Before and After: Facelift & Neck Lift

Facelift Surgery In London Harley Street

A facelift is a surgical procedure performed to reduce signs of ageing and enhance natural facial contours. Dr Julian De Silva is a highly experienced facial cosmetic and plastic surgeon in London. His approach to surgery delivers a natural, artistic result by focusing on the individual characteristics of each patient.

Want to Learn If  You Are Ready For A Facelift?

– Spoiler Alert… most patients are not ready!

The Good News is that to help guide you, Dr De Silva has developed a ‘The Face Lift Checklist Assessment’.

Click Here to Take the Online Assessment 
Answer 30 KEY questions (take less than 5 mins) and receive customised results and advice.

What is a Facelift?

A facelift, also called a rhytidectomy, is a surgical procedure that enhances the cosmetic appearance of the face. When performed by an experienced plastic surgeon, it can completely revitalize your appearance and provide results that last for years.

Specifically, a rhytidectomy can:

  • Fresher appearance with a more youthful jawline and neck
  • Lift sagging skin
  • Tighten loose skin
  • Decrease wrinkles and lines
  • Restore youthful facial contours
  • Improve neck definition

While facelifts were first performed over 100 years ago, the techniques, technology, safety and overall outcomes have improved exponentially – it’s no wonder this is one of the most common cosmetic surgeries in London and the UK.

The Benefits of Having a Facelift

As you age into your 30s and 40s, the natural elasticity of our skin diminishes. This results in fine lines and wrinkles, sagging skin, and a tired, aged appearance. A rhytidectomy offers many benefits, including

  • Boosting your confidence.
  • Acts as a preventative measure, especially if our career is linked to your physical appearance. For example, acting.
  • It offers a more permanent solution. Some patients may be frustrated with the temporary nature of fillers and non-surgical treatments.

Facelift At A Glance

Facelift Fact vs. Fiction

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. Dr De Silva’s response to these fears is simple: a patient must choose an experienced plastic surgeon.

Common misconceptions:

  • 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.
  • 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.

With more than 10 years of surgical experience, Dr De Silva continues to teach nationally and internationally on facelift surgery.

TATLER - Beauty and Cosmetic Surgery Guide 2020

Why Choose Dr De Silva in London Harley Street?

Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.

“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.”

In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.

Approach to Facelift Surgery in London with Dr De Silva

Dr De Silva’s number one philosophy is that patients achieve a natural and refreshed look – like themselves, but better. He listens to every patient, every one of us is unique and each treatment needs to be customised to each person. He asks all patients to bring an old photo of how they used to look in their 30s, as this can be used as a template for their surgery. Most patients want to turn back the clock and look better, rejuvenated and fresher.

Most of Dr De Silva’s patients like the way they used to look, and have found they are looking more tired, with loose skin, sagging in the neck, deeper facial lines. The reality is we do live in a world where your appearance is important for self-confidence and well-being, relationships, many professions. Although having facial surgery cannot change your life, it can give you a new lease of life and confidence.

Dr De Silva customizes each treatment for each and every patient. He modifies his own signature deep plane facelift based on over a decade of experience in facial surgery, including his research of facial beautification with the golden ratio. Currently, 20-30% of his patients are for revision surgeries, who had their first surgery performed by other surgeons.

Dr De Silva sometimes advises patients to complete additional treatments at the same time to enhance their facial appearance, improving their facial balance or harmony, “facial enhancement”. He has pioneered research on the golden ratio, found in many of the famous works of architecture and renaissance paintings, and application to scientific evaluation of the most beautiful faces in the world.

For example, many patients can benefit from volume enhancement (own natural fat transfer), reducing facial lines and pore size with skin resurfacing (state-of-the-art 2022 laser) and other “tweak enhancements”.

Downtime and recovery is so important to our patients. Dr De Silva has continually upgraded his services year-on-year to provide patients with the latest technology and science to promote faster recovery. The use of oxygen therapy has proven to enhance recovery after facial surgery (and avoid complications including necrosis). The use of regenerative medicine to enhance skin quality and recovery. Investment in the latest technology, 24-hour continuous cold therapy to enhance recovery after facial surgery. Investment in technology to minimise bruising and treat bruising if it should occur.

