London Facial Plastic Surgeon Facelift, Blepharoplasty, Rhinoplasty - Harley Street
Dr De Silva performing surgery

Read the Latest
from Our Blog

FACELIFT SURGERY IN HARLEY STREET

Our Blog

Understanding Eye Anatomy for a Successful Blepharoplasty

Understanding Eye Anatomy for a Successful Blepharoplasty

If you're thinking about getting eyelid surgery, you're probably focused on how it will make you look more refreshed and awake. That’s totally fair. Blepharoplasty can do wonders for removing under-eye bags, lifting droopy lids, and smoothing out sagging skin. But there’s one factor that often gets overlooked: the surgeon’s understanding of eye anatomy. Yes, technique and experience matter. But a deep knowledge of the anatomy of the eye, especially the anatomy of the eyelid, can make the difference between a subtle, natural-looking result and one that looks off. This is why choosing a surgeon with real anatomical expertise is so important. Let’s break it down and see why eye structure matters more than you think. Why Eye Anatomy Matters in Blepharoplasty Eyelid surgery isn’t just about trimming skin. It involves multiple delicate layers: skin, muscles, ligaments, and fat pads. All of these parts are small, closely packed, and vary slightly from person to person. A good surgeon knows how to work with these layers safely and effectively. Think of it like a watch. From the outside, it’s simple and sleek. But inside, it’s full of tiny parts that all need to work together perfectly. Your eyes are similar. The external eye anatomy you see in the mirror, the lids, lashes, and fold, is just the surface. Underneath, there’s a whole system working to protect your eyes and help them function. Without the right knowledge of that system, things can go wrong. Removing too much skin or fat, cutting in the wrong place, or tightening a muscle incorrectly can lead to complications like asymmetry, dry eyes, or even trouble blinking. A Quick Overview: The Key Structures Behind Your Eyelids Your upper eyelid is made up of three main layers: Skin: The outer layer that often becomes loose or crepey with age. Orbicularis Muscle: A circular muscle that helps you blink and close your eyes. Fat Pads: These sit behind the muscle, especially in the inner corners of the eyes. As you age, these fat pads can start to bulge forward, leading to puffiness. A skilled surgeon doesn’t just remove what looks “excessive.” They assess all these parts and how they’re working together. They’ll know how to adjust or preserve them in ways that give you a smoother, more youthful appearance, without sacrificing the natural shape and function of your eyelids. What Happens During Upper Eyelid Surgery? As Dr. Julian De Silva explains in his expert video, a good upper blepharoplasty involves: Removing a strip of loose skin Tightening the underlying orbicularis muscle Carefully reshaping fat in the inner corner of the eye It may sound simple, but each step needs precision. You can’t just guess where to cut or how much fat to take out. A surgeon with strong knowledge of eye anatomy will understand exactly where to work, and more importantly, where not to touch. For example, there are fibrous structures deep in the eyelid that help keep your lid in the right position. If those are damaged or removed, it can lead to eyelid droop or shape changes. Avoiding these structures is only possible if the surgeon truly understands the anatomy of the eyelid. The Risks of Choosing a Surgeon Without Anatomical Expertise Here’s the hard truth: not every surgeon is equally trained in facial anatomy. Some may be general plastic surgeons without specific experience in the eyelid area. Others may offer blepharoplasty as part of a longer list of cosmetic treatments, but without deep expertise in this specific zone. Without strong anatomical knowledge, your results may look unnatural. You might get overly hollowed” eyes if too much fat is taken. Or your lids might feel tight and uncomfortable if the wrong structures are disturbed. Worse, your vision or eyelid function could be affected if key tissues are damaged. Choosing a Surgeon With the Right Skills So, how can you tell if a surgeon knows their stuff? Here are a few good signs: They explain the anatomy clearly. A qualified surgeon will be able to walk you through how each part of your eyelid contributes to your results. They individualise their approach. Eyelid anatomy varies slightly from person to person. Your surgeon should assess your structure, not just follow a “one size fits all” plan. They have dedicated experience. Look for someone who focuses on facial surgery and has done many successful blepharoplasty procedures. A surgeon like Dr. Julian De Silva, who not only performs these surgeries regularly but also explains the reasoning behind each step, is exactly the kind of expert to trust. It’s Not Just About Looks, It’s About Long-Term Function A successful blepharoplasty should never compromise the way your eyes work. Yes, it should make you look more awake, less tired, and more youthful. But it should also leave your eyes comfortable, mobile, and safe. That’s why understanding the anatomy of the eye is essential. A surgeon with this knowledge won’t just focus on the surface. They’ll go deeper to ensure that your eye structure remains balanced and functional, even as the outer appearance improves. What You Can Expect From a Surgeon Who Knows Eye Anatomy When you book a consultation with a specialist, here’s what that experience should look like: They’ll examine not just your eyelids, but your whole eye area. They’ll consider how fat, muscle, and skin contribute to your current concerns. They’ll point out which areas need adjustment and which should be left alone for the best outcome. Most importantly, they’ll answer your questions with confidence and clarity. This kind of in-depth assessment is what leads to results that look completely natural, like you, just more rested. Conclusion Eyelid surgery might look straightforward on the surface, but it’s one of the most intricate facial procedures. Every little cut, adjustment, and suture affects how you look and feel afterward. That’s why a surgeon’s knowledge of eye anatomy, especially the external eye anatomy and anatomy of the eyelid, is absolutely essential. If you're thinking about having upper or lower blepharoplasty, don’t just look at before-and-after photos. Ask questions. Find out how well your surgeon understands the complex structure of the eye. And choose someone who takes that knowledge seriously. Your eyes are one of the most expressive parts of your face. Trust them to someone who understands exactly how they work. Book a blepharoplasty consultation today and take the first step toward a refreshed, natural-looking you, guided by true anatomical expertise.

