Facelift & Neck Lift

This Caucasian patient had noticed an increasingly tired appearance including jowls, saggy neck, multiple wrinkles and lines in her skin with volume loss. She came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. She underwent facelift and neck lift under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr. De Silva used micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The photograph after shows only 2-weeks after surgery, with the use of her own PRP (Platelet Rich Plasma) to accelerate healing and reduce downtime, the photos show relatively mild swelling still present, an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her late 50s had noticed increased sagging below her jaw and neckline. The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls.” Knowing that an experienced London Facial Cosmetic Surgeon could advise him about the correct procedure for facial skin sagging, he scheduled a consultation with Dr. De Silva. She underwent a facelift and neck lift with Dr. De Silva’s deep plane facelift that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle and a younger-looking face.

She is 8 weeks post face and neck lift in this before and after picture, which shows a younger rejuvenated appearance. She was very pleased with the natural looking results and numerous friends commented on her looking refreshed.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This 45-year-old woman wanted to regain her youthful appearance through facial plastic surgery in London. To rejuvenate the sagging skin on her neck and the loss of the natural angle between her neck and chin, she decided to find a plastic surgeon who could offer natural appearance as well as minimal downtime so she could continue her busy social life.

When she came in for her consultation with Dr. De Silva, she learned that to achieve comprehensive rejuvenation, she would need a neck lift including liposuction of the neck with specialized double stitching of the neck muscle to give both a natural and long lasting result. This procedure would tighten, lift and smooth her neck giving her the natural result she wanted and enabled her to return to work within one week.

After her surgery, she was given had one week off her social calendar before she returned to have her “after” photos taken. As her photos show, she is very happy with her new look. She said she actually looks the way that she feels now, and which she had gone ahead years before. . She was very happy with the outcome and her friends and coworkers commented much better she looked, and couldn’t tell that she had surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This 56-year-old woman wanted to rejuvenate her face. She was unhappy with the “turkey gobbler” appearance of her neck and wanted to lift the sagging skin around her jaw. She made an appointment with the cosmetic surgeon at the London Centre for Advanced Facial Cosmetic Surgery wanting to discuss with a skilled face lift surgeon what procedures could best address her concerns.

During her consultation, this patient explained exactly what areas she wanted to rejuvenate. Given her areas of concern, Dr. De Silva recommended that she first lose several kg in weight to give her the best possible result. Having achieved this she underwent a neck lift to tighten the skin around her jaw and lower face, the procedure was tailored to her individual needs with a combination of liposuction and tightening of the neck platysma muscle with specialized front and back stitching.

The neck lift was completed under local anaesthesia with twilight sedation and she was able to smooth out the lines on her neck, giving a much more youthful look. Afterwards, she was very pleased with her new appearance.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This 60 year old Asian had noticed increased sagging below her jaw and neckline. The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls.” She was very keen have a natural looking result having seen many3 photos of celebrities in the media, knowing that an experienced London Facial Cosmetic Surgeon could advise gre about the correct procedure for facial skin sagging, she scheduled a consultation with Dr. De Silva. She underwent a facelift, neck lift and blepharoplasty with Dr. De Silva’s deep plane facelift that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle and a younger-looking face. She was very pleased with the natural looking results, with her family seeing she looked good without being able to tell she had undergone surgery. Dr. De Silva takes attention to make the incisions from facelift as discrete and hidden as possible. The photograph of the incisions is barely visible at 8-months after surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This 40 year-old woman noticed increased sagginess in her neck with loss of the natural curvature and shape. She presented for a consultation with Dr. De Silva, to discuss the neck lifting options, she was not keen on undergoing invasive surgery with a prolonged recovery time. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven, this was coupled with a relatively small chin that exaggerated this appearance. Dr. De Silva assessd her neck and discussed with her the best possible improvement with the least downtime. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Dr. De Silva does not use body liposuction techniques (including traditional liposuction and ultrasound-assisted Vaser techniques), and she underwent a specialized micro-cannulae (fine) technique that enables finer control and natural shaping and refining of the neck contours. The photograph after shows an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery and had further treatments with Dr. De Silva.
Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 60s had noticed sagging below her jaw and neckline and a loss of confidence. The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls” this was coupled with a small chin that exaggerated this appearance. She was very keen to have a natural looking result, knowing that an experienced Facial Cosmetic Surgeon could advise her she scheduled a consultation with Dr. De Silva. She underwent a facelift, neck lift with chin augmentation with Dr. De Silva including a double corset procedure that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle and a younger-looking face. The after photographs show her appearance only 6-weeks after surgery, she was very pleased with the natural looking results, felt increased confidence and her family thought seeing she looked hugely improved. Dr. De Silva takes attention to make the incisions from facelift as discrete and hidden as possible.

