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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 consultati
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 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.
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.
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 discu
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.
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 faci
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.
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
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.
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 adv
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.
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 beg
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 and 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.
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 abo
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.
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 celebri
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.
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 b
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.
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. S
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
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 fa
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.
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 t
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.
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
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 and 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.
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 a
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.
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 Plasti
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.
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 tim
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.
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
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.
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 De Silva. Dr De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depress
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 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
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 De Silva. Dr De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depress
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 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
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 De Silva. Dr De Silva recommended a face and neck lift surgery, with fat transfer (to replace lost volumes and depres
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 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
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
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.
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 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
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 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 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.
One and a half years after this patient underwent facelift and necklift surgery with fat transfer and laser resurfacing with Dr De Silva, she has an excellent rejuvenation with hidden scars and remains very happy with her treatment.
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
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, 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 and 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.
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 ne
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.
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 completel
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.
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 wi
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 Silva 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.
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 h
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.
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 prolong
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.
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 p
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.
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 e
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.
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,
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.
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 m
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.
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 asse
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.
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 wi
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.
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 ve
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.
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 optio
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 and 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.
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 fa
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.
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 prolong
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. A universal aspect of ageing is loss of natural volume, the use of fat transfer 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.
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
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. A universal aspect of ageing is loss of natural volume, the use of fat transfer 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.
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 wi
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 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.
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 prolo
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.
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 t
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.
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 ma
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.
Signature natural facelift and neck lift with Dr De Silva.
Patient experience is recorded in a video diary every day after his surgery: www.youtube.com/watch?v=GyN2-ZI14mk
This woman was unhappy with the appearance of her neck for many years. She had considered treatments for years before deciding to go for a consultation. She came to see Dr Julian De Silva as a Top specialist in facial plastic surgery. She was keen on a natural looking result and fast recovery time, and no one knowing t
This woman was unhappy with the appearance of her neck for many years. She had considered treatments for years before deciding to go for a consultation. She came to see Dr Julian De Silva as a Top specialist in facial plastic surgery. She was keen on a natural looking result and fast recovery time, and no one knowing that she had undergone surgery. 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. Some aspects of the lines around her face were a consequence of genetics, a specialised form of fat transfer, termed “nano fat’ Was used to treat each individual line. This part of the face and neck lift surgery is time consuming and is not completed by the majority of plastic surgeons. Dr De Silva has a customized approach to face and neck lift, tailoring the surgery to the individual needs of the patient, this makes use of between 4-10 techniques with each patient, takes more time yet ensures a natural result facelift and neck lift. The photos show a marked improvement in her jaw line and neck associated with a youthful appearance. Dr De Silva completed the surgery with twilight sedation, enabling the patient to avoid the side effects and long recovery associated with general anaesthesia.
Signature natural facelift and neck lift with Dr Julian De Silva.
Our mission is to provide patients with World Class Facial Plastic Surgery at 23 Harley Street, London.
Contact us today for an appointment:
+44 020 8748 2860
www.londonfacialplasticsurgery.co.uk/contact-us/
Signature natural facelift and neck lift with fat transfer Dr Julian De Silva. Review of patient experience: You asked me on our 1st consultation what I hoped to achieve from the operation, and I said I just needed the face to be freshened up. I had a lot of loose skin under the neck which was the main problem. When
Signature natural facelift and neck lift with fat transfer Dr Julian De Silva.
Review of patient experience:
You asked me on our 1st consultation what I hoped to achieve from the operation, and I said I just needed the face to be freshened up. I had a lot of loose skin under the neck which was the main problem. When I use a collar and tie and pull up the knot on the tie the dreaded turkey neck really showed up, and now after the op I can honestly say that it’s all now gone. I now have a tight and firm neck, more like a young mans’.
The incision and stitching on and around the tragus Julian is in my opinion a little work of art.
I am now 7 weeks in from the op and even under my magnifying glass I can’t see the incision or stitching remarkable job.
You said I needed a fat transfer as I cost volume in my face. Now this is in my opinion a bonus. Because form the age of 18 I was then 64 kgs and to this day I am still 62 kgs and I am now 70 years old.