READ MORE
Will I Have Pain After Rhinoplasty? Here’s What to Expect

Will I Have Pain After Rhinoplasty? Here’s What to Expect

If you're thinking about getting a nose job, it's totally normal to wonder: Will I have pain after rhinoplasty? A lot of people worry about pain, and that concern often holds them back from booking the surgery. The good news? It’s usually not as bad as you might think. In this blog, we’ll explain what the post-nose job pain is really like, how it's managed, and what you can do to feel more comfortable. So, Will It Hurt? Yes, but not much. According to Dr. Julian De Silva, most patients experience mild pain after rhinoplasty, which is usually short-lived. The discomfort typically shows up within 24 to 48 hours after the surgery. And here’s the surprise: The pain can be controlled by analgesia or pain relief medication that’s commonly used once or twice during those first two days. Patients often say they’re shocked by how little it hurts. It’s actually more of a discomfort than actual pain. Think of it like a pressure or dull ache rather than anything sharp or unbearable. What Kind of Discomfort Should I Expect? Most of the post-rhinoplasty pain is linked to swelling and mild bruising. Some people feel it more along the bridge of the nose. That’s usually related to the healing of the nasal bones and only happens in a small number of cases—about 5% of patients. Even then, it's not serious pain. It’s more of a dull, lingering sensation. A couple of painkillers now and then are often enough to sort it out. Another thing to keep in mind: Nasal congestion can feel annoying. After a rhinoplasty, it’s common to feel stuffy because of swelling inside the nose. It might feel like a bad cold or blocked sinuses, but this usually improves with a saline nasal spray. How Is Pain Managed After Surgery? Post-nose job pain is managed in a few different ways. First, every patient gets a prescription for pain relief. Even though many don’t need to use it much, it’s there just in case. Dr. Julian De Silva also recommends simple things like: Cold compresses: Applying ice to the nose helps reduce swelling and gives relief. Saline spray: Keeps the inside of your nose moist and helps ease congestion. Taking meds early: If you do feel discomfort, taking your pain relief on time really helps prevent it from building up. The goal is to stay ahead of the discomfort, even if it's mild. Being proactive makes a big difference. Can You Prevent Pain After Rhinoplasty? You can’t remove every bit of discomfort, but there are ways to make your recovery easier and smoother. Here’s what helps: Surgical technique matters: Dr. De Silva uses advanced techniques to minimise trauma during surgery. That means less swelling and less pain. No nasal packing: Some surgeons pack the nose after surgery, which can be uncomfortable. Dr. De Silva avoids this whenever possible. Dissolvable stitches: These don’t need to be removed, which avoids more poking and prodding during healing. Long-lasting anaesthetic: Dr. De Silva uses a local anaesthetic that lasts several hours after surgery. This means the nose stays numb for most of the day, which reduces early discomfort. Sedation instead of general anaesthesia: Sedation offers a gentler recovery and avoids the groggy, nauseous feeling that some people get with general anaesthesia. All of these things add up to a much more comfortable experience overall. You can also check our guide on how long a nose job takes to heal to know what to expect. Is Pain Different for Every Patient? Yes, everyone’s experience is a bit different. Some people bounce back quickly and feel no discomfort at all. Others might have a few days of mild irritation or nasal congestion. The good thing is, severe pain after rhinoplasty is extremely rare. If you’ve ever had a sinus infection or a blocked nose from a cold, that’s the kind of sensation some people describe after surgery—not sharp pain, just a stuffed-up feeling that gets better day by day. Most of the recovery is more about taking it easy and being patient while your nose heals, not about dealing with pain. What If You’re Still Nervous About Pain? It’s completely okay to be nervous. Surgery is a big step. If you’re worried about post-rhinoplasty pain, one great option is to talk to someone who’s had the procedure. Dr. Julian De Silva recommends chatting with past patients. Hearing from real people can help you get a clearer idea of what recovery is like. Most will tell you the same thing—it wasn’t as bad as they thought. Knowing what to expect helps reduce anxiety, and feeling calm going into surgery makes your recovery even smoother. Quick Tips to Stay Comfortable After Your Nose Job Here’s a simple list to help you manage post-rhinoplasty pain and recover well: Use painkillers if needed, especially in the first two days. Apply cold compresses gently to reduce swelling. Use a saline nasal spray to ease congestion. Keep your head elevated while resting or sleeping. Avoid heavy lifting or bending for at least a couple of weeks. Stick to soft foods for the first few days if chewing feels odd. Don’t smoke because it slows healing. Follow all your surgeon’s instructions closely. Conclusion So, will you have pain after rhinoplasty? Probably not much. Some discomfort is normal, especially in the first 24 to 48 hours. But it’s manageable, short-lived, and rarely serious. Most patients are pleasantly surprised by how mild the recovery is. With expert surgical technique, proactive care, and a little patience, your healing journey should be smooth and comfortable. Still unsure? Let’s talk it through. Book a rhinoplasty consultation here and get answers tailored to you.