The patient was very happy with the final result and this is a link to the video testimonial of her experience: http://youtu.be/i4MrTbl0IOA

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This doctor in her 50s had noticed an increasingly tired appearance with saggy turkey neck, multiple wrinkles and lines in her skin. She was recommended to Dr. De Silva by a colleague, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The photograph after shows only 5-weeks after surgery, with some swelling still present, shows an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This 55-year-old woman was unhappy with her sagging soft tissues below her jaw and a saggy neckline. There was marked soft tissues and lax skin along her jaw, leaving her jaw looking irregular and with deep nasolabial lines. She underwent a facelift and neck lift with Dr. De Silva’s deep plane facelift that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect is a smoother jaw line, sharp neck-jawline angle, lifted cheek area and a younger-looking face. The after photograph was taken at 4-months and a smooth jaw and neck line with less saggy soft tissue below the jaw line, and a younger rejuvenated appearance. She was very pleased with the natural looking results.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This Caucasian patient had noticed an increasingly tired appearance with saggy neck, multiple wrinkles and lines in her skin and tired eyes. She came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De completed face and neck lifting surgery with revision blepharoplasty and CO2 laser skin resurfacing. The photograph after shows only 6-weeks after surgery, with the use of her own PRP (Platelet Rich Plasma) to accelerate healing and reduce downtime, the photos show relatively mil swelling still present, an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

His Caucasian mad had noticed an increasingly tired appearance with saggy neck, multiple wrinkles and lines in his skin. He had previously undergone a face and neck lift procedure and came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss further options. On assessment, he had a relatively small chin with loose skin along his jaw that had begun to sag with time, with some accumulation of fat and softening his jaw line. The jaw line is a masculine feature and when softened can me more noticeable in a man’s neck. Dr. De completed revision neck lifting surgery with chin augmentation. Dr. De Silva fixated the chin implant so to remain in the same position indefinitely. The photograph after shows 6-weeks after surgery, the photos show a marked improved jaw line and sharpened angle between his jaw line and neck associated with a youthful appearance. He was very happy with the results of his revision neck and jaw line surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 60s had become frustrated with the general sagging of skin around her face and neckline. The skin along her jaw had begun to sag with time, leaving her jaw looking uneven and giving her soft tissue hanging below the jaw line termed “jowls” this was coupled with a small chin that exaggerated this appearance. She had been a life long smoker that had caused additional damage to her skin. Dr. De Silva places much importance on safety and Linda stopped surgery before undergoing surgery. She was very keen to have a natural looking result, knowing that an experienced Facial Cosmetic Surgeon. She underwent a facelift, neck lift with Dr. De Silva including a double corset procedure that includes triple layered closure of the skin to avoid visible scarring and ensure maximum longevity of the lift. The overall effect was a smoother jaw line, sharp neck-jawline angle and a younger-looking face. The after photographs show her appearance only 3-months after surgery, she was very pleased with the natural looking results, felt increased confidence and her family thought seeing she looked hugely improved. Dr. De Silva takes attention to make the incisions from facelift as discrete and hidden as possible.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This East Asian woman had noticed an increased tired appearance with sagging of her neck and softening of her jaw line with jowls. She was very nervous of undergoing surgery as she had multiple previous surgeries in the NHS with an unsatisfactory result. She visited Dr. De Silva, Specialist in Facial Cosmetic and Plastic Surgery. She underwent a face and neck lift procedure with chin augmentation. The photos 6-months after surgery show an improved jaw line and neck with facial rejuvenation. She was very happy with the final result.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This caucasian man had noticed an increasingly tired appearance with saggy neck, multiple wrinkles and lines in his skin. He came to Dr. De Silva a specialist in facial cosmetic and plastic surgery, as he wanted only a natural appearance. On assessment, he had very loose skin along his jaw that had begun to sag with time, with some accumulation of fat and softening his jaw line with some loss of facial volume and tired eyes. Dr. De completed a face and neck lifting surgery with blepharoplasty and fat transfer. The photograph after shows 3-months after surgery, the photos show a marked improved jaw line and sharp angle between his jaw line and neck associated with a youthful appearance.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 30s was not happy with her neck and jaw line for many years. She wanted to find a way to improve her appearance so she began looking for a skilled facelift surgeon to help her achieve her goal. Dr. De Silva completed a neck lift with chin augmentation that resulted in a dramatic improvement in her neck and jaw line. The after photographs show a more youthful and healthy looking jaw line and neck. The patient was very happy with the results of the face and neck surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