My weight has been stable for 52 years. You take the fat from an incision on the belly button, which after the op I never needed a single stich to close it. It’s headed beautifully, but because I never had virtually any fat there anyway, you said it would bruise quite a bit, which it did. It took 5 weeks to go, but the bonus is I had a little ridge of fat what I would call puppy fat going from my belly button to both sides. Which would never seem to go and I keep myself pretty fit, but after the fat transfer it’s all gone. That’s the bonus, fantastic. I still have a small amount of numbness around my ears and under my chin but each week I can feel it’s going. My bruising lasted 4 weeks but everything is healing really well.
Twilight anesthesia is absolutely fantastic. I was on the operating table at 7 am and I did not know anything until I woke up with the nurse bandaging my face with the clock in your operating theatre showing 12:35. That’s 5 hours and I got up and walked out straight away with no side effects at all.
Twilight anesthesia is truly fantastic.
Julian you have a young female staff which are totally professional and they are fun also, again fantastic.
Julian, you as a professional are at the top of your game, an exceptional artist in your field. But on a personal side, I met you and the girls on a number of times and I feel I’ve known you for years. You are a very warm and caring person and that also goes for the girls.
I very much look forward to seeing you before Christmas (If COVID allows).
My very best wishes to you and the girls.
James Lovell,
PS.
I never had any pain and never had to take any painkillers; they are still in the box opened.
healing and scars from face and neck lift surgery. Most of these photos are taken between 6 and 12 weeks after surgery. Although individual healing varies according to skin type and genetics, Dr De Silva uses customized techniques to minimize scarring after face and neck lift surgery. The scars from facelift surgery
healing and scars from face and neck lift surgery. Most of these photos are taken between 6 and 12 weeks after surgery. Although individual healing varies according to skin type and genetics, Dr De Silva uses customized techniques to minimize scarring after face and neck lift surgery.
The scars from facelift surgery are necessary to remove lose skin after lifting. Dr De Silva believes that key to a natural face & neck lift is hiding the scars making them difficult to see. Dr De Silva preference is to conceal the scars in the natural curves around the ear, within the hair and behind the ear. Although some surgeons will save time by bringing scars in front of the ear or below the hairline, this care result in a visible scar that is very difficult to improve. Dr De Silva has developed scar-hiding techniques that include special stitches, minimum tension and attention to detail. Although these scar hiding techniques take longer to complete the surgery they can hide the scars very effectively. 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.
This superstar patient had become fed up of her tired neck and eyelids, with puffiness, loose skin and bags under her eyes. I completed my signature facelift, neck lift and blepharoplasty procedure with a combination of fat transfer and laser. The lines around the lips can be particularly challenging and a combination
This superstar patient had become fed up of her tired neck and eyelids, with puffiness, loose skin and bags under her eyes. I completed my signature facelift, neck lift and blepharoplasty procedure with a combination of fat transfer and laser. The lines around the lips can be particularly challenging and a combination of laser, fat transfer, nano fat and regenerative medicine was used. This is the very latest in technology to enhance results, nano fat, passing your own fat through very fine fat particles that are injected into the deeper facial lines, this is at the forefront of technology. Although there is no way of showing animation before and after surgery I generally ask patients to bring old photographs from your late 20s or 30s to see how your individual face has changed with time. This means the surgery can be customised to how you used to look. She was really delighted with the result, thank you for trusting me to make this difference.
This delightful patient came from overseas to see me. Previously I had helped her remove permanent filler in her lips that was all too common a few years ago. I am always delighted when patients come back for second procedures as they had a great first experience. Following a fall a previous chin implant had become dis
This delightful patient came from overseas to see me. Previously I had helped her remove permanent filler in her lips that was all too common a few years ago. I am always delighted when patients come back for second procedures as they had a great first experience. Following a fall a previous chin implant had become displaced creating chin asymmetry, as well as a few years of wear and tear with sagging along her jawline and neck. I completed my signature revision facelift and neck lift, repositioned her chin implant and added further refinement with fat transfer and regenerative medicine. The chin implant was customised with natural shaping to give a smoother jaw line and I use two tiny titanium screw to ensure it does not move in the future. I think you will agree she looks amazing and was really delighted with the result, thank you for trusting me to make this difference for you.
