What happens during the consultation?
When you attend a consultation, a detailed medical history and examination are required. As a specialist in all facial plastic procedures, Dr De Silva will look at your face as a whole as all parts of the face lie in relative balance. Dr De Silva requests patients bring old photographs to show how you have individually changed over time; this is very helpful as each person’s face has unique characteristics that will change differently with time.
A detailed examination of your face is important, including the underlying shape of the bone, position of chin, relative volume loss and skin laxity. Each individual’s facial characteristics is essential to evaluate as every part lies in balance and relative harmony. A discussion of your goals and expectations of any prospective surgery. For some patients, Dr De Silva may advise against surgery and non-surgical treatments if in a patient’s best interest. Dr De Silva and his nursing team see all patients a second time before surgery to discuss your procedure in further detail, inform patients of measures you can take to enhance recovery and provide detail regarding the recovery period. We recommend that you write a list of questions to ensure that you have covered all of your concerns.
What complications can occur?
A facelift is regarded as a challenging cosmetic surgery procedure and requires in-depth knowledge of the anatomy and attention to detail. One of the most important factors responsible for the success of surgery is the surgeon. In Dr De Silva’s hands’ complications are uncommon, swelling and bruising are the most common aspects of recovery. Pain or discomfort is uncommon and resolves within 24-hours. Infection is very rare, and the gold standard is prophylactic antibiotics to protect against infection. Dr De Silva avoids the side effects of general anaesthetic (deep vein thrombosis and allergies) by using safer sedation anaesthesia. Two rare and serious complications are skin necrosis (delayed healing of the skin) and stretching of a motor nerve (recovers over six months). Dr De Silva takes multiple levels of precautions to avoid these issues in the first place. Although Dr De Silva advises all patients, they must stop smoking; we have utilised advanced oxygen therapy and regenerative medicine to heal the body where this has not been possible. Although there is no surgeon completing facelift that has no revision cases, measures can be taken to make these minimal by using the most advanced techniques. Over twenty per cent of Dr De Silva’s patients have had surgery elsewhere.
How long will it last?
Although there are individual factors that influence duration, most facelift and neck lift surgery will last from eight to ten years. Dr De Silva often utilises additional techniques including fat transfer, laser skin resurfacing, and regenerative medicine, to enhance the duration of the result. There is a small subset of patients that are looking for perfection in which further treatment may be required.