
A Facelift in London by Dr De Silva combines facial-only expertise, minimally invasive techniques and over 20 years’ experience to restore facial harmony with natural, long-lasting results.
A facelift, medically known as rhytidectomy, is a specialised facial rejuvenation procedure designed to lift and reposition underlying facial structures. It smooths deep folds and restores definition to the face and neck while preserving a natural, refreshed appearance. Subtle adjustments to deeper tissues, rather than surface skin alone, create lasting improvements in facial harmony.
In addition to performing traditional facelifts in London, Dr Julian De Silva is an expert in the Vertical Deep Plane facelift technique. This advanced approach lifts and repositions the deeper facial tissues, delivering a more natural and longer-lasting rejuvenation.










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Browse the before and after galleries of our facelift patients

A more youthful natural appearance was restored by Dr Julian De Silva’s using his signature Vertical Deep Plane Facelift Restore.

A refreshed, natural transformation. This lovely patient underwent Dr. Julian De Silva’s signature facelift, neck lift, and fat transfer to restore youthful volume, smooth loose skin, and redefine her jawline—achieving a beautifully rejuvenated look without changing her unique features.

This lovely patient in her 50s wanted a fresher look. Dr. De Silva performed a deep plane facelift and neck lift to restore her jawline, lift her cheeks, and smooth her neck. She looks rejuvenated—and most importantly, natural.

A more youthful natural appearance was restored by Dr Julian De Silva’s using his signature Vertical Deep Plane Facelift Restore.

A refreshed, natural transformation. This lovely patient underwent Dr. Julian De Silva’s signature facelift, neck lift, and fat transfer to restore youthful volume, smooth loose skin, and redefine her jawline—achieving a beautifully rejuvenated look without changing her unique features.

This lovely patient in her 50s wanted a fresher look. Dr. De Silva performed a deep plane facelift and neck lift to restore her jawline, lift her cheeks, and smooth her neck. She looks rejuvenated—and most importantly, natural.
Unlike general plastic surgeons, Dr De Silva practises facial surgery only, allowing for a deeper understanding of facial anatomy, ageing patterns, and structural balance. Over the last 20 years, he has pioneered signature techniques helping to restore youthful contours while avoiding an over-pulled or unnatural appearance. His custom approach combines advanced structural lifting with cutting-edge technologies rarely available in conventional UK practice.
Dr De Silva is internationally recognised for his work in facial aesthetics and is the creator of the Centre for Advanced Facial Cosmetic and Plastic Surgery on Harley Street, London. His board-certified status and expert-level training place him among an elite group of facial plastic surgeons in the United Kingdom. This expertise ensures highly specialised care with natural, refined results designed to age gracefully over time.
"My focus has and always will be to be the very best at what I do, to continually innovate to provide world-class leadership to all my team, all my patients and all my associates. My mission is to help every patient be the very best version of themself with World-Class services, life-long follow-up with complimentary facial aesthetic procedures."
— Dr Julian De Silva
All facelift procedures are performed discreetly and safely in Dr De Silva’s CQC-accredited Harley Street clinic, eliminating the need for general anaesthetic or inpatient hospital care, while maintaining the highest standards of safety and discretion.

Watch the healing journey of our real-life facelift patients and discover what life post-facelift is like.

Facial anatomy demands precision and a safety-led approach. Dr De Silva’s method combines advanced facelift surgery with selective structural enhancement, including US-sourced medical-grade implants when required, to refine the jawline, chin, or midface with natural, long-lasting balance.
All facelift surgery exclusively takes place at Dr De Silva’s private Harley Street clinic, under twilight sedation so that patients can return to the comfort of their homes the same day. The procedure length typically lasts 1-3 hours, depending on the complexity of the case.
While non-surgical treatments offer temporary improvements, a facelift provides a more durable solution to ageing signs, with results that can last for many years. There are a number of different types of facelifts available.
The mini facelift is similar to the S-lift in that smaller incisions are used. In this case, only the SMAS muscle is altered, for a lift that provides a refreshed look but less dramatic results than more traditional or invasive surgery. This procedure is suitable for those with early facial ageing.
Male facelift restores a strong jawline, tightens sagging skin, and preserves masculine features, using tailored techniques that avoid feminisation while ensuring discreet scars and natural results.

A good candidate for a facelift is someone experiencing facial ageing with symptoms of sagging of the skin and soft tissues of the face, deepening of the nasolabial folds (a line between nose and mouth) and loose skin below the neck with loss of the angle between the chin and neck. The patient should be in good health and a non-smoker with realistic goals of rejuvenating their face. Dr De Silva will discuss your individual case in detail at your consultation to find the best solution for your condition.
As we age, a combination of gravity, skin laxity, and volume loss leads to changes in facial contours. This can result in loose skin around the jawline and neck, visible bands, fine lines, wrinkles, and a more tired appearance as the skin’s natural elasticity diminishes. A rhytidectomy (facelift) addresses these concerns by restoring structure and definition for long-lasting rejuvenation.
A facelift can effectively treat deep nasolabial lines by lifting and repositioning the underlying facial tissues, smoothing these folds, and restoring a more youthful, natural contour to the face.

You may experience bruising, which resolves over one to two weeks, and swelling, of which 80% will diminish within two weeks and continue to disappear. While you will have very little pain, you may experience numbness around the ears and chin, which can take six to 12 months to disappear completely.
It is important to rest and allow your body the time it needs to recover without putting it under extra pressure. You may be provided with a wrap for your face and head that helps with swelling and gently icing the area for ten minutes at a time encourages swelling to dissipate. Sleeping in a reclined or sitting-up position is recommended for five to seven days after surgery. It is also recommended not to do any heavy lifting or strenuous activities for at least two to three weeks after surgery.
Every recovery is individual, but with Dr De Silva’s advanced surgical techniques and structured aftercare, healing is designed to be smooth, comfortable, and discreet. For a more detailed overview, see our Facelift Recovery Guide.

While facelift surgery is generally safe, it’s essential to be aware of potential risks and complications. However, with the extensive experience and advanced knowledge of Dr De Silva, these risks are significantly minimised, ensuring that you’re in expert hands for a safe and successful outcome. Some potential risks include:
It is essential to discuss these risks thoroughly with Dr De Silva during your consultation to make an informed decision about your facelift surgery.
Sometimes, Dr De Silva may combine additional surgical procedures with a facelift to enhance results and take a comprehensive approach to facial ageing.



If you’re considering facelift surgery, we invite you to schedule a consultation with Dr Julian De Silva. Discover how his expertise can help you achieve the youthful, natural-looking results you desire.

Dr. Julian De Silva is a renowned facial cosmetic surgeon at Harley Street, London, specializing in facelift, blepharoplasty, and rhinoplasty. Known for natural-looking results, he has treated top celebrities and uses advanced technology for fast recovery. Dr. De Silva is also a recognized author and educator in aesthetic surgery.