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Am I Too Young for a Facelift?

February 11, 2019

According to the American Society of Plastic Surgeons, there has been a steady growth in the number of cosmetic procedures done over the past few years. In 2017, a total of 17.5 million procedures were performed in the United States, 2% more than 2016. Although most of the procedures done are minimally invasive, the traditional facelift is also making a comeback, especially with the discovery of new techniques that make it safer and more effective.

This increase interest in cosmetic procedures, which is a reality in the UK as well, is also apparent in younger men and women. Clients of varying ages are seeking out the Centre for Advanced Facial Cosmetic & Plastic Surgery, located in West London, to inquire about how they can improve their looks with the help of expert surgeon Dr. Julian De Silva. Considered to be one of London’s top cosmetic surgeons, he has transformed hundreds of lives for the better using the latest techniques in the field of cosmetic medicine.

One of the most common inquiries Dr. De Silva receives is “what is the right age to get a facelift”? Dr. De Silva’s extensive experience in cosmetic surgery has taught him that there is no generic answer to this question. It all depends on the client’s age, body/skin type and size. Here’s a closer look:


There is no recommended age to get a facelift. Some experts would say that it is better to get it in your 40s when the changes are less likely to be noticed rather than in your 50s or 60s when changes are more obvious. However, if performed by an experienced and highly trained surgeon like Dr. De Silva, facelifts can have excellent results for older people as well.

Skin Quality

Dr. De Silva conducts an extensive assessment of the client’s skin to determine the best course of action. Loss of volume is the main culprit for wrinkles, lines and sagging skin. Furthermore, factors such as the person’s age, lifestyle and overall health can also affect the skin’s quality over time.


In order for a client to get the most out of his or her facelift, Dr. De Silva recommends staying away from unhealthy lifestyle practices such as smoking, a sedentary lifestyle and excessive alcohol consumption. During the pre-op planning stage, Dr. De Silva discusses the consequences of these habits with clients in order to help them get the most out of the procedure.

Best Facelift in London

Dr. De Silva takes into account all of these factors before recommending a facelift to his clients. As a licensed professional, he ensures that all clients get an objective and appropriate medical opinion during their initial visit. He and his highly trained team at London’s Centre for Advanced Facial Cosmetic & Plastic Surgery make it their mission to educate all clients that come through their doors so that they can make an informed decision regarding the procedure.

Having a facelift today can be a simple and fuss-free procedure if done by a world-renowned cosmetic facial surgeon such as Dr. De Silva. Whatever your age, Dr. De Silva will give you the younger, fresher look you’ve always dreamed about. It’s just a matter of picking up the phone and booking an appointment today.

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Non Surgical vs Surgical Facelift

September 22, 2015

We consult with many individuals who are interested in correcting signs of aging on their face. When it comes to overall facial rejuvenation, a facelift has long been the gold standard among cosmetic plastic surgeons. Facelifts are able to correct nearly all of the signs of aging on a face and “turn back the hands of time.” Facelifts, however, are invasive surgical procedures that are costly, require a somewhat lengthy recovery period, and carry with them a certain amount of risk. For these reasons, many people are unable to unwilling to undergo a facelift. For those wishing to correct signs of aging on the face without surgery, a nonsurgical facelift may be a good alternative.

“Non-surgical procedures are excellent for diminishing signs of aging and refining natural beauty,” concurs Dr. Sunanda Chugh, a cometic provider in NYC who provides non-surgical procedures.

The aging process causes our skin to lose elasticity, which results in looser skin and increases the number and severity of wrinkles. Volume beneath the skin and muscles tone also decrease with age, which can result in a hollow looking appearance, especially around the eyes and cheeks. Both surgical and nonsurgical facelifts address these signs of aging, but the methods used are dramatically different.
What is a facelift?
A facelift is a type of plastic surgery that involves the tightening and/or removal of facial skin to correct signs of aging on the face. Skilled plastic surgeons like Dr. De Silva are able to create a very natural look that corrects the obvious signs of facial aging. To perform the surgeon, small incisions are first made near the ears. Then the surgeon lifts the skin and fatty tissues off of the underlying musculature and connective tissues and tightens it until the desired effect is achieved. Next, the skin is sutured to its new location and any excess skin is trimmed away. The incisions are then sutured closed and the surgery is considered complete. The recovery period following a facelift lasts about two weeks, during which time the patient must primarily remain at home and rest.
What is a non surgical facelift?
A non surgical facelift is a cosmetic procedure that treats signs of facial aging through methods other than surgery. Dr. De Silva frequently performs non surgical facelifts on patients who do not want to undergo a traditional facelift. He utilizes a number of non-invasive treatments to create the desired effect. Depending on the patient’s unique needs, he may use one or more of the following cosmetic treatments to perform a non surgical facelift:

