Facelift & Neck Lift Before & After Results

This woman had disliked the appearance and general sagginess of her neck with for more than 10 years. She was very anxious about undergoing treatment and although had been offered non-surgical treatments, no treatments had made any real difference to her neck. She presented for a consultation with Dr De Silva, to discuss neck lifting options, she was not keen on undergoing invasive surgery with a prolonged recovery time. On assessment, the skin along her jaw had begun sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combine face and neck lift procedure with fat transfer and the use of bio-technology to enhance her recovery from surgery. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Dr De Silva does not use body liposuction techniques (including traditional liposuction and ultrasound-assisted Vaser techniques), and she underwent a specialized micro-cannulae (fine) technique that enables finer control and natural shaping and refining of the neck contours.

Only 12-hours after treatment, the photos show a marked improvement in her jaw line and neck associated with a youthful appearance. There is some bruising of her neck, however Dr De Silva uses advanced biotechnology to enhance recovery after surgery, the ecchymosis is largely resolved by 1-week after surgery. Dr De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed.

The scars are show at 6-weeks after surgery, have faded further. Although the final result from scars is as long as 18-months after surgery, by hiding scars in the natural creases Dr De Silva finds that scars can be made discrete far earlier, unfortunately scars that have been placed in more visible areas are very difficult to treat. The patient was very happy with the results of her surgery, she had been extremely nervous of undergoing surgery and had waited more than 10years before she had made the decision to undergo surgery with Dr De Silva.

Dr De Silva hides the scars from facelift and neck lift surgery around the natural curves of the neck and in the hairline. These photos show the scars at 1-week after surgery, using the natural curves of the ears takes additional time however makes scars difficult to see. Some surgeons place the scars in front of the ear or in front of the sideburn, this can result in visible scars which can be very difficult to treat. Dr De Silva believes that scars should be made as discreet as possible. Less than 1% of the population may have troublesome scarring such as keloid scars, by placing the scars in discrete areas the scars generally are difficult to see even soon after facelift and neck lift surgery.

This woman had disliked the appearance and sagginess of her jowls and fullness of her neck for many years She had considered treatments for some time before deciding to go for a consultation. She was recommended to Dr Julian De Silva by a friend who had undergone similar surgery with him. She presented for a consultation with Dr De Silva, to discuss face and neck lifting options, she was keen on a natural looking result and fast recovery time. Dr De Silva spent time to listen to her concerns and assess her face and neck meticulously. On assessment, the skin along her jaw had begun sagged considerably with time, with loose skin and some accumulation of soft tissue beneath her jaw line, softening the shape of her neck. In addition, Dr De Silva showed her the relevance of a relatively small chin in magnifying these changes. Dr De Silva discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure with chin implant. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Some aspects of the fullness of her neck were also secondary to sunken salivary glands. Dr De Silva believes in doing the best for every single patient, and as part of her surgery shaped and sculpted the sunken aspect of her glands to improve her jaw line and neck contour further. Only with this additional treatment would have the youthful angle between her jaw line and neck be shaped. This part of the face and neck lift surgery is time consuming and is not completed by the majority of plastic surgeons.
Only 12-hours after treatment, the photos show a marked improvement in her jaw line and neck associated with a youthful appearance. There is some bruising of her neck, Dr De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed.

The next set of photos show her appearance at 2-weeks after surgery. Dr De Silva uses fast recovery techniques to enhance recovery after face & neck lift surgery and a dramatic improvement in her neck can be seen. Dr De Silva customizes each facelift and neck lift procedure for each individual patient, to improve the neck to this level requires advanced surgery techniques that focus on improving all the underlying structures in the neck. Dr De Silva’s focus for each patient in terms of priority are firstly Safety, secondly the best possible result and thirdly the best possible experience.
Dr De Silva hides the scars from facelift and neck lift surgery around the natural curves of the neck and in the hairline. These photos show the scars at 2-weeks after surgery, using the natural curves of the ears takes additional time however makes scars difficult to see. Some surgeons place the scars in front of the ear or in front of the sideburn, this can result in visible scars which can be very difficult to treat. Dr De Silva believes that scars should be made as discreet as possible. Less than 1% of the population may have troublesome scarring such as keloid scars, by placing the scars in discrete areas the scars generally are difficult to see even soon after facelift and neck lift surgery.