Dr De Silva’s goal is to provide patients with a natural rejuvenation, an refreshed and rejuvenated you. He is transparent with his patients in that perfection cannot be achieved, improvement and enhancement is a realistic outcome. His aim is to provide patients with ongoing lifelong facial treatments whether surgical or non-surgical. A small proportion of patients require a second minor surgery, this has a faster recovery and is a complementary part of our commitment to you. We appreciate having a facial surgical procedure is a significant decision and we will provide you ongoing maintenance and support for the years after facelift surgery.

Different Types of Facelifts

There are a number of different types of facelifts available. As part of your consultation, Dr De Silva will thoroughly assess your skin and facial characteristics, and discuss your cosmetic goals with you, as well as the reasons for wanting to see an improvement in your looks.

Based on this, he will recommend the best facelift option for your unique needs. Here are some of the common types of facelifts available.

  • Signature Deep Plane Facelift

    Lift naturally upwards reversing gravity

    While the most ‘advanced’ option, the deep plane facelift offers the most natural augmentation. The natural facial layers are elevated to their original position to address facial volume and sagging skin. An intricate procedure requiring excellent knowledge of the intricate facial anatomy, it is performed by less than 5% of general plastic surgeons.

    Dr De Silva has developed a signature deep facelift surgery based on his research with facial enhancement and beautification with the Golden Ratio, augmented femininity or masculinity to give a sharper and more attractive appearance.

  • SMAS Based Facelifts

    A SMAS facelift addresses the superficial musculoaponeurotic system (SMAS) – the thin layer of fibres that covers the face and the neck. This procedure lifts towards the ears and adjusts sagging cheeks and jowls by excising both skin and facial tissue to produce a naturally ‘lifted’ look. In some cases, fat deposits can be removed for further definition.

  • A Skin-Only Facelift

    This procedure involves only lifting the skin, rather than the skin and tissue underneath. A more traditional technique is used when only some skin needs to be excised without disturbing any underlying muscles. A skin-only rhytidectomy is generally performed on younger patients who have not had any advanced ageing set in.

  • S-Lift, MACS Lift

    The S-Lift is named after the ‘S’ shape of its incision. Both the S-Lift and MACS (Minimal Access Cranial Suspension) lift are known for their shorter incisions. They are also quicker to perform, with less downtime. These procedures focus on the middle and lower third of the face to erase jowls, wrinkles, and other sagging skin.

  • Mini Facelift

    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.

Facelift Surgery In London

Different types of Facelifts

Why have a Mini Facelift? Everything you need to know, indications, risks, cost, Vs other facelifts!

What Can Help You Recover Faster After Facelift Surgery?

What Is A Deep Plane Facelift

Do I need maintenance after having facelift surgery? What treatments will make a difference?

Ponytail facelift. What is a ponytail facelift? Is it a true scar-less procedure?

London Facelift Before & After Gallery

facelift surgery in london before and after3

facelift surgery in london before and after4

Patient Support and Surgery Safety is a Priority

Patient safety is of crucial importance in facial plastic surgery. It is of the utmost priority that patients feel calm and comfortable before, during and after any surgery. Dr De Silva has championed the need for patient safety on Sky News and in medical conferences around the world.

He uses surgical techniques that greatly reduce the risk of any severe side effects after surgery. For most patients, a specialised form of sedation anaesthesia, also known as “twilight anaesthesia,” is used, which allows a patient to sleep through a procedure while having a far shorter recovery time.


Swelling and bruising are a normal part of healing, although approximately 80% resolve over six weeks, the final result is as long as 12-18months.

Some potential risks include:

  • Increased swelling & recovery time
  • Bleeding (termed haematoma, eccymosis)
  • Infection
  • Longer wound healing
  • Pain, numbness
  • Scarring (terms include fibrosis, keloid, necrosis)
  • Facial nerve injury
  • Not achieved expectations
  • Need for further surgery or treatment

The possible risks will be discussed with you prior to your consent. It is also important to raise any questions you may have about the procedure.

Facelift Surgery In London

Do you have any doubts or concerns about Facelift Surgery in London Harley Street?

Dr De Silva completed his surgical training in University Hospitals around London, which are amongst the best institutions in the UK, including Moorfield’s Eye Hospital. He remains the only cosmetic surgeon to have had trained in the cosmetic meccas of Los Angeles and New York, and it was there that he acquired skills in scar-less surgery and micro-incision techniques that he brought back to London. He was the only surgeon in his specialty to have been awarded funding for training in the US.