READ MORE
Avoid These 10 Skincare Products After Your Facelift

Avoid These 10 Skincare Products After Your Facelift

After a facelift, most people are excited to enjoy their results: smoother skin, fewer wrinkles, and a refreshed appearance. But what many don’t realise is that your post-facelift skincare routine plays a massive role in how well you heal and how long your results last. It’s not just about what to apply. It’s also about what to avoid. Some skincare products that are perfectly fine under normal circumstances can cause irritation, slow down healing, or even interfere with your facelift results if used too soon. If you’re recovering from a facelift or preparing for one, here’s a list of 10 skincare products to avoid post-facelift, based on expert advice from facial cosmetic surgeon Dr. Julian De Silva. 1. Retinol and Retinoids Let’s start with a popular one: retinol. It’s known for its anti-ageing benefits and ability to increase cell turnover, which can help reduce fine lines and improve skin texture. But right after a facelift? Not the best idea. Products like tretinoin (Retin-A), retinol, and other retinoids are powerful, and that power can be too much for healing skin. They can trigger irritation, dryness, and inflammation—all things you want to avoid while your face is trying to recover. Facelift and skincare tip: Avoid retinoids for at least six weeks post-surgery. Once your skin has healed and your surgeon gives the go-ahead, you can reintroduce them slowly. 2. Chemical Exfoliants (AHAs and BHAs) Chemical exfoliants like alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs) are found in a lot of toners, serums, and peels. They’re great for sloughing off dead skin cells and helping with acne or dullness, but not right after surgery. These acids can penetrate the skin deeply, which means they can also irritate it more than usual during the healing process. Post facelift skincare rule: Skip glycolic acid, salicylic acid, and other exfoliating acids for a few weeks. Focus on letting your skin recover naturally. 3. Acne Treatments If you regularly treat acne with products like benzoyl peroxide, you’ll want to hit pause during your facelift recovery. While these treatments help by killing bacteria and drying up breakouts, they also dry out the skin overall, which can be a real problem when healing. Skincare to avoid post-facelift: Put the acne treatments on hold unless your surgeon recommends a gentler alternative. Dry, irritated skin doesn’t heal well and can lead to scarring. 4. Vitamin C Serums Vitamin C is one of the best-known ingredients for brightening the skin and fighting free radicals. It helps with pigmentation and supports collagen production, which sounds ideal, just not right after surgery. Topical vitamin C can sting and irritate sensitive, healing skin. However, oral vitamin C in supplement form is actually helpful during recovery because of its antioxidant benefits. Facelift skincare advice: Skip the serum, but keep taking your oral vitamin C supplements to support healing from the inside out. 5. Exfoliating Scrubs Grainy face scrubs and brushes might seem like a great way to remove dead skin and feel squeaky clean, but after a facelift, they can do more harm than good. These scrubs are too rough on healing skin and can cause tiny cuts or irritations that delay your progress. Post-facelift skincare reminder: No physical exfoliation until you’re fully healed. Be gentle and stick to soft cloths and lukewarm water in the meantime. 