5.00 from 511 reviews
By An, Facelift surgery on Mar 28, 2020
From start to finish I found the whole experience absolute first class. The consultation was informative and reassuring and after surgery the aftercare and subsequent follow ups showed great care and interest in my well being. The surgery itself has been a great success and I wish to praise very highly Dr. De Silva for his patience , care, advice and attention to detail. I would certainly strongly recommend Dr. DeSilva and all the team.
By Facelift surgery on Mar 16, 2020
Having this surgery was always something I thought about however was nervous on the results. From the very minute we met Dr Julian De Silva I knew he, and the practice, was the right choice. Through the entire process I was made to feel at ease, and the procedure (date I say) was actually enjoyable! The results have been nothing short of lifechanging, and my only regret was not doing it years ago. I wonderful surgeon and a wonderful set of staff - highly recommended
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 photographs in the media of celebrities who look quite different from their youth, and a natural-looking rejuvenation is important for most of my patients. Having a face or neck lift surgery is a “big” decision for many patients as it is a choice to undergo surgery.
I have respect for each person’s decision and provide 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.
“Every patient I treat is a representation of my work and artistry, looking natural and refreshed is of key importance to every patient I treat”. – Dr Julian De Silva
There are many prescription and herbal medications that should be avoided both before and after surgery, as they can encourage both bruising and swelling. Dr De Silva and his team give comprehensive advice to all his patients on what should be avoided before and after surgery. In addition, there are some herbal medications, such as arnica, that should be taken to reduce bleeding, Dr De Silva provides his patients with a specialist herbal medicine that enhances recovery.
Icing around your face and neck for the first three days, in the form of ice in a zip lock bag, frozen peas or gel mask all have a beneficial effect on reducing swelling when applied to the area for ten minutes regularly after surgery. There are other factors such as resting and taking things easy during the daytime that will maintain relatively low and stable blood pressure. Keeping your head elevated when sleeping will also reduce bruising and swelling.
Dr De Silva provides patients with techniques to enhance recovery, including regenerative medicine and high strength oxygen therapy. These measures are particularly important with patients looking to have a faster recovery, everything counts.
The average person having facelift surgery is between their late 30s and 70 years old. All faces age at different rates, a combination of natural genetics, ethnicity and lifestyle. In younger patients, a facelift can be used as a form of preventative maintenance, a requisite in some professions such as the actresses and actors. There is no fixed age limit to undergo cosmetic surgery; the person must have good health as safety is an important factor. There are no absolutes to age in having a facelift it is necessary to do a comprehensive series of tests before surgery to evaluate general health.
Dr De Silva has had patients travel long distances and internationally for opinions on their face, sometimes they have been refused surgery by local surgeons.
This is a common concern for many patients. Dr De Silva’s philosophy is a natural rejuvenation, where patients look like themselves only better. For most patient’s Dr De Silva completes imaging to give patients an indication of their appearance after surgery. Any change can seem more apparent initially as all of us become used to our appearance and even small changes can take some time to get comfortable with.
With good surgery, friends and family members will not be able to tell you have undergone facelift surgery. Dr De Silva customises his treatments based on your facial characteristics, often patients that have substantial rejuvenation are surprised how friends and family have not been able to tell.
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 are 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.
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.
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.
Choosing a surgeon for your surgery is one of the most important decisions you will make.
Key considerations in this choice:
Rapport – It is vital that you feel comfortable with the surgeon and that they will be there for you after the procedure.
Although many patients are concerned about this, for the majority of our patients, there is surprisingly minimal discomfort. Dr De Silva has evaluated the entire facelift procedure and modernised each part of the surgery to improve conventional downtime and recovery. By using a bespoke combination of local and sedation anaesthesia, most patients are surprised by how minimal discomfort they have after surgery, with more than 50% not requiring pain killer medicine from the next morning.
Dr De Silva frequently combines facelift and neck lift procedures with other facial procedures to give a natural-looking result and avoid the use of scars associated with conventional techniques:
For some patients, there are non-surgical alternatives to facelift surgery. Particularly in patients with specific facial characteristics (volume loss and minimal skin laxity). Dr De Silva has pioneered a non-surgical facelift for patients based on the Phi Golden Ratio. The Phi lift technique is exclusive to Dr De Silva and applies the principles of volume rejuvenation and lifting along the natural lines of facial balance, to “beautify” the face. For further details:
There are considerable limitations to non-surgical treatments. All of us receive constant marketing messages from the media daily although some information we receive is credible, much information is of biased opinion, scaremongering or dubious content. There are continually claims of creams, fillers, new devices that offer instant rejuvenation without undergoing surgery.
Although some have merits, unfortunately, many of my patients are disappointed by these limited results. There are claims of the latest non-surgical breakthrough offering incredulous quick fixes, with branded logos and unique contents or celebrity endorsements. We look to provide our patients with sincere advice that will provide effective and natural results.
Caution is required in non-surgical treatments, as the face is an intricate structure with essential anatomy that can be damaged with filler techniques. There are important blood vessels in the eyes and nose, as the implications for damage to these vessels include scarring of the skin (termed necrosis), damage to vision (even blindness) and scarring.
For these reasons, it is important that non-surgical treatments should be performed by a clinician who is familiar with the underlying anatomy.
Dr De Silva can offer patient’s non-surgical or surgical facelift techniques based on their individual needs and expectations from surgery. Most practitioners are only able to offer one or the other.
Key with facelift surgery is minimizing scars. Dr De Silva hides scars in the natural curves of the skin and ears to ensure they are discrete and difficult to see. With modern techniques scars can mostly be camouflaged; however, no scars are invisible. Using meticulous techniques, less than 1% of patients have issues with scars. Dr De Silva uses advanced techniques to hide scars, including multiple levels of stitches and has developed a signature use of regenerative medicine techniques to enhance scar resolution.
Dr De Silva employees all the latest technology and scientific innovation to enhance recovery from surgery. Dr De Silva performs conservative deep plane facelift that limits trauma to the natural anatomy, and where appropriate innovative methods to speed up the recovery process.
Dr De Silva has pioneered the use of regenerative medicine (utilising your growth factors) to heal the body faster; we are committed to providing our patients with the latest advancements from scientific research.
The type of surgery you have influences your healing; not all facelift is the same. Factors influencing healing included whether the operation is principally mini-facelift surgery, revision facelift, ethnicity, fuller neck and the use of associated techniques.