100s of experiences of Dr De Silva’s patients

Real Self. Top Doctor - Blepharoplasty 2020


4.98 from 592 reviews

By EL, Lower Blepharoplasty with fat transfer, laser and milia removal on May 19, 2020

I had lower eye blepharoplasty, with fat transfer, laser resurfacing and milia removal. I had researched and wanted the surgery for about 2 years before deciding to have some consultations I had two consultations with a well known surgery group but did not feel confident. I then met with Dr De Silva and knew as soon as the consultation was over that I felt confident enough to go ahead and am so glad that I did. My pre treatment appointments and advice were so thorough, and any questions that I had were answered so quickly by the clinics staff. The day of my surgery was seamless, and I felt in completely safe hands the entire time from the nurse Ellie, to the Dr performing sedation and Dr De Silva.
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By Upper & lower blepharoplasty Jan 1, 2020

I recently underwent an upper & lower Blepharoplasty with Dr DeSilva and the results are outstanding! From my very first consultation and after lots of research, I knew that I had made the right decision to go with Dr De Silva. Naturally I was nervous but his amazing team were all very kind, extremely friendly and totally relaxed. The procedure was carried out under sedation and that too was fantastic. I can honestly say I felt no pain during and after the procedure and within 1 hour afterwards I was on my way home. I would 100% fully recommend Dr De Silva to anybody considering a procedure such as mine. Thank you Dr De Silva, you have instilled a new found confidence in me.
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Lower Blepharoplasty Dec 25, 2019

I had lower blepharoplasty surgery as I had a lot of wrinkles in my lower eyelids. I have big eyes so the wrinkles were very obvious and only being in my mid-thirty’s I felt it aged me. The surgery was only an hour long and Dr Julian and his team were all really nice and caring. I am extremely happy with the results and my eyes look so much better! The wrinkles are hardly there and I actually like how my eyes look in photos now! I definitely recommend Dr Julian and his team.
read more

Read More Reviews Here *Results May Vary

Facelift Before & After Gallery

facelift surgery in london before and after

facelift surgery in london before and after 2

Facelift Recommendations

Patient safety is of crucial importance in facial plastic surgery. It is of the utmost priority that patients feel calm and comfortable before, during and after any surgery. Dr De Silva has championed the need for patient safety on Sky News and in medical conferences around the world.

He uses surgical techniques that greatly reduce the risk of any severe side effects after surgery. In some cases, a specialised form of sedation anaesthesia, also known as “twilight anaesthesia,” is used, which allows a patient to sleep through a procedure while having a far shorter recovery time.

What to Expect

On the day of your surgery, you will be welcomed into The Centre for Advanced Facial Cosmetic and Plastic Surgery’s state-of-the-art facility and prepared for your procedure. Dr De Silva will see you before surgery and put specific markings that are unique to you.

For the surgery itself, you will be asleep with gentle yet powerful sedation anaesthesia. Dr De Silva is meticulous and will ensure that he takes the time and care to complete your surgery to allow for invisible scars and minimal downtime.

Preparing for The Best Facelift Surgery in London

Prior to your surgery, you may need to:

  • Refrain from certain medications like blood thinners
  • Stop smoking
  • Stop eating for at least six hours before surgery

You will be advised on which exact actions you must take before your surgery to aid in both the surgery itself and your recovery afterwards.

Blepharoplasty. Model photo

Speeding Up Facelift Recovery

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.

Blepharoplasty. Model photo

Facelift Frequently Asked Questions

  • How long does a facelift take?

    Depending on the facelift type and if any other treatments are being undertaken, surgery can take anywhere from two to four hours or more.

  • What type of facelift is best for me?

    Using his experience as a facial plastic surgeon, the current state of your face and skin, and information gained from discussion during your consultation, Dr De Silva will recommend the optimal surgery to undergo in order to achieve your desired outcome.

  • How do I choose a facelift surgeon in London?

    One of the most important parts of surgery is choosing your surgeon, especially for surgery on the delicate and complex face. There are a few things to ensure when it comes to making your choice:

    • That they are a specialist facial plastic surgeon
    • That they are detail-oriented and meticulous
    • That they understand facelifts require not just medical technique but an artists’ touch
    • That you have a good rapport and feel comfortable with them

    Patients come from all over London, the UK, and the world to be treated by Dr De Silva and his team, who treat each patient like family.

  • Can I combine a rhytidectomy with other procedures?