6. Essential Oils They may be natural, but essential oils are still strong and can be irritating. Lavender, tea tree, eucalyptus—they all smell nice and have various benefits, but they can trigger redness, itching, or even allergic reactions after surgery. Skincare to avoid post-facelift: Steer clear of products with essential oils or oil blends during recovery. Even “calming” oils can be too intense for fresh surgical skin. 7. Hydroquinone Hydroquinone is a skin-lightening agent often used to reduce pigmentation or dark spots. While it can be helpful for some patients during facelift recovery (especially if hyperpigmentation starts to develop), it’s not something you want to use right away. Using it too soon can irritate healing skin and worsen inflammation. Facelift and skincare tip: Only use hydroquinone once your surgeon advises it. It’s powerful, and timing is key. 8. Alcohol-Based Skincare Alcohol is found in many toners, spot treatments, and cleansers because it dries quickly and helps other ingredients absorb. The problem? It also dries out your skin, which is something you definitely don’t want post-facelift. Post facelift skincare warning: Avoid products with alcohol (look for “alcohol denat” or “ethanol” on labels). Dry skin doesn’t heal well and is more prone to irritation. 9. Fragranced Products Nice-smelling skincare might feel luxurious, but fragrances are one of the most common causes of skin irritation. That irritation can be even worse when your skin is healing from surgery. Fragrance doesn’t add any healing benefits. It’s just there to smell good. Skincare to avoid post-facelift: Choose fragrance-free cleansers, moisturisers, and serums. Less is more when it comes to ingredients right now. 10. Self-Tanning Creams and Lotions You might be tempted to use a bit of self-tanner to give your skin a glow while recovering, but don’t. These products usually contain DHA (dihydroxyacetone), which reacts with the outer layers of your skin to create a tan-like effect. That reaction can interfere with healing and lead to uneven colour while your skin is still sensitive. Facelift skincare tip: Skip the self-tanner until your skin is fully healed. You’ll get a more even look if you wait just a few weeks. Why Does This Matter? After a facelift, your skin is healing from the inside out. Using the wrong products can trigger irritation, prolong recovery, or even affect your final results. The last thing you want after surgery is to undo all the work by applying something that causes a setback. Facelift and skincare choices during recovery should be simple and gentle. Think of your skin like a healing wound because it needs time, patience, and the right care. Avoiding harsh ingredients isn’t just about comfort. It’s about protecting your investment in the surgery and getting the best possible results. What Should You Use Instead? During recovery, stick to: A mild, fragrance-free cleanser A gentle moisturiser (preferably recommended by your surgeon) SPF (once your surgeon says it’s okay) Prescribed ointments or creams, if provided by your doctor These basics will support your skin without overwhelming it. Ready to Plan Your Facelift and Recovery? If you’re considering a facelift or you’ve recently had one, knowing which skincare products to avoid post-facelift is a crucial part of recovery. Healing properly will not only help you feel more comfortable but also ensure the best long-term outcome. Do you want expert guidance on post-facelift skincare? Or are you thinking about having a facelift but not sure how to plan for recovery? Book a facelift consultation with Dr. De Silva today to get personalised advice from a facial cosmetic expert and learn how to protect your results every step of the way.

READ MORE
Surgical vs. Non-Surgical Rhinoplasty: What’s the Right Option for You?

Surgical vs. Non-Surgical Rhinoplasty: What’s the Right Option for You?