• Injectable fillers such as Restylane or Radiesse to add volume, treat wrinkles, and augment the lips and/or cheeks
• Botox to eliminate lines and wrinkles
• Ultrasound technology or radiofrequency energy to tighten and tone the skin
• Laser skin resurfacing to improve tone and texture while minimizing fine lines and wrinkles
• PRP (platelet rich plasma) and your own growth factors to rejuvenate your skin
• Other therapies as needed to achieve the desired result

A non surgical facelift can rejuvenate the face and provide results that last between 6 and 18 months, depending on the treatments utilized. Dr. De Silva can also perform touchups to maintain the effects of the non surgical facelift.

How is a non surgical facelift different from a traditional facelift?
The obvious difference between these two procedures is that one involves an invasive surgery while the other utilizes several non-invasive treatments to achieve results. Another major difference is the recovery time following the procedures. While it takes most people a minimum of 2 weeks to recovery from a surgical facelift, individuals who undergo a non surgical facelift can typically resume normal activities within the hour! There is also a significant cost difference between the two surgeries, with a traditional facelift typically costing quite a bit more than a non surgical facelift. The results of a surgical facelift will last between 10 and 15 years, while those who wish to maintain the results of their non surgical facelift will need to undergo regular touchups. As a facial cosmetic surgeon, Dr. De Silva is able to give you advise for both surgical and non surgical options, as no two people have identical needs from treatment.

Which one is better?
It is not possible to state that either procedure is better than the other. The question to ask is, “which type of facelift is a better option for me?” If you would like to rejuvenate your appearance without undergoing surgery, then a non surgical facelift may be a more appropriate choice. If you desire a more dramatic effect with results that will last for quite a while, then a traditional, surgical facelift will be a better solution.

Facelift consultation with Dr. De Silva
If you would like to improve your appearance by treating signs of aging on your face, we encourage you to set up an initial consultation with Dr. De Silva. After taking your goals into consideration, he will be able to advise whether a non surgical or traditional facelift will be more appropriate for you.

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Tanning After Facial Plastic Surgery

May 26, 2015


Perfect Season for Facial Plastic Surgery?

If you have decided to undergo plastic surgery and are ready to line up your appointment, you may want to consider scheduling the procedure for the fall or winter months. There are several compelling reasons to book a fall or winter visit to the cosmetic surgeon: cold weather can be an excellent excuse to nest and take the time needed to recuperate; the holidays can be a convenient opportunity to score an extra day or two off work; and, perhaps most importantly, autumn and winter skies can offer some buffer to excessive sun exposure.

After a facial plastic surgery procedure, you can help your body heal by moderating activity, following a healthy lifestyle, and minimizing UV exposure. It is best to slow down, drink plenty of water, and treat yourself to some rest and relaxation. Tanning–best eschewed under normal circumstances–should absolutely be avoided for up to six weeks following any facial plastic surgery such as a blepharoplasty, a rhinoplasty, or a rhytidectomy. As most of us already know, UV light damages the skin and accelerates aging. Post-surgical skin is particularly sensitive to UV exposure because its natural defenses are down. Not only is tanning an impediment to the healing process, it increases the risk of undesired side effects, including permanent skin discoloration. If you tan or burn, you definitely up the chances of creating visible scars. Unfortunately once a healing scar has been burned, the damage is done. It is best to err on the side of prevention. So, be sure to carefully cover any incisions sites.

Recovering from Plastic Surgery in a Sun-Drenched Place

Although the autumn and winter months may be more conducive to healing in some climates, a season-based appointment may not make a difference if you live somewhere with year-round sun. If you are accustomed to a daily dose of sunlight, you will have to be extra vigilant in protecting your skin after facial plastic surgery. Wear a hat, stay in the shade as much as possible, and always wear a high SPF sunscreen. Bypass that trip to the beach or the pool and instead enjoy a picnic in the leafy shadows of a tree.

Although it may be tempting to bask the face in sunlight once your skin has fully healed, you may want to rein in that urge. In truth, protecting the skin from UV rays should be part of everyday life. To increase the longevity of your facial plastic surgery, it is highly recommended that you make these post-procedure sun habits a part of your normal routine. Whether you undergo a blepharoplasty, rhinoplasty, or facelift, the same rule applies: always safeguard your skin.