    As part of your procedure, we may recommend other treatments, such as a neck lift, blepharoplasty (eyelid lift) or fat transfer to supplement and enhance the end result.

    These will be conducted during your surgery to combine recovery time.

  • Will I have visible scars?

    Where possible, Dr De Silva hides incisions within the natural creases in the face. 99% of scars are virtually invisible, achieved by using meticulous technique and 3 levels of stitches.

  • Is surgery painful?

    Before surgery is commenced, you are put to sleep, before having a local anaesthetic applied.

    Aside from mild discomfort, many patients report having very little pain after surgery, and often only require basic pain relief, if any.

  • Am I a good candidate?

    A good candidate for a facelift has 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 have realistic goals of rejuvenating their face.

  • What age is suitable for a facelift?

    There is no fixed age limit to undergo cosmetic surgery; the person must have good health and be a non-smoker as safety always comes first

Your Consultation

The decision to undergo surgery can be a big choice for people. That’s why Dr De Silva ensures his patients have all the information they need to make an informed choice.

  • Your consultation will involve a comprehensive study of your face and skin, your medical history, and the reasons for wanting to change your appearance.
  • In consultation prior to your surgery, your expectations and possible outcomes are discussed in-depth with you.
  • He will take you through each step of the surgery process in detail.

If you wish to inquire about how you can look and feel your best again, or have any questions about facelift surgery, contact us at book your consultation.

Choose Surgeon: Dr De Silva
Choose Surgeon: Dr De Silva

Patient experiences with Dr De Silva

All these patients underwent facelift surgery with Dr De Silva. We encourage patients to watch one or two videos of patient experiences to have a good understanding of healing and the recovery period. Dr. De Silva and his team will provide support and reassurance during your recovery, we believe that being a well-informed patient is helpful to most patients undergoing facelift surgery.

Recovering After Surgery

The length of recovery will depend on which surgery or treatment has been completed. However, you can expect to have a period of rest and recovery of approximately one to two weeks, and return to social and professional activities after one to three weeks.

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.

3d female face: recovering After Surgery, numbness around the ears and chin

How Much Does a Facelift in London Cost?

Every surgery is unique, and this influences the way it is priced. Dr De Silva discusses treatment options available, as well as any risks associated with them to give a full overview and allow patients to make an informed decision regarding surgery or alternative treatment.

Surgery fees can consist of the consultation fee, anaesthetists fee, surgeons fee, the surgery complexity, cost of equipment, other chosen treatments included during the surgery, and follow-up appointments. This is subject to change but is all-inclusive, so there will not be any further costs at a later stage. All fees are discussed and agreed upon with you prior to commencement.

Several payment options are available, including cash and all major credit cards, and Dr De Silva’s knowledgeable staff is always ready to guide you through the financing process.

Office clinic
Group photo: Doctor, Office clinic, London photos

Dr De Silva research & Publications On Facelift Surgery

Dr De Silva has published over 30 journal and book chapters in peer reviewed journals and several randomized control research studies, regarded as the gold standard in medical research.

Master Techniques in Blepharoplasty and Periorbital Rejuvenation

A contemporary book on Facial Plastic Surgery

Asoprs/ AAO 2015 Annual Scientific Meeting Las Vegas

Dr De Silva teaching facelift surgery in Las Vegas, USA, Surgical techniques SMAS lifting versus Deep Plane Lifting

Learn More About Facelift Surgery

About the Author: Dr. De Silva

About the Author

Finding the most reputable facelift expert is never easy. Therefore, you should always research the best surgeons in your area and ask plenty of questions. Dr De Silva is a facial cosmetic surgeon, author, educator, with a track record of doing procedures for top celebrities. He is based at world-renowned Harley Street in Central London and specializes in three main procedures: Face and Neck lifts, Blepharoplasty, and Rhinoplasty.

Come witness a custom-built surgical centre that is not your average hospital. You are guaranteed to experience natural-looking results and fast healing thanks to growth factors, oxygen therapy, and state of the art technology.

By specialising in only the face, you can rest assured knowing that you’re getting premier results. Dr De Silva achieves natural-looking results for his patients using the latest technology, so they can heal quickly and look their absolute best. No matter what your reason for wanting a cosmetic treatment is, Dr De Silva and his team are here to help. To find out more information about Dr De Silva and his work, check out our website.

Dr De Silva’s Google Scholar

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