Thinking about reshaping your nose? Whether it’s for cosmetic reasons or to fix breathing issues, it’s completely normal to wonder about the best route to take. One of the most common questions Dr. Julian De Silva gets asked this question, “Surgical vs. non-surgical rhinoplasty: which is better?” Both options can improve the look of your nose, but they work very differently and offer different kinds of results. Let’s break it down so you can make a confident, well-informed decision. What Is Non-Surgical Rhinoplasty? Also known as a liquid nose job, non-surgical rhinoplasty involves using dermal fillers (usually made of hyaluronic acid) to change the shape of your nose. There’s no cutting, no general anaesthetic, and you can be in and out of the clinic in under 30 minutes. This treatment is ideal for people who want to: Smooth out small bumps on the bridge of their nose Lift a droopy tip slightly create more balance or symmetry from a side profile However, it’s important to understand that non-surgical rhinoplasty works by adding volume. So, it can only enhance certain features—it can't make your nose smaller or remove tissue. If your nose already feels too large, adding filler may actually make it look even bigger. What Is Surgical Rhinoplasty? Surgical rhinoplasty, on the other hand, involves reshaping the bone and cartilage of the nose under general anaesthesia. This can include removing bumps, refining the tip, straightening the bridge, and reducing overall size. It also allows for internal corrections to improve breathing, such as fixing a deviated septum. This option is better suited for people who: Want permanent results Need structural changes or reduction Struggle with breathing due to nasal obstruction Have thick skin, asymmetry, or previous injuries Unlike fillers, surgery can subtract tissue, which means it offers far more flexibility in terms of reshaping and reducing the nose. Non-Surgical vs. Surgical Nose Jobs: Key Differences If you’re trying to decide between rhinoplasty vs. non-surgical rhinoplasty, the main difference comes down to what each method can actually achieve. Non-surgical rhinoplasty is great for subtle surface changes. It’s less invasive, requires no recovery time, and results are visible immediately. However, these results are temporary and need to be repeated every six to 12 months. Surgical rhinoplasty offers long-term results and can dramatically change the structure of your nose. But it comes with a longer recovery period, typically one to two weeks of downtime and several months for full healing. So, if you’re hoping to slim your nose, fix a crooked bridge, or breathe better, surgery is usually the only option that can deliver those results. Who’s a Good Candidate for Each? Dr. De Silva suggests that non-surgical rhinoplasty works best for people who already have a reasonably shaped nose and want a small touch-up, like smoothing a minor bump or slightly lifting the nasal tip. It’s also a good way to “trial” how your nose might look after surgical rhinoplasty, without committing to surgery straight away. Surgical rhinoplasty is better for people looking for long-term or functional results. It’s the best choice if you want to make your nose smaller, narrow the nostrils, or correct deformities caused by injury or genetics. Also, if you have thick skin or certain ethnic nose shapes, surgical ethnic rhinoplasty gives more control and precision than fillers can offer. Dr. De Silva is careful to preserve each patient’s ethnic features while enhancing their natural beauty, so the outcome still feels like you. Risks and Safety Considerations As with any procedure, both types of rhinoplasty come with risks. With non-surgical rhinoplasty, the main risk is accidentally injecting filler into a blood vessel. This can reduce blood flow and, in rare cases, lead to skin damage or even blindness. While the chance of this happening is less than 1%, it’s serious, which is why it’s so important to go to an experienced medical professional. Dr. De Silva uses techniques that reduce risk, like injecting slowly, using small amounts of filler, and sometimes choosing a blunt-tipped cannula instead of a needle. He also keeps an enzyme called hyaluronidase on hand, which can dissolve the filler immediately in case of emergency. Not every clinic offers this. Surgical rhinoplasty carries its own risks, like infection, scarring, or not being happy with the final result. But when performed by a skilled facial specialist, complications are rare. What About Functionality? If your concerns are more than cosmetic—say, you’ve had an injury, struggle to breathe, or have a deviated septum—non-surgical rhinoplasty won’t help. It simply can't fix internal nasal structures. In these cases, surgery is necessary. A proper exam, which includes looking inside your nose with a small camera, will help identify if your breathing issues are due to a blocked airway or structural defect. Dr. De Silva often combines cosmetic and functional surgery to improve both the appearance and performance of your nose. Recovery Time and Results One of the biggest benefits of non-surgical rhinoplasty is that there’s basically no downtime. You might have a bit of swelling or bruising, but most people return to work or normal activities the same day. Results are visible instantly, although they’ll fade after about a year. Surgical rhinoplasty requires a bit more patience. You’ll likely need a week off work, and while most swelling subsides within the first month, the final shape of your nose may take up to a year to fully settle. That said, the result is long-lasting, often permanent, and you don’t need to keep coming back for top-ups. Cost Considerations Non-surgical rhinoplasty is more affordable in the short term, but keep in mind that it’s not permanent. If you continue getting fillers every year, the costs can quickly add up. Surgical rhinoplasty involves a bigger upfront investment, but the results last for many years or for life. It may be more cost-effective in the long run, especially if you want a significant change. Which Should You Choose? If you’re still debating between rhinoplasty vs. liquid rhinoplasty, it helps to think about your priorities. Want a quick fix for a minor concern, with no downtime and reversible results? Non-surgical might be your best bet. Need a permanent change, want to reduce size, or fix functional issues? Surgical rhinoplasty is the way to go. Dr. De Silva advises everyone to book a consultation before making a decision. During that time, your nose shape, skin thickness, facial balance, and even your breathing will be carefully assessed. From there, you’ll get personalised advice on which treatment is right for you. Conclusion Choosing between surgical and non-surgical rhinoplasty is a personal decision, and the best option depends on your goals, anatomy, and expectations. Dr. Julian De Silva is a world-renowned facial cosmetic surgeon with years of experience helping patients achieve natural-looking results they love. Book a rhinoplasty consultation today and find out which approach suits you best, because your nose should look and feel just right for you.