2 weeks post surgery

This woman in her 50s has found herself looking more tired, with a fuller neck and heavy jaw line. She was looking for a natural rejuvenation and came for a consultation with Dr. Julian De Silva. Dr. De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Her scars are very difficult to see, as Dr. De Silva hides scars wear possible around the natural curves of the ears and into the hair lines so they cannot be seen. Scars made in front of the hair line are best avoided in Dr. De Silvaǯs view as hair often this with natural ageing and these scars can become more visible. Hiding scars in hairline is more challenging and takes additional time, however hides scars more effectively. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed. The patient was very happy with the final result, it is always a privilege and a challenge to help a patient achieve a great result

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

6 weeks post surgery

This woman in her 50s has found herself looking more tired, with a fuller neck and heavy jaw line. She was looking for a natural rejuvenation and came for a consultation with Dr. Julian De Silva. Dr. De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Her scars are very difficult to see, as Dr. De Silva hides scars wear possible around the natural curves of the ears and into the hair lines so they cannot be seen. Scars made in front of the hair line are best avoided in Dr. De Silvaǯs view as hair often this with natural ageing and these scars can become more visible. Hiding scars in hairline is more challenging and takes additional time, however hides scars more effectively. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed. The patient was very happy with the final result, it is always a privilege and a challenge to help a patient achieve a great result

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

5 months post surgery

This woman in her 50s has found herself looking more tired, with a fuller neck and heavy jaw line. She was looking for a natural rejuvenation and came for a consultation with Dr. Julian De Silva. Dr. De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Her scars are very difficult to see, as Dr. De Silva hides scars wear possible around the natural curves of the ears and into the hair lines so they cannot be seen. Scars made in front of the hair line are best avoided in Dr. De Silvaǯs view as hair often this with natural ageing and these scars can become more visible. Hiding scars in hairline is more challenging and takes additional time, however hides scars more effectively. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed. The patient was very happy with the final result, it is always a privilege and a challenge to help a patient achieve a great result

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Dr. De Silva spends additional time on each facelift to hide scars and where possible make them very difficult if not completely hidden from view. Dr. De Silva hides the scars using the natural curves of the ear cartilage and in the hair line. A more simple technique is where surgeons make a scar inform of the ear and in front of the hair line although considerable faster this surgery leaves an undesirable scar, with time fine hair can be lost making these scars more noticeable. Dr. De Silva spends additional time with every patient to make scars as less noticeable as possible, often closing the skin and hiding the scars takes 45minutes on each side of the face, a total of 1 and half hours hiding scars. Approximately 1% of the population can have issues with the healing of scars (e.g. keloid scars), these patients require additional treatments such as anti-inflammatories to make the scars less noticeable.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This patient in her late 50s had become frustrated with a tired appearance, with sagging skin and bands in her neck. She came to see Dr. Julian De Silva to undergo a natural rejuvenation. In addition Dr. De Silva noted swelling around her eyes secondary to a filler introduced more than 4 years previously. She underwent face and neck lift surgery with and blepharoplasty under sedation anaesthesia. Dr. De Silva utilized further technology including PRP and stem cell fat transfer to speed up healing and recovery time. Dr. De Silva spends additional time with each patient to hide scars. The after photographs show rejuvenated appearance with smoothened neck and jaw line, freshened appearance. Swelling around her eyes were improved with a combination of dissolving of previous filler and fat transfer with lower blepharoplasty. The patient was very happy with her results from the natural looking results from her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

