Facelift in London – for Natural, Youthful Results
Leading London Facelift & Neck Surgeon Specialist
Over 1000 5-Star Patient Experiences
Faster Recovery Technology
What is Facelift Surgery?
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
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?
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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.
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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, a s well as the reasons for wanting to see an improvement in your looks.
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
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.
Why Choose Dr. De Silva for a Harley Street Facelift?
Finding the mostreputable 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.
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
What to Expect From Your Facelift in London
Dr De Silva is a recognised authority in facial surgery, renowned for his pioneering techniques in facelift, rhinoplasty, and blepharoplasty. His innovative approach has set new standards in the field, delivering natural, lasting results with minimal downtime. As the author of several books on these procedures, Dr De Silva is at the forefront of surgical advancements and continues to shape the future of facial cosmetic surgery.
During your initial consultation, Dr De Silva employs advanced imageing 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.
Carefully follow Dr De Silva’s instructions and avoid certain medications, supplements, smoking, and alcohol to promote healing. Arrange for someone to drive you home and have a recovery space ready with essentials like pillows and ice packs. Discuss realistic outcomes with Dr De Silva to set clear expectations, and support your recovery with a healthy lifestyle before and after surgery. Dr De Silva’s team offers personalised guidance and full support to ensure a smooth experience from preparation to recovery. For example, there are some herbal medications, such as arnica, that should be taken to reduce bleeding.
All surgery takes place in our Harley Street CQC-regulated practice. Dr De Silva uses modern anaesthesia, known as sedation anaesthesia, which is far safer and with a faster recovery than traditional general anaesthesia. In most cases, patients come around within 30 minutes after surgery.
Eyelid surgery can be completed in 1 hour. However, to obtain the best natural results that are long-lasting, the procedure will take 1-3 hours as it will require a combination of fat transfer, fat preservation, skin resurfacing, regenerative medicine, and attention to detail.
In upper blepharoplasty, the incision is hidden in the crease of the eyelid and is often difficult to see even 1 week after surgery. In lower blepharoplasty, the incision is placed either in the conjunctiva
(termed transconjunctival) of the eyelid in which case it is completely hidden. Or the incision is just below the lower lid eyelashes (termed transcutaneous) within several weeks this incision is hidden by the eyelashes of the lower eyelid. Following the removal of excess tissue, Dr De Silva will carefully contour the eyelids to restore a rejuvenated, youthful appearance. This process may involve adjusting or extracting fat, along with removing any extra skin or muscle as needed. The small incisions will be closed with sutures, surgical tape or tissue glue.
Carefully follow Dr De Silva’s instructions and avoid certain medications, supplements, smoking, and alcohol to promote healing. Arrange for someone to drive you home and have a recovery space ready with essentials like pillows and ice packs. Discuss realistic outcomes with Dr De Silva to set clear expectations, and support your recovery with a healthy lifestyle before and after surgery. Dr De Silva’s team offers personalised guidance and full support to ensure a smooth experience from preparation to recovery. For example, there are some herbal medications, such as arnica, that should be taken to reduce bleeding.
It is normal to experience some swelling and bruising for the first week or two. This will decrease over time. It is recommended to rest for the initial fortnight following your surgery, returning to work and your daily routine from the second week onwards.
Avoid exercise for the first weeks and strenuous activity for a month. After a month you will be able to enjoy your blepharoplasty results.
Combine Your Facelift With Other Facial Enhancements
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.
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.
Fat Transfer
To further personalize 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.
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.
Latest Facelift 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.
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.
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.