READ MORE
How to Stop Facial Swelling Fast

How to Stop Facial Swelling Fast

Swelling is common after a cosmetic facial surgery like a facelift, neck lift, blepharoplasty, and rhinoplasty. However, managing swelling can be challenging. But don't worry because you can reduce facial swelling and speed up your recovery with the right steps. In this post, we'll go over how to stop facial swelling and bruising after a facelift. If you've recently undergone a facelift, following these tips helps you feel more comfortable and heal faster. How to Reduce Facial Swelling on the Face Fast Facial swelling typically peaks within the first 48 hours after surgery and starts to subside after a week or so. However, you can take action to help minimise it and speed up the healing process. Here's how to reduce facial swelling on the face fast: 1. Use Ice or Cold Packs You've probably seen athletes use ice packs for injuries, and it's no different for facial surgery. Applying cold to the swollen area helps reduce inflammation and pain. For the first 48 to 72 hours, use an ice pack wrapped in a cloth to avoid direct contact with your skin. Apply it for 10 to 15 minutes every hour to manage swelling and discomfort. 2. Keep Your Head Elevated The position of your head plays a big role in managing facial swelling. Even when you sleep, keep your head raised using pillows or an adjustable recliner. This allows fluids to drain away from the surgical site, preventing extra swelling. Try to sleep at a 45-degree angle if you can. 3. Avoid Hot Showers While hot showers might be relaxing, they can increase swelling. Avoid hot water for the first few days after surgery, as heat can dilate blood vessels and worsen facial swelling. Opt for lukewarm water when washing your face or showering. 4. Apply a Warm Compress After 48 Hours Once the initial swelling has started to go down (after 48 to 72 hours), you can switch from ice to a warm compress. This helps stimulate blood flow and promotes healing. Use a warm, moist towel or a heating pad on a low setting for about 15 to 20 minutes at a time. This can help reduce swelling on the face quickly and encourage quicker recovery. 5. Eat a Healthy, Low-Salt Diet Your diet plays a role in reducing swelling. Excess salt can cause the body to retain water, which can worsen facial swelling. Stick to a balanced diet with plenty of fresh vegetables, lean proteins, and whole grains. Foods rich in Vitamin K, like spinach and kale, can help reduce swelling. Also, stay hydrated by drinking plenty of water to keep your body functioning well during recovery. 6. Avoid Smoking and Drinking Alcohol Smoking and alcohol can slow down the healing process and worsen swelling. It's important to stop smoking at least eight weeks before surgery and refrain from smoking and drinking alcohol during recovery. These habits can impair your immune system, increase swelling, and raise the risk of complications. 7. Take Care of Your Stitches If you have stitches or bandages, follow your doctor's instructions for cleaning and changing them. Proper wound care helps prevent infections that could worsen swelling. If your doctor gave you any special ointments or medications, be sure to use them as directed. How to Reduce Bruising on the Face Fast While facial swelling is a natural part of the healing process, there are things you can do to reduce bruising and feel more comfortable. Check them out below: 1. Massage Once the swelling has gone down enough, a gentle massage can help move fluids away from the affected areas. However, only do this after your doctor gives you the go-ahead. Massaging too soon could make things worse. 2. Try Arnica or Vitamin K Cream Arnica is a natural remedy known to reduce bruising and swelling. You can apply arnica gel to the swollen areas a few times a day, starting after the first 48 hours. Similarly, Vitamin K cream can help speed up healing and reduce bruising. These treatments can be found in most drugstores. 3. Rest Well Rest is one of the most important factors in reducing bruising fast. Avoid strenuous activities and exercise, as they can increase blood flow to the face and make swelling worse. Take it easy during the first few weeks to give your body the time it needs to heal. 4. Wear Compression Garments Some surgeons may recommend wearing a compression garment to reduce bruising after facial surgery. These garments help promote circulation and prevent excess fluid buildup. If your doctor suggests one, follow their advice on when and how long to wear it. How Long Does Facial Swelling Last? Facial swelling is a temporary issue that should start to subside within the first week after surgery. Typically, the worst of the swelling will last for about two to three days, but it can take up to two weeks for it to go away completely. Bruising often accompanies swelling but will also fade within two weeks. If you've had stitches, they may need to be removed about a week after surgery. Your doctor will provide you with a follow-up plan to ensure everything is healing properly. When to See a Doctor If you experience excessive swelling, severe pain, or difficulty breathing, it's important to contact your doctor immediately. These could be signs of an infection or an allergic reaction to medications or anaesthesia. Regular check-ups with your surgeon also ensure that everything is healing as expected. Dr. De Silva uses strategic techniques to minimise swelling and bruising after a facelift. Conclusion Swelling after facial surgery is normal, but managing it effectively helps you feel better and heal faster. By following the steps above, you can reduce facial swelling and speed up your recovery process. From using ice packs and keeping your head elevated to avoiding smoking and alcohol, these simple tips can make a big difference. If you're looking for more personalised advice on how to stop facial swelling, don't hesitate to reach out to your surgeon for recommendations tailored to your specific procedure. Remember, proper aftercare and patience are key to a smooth recovery and a beautiful final result. Are you considering a cosmetic facial procedure in London? Dr. De Silva's clinic in Central London, Harley Street, W1, is one of the best. Book a consultation here to discuss your options and get a personalised treatment plan.