One and a half years after this patient underwent facelift and necklift surgery with fat transfer and laser resurfacing with Dr. Julian De Silva, she has an excellent rejuvenation with hidden scars and remains very happy with her treatment.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This Caucasian woman in her 40shad noticed an increasingly tired appearance including loose skin, jowls, multiple wrinkles and lines in her skin with volume loss. She came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with loose skin, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. She underwent facelift and neck lift with fat transfer and PRP, under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr. De Silva restored a more youthful jaw and neck angle. The photograph after shows 6-weeks after surgery, with the use of her own PRP (Platelet Rich Plasma) to accelerate healing and reduce downtime, the photos show relatively mild swelling still present, an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman had disliked the appearance and general sagginess of her neck with for more than 10 years. She was very anxious about undergoing treatment and although had been offered non-surgical treatments, no treatments had made any real difference to her neck. She presented for a consultation with Dr. De Silva, to discuss neck lifting options, she was not keen on undergoing invasive surgery with a prolonged recovery time. On assessment, the skin along her jaw had begun sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combine face and neck lift procedure with fat transfer and the use of bio-technology to enhance her recovery from surgery. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Dr. De Silva does not use body liposuction techniques (including traditional liposuction and ultrasound-assisted Vaser techniques), and she underwent a specialized micro-cannulae (fine) technique that enables finer control and natural shaping and refining of the neck contours.

Only 12-hours after treatment, the photos show a marked improvement in her jaw line and neck associated with a youthful appearance. There is some bruising of her neck, however Dr. De Silva uses advanced biotechnology to enhance recovery after surgery, the ecchymosis is largely resolved by 1-week after surgery. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed.

The scars are show at 6-weeks after surgery, have faded further. Although the final result from scars is as long as 18-months after surgery, by hiding scars in the natural creases Dr. De Silva finds that scars can be made discrete far earlier, unfortunately scars that have been placed in more visible areas are very difficult to treat. The patient was very happy with the results of her surgery, she had been extremely nervous of undergoing surgery and had waited more than 10years before she had made the decision to undergo surgery with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

The next set of photos show her appearance at 1-week after surgery. Dr. De Silva uses fast recovery techniques to enhance recovery after face & neck lift surgery and a dramatic improvement in her neck can be seen. Dr. De Silva customizes each facelift and neck lift procedure for each individual patient, to improve the neck to this level requires advanced surgery techniques that focus on improving all the underlying structures in the neck. Dr. De Silva’s focus for each patient in terms of priority are firstly Safety, secondly the best possible result and thirdly

Dr. De Silva hides the scars from facelift and neck lift surgery around the natural curves of the neck and in the hairline. These photos show the scars at 1-week after surgery, using the natural curves of the ears takes additional time however makes scars difficult to see. Some surgeons place the scars in front of the ear or in front of the sideburn, this can result in visible scars which can be very difficult to treat. Dr. De Silva believes that scars should be made as discreet as possible. Less than 1% of the population may have troublesome scarring such as keloid scars, by placing the scars in discrete areas the scars generally are difficult to see even soon after facelift and neck lift surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

The next set of photos at 6-weeks after surgery shows resolution of all of the early bruising and 95% of swelling. The patient has had a dramatic rejuvenation in her face areas. Multiple people commented on how refreshed she looked although they were not able to tell she had undergone surgery as the result is completely natural.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This Caucasian patient had noticed an increasingly tired appearance with loose skin, jowls, bands in her neck, and loss of volume in her face. She came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De completed face and neck lifting surgery with blepharoplasty and CO2 laser skin resurfacing. The photograph after shows only 6-weeks and 4-months after surgery, show an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery and went onto have further facial surgery with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

After 4 months

This Caucasian patient had noticed an increasingly tired appearance with loose skin, jowls, bands in her neck, and loss of volume in her face. She came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De completed face and neck lifting surgery with blepharoplasty and CO2 laser skin resurfacing. The photograph after shows only 6-weeks and 4-months after surgery, show an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery and went onto have further facial surgery with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 50s had disliked the appearance of her neck for many years. She was anxious about undergoing treatment and had initially only wanted treatment on her neck. She presented for a consultation with Dr. De Silva, to discuss neck lifting options, she was not keen on undergoing invasive surgery with a prolonged recovery time. On assessment, the skin along her jaw had sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. From Dr. De Silva’s experience patients with combined face and neck ageing, are best suited to the correct procedure, if only 50% of the area is treated with a neck lift only, this can compromise the patient’s result considerable With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent face and neck lift surgery under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle.