2 weeks post surgery

This woman in her 50s has found herself looking more tired, with a fuller neck and heavy jaw line. She was looking for a natural rejuvenation and came for a consultation with Dr De Silva. Dr De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Her scars are very difficult to see, as Dr De Silva hides scars wear possible around the natural curves of the ears and into the hair lines so they cannot be seen. Scars made in front of the hair line are best avoided in Dr De Silvaǯs view as hair often this with natural ageing and these scars can become more visible. Hiding scars in hairline is more challenging and takes additional time, however hides scars more effectively. Dr De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed. The patient was very happy with the final result, it is always a privilege and a challenge to help a patient achieve a great result

6 weeks post surgery

This woman in her 50s has found herself looking more tired, with a fuller neck and heavy jaw line. She was looking for a natural rejuvenation and came for a consultation with Dr De Silva. Dr De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Her scars are very difficult to see, as Dr De Silva hides scars wear possible around the natural curves of the ears and into the hair lines so they cannot be seen. Scars made in front of the hair line are best avoided in Dr De Silvaǯs view as hair often this with natural ageing and these scars can become more visible. Hiding scars in hairline is more challenging and takes additional time, however hides scars more effectively. Dr De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed. The patient was very happy with the final result, it is always a privilege and a challenge to help a patient achieve a great result

I completed my signature facelift, neck lift and blepharoplasty procedure with a combination of fat transfer and laser. The lines around the lips can be particularly challenging and a combination of laser, fat transfer, nano fat and regenerative medicine was used. This is the very latest in technology to enhance results, nano fat, passing your own fat through very fine fat particles that are injected into the deeper facial lines, this is at the forefront of technology.

Previously I had helped her remove permanent filler in her lips that was all too common a few years ago. I am always delighted when patients come back for second procedures as they had a great first experience. Following a fall a previous chin implant had become displaced creating chin asymmetry, as well as a few years of wear and tear with sagging along her jawline and neck.

Although individual healing varies according to skin type and genetics, Dr De Silva uses customised techniques to minimise scarring after face and neck lift surgery. The scars from facelift surgery are necessary to remove lose skin after lifting. Dr De Silva believes that key to a natural face & neck lift is hiding the scars making them difficult to see. Dr De Silva preference is to conceal the scars in the natural curves around the ear, within the hair and behind the ear. Although some surgeons will save time by bringing scars in front of the ear or below the hairline, this care result in a visible scar that is very difficult to improve. Dr De Silva has developed scar-hiding techniques that include special stitches, minimum tension and attention to detail. 

She came to Dr De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options.

The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls.” Knowing that an experienced London Facial Cosmetic Surgeon could advise him about the correct procedure for facial skin sagging, he scheduled a consultation with Dr De Silva. She underwent a facelift and neck lift with Dr De Silva’s deep plane facelift that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle and a younger-looking face.

She is 8 weeks post face and neck lift in this before and after picture, which shows a younger rejuvenated appearance. She was very pleased with the natural looking results and numerous friends commented on her looking refreshed.

The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls.” She was very keen have a natural looking result having seen many3 photos of celebrities in the media, knowing that an experienced London Facial Cosmetic Surgeon could advise gre about the correct procedure for facial skin sagging, she scheduled a consultation with Dr De Silva. She underwent a facelift, neck lift and blepharoplasty with Dr De Silva’s deep plane facelift that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle and a younger-looking face. She was very pleased with the natural looking results, with her family seeing she looked good without being able to tell she had undergone surgery.

She was recommended to Dr De Silva by a colleague, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The photograph after shows only 5-weeks after surgery, with some swelling still present, shows an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery

There was marked soft tissues and lax skin along her jaw, leaving her jaw looking irregular and with deep nasolabial lines. She underwent a facelift and neck lift with Dr De Silva’s deep plane facelift that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle, lifted cheek area and a younger-looking face. The after photograph was taken at 4-months and a smooth jaw and neck line with less saggy soft tissue below the jaw line, and a younger rejuvenated appearance. She was very pleased with the natural looking results.

The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls” this was coupled with a small chin that exaggerated this appearance. She had been a life long smoker that had caused additional damage to her skin. Dr De Silva places much importance on safety and Linda stopped surgery before undergoing surgery. She was very keen to have a natural looking result, knowing that an experienced Facial Cosmetic Surgeon. She underwent a facelift, neck lift with Dr De Silva including a double corset procedure that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift.

She was very nervous of undergoing surgery as she had multiple previous surgeries in the NHS with an unsatisfactory result. She visited Dr De Silva, Specialist in Facial Cosmetic and Plastic Surgery. She underwent a face and neck lift procedure with chin augmentation. The photos 6-months after surgery show an improved jaw line and neck with facial rejuvenation. She was very happy with the final result.