READ MORE
The Truth About Facial Surgery Scars: What You Need to Know

The Truth About Facial Surgery Scars: What You Need to Know

Facial surgery can offer amazing results, restoring youth and enhancing appearance. However, many potential patients are concerned about the visibility of scars after procedures like facelifts and blepharoplasty. It's natural to worry about whether the results will look natural or whether scarring will be noticeable. Fortunately, advanced surgical techniques today focus on minimising facial surgery scars, helping you achieve smoother, rejuvenated skin with minimal evidence of the procedure. In this post, we'll dive into common patient concerns, why scars can be visible after surgery, and the techniques available to help minimise scarring. If you're considering surgery or have concerns about scarring from previous procedures, this guide will provide valuable insights. Common Concerns About Scarring After Facial Surgery Many patients worry about scars being visible after facial surgery, especially in highly noticeable areas like the eyelids, jawline, and neck. A primary concern is that scars will be permanent and unsightly, ruining the aesthetic outcome of the surgery. Additionally, some fear unnatural results where the face might look operated on rather than naturally refreshed. Take, for example, a patient who had a previous blepharoplasty (eyelid surgery) and face and neck lift performed by another surgeon. This patient came to Dr. De Silva, expressing dissatisfaction with visible scars, asymmetry, and puffiness under her eyes. Despite undergoing multiple surgeries, the patient still appeared tired and aged, with visible scars and uneven skin texture. This highlights how important it is for surgical procedures to be carefully planned and executed to avoid visible scarring. Why Can Scars Be Visible After Surgery? Visible scars after surgery can result from several factors: Poor Surgical Technique or Incision Placement: If incisions are not placed in natural creases or hairlines, scars are more likely to catch the light and become visible. Healing Process: Different skin types heal differently. Some individuals may be more prone to developing prominent scars due to their skin's natural response to healing. Individual Facial Anatomy: Every face is unique, and surgeries need to be tailored to the patient's facial structure. Failing to plan for individual features can result in unsatisfactory outcomes, including visible scars and asymmetry. As Dr. De Silva notes, even subtle mistakes, such as placing an eyelid surgery scar too high or removing too much skin, can lead to issues like puffiness, unevenness, or eyelid retraction, which are more noticeable. How to Minimise Scarring After Surgery The good news is that with the right techniques and an experienced surgeon, scars can be hidden or significantly minimised. Below are some ways that modern surgery can help reduce the visibility of scars: 1. Strategic Placement of Incisions A key to minimising scarring is placing incisions in natural facial creases or hairlines. For example, Dr. De Silva advises placing eyelid surgery scars lower within the natural crease of the eyelid, making them nearly invisible when the eyes are open. Similarly, in facelift surgeries, the goal is to position the incisions along the natural contours of the ears, making them much harder to spot. 2. Deep Plane Facelift Technique A deep plane facelift is an advanced method that not only lifts the skin but also addresses the underlying facial structures, such as ligaments and fat. This technique allows for more natural results and faster recovery times, as it avoids some of the common issues associated with traditional facelifts, such as visible scars or pulled skin. 3. Fat Transfer