Only 12-hours after treatment, the photos show a marked improvement in her jaw line and neck associated with a youthful appearance. There is some bruising of her neck, however Dr. De Silva uses advanced biotechnology to enhance recovery after surgery, the ecchymosis is largely resolved by 1-week after surgery.
The patient was very happy with the results of her surgery, she had been extremely nervous of undergoing surgery and had waited more than 10years before she had made the decision to undergo surgery with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This man in his 50s was unhappy with the appearance of eyelids, sagging jowl and neckline. The skin along his jaw had begun to sag with time, leaving his jaw looking uneven and giving him a web of excess skin below his chin. Knowing that an experienced London Facial Cosmetic Surgeon could advise him about the correct procedure for facial skin sagging, he scheduled a consultation with Dr. De Silva. He had previously undergone blepharoplasty and had dry eyes. Dr. De Silva takes a comprehensive history from every patient as dry eyes must be treated very cautiously when considering further eyelid surgery. During his consultation, his surgeon examined his face and recommended that he undergo a conservative blepharoplasty with hidden-incision (endoscopic) brow lift with face and neck lift. In men, a neck lift is often more important than a full facelift as it gives to a natural result, and for this patient, he and his surgeon decided that a combination with eyelid surgery would give the best result. During the surgery, Dr. De Silva made carefully make incisions and then lifted the tissue and muscles under the skin. The overall effect is a tighter, younger-looking lower face. His recovery was relatively quick with minimal discomfort. He said that after his procedure he looks good as he feels inside and he was very pleased with the results. Pictured in the “after” photos less than one year after undergoing his eyelid and facelift, this patient’s face and neck look taut and younger. The sagging skin below his neck has even been diminished without the need for a neck lift, and his jowl looks smoother and more even.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This Afro-Caribbean patient in her 30s had noticed an increased looseness of skin in the lower third of her face with volume loss. Visible scarring, including keloid scarring, is a concern if patients with ethnic skin. Dr. De Silva takes specific caution with surgical technique to avoid tension on the healing areas to ensure good healing and uses anti-inflammatory medicine to reduce scarring when necessary. The after photograph shows a good improvement in her jaw line as well as discrete scars that are hidden in the natural curves of the ear.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 50s has found herself looking more tired, with a fuller neck and heavy jaw line. She had previously undergone facelift surgery and had been particularly unwell the preceding year when she felt she had aged considerably. She was looking for a natural rejuvenation and came for a consultation with Dr. Julian De Silva. Dr. De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Dr. De Silva finds that some patients who undergo revision facelift and neck lift surgery can have additional swelling in the early recovery period. Dr. De Silva takes specific measures to reduce swelling over the first two weeks including the uses bio-technology, micro-drainage devices and medications. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed. The patient was very happy with the final result.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

6 Weeks After Surgery

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This woman in her 50s has found herself looking more tired, with loose skin, a fuller neck and heavy jaw line. She had previously undergone facelift surgery and had been particularly worried about scarring and a long recovery. She had previously undergone general anaesthesia that has been relatively traumatic recovery, Dr. De Silva offered her an alternative of sedation anaesthesia. Dr. De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depressions in her face). The after surgery shows a natural rejuvenation with smooth jaw line and more defined angle between her jaw line and neck associated with a more youthful appearance. Dr. De Silva finds that some patients who undergo revision facelift and neck lift surgery can have additional swelling in the early recovery period. Dr. De Silva takes specific measures to reduce swelling over the first two weeks including the uses bio-technology, micro-drainage devices and medications. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient had been particularly worried about the scar underneath her chin, this can be seen in the after photographs as a discrete line at 3-months, the final result of this scar will be as long as 18-months, when the scar will have thinned further. The patient was very happy with her experience with sedation anaesthesia and had been able to leave the clinic less than 1-hour after the surgery completed, her experience was far better than the surgery she had undergone years ago. The patient was very happy with the final result.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This patient in her 30s had increasingly noticed loose skin in the lower third of her face. Her concerns included visible scars that would be seen by work colleagues or friends. Dr. De Silva ensures that his scars around hidden around the natural curves of the ears and into the hair lines so they cannot be seen. Scars made in front of the hair line are best avoided in Dr. De Silva’s view as hair often this with natural ageing and these scars can become more visible. The after photos show the appearance of the scars at six weeks that are difficult to see, there are no scars in front of the patient’s side burn and there is no elevation of the side burn of hair which. Hiding scars in hairline is more challenging and takes additional time, however gives a natural appearance without any signs of undergoing surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This middle eastern woman in her 50s had disliked the appearance of the lower third of her face and neck for many years. She was anxious about undergoing treatment and had initially only wanted treatment on her eyelids. She presented for a consultation with Dr. De Silva, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure with blepharoplasty and hidden scar (endoscopic) brow lift procedure under sedation anaesthesia. Visible scarring can be a concern if patients with ethnic skin. Dr. De Silva takes specific caution with surgical technique to hide the location of scars around natural curves of the ear, and uses techniques to avoid tension on the healing areas to ensure fine scars and uses anti-inflammatory medicine to reduce scarring when necessary. The after photograph shows a good improvement in her jaw line as well as discrete scars that are hidden in the natural curves of the ear.