She came to see Dr De Silva to undergo a natural rejuvenation. In addition Dr De Silva noted swelling around her eyes secondary to a filler introduced more than 4 years previously. She underwent face and neck lift surgery with and blepharoplasty under sedation anaesthesia. Dr De Silva utilised further technology to speed up healing and recovery time. Dr De Silva spends additional time with each patient to hide scars. The after photographs show rejuvenated appearance with smoothened neck and jaw line, freshened appearance. Swelling around her eyes were improved with a combination of dissolving of previous filler and fat transfer with lower blepharoplasty. The patient was very happy with her results from the natural looking results from her surgery.

She came to Dr De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with loose skin, softening her jaw line and leaving her jaw looking uneven. Dr De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. She underwent facelift and neck lift with fat transfer, under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr De Silva restored a more youthful jaw and neck angle. The photograph after shows 6-weeks after surgery and the photos show relatively mild swelling still present, an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

She came to Dr De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. She underwent facelift and neck lift under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr De Silva used micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The after photograph shows an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

She had gone for a number of consultation with plastic surgery and made an appointment to see Dr De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with loose skin. Dr De Silva assessed her face and discussed with her the best possible improvement with the least downtime. She underwent a mini-facelift with cheek implants under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr De Silva restored a more youthful jaw and neck angle.

The photograph after shows 6-weeks after surgery and the photos show relatively mild swelling still present, an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

She was anxious about undergoing treatment and had an important even coming up. She presented for a consultation with Dr De Silva, to discuss face and neck lifting options with eyelid surgery, and she wanted a very natural looking result. On assessment, the skin along her jaw had sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. She underwent face and neck lift surgery with blepharoplasty under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Dr De Silva spends extra time with each patient to improve the natural appearance of the result, for this patient her treatment included the use of fat transfer.

A universal aspect of ageing is loss of natural volume, the use of fat transfer restores a more youthful appearance using a patients own natural fat, 50-60% of this fat remains long-term. Each year some natural fat is lost from the face, and occasional addition of fillers can enhance appearance long-term. The patient was very happy with the improved appearance in her face and neck.

She had previously undergone facelift surgery and had been particularly worried about scarring and a long recovery. She had previously undergone general anaesthesia that has been relatively traumatic recovery, Dr De Silva offered her an alternative of sedation anaesthesia. Dr De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Dr De Silva finds that some patients who undergo revision facelift and neck lift surgery can have additional swelling in the early recovery period. Dr De Silva takes specific measures to reduce swelling over the first two weeks including the uses bio-technology, micro-drainage devices and medications.

Dr De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient had been particularly worried about the scar underneath her chin, this can be seen in the after photographs as a discrete line at 3-months, the final result of this scar will be as long as 18-months, when the scar will have thinned further. The patient was very happy with her experience with sedation anaesthesia and had been able to leave the clinic less than 1-hour after the surgery completed, her experience was far better than the surgery she had undergone years ago. The patient was very happy with the final result.

She came to Dr De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options.

Dr De Silva completed a neck lift with chin augmentation that resulted in a dramatic improvement in her neck and jaw line. The after photographs show a more youthful and healthy looking jaw line and neck. The patient was very happy with the results of the face and neck surgery.

placed creating chin asymmetry, as well as a few years of wear and tear with sagging along her jawline and neck. I completed my signature revision facelift and neck lift, repositioned her chin implant and added further refinement with fat transfer and regenerative medicine. The chin implant was customised with natural shaping to give a smoother jaw line and I use two tiny titanium screw to ensure it does not move in the future. I think you will agree she looks amazing and was really delighted with the result, thank you for trusting me to make this difference for you.

ature deep plane facelift procedure with sedation anaesthesia, that lifted changes against gravity, with combination fat transfer to give a completely natural result. She looked possibly 15-20 years younger. Although there is no exact measurement that defines a beautiful face, I use the golden ratio to correlate proportions of the face to aid refinement and facial shaping, a more V-shaped jaw line looks more youthful and feminine. The principle being no one could tell you have undergone treatment. I hope that you agree that she looks great.

face and neck with my signature #deepplanefacelift and #necklift. The deep plane #facelift lifts the dropped cheeks and #jowls recreating the heart shape of youth. I love how her #nasolabislfolds and #marionettelines are smoothed!! She had the feared smokers lines around her upper lips which I treated with a combination of laser resurfacing and fat transfer techniques. These lines can be quite resistant to treatment, although improvement is possible, they are challenging to completely smooth. Although only 8-weeks after surgery her scars are already difficult to see and will be virtually invisible with time. I look to hide scars in natural curves andOverall she looks completely refreshed and natural and lines around the ears which in the great majority of patients are discrete and challenging to see. I hope you agree that she looks more than 10years younger!

