One of the most frequent indicators of facial ageing are changes in the neck. The appearance of vertical bands in the neck and fullness below the jaw are common signs of facial ageing.
Lifting of the neck restores the sharp angle between the jawline and neck associated with youth and removes the unsightly vertical bands in the neck.
Ageing of the face is characterised by three key changes, loss of volume of the fat and soft tissues in the face, gravitational descent of facial soft tissues and laxity of the skin. For some patients, the majority of the changes are in their neck as a combination of facial ageing and often genetics.
A neck lift in London can improve your jawline, restore a youthful angle to your neck and remove loose skin and fullness. Many patients can result in a better neck than they had even in their thirties.
Key to natural-looking results is an artistic and anatomical understanding of these three elements, so the elements of facial ageing can be rejuvenated naturally.
With neck lift surgery, Dr De Silva’s philosophy is that there are three important aspects of facial surgery:
Each of these aspects we have refined and improved to give you a smooth experience and recovery. A great looking neck lift requires a balance of respect to a patient’s genetic makeup surgical technical excellence and the surgeon’s artistic talent.
Dr De Silva has developed a signature neck lift that incorporates his artistry. Dr De Silva customises every neck lift to the patient’s facial characteristics and often will use complementary treatments to improve his patient’s results and enhance their recovery. Some patients can benefit from a smaller procedure limited to one-hour; other patients may need a combined facelift for the best result.
Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.
“My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all 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.”
In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.
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.
Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.
Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.
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.
Many patients come to see Dr De Silva, as they are concerned about looking too different and want to have a natural rejuvenation with hidden scars and a fast recovery.
We have also seen media photographs of celebrities who look quite different from their youth and a natural-looking rejuvenation is important for most of my patients. Having a facelift or neck lift surgery is a “big” decision for many patients as it is a choice to undergo surgery.
Dr De Silva has respect for each person’s decision and provides a personalised evaluation and treatment options to enable you to make an informed decision about undergoing surgery.
This begins with a consultation to discuss the changes that you have noticed, the expectations you would like to see for improvement and a discussion regarding recovery and potential risks.
We see a number of unnaturally pulled vectors or directions in the neck, so the vector or direction of elevation is very important.
Dr De Silva, a London neck lift specialist, places importance on establishing a smooth jawline as one of the most important aspects to an excellent result while avoiding the pulled tight look.
The vector of elevation should be parallel to the jawline in the front and at a slight angle towards the ear in the back to avoid puckering at the post-ear and achieve the most natural outcome.
The aim of the neck lift should be to get a distinct jawline along the mandibular bone, with a sharp angle to the neck.
The area may be filled with a layer of fat, which may be amenable to soft tissue reduction (including fat); alternatively, Dr De Silva will directly sculpt and stitch the soft tissue layer under direct visualisation.
There are genetic factors that can result in excessive soft tissue (including fat) beneath the jawline and laxity in the platysma muscle that is not improved by weight loss, and this can result in a poorly shaped jawline and neck appearance at a relatively young age 20s-30s.
Weight loss will have an effect on improving the condition of your neck as there is fat that can accumulate under the neck.
However, with increasing age (over 40) there is reduced natural elasticity in the skin, and weight loss can result in loose skin below the neck. Loose skin cannot be effectively treated non-surgically and requires a surgical procedure to give a natural-looking rejuvenation.
Ageing changes in the neck including vertical bands in the neck, skin laxity and soft tissue changes below the jawline are not effectively treated with non-surgical methods and require neck lift surgery to give a natural-looking rejuvenation.
Dr De Silva has transformed thousands of faces through his unique surgical techniques. Below is a small sample of some of his transformations.
“I don’t normally write reviews but this one I had to do. I had a fairly significant procedure done with Dr De Silva recently. I am thrilled with the results and have been very impressed with the Practice throughout. Dr De Silva brings amazing skill and expertise to the surgery. Further I found him and all the staff fantastic to deal with; they were incredibly patient, kind, and went out of their way to make me feel at ease. I cannot remind Dr De Silva and team highly enough. I am very grateful and only wish I had done this sooner.”
The length of a neck lift will depend on the complexity of the surgery, the degree of laxity and facial ageing and patient ethnicity and sex.
On average a neck lift will take from 1 and a half to 3 hours, less than 90 minutes is a short length of time. There is a great deal of individual variation in the neck, and good surgery requires meticulous attention to detail, including measurements and time.
It is important that your surgeon takes adequate time to complete the surgery cautiously and without rushing. Combined face and neck lift takes on average 4 to 6 hours. Dr De Silva allows a minimum of 3-hours for most neck lift procedures and allows additional time to ensure the best possible result.
For more complex revision neck lifting and combination treatments including facelift, fat transfer and blepharoplasty additional time may be required up to 7-8 hours.
Dr De Silva generally limits neck lift to 4-hours as, after this time, there can be increased swelling that can affect the appearance of the neck.