The patient was very happy with the results of her surgery, she had been extremely nervous of undergoing surgery and had waited more than 10years before she had made the decision to undergo surgery with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman had noticed an increasingly tired appearance including jowls, saggy neck, multiple wrinkles and lines in her skin with volume loss. She came to Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime. She underwent facelift and neck lift under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr. De Silva used micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The after photograph shows an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Only 1-week after treatment, the photos show a marked improvement in her jaw line and neck associated with a youthful appearance. There is minimal bruising of her neck, however Dr. De Silva uses advanced biotechnology to enhance recovery after surgery, the ecchymosis is largely resolved by 1-week after surgery.

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At 2-weeks further swelling has gone down and by 6-weeks she is looking natural and refreshed. The very final result from face and neck lift surgery is towards a year, as at six weeks there will still be some tightness in the neck area, numbness and this is a normal part of healing that will resolve. The patient was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 40shad noticed an increasingly tired appearance including loose skin, early jowls, with loss of volume. She had gone for a number of consultation with plastic surgery and made an appointment to see Dr. De Silva as specialist in facial cosmetic and plastic surgery, to discuss face and neck lifting options. On assessment, the skin along her jaw had begun to sag with time, with loose skin. Dr. De Silva assessed her face and discussed with her the best possible improvement with the least downtime. She underwent a mini-facelift with cheek implants under sedation anaesthesia (also known as twilight anaesthesia) enabling a more rapid recovery after surgery. Dr. De Silva restored a more youthful jaw and neck angle.