and Laser Resurfacing Fat transfer and laser resurfacing are excellent complementary techniques for improving the skin's texture and reducing visible scars. Fat transfer involves taking small amounts of fat from other parts of the body (such as the abdomen) and injecting it into areas of the face that have lost volume, such as the cheeks or under the eyes. This can smooth out wrinkles and lines, creating a more youthful appearance while helping the skin heal. Laser resurfacing helps to reduce the appearance of scars by encouraging the skin to renew itself. By stimulating collagen production, it can improve the texture and tone of the skin, leading to smoother and more even results. 4. Revision Surgery For patients who are unhappy with previous facial surgery results, revision surgery can be an excellent option. In revision cases, the surgeon carefully plans and executes new incisions, corrects any asymmetry, and addresses issues like puffiness or skin texture. As Dr. De Silva points out, revision surgeries focus on precision and artistry, blending surgical skill to ensure natural-looking results without visible scars. Natural-Looking Results: The Key to Confidence The ultimate goal of any facial surgery is to achieve natural-looking results. Dr. De Silva emphasises that a facelift or blepharoplasty should leave patients looking refreshed, not operated on. By blending artistry with surgical technique, skilled surgeons can help patients achieve rejuvenated, youthful-looking faces while minimising scarring. For example, in the case of the patient mentioned earlier, Dr. De Silva's revision surgery successfully repositioned the eyelid scars into the natural crease and reduced the puffiness under the eyes. The result was a much smoother, more symmetrical appearance that enhanced her natural beauty without leaving visible scars. Key Takeaways: How to Minimise Scarring After Surgery When it comes to facial surgery, scarring is a concern for many potential patients. However, with advanced techniques and careful planning, visible scars can be minimised or even concealed completely. Here are the key takeaways for anyone considering facial surgery: Not all surgeries result in visible scarring, especially when advanced techniques like deep plane facelifts and fat transfer are used. Scar visibility depends on the surgeon's skill, incision placement, and post-operative care. Choosing an experienced surgeon who specialises in facial surgery is crucial. Revision surgery can correct previous outcomes and significantly improve the appearance of scars. Precision and placement are key—whether it's repositioning an eyelid scar or ensuring facelift incisions are placed along the ear's natural curves. Conclusion To avoid visible scars and achieve the best possible results, it's essential to choose a surgeon with experience in facial surgery. As Dr. De Silva highlights, facial surgery is about millimetres, not centimetres, and requires an in-depth understanding of facial anatomy. A surgeon who specialises in facial procedures will be able to carefully plan and execute your surgery to ensure a smooth, natural result with minimal scarring. If you're considering facelift or blepharoplasty surgery, or if you're unhappy with the results of a previous surgery, don't hesitate to reach out to a skilled, experienced surgeon to discuss your options. Minimising scarring and achieving natural results is possible when done right. Are you considering a cosmetic facial procedure in London? Dr. De Silva's clinic in Central London, Harley Street, W1, is one of the best. Book a consultation here to discuss your options and get a personalised treatment plan.

READ MORE
Featured Logos

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.

Call UsBook Consultation