Your Facial Plastic Surgery Consultation with Dr. De Silva, London

If you have been thinking about plastic surgery and would like to know more about preparations and precautions, contact Dr. De Silva for a comprehensive consultation. A facial plastic and cosmetic surgery specialist, he can provide recommendations and assistance both before and after your cosmetic surgery.

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How To Choose Your Facelift Surgeon

January 8, 2015



How to choose the best Facelift surgeon is a common concern for many patients. My name is Dr. De Silva; I am a specialist in facial cosmetic and plastic surgery. I only perform facial surgery and the Facelift is one of the three most common procedures that I perform on a daily basis.
Facelift and neck lift surgery are popular procedure as they can rejuvenate a person’s appearance and offer drastic results that really take years off the patient’s face.
At the same time, the media is quick to cover negative outcomes such as over stretched and fake or plastic looking results. Facelift surgery is a procedure that when completed well looks natural and refreshed. Facelift surgery is a challenging plastic surgery as every person’s face is different and a good result is dependent on both technical excellence and artistry.
To find the best Facelift surgeon for you does require taking time and researching your surgeon. At the end of the day this is your face and you need to put some time into this. Here are a few aspects to consider:

  • A plastic surgeon that specializes in the entire body is accustomed to surgery of centimeters of the breast and body. Facelift requires fine millimeter precision work for a great result. Find a surgeon who specializes in facial cosmetic and plastic surgery and who performs cosmetic Facelift on a weekly basis.

  • Artistic ability of the surgeon to customize your facelift according to your unique facial characteristics can be evaluated with before and after photographs. Ask to look at ‘before’ and ‘after’ examples of the procedure you’re looking into.

  • Time. Ask your surgeon how long the surgery will take. A good facelift that hides scars and that will last for many years takes considerable time. In general, a facelift surgery will take more than 3-4 hours depending on combinations with other procedures. A procedure that takes less than 3 hours is less likely to be of high quality and long-lasting.

  • Request to be put in touch with past patients. Most surgeons are more than happy to direct potential new patients to past patients in order to help build confidence and trust. This is a relativity new approach which I strongly encourage. If the surgeon doesn’t want you to speak to anyone, ask yourself why.

  • Look for a surgeon who specialises in Cosmetic Surgery compared to reconstructive surgery. Cosmetic surgery is an art form where millimeters will make the difference; reconstructive surgery places more importance on function and less on the aesthetic result. There are many different types of cosmetic Facelift surgery and a Facelift expert will be experienced in techniques including Mini-Facelift, SMAS-Facelift, Deep-plane facelift, Combinations with Laser and Fat Transfer, PRP, as well as hidden incision techniques including 3D-Telescopic techniques, and tissue glue for wound sealing.

  • More than 20% of the surgeries I perform are revision cases from patients who have had surgery elsewhere. These patients come to me to repair various details of their primary facelift, including revising previous facelift scars. Ask your surgeon what their personal revision rate is. This rate is the number of revisions the surgeon performs on his/ her own work. Every surgeon will have a revision rate. This should be a relativity low number in comparison to the number of treatments which they carry out.

  • Read reviews and see how recent the reviews are. Check online review sites, read magazines which cover aesthetic treatments and check to see if your surgeon has the right credentials for you. I recommend looking out for surgeons who are members of British, European and American organisations.

  • Listening and Communication. It is important that your potential surgeon listens to you and takes time to understand what you are looking to achieve and that you feel rapport with the surgery that they will be supportive after your surgery.

  • Revision surgery can require more complex surgical techniques. Look for an expert who is experienced and specialises in complex revision surgery.

Take your time. Your face is important; do your research and come to your own decision. You are invited to set up a consultation with me at my London private practice to discuss your needs. Out of town patients often send photos via email and interact with me on Skype prior to face-to-face meeting.


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Liquid Facelift vs. Traditional Facelift- Which One Should You Get?

December 16, 2014

London Facelift and Non Surgical Facelift - image


As a leading plastic surgeon practicing in the UK, Dr. De Silva is proud to offer his patients an extensive range of procedures. He understands that having work done is a big decision, and that no two patients’ conditions are exactly the same. When deciding between a liquid and traditional facelift, for example, Dr. De Silva makes sure that his patients have a clear understanding as to exactly what each treatment entails, so as to make a more informed decision when choosing which route to take. Both treatments are designed to target facial wrinkling and are directed at tightening the overall look of the face to achieve a younger, rejuvenated look, but each takes a different approach to achieving that goal.