The photograph after shows 6-weeks after surgery, with the use of her own PRP (Platelet Rich Plasma) to accelerate healing and reduce downtime, the photos show relatively mild swelling still present, an improved jaw line and sharpened angle between her jaw line and neck associated with a youthful appearance. She was very happy with the results of her surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 50s had disliked the appearance of her neck for many years. She was anxious about undergoing treatment and had a number of medical inflammatory conditions that meant she had numerous hospital visits and treatments for her general health. She presented for a consultation with Dr. De Silva, to discuss face and neck lifting options, she was not keen on undergoing invasive surgery with a prolonged recovery time and wanted a natural looking result. On assessment, there was marked fullness and sagging along her neck line including loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva discussed with her realistic expectations before surgery as heavy neck with underlying medical conditions is challenging to improve. Prior to surgery, Dr. De Silva insists on completing medical assessment and tests to ensure safety, as safe procedure is always of key importance when considering undergoing surgical improvement. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. She underwent face and neck lift surgery under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The after photograph shows a marked improvement in her neck with minimal scars that are difficult to see. Her neck is markedly improved, however not perfect, with patients with heavy necks, all patients will have an improvement however results may not be perfect, particularly in patients with marked skin laxity. For less than 5% of patients a further procedure may be necessary to improve the neck and jawline further. The patient was happy with the improvement.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 50s had disliked the appearance of her neck for many years. She was anxious about undergoing treatment and had initially only wanted treatment on her neck. She presented for a consultation with Dr. De Silva, to discuss neck lifting options, she was not keen on undergoing invasive surgery with a prolonged recovery time and wanted a very natural looking result. On assessment, the skin along her jaw had sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. She underwent face and neck lift surgery under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Dr. De Silva spends extra time with each patient to improve the natural appearance of the result, for this patient her treatment included the use of fat transfer and PRP (Platelet rich plasma). A universal aspect of ageing is loss of natural volume, the use of fat transfer and PRP restores a more youthful appearance using a patients own natural fat, 50-60% of this fat remains long-term. Each year some natural fat is lost from the face, and occasional addition of fillers can enhance appearance long-term. The patient was very happy with the improved appearance in her face and neck.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This man in his 50s was looking to freshen up his in appearance, particularly his eyelids, sagging jowl and neckline. The skin along his jaw had begun to sag with time, leaving his jaw looking uneven and giving him a web of excess skin below his chin. Knowing that an experienced London Facial Cosmetic Surgeon could advise him about the correct procedure for facial skin sagging, he scheduled a consultation with Dr. De Silva. During his consultation, his surgeon examined his face and recommended that he undergo a blepharoplasty with face and neck lift. In addition Dr. De Silva recommended a chin implant to improve his chin and jaw line that was relatively recessed. In men, the neck and jaw line is often more important than the lower part of the face as it gives to a natural result, and for this patient, he and his surgeon decided that a combination with eyelid surgery would give the best result. During the surgery, Dr. De Silva made carefully make incisions and then lifted the tissue and muscles under the skin. The overall effect is a tighter, younger-looking lower face.
He is 2-months post face and neck lift in this before and after picture. His recovery was relatively quick with minimal discomfort. He said that after his procedure he looks good as he feels inside and he was very pleased with the results. The sagging skin below his neck has even been diminished without the need for a neck lift, and his jowl looks smoother and more even.
Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 0208 222 8760 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her late 50s had felt she was looking more tired with changes around her eyes and loose skin around her neck. She was anxious about undergoing treatment and had an important even coming up. She presented for a consultation with Dr. De Silva, to discuss face and neck lifting options with eyelid surgery, and she wanted a very natural looking result. On assessment, the skin along her jaw had sagged considerably with time, with loose skin and some accumulation of fat, softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. She underwent face and neck lift surgery with blepharoplasty under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Dr. De Silva spends extra time with each patient to improve the natural appearance of the result, for this patient her treatment included the use of fat transfer and PRP (Platelet rich plasma). A universal aspect of ageing is loss of natural volume, the use of fat transfer and PRP restores a more youthful appearance using a patients own natural fat, 50-60% of this fat remains long-term. Each year some natural fat is lost from the face, and occasional addition of fillers can enhance appearance long-term. The patient was very happy with the improved appearance in her face and neck.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This man in his 60s had found he was looking increasingly tired and was looking to freshen up his appearance, particularly his eyelids, sagging jowl and neckline. He had never undergone previous cosmetic surgery and was concerned about looking too different or ‘plastic’. He looked for a surgeon specialising in facial cosmetic and plastic surgery. At his consultation Dr. De Silva discussed with him the benefits and downsides to surgery, the recovery period and expectations from surgery. The skin along his jaw had begun to sag with time, leaving his jaw looking uneven and giving him a web of excess skin below his chin. In men, the neck and jaw line is often more important than the lower part of the face as it gives to a natural result, and for this patient, he and his surgeon decided that a combination with eyelid surgery would give the best result. During the surgery, Dr. De Silva made carefully make incisions and then lifted the tissue and muscles under the skin. The after photographs show a more rejuvenated appearance with fresher-looking eyes, face and neck. His recovery was relatively quick with minimal discomfort. The patient was very pleased with the results of his surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 60s had noticed an increased tired appearance in her face. She was a working professional and was keen to have a natural looking rejuvenation that did not look ‘fake’ or ‘plastic’. She looked for a surgeon specializing in facial cosmetic and plastic surgery. She presented for a consultation with Dr. De Silva, to discuss face and neck lifting options, recovery time and realistic expectations from surgery. Dr. De Silva identified in addition to sagging along her jaw line including loose skin and some accumulation of fat, there had been a marked loss of natural fat. A universal aspect of ageing is loss of natural volume, the use of fat transfer and PRP restores a more youthful appearance using a patients’ own natural fat, 50-60% of this fat remains long-term. She underwent face and neck lift surgery with fat transfer under sedation anaesthesia. In addition micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. The after photograph at 2months shows a marked improvement in her neck with minimal scars that are difficult to see. Her neck is markedly improved, however there is still some swelling present. For a small proportion of patients with markedly loose skin a further procedure may be necessary to improve the neck and jawline further such as a chin implant or skin removal. The patient was very happy with the natural looking improvement. Dr. De Silva believes that any rejuvenation should be conservative and natural looking, avoiding a ‘done’ or plastic looks is important and removing every line or wrinkle would not be expected with natural ageing.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman in her 60s had disliked the appearance of her neck for many years. She was anxious about undergoing treatment and had initially only wanted treatment on her neck. She presented for a consultation with Dr. De Silva, to discuss neck lifting options, she was not keen on undergoing invasive e surgery with a prolonged recovery time and wanted a very natural looking result. On assessment, she had a small chin and marked loose skin along her jaw, with softening her jaw line and leaving her jaw looking uneven. Dr. De Silva assessed her neck and discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure. She underwent face and neck lift surgery with a chin implant under sedation anaesthesia, micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Although some patients notice only the neck, it is often important to correct droopy jowls and the jaw line with a combined face and neck lift, this is key to ensure a natural and long-lasting result. At 6-months there is a good improvement in her neck, with an improved shape and jaw line. The neck is not perfect, as there is a mild irregular contour, however with very loose skin in the neck it is challenging to achieve complete perfection and realistic expectations are important. There is a marked improved in the loose skin and scars are difficult to see. The very final result from face and neck lift surgery is towards a year, as at six months there will still be some tightness in the neck area, numbness and this is a normal part of healing that will resolve.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