jawline and neck looks! She did not want to have a facelift or scars in front of ears, so I completed neck surgery hiding the scars completely behind her ears, yes INVISIBLE scars. I performed a #necklift with #platysmaplasty that included shaping the deeper soft tissues in the neck, reducing deeper fat and shaving down the submandibular salivary glands. What I love is how natural and un-operated she looks! She is such a wonderful woman and was so grateful for this improvement that had bothered her for years!! I am grateful she trusted me with her neck.

appearance of her nose as she always hated her neck. I performed a #deepplanefacelift #necklift with #fat transfer. She needed advanced neck surgical techniques to reduce the deeper layers of fat beneath the neck muscle and reduction in her submandibular salivary glands. This is the only way to really contour the neck in some patients although this can take an extra time in surgery and is a more advanced technique it can really define a fuller neck. This can result in a longer recovery, I combine regenerative medicine techniques with hyperbaric oxygen to enhance my patients recovery. I am grateful she trusted me with her surgery and so happy that I have been able to make such a difference to her.

ere. Revision surgery means that there is some scar tissue and change in the natural anatomy that can require additional techniques to enhance recovery including oxygen therapy and regenerative medicine. This patient was only 6 weeks after revision facelift and neck lift surgery and she was super excited by how youthful she looks, natural, just that she looks great. Her daughter thought she looked younger than her! I performed my signature #deepplanefacelift #platysmaplasty with brow lift and fat transfer. The deep plane #facelift lifts the jowls and dropped cheeks, lifting them naturally up and restoring the cheeks of youth. Her jaw line looks youthful and fresh and her scars are already discrete and virtualI hope you agree that she looks amazing, maybe 10 years younger, glowing and radiant!

uding my signature #deepplanefacelift #necklift #chinimplant #buccalfatremoval with #platysmaplasty. The deep plane #facelift lifts the dropped cheeks and jowls and as the face becomes fuller with age I combined it with the #buccalfatpadremoval to decrease the fullness of the lower cheeks. This helps recreate the heart shape of youth and a more feminine appearance, beautification of the face using the #goldenratio. She needed advanced neck surgical techniques to reduce the deeper layers of fat beneath the neck muscle and reduction in her submandibular salivary glands. Although this can result in a longer recovery, I combine regenerative medicine techniques with hyperbaric oxygen to enhance my patients recovery. She is such a wonderful lady so I am overjoyed for the new confidence she feels. I am grateful that she has allowed me to be part of her journey and trusted me with her face!

h and bands in her neck. I performed a #deepplanefacelift #necklift with natural #fattransfer. I love her gorgeous new jawline and how crisp her neck! There were so many lines and creases before surgery and a combination of lifting with fat transfer has made a massive difference to her appearance. Many patients are worried that facelift surgery will give them an unnatural appearance but this can be avoided with advanced and meticulous techniques. She is such a wonderful lady and I am grateful she trusted me with her face!

nged recovery time and wanted a very natural looking result. On assessment, she had a small chin and marked loose skin along her jaw, with softening her jaw line and leaving her jaw looking uneven. Dr De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. She underwent face and neck lift surgery with a chin implant under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Although some patients notice only the neck, it is often important to correct droopy jowls and the jaw line with a combined face and neck lift, this is key to ensure a natural and long-lasting result. At 6-months there is a good improvement in her neck, with an improved shape and jaw line. The neck is not perfect, as there is a mild irregular contour, however with very loose skin in the neck it is challenging to achieve complete perfection and realistic expectations are important. There is a marked improved in the loose skin and scars are difficult to see. The very final result from face and neck lift surgery is towards a year, as at six months there will still be some tightness in the neck area, numbness and this is a normal part of healing that will resolve.

e jowls and deep cheek fat and musculature vertically recreating a heart shaped face. For her neck I performed a #necklift and #platysmaplasty. To open her eyes I performed an upper and lower #blepharoplasty to remove excess eyelid skin. To address her skin I performed a #laserresurfacing which polishes the fine lines and enlarged pores in her skin, combined with regenerative medicine to enhance natural healing. I hope you agree that she looks absolutely amazing and I am so happy that I have been able to make this difference to her.

e show a 50% failure rate at 2 years after a traditional SMAS facelift. I performed a #deepplanefacelift to reposition the heavy deep fat and musculature but a #platysmaplasty for #platysmabands . For men the face can never be tight because it can feminize the facial appearance. In my #deepplanefacelift approach for men because the skin, underlying #subcutaneousfat and facial muscles are lifted as one unit so the lift comes from the deep structure of the face so the skin never appears tight. His major concern was looking natural and after his surgery I think he looks like a better version of himself just years younger!!! At the same time I performed a #browlift to lift his drooping brow that opened his eyes and an upper and lower #blepharoplasty to treat eyelid bags and extra skin.