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Facelift Case Studies

Case Study 1

Before and After 1 week

Before and After 6 weeks

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.

Photo: Facelift (Rhytidectomy) - Before Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - After Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, right side view
Photo: Facelift (Rhytidectomy) - AfterTreatment - Female, right side view

The next set of photos show her appearance at 1-week 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.

Photo: Facelift - Before Treatment - Female, frontal view
Photo: Facelift  - After Treatment - Female, frontal view. Photos show the scars at 1-week after surgery
Photo: Facelift - Before Treatment - Female, right side view
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)

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.

Photos: Facelift (Rhytidectomy) - Before Treatment - Female, frontal view.
Photos at 6-weeks after surgery: Facelift (Rhytidectomy) - Female, frontal view
Photo: Facelift-Before Treatment - Female, right side view
Photos at 6-weeks after surgery: Facelift (Rhytidectomy) - AfterTreatment - Female, right side view

The next set of photos at 6-weeks after surgery shows resolution of all of the early bruising and 95% of swelling. The patient has had a dramatic rejuvenation in her face areas. Multiple people commented on how refreshed she looked although they were not able to tell she had undergone surgery as the result is completely natural.

Photo: Facelift - Before Treatment - Female,right side view (ear)
Photos 18-months after surgery: Facelift  - Female, right side view (ear)
Photo: Facelift - Before Treatment - Female,left side view (ear)
Photos 18-months after surgery: Facelift  - Female,left side view (ear)
Photo: Facelift - Before Treatment - Female,frontal view (neck)
Photos 18-months after surgery: Facelift  - Female, frontal view (neck)

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.
Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Case Study 2

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. 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.

Photo: Facelift (Rhytidectomy) - Before Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - After Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, right side view
Photo: Facelift (Rhytidectomy) - AfterTreatment - Female, right side view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - After Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, right side view
Photo: Facelift (Rhytidectomy) - AfterTreatment - Female, right side view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - After Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, right side view
Photo: Facelift (Rhytidectomy) - AfterTreatment - Female, right side view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - After Treatment - Female, frontal view
Photo: Facelift (Rhytidectomy) - Before Treatment - Female, right side view
Photo: Facelift (Rhytidectomy) - AfterTreatment - Female, right side view

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.

Photo: Facelift - Before Treatment - Female, frontal view
Photo: Facelift  - After Treatment - Female, frontal view. Photos show the scars at 1-week after surgery
Photo: Facelift - Before Treatment - Female, right side view
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)

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.

Photo: Facelift - Before Treatment - Female, frontal view
Photo: Facelift  - After Treatment - Female, frontal view. Photos show the scars at 1-week after surgery
Photo: Facelift - Before Treatment - Female, right side view
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, right side view (ear)
Photo: Facelift  - AfterTreatment - Female, right side view. Photos show the scars at 1-week after surgery (ear)
Photo: Facelift - Before Treatment - Female, left side view (ear)
Photo: Facelift  - AfterTreatment - Female, left side view. Photos show the scars at 1-week after surgery (ear)

The next set of photos at 6-weeks after surgery shows resolution of approximately 90-95% of swelling. 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.
The patient has had a dramatic rejuvenation in her face and neck and was very happy with the results of her face and neck lift surgery with chin implant, and wished she had completed the surgery sooner.

This collection of Dr. De Silva’s patients shows normal healing and scars from face and neck lift surgery. Most of these photos are taken between 6 and 12 weeks after surgery. Although individual healing varies according to skin type and genetics, Dr. De Silva uses customized techniques to minimize 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. Although these scar hiding techniques take longer to complete the surgery they can hide the scars very effectively. 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.
Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 0208 222 8760 to schedule your appointment with Dr. De Silva.

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