One of the main differences between the two options is that a liquid facelift is a non-surgical alternative to the traditional facelift procedure. While a traditional facelift requires an incision, the use of either general or local anesthesia, and involves a more intensive recovery period, the results of a liquid facelift are nearly immediate and require no downtime. A liquid facelift, as performed in our office, is a broad term that generally includes injectable fillers, like wrinkle reducing treatments and Juvederm. The term can also include the PRP facelift, a treatment in which platelets from your own blood are extracted and transported to the face in order to revitalize and refresh your complexion. A liquid facelift will leave no signs of scarring, can visibly restore lost facial volume, and is a good option for those who are hoping to achieve a younger, more refreshed look but who are afraid of or otherwise unwilling to undergo surgery. Whereas a traditional facelift can take up to two hours to perform and requires you to take about a week off from work, your liquid facelift will be complete in 15 minutes. You will be in and out of the office without having to sacrifice your daily routine to devote to a proper recovery and can literally have the treatment done during a lunch break from work.


Still, this shorter process is directly reflected in the results that the respective procedures yield. Perhaps the most important difference when evaluating the liquid vs. traditional facelift is that the results of the traditional facelift are more dramatic and long-lasting. A traditional facelift has the ability to make you look up to 15 years younger, and is generally sought after by relatively older patients whose skin has loosened as a result of aging, exposure to the sun, or the body’s natural decrease in the skin’s collagen supply. During a traditional facelift, Dr. De Silva will essentially “lift” the saggy skin that has accumulated around your face. This approach is meant as a solution for a more pronounced condition, where the patient demonstrates considerable skin laxity and looseness. As expected, a surgery will yield much more dramatic results than that of a liquid facelift and since underlying muscles are put back to their original location and excess skin is removed, patients will look younger than their age even 10 or 20 years after their facelift surgery. Traditional facelift is recommended for patients who are between the ages of 45-70, while the liquid facelift is more popular among younger patients who are not experiencing as much wrinkling, sagging, and skin laxity.


Dr. De Silva is experienced with variations of facelift surgery, such as neck lift that targets double chin, fat and wrinkles in the neck area and along the jawline; mid facelift that mainly targets the middle facial area around the cheeks; mini facelift for younger patients with smaller scar; fat stem cells facelift to augment surgical results with rejuvenating stem cells; and other facelift techniques. He will advise you as to the best facelift surgery for you as part of your consultation.


Dr. De Silva will more thoroughly explain the pros and cons of both options upon your initial consultation visit so that you can choose the route that works best for your specific needs. As always, Dr. De Silva is devoted to giving you the most natural results so that you can feel confident that your treatment does not look overdone or fake. Whichever route you choose to pursue, liquid or traditional, you can rest assured that you are under the care of one of the most trusted surgeons in London and that your new face will look considerably less aged and tired.

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Facelifts Facts vs. Fiction

October 20, 2014

female in mirror - photo

Our faces are the windows to the rest of our being. They are at the forefront of our physical appearance–our first impressions. It is only logical that we should want to care for our faces and keep them youthful as we age. The world is filled with products, supplements, D-I-Y techniques, injections and the like, all claiming to help a person look younger.

As a specialist and expert in facial cosmetic surgery in London, I have experience performing facelifts on patients of all walks of life. Oftentimes, patients reference fearing a facelift because of the common misconceptions that surround this procedure. They cite superstar facelifts that look over-stretched and pulled, as was the case with Mickey Rourke and Bruce Jenner among others. Some fear the surgery as a consequence, however when face and neck lift surgery is performed with respect to the natural shape and contours of a face and neck, it will give a natural rejuvenation that gives a person a fresher and more youthful natural appearance.

My response to these fears is simple: a patient must choose an experienced plastic surgeon. If a patient has a trustworthy, experienced plastic surgeon using the latest in modern techniques and equipment, he or she will not receive a rewarding natural and youthful result
A common misconception is that facelifts are strictly for famous people, models, and women. This is simply not true. Men and women of all demographics are turning to facelifts to retain their younger appearance. In fact, the most common plastic surgery performed on men today is a facelift.

Another common misconception is that patients receiving facelifts undergo massive incisions around the forehead and beyond. However, with the latest innovations and techniques facelifts typically require small incisions behind the ear and along the adjacent hairline. Incisions on other parts of the head do not constitute a facelift but would rather be part of a different procedure altogether.

Finally, patients fear the infamous “stretched face” look seen on people with obvious facelifts. The most important thing to understand is that most people with the “stretched face” look have had surgery that has not respected their natural ageing process in artistry and technique. However, if a patient chooses a plastic surgeon with experience and a good track record in facial cosmetic surgery, a positive and natural rejuvenation will be achievable.

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