectively rejuvenated and smoothened with a combined facelift and laser resurfacing procedure. With the use of facelift and CO2 laser resurfacing of the skin, an excellent result can be obtained. Dr De Silva takes precautions with the use of laser on the skin to ensure a high-quality result and may include skin area testing. Laser treatment of the face does result in some discomfort on day-1 after surgery; oral analgesia is adequate to relieve any discomfort. After1-week, the face has largely healed although a minority of people may have residual redness that can be covered with conformer. Dr De Silva only uses the very latest in laser technology, as there is continued innovation in laser design, improving effectiveness and reducing downtime.

Facial imbalance secondary to the underlying bone structure cannot be addressed by a facelift alone. Dr De Silva analyses the face as a whole, common shortcomings are in the chin and cheek areas; in some patients, these are addressed with volumetric addition with facial implants. Dr De Silva prefers the use of silicone implants; these are very safe and have been used in the body for many decades and are undetectable once inserted.