This woman had disliked the appearance and sagginess of her jowls and fullness of her neck for many years She had considered treatments for some time before deciding to go for a consultation. She was recommended to Dr. Julian De Silva by a friend who had undergone similar surgery with him. She presented for a consultation with Dr. De Silva, to discuss face and neck lifting options, she was keen on a natural looking result and fast recovery time. Dr. De Silva spent time to listen to her concerns and assess her face and neck meticulously. On assessment, the skin along her jaw had begun sagged considerably with time, with loose skin and some accumulation of soft tissue beneath her jaw line, softening the shape of her neck. In addition, Dr. De Silva showed her the relevance of a relatively small chin in magnifying these changes. Dr. De Silva discussed with her the best possible improvement with the least downtime and advised a combined face and neck lift procedure with chin implant. With natural neck elasticity there are more treatment options available to improve a sagging neck. She underwent micro-cannula neck liposuction with reshaping of the neck and jaw angle to restore a more youthful jaw and neck angle. Some aspects of the fullness of her neck were also secondary to sunken salivary glands. Dr. De Silva believes in doing the best for every single patient, and as part of her surgery shaped and sculpted the sunken aspect of her glands to improve her jaw line and neck contour further. Only with this additional treatment would have the youthful angle between her jaw line and neck be shaped. This part of the face and neck lift surgery is time consuming and is not completed by the majority of plastic surgeons.
Only 12-hours after treatment, the photos show a marked improvement in her jaw line and neck associated with a youthful appearance. There is some bruising of her neck, Dr. Dr. De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia. The patient was able to leave the surgery less than 1-hour after the surgery completed.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

The next set of photos show her appearance at 2-weeks after surgery. Dr. De Silva uses fast recovery techniques to enhance recovery after face & neck lift surgery and a dramatic improvement in her neck can be seen. Dr. De Silva customizes each facelift and neck lift procedure for each individual patient, to improve the neck to this level requires advanced surgery techniques that focus on improving all the underlying structures in the neck. Dr. De Silva’s focus for each patient in terms of priority are firstly Safety, secondly the best possible result and thirdly the best possible experience.
Dr. De Silva hides the scars from facelift and neck lift surgery around the natural curves of the neck and in the hairline. These photos show the scars at 2-weeks after surgery, using the natural curves of the ears takes additional time however makes scars difficult to see. Some surgeons place the scars in front of the ear or in front of the sideburn, this can result in visible scars which can be very difficult to treat. Dr. De Silva believes that scars should be made as discreet as possible. Less than 1% of the population may have troublesome scarring such as keloid scars, by placing the scars in discrete areas the scars generally are difficult to see even soon after facelift and neck lift surgery.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

The next set of photos at 6-weeks after surgery shows resolution of approximately 90-95% of swelling. The scars are show at 6-weeks after surgery, have faded further. Although the final result from scars is as long as 18-months after surgery, by hiding scars in the natural creases Dr. De Silva finds that scars can be made discrete far earlier.
The patient has had a dramatic rejuvenation in her face and neck and was very happy with the results of her face and neck lift surgery with chin implant, and wished she had completed the surgery sooner.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.

Request a consultation at our office in London to take the next step and learn more about your cosmetic options. You can call the London Centre for Advanced Facial Cosmetic Surgery at 020 8748 2860 to schedule your appointment with Dr. De Silva.