This wonderful patient had noticed an increasingly tired appearance of her neck and jaw line, with loose skin, jowls and neck bands. Unfortunately her grand children were not being too flattering. It is such a significant decision for most people and I am humbled that patients trust me to help them. I completed my sign
This wonderful patient had noticed an increasingly tired appearance of her neck and jaw line, with loose skin, jowls and neck bands. Unfortunately her grand children were not being too flattering. It is such a significant decision for most people and I am humbled that patients trust me to help them. I completed my signature deep plane facelift procedure with sedation anaesthesia, that lifted changes against gravity, with combination fat transfer to give a completely natural result. She looked possibly 15-20 years younger. Although there is no exact measurement that defines a beautiful face, I use the golden ratio to correlate proportions of the face to aid refinement and facial shaping, a more V-shaped jaw line looks more youthful and feminine. The principle being no one could tell you have undergone treatment. I hope that you agree that she looks great.
This delightful patient in her 50s felt she was looking more tired! #fiftyisthenewthirty I performed her #plasticsurgery and am so excited about how youthful and rejuvenated she looks, but more importantly how natural! She was worried about her dropping jawline, #jowls, fallen cheeks and nec bands . I re-supported her
This delightful patient in her 50s felt she was looking more tired! #fiftyisthenewthirty I performed her #plasticsurgery and am so excited about how youthful and rejuvenated she looks, but more importantly how natural! She was worried about her dropping jawline, #jowls, fallen cheeks and nec bands . I re-supported her face and neck with my signature #deepplanefacelift and #necklift. The deep plane #facelift lifts the dropped cheeks and #jowls recreating the heart shape of youth. I love how her #nasolabislfolds and #marionettelines are smoothed!! She had the feared smokers lines around her upper lips which I treated with a combination of laser resurfacing and fat transfer techniques. These lines can be quite resistant to treatment, although improvement is possible, they are challenging to completely smooth. Although only 8-weeks after surgery her scars are already difficult to see and will be virtually invisible with time. I look to hide scars in natural curves andOverall she looks completely refreshed and natural and lines around the ears which in the great majority of patients are discrete and challenging to see. I hope you agree that she looks more than 10years younger!
This patient with naturally great skin had ageing just confined to the lower third of her neck. I love her after results, note there are no visible scars around her ears. I think she looks at least 10 years younger! I am so excited about how youthful and rejuvenated she looks, and I love how defined and beautiful her
This patient with naturally great skin had ageing just confined to the lower third of her neck. I love her after results, note there are no visible scars around her ears. I think she looks at least 10 years younger! I am so excited about how youthful and rejuvenated she looks, and I love how defined and beautiful her jawline and neck looks! She did not want to have a facelift or scars in front of ears, so I completed neck surgery hiding the scars completely behind her ears, yes INVISIBLE scars. I performed a #necklift with #platysmaplasty that included shaping the deeper soft tissues in the neck, reducing deeper fat and shaving down the submandibular salivary glands. What I love is how natural and un-operated she looks! She is such a wonderful woman and was so grateful for this improvement that had bothered her for years!! I am grateful she trusted me with her neck.
This great patient of mine had incredible good health and only had ageing in his neck area. He had loose skin and bands and as a high profile person in the public eye and become increasing self conscious about his neck. I wanted to create a natural result, liberate him from wearing scarfs and performed a #deepplaneface
This great patient of mine had incredible good health and only had ageing in his neck area. He had loose skin and bands and as a high profile person in the public eye and become increasing self conscious about his neck. I wanted to create a natural result, liberate him from wearing scarfs and performed a #deepplanefacelift #necklift with #fattransfer and regenerative medicine to aid healing and recovery. I hope you agree his neck looks amazing for only 6weeks after surgery and I am grateful that he trusted me with his neck!
I just saw this beautiful patient of mine just 6weeks after I performed her #plasticsurgery . I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her neck looks. She was worried about her dropping jawline, #jowls, fallen cheeks and multiple lines around her mouth and bands
I just saw this beautiful patient of mine just 6weeks after I performed her #plasticsurgery . I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her neck looks. She was worried about her dropping jawline, #jowls, fallen cheeks and multiple lines around her mouth and bands in her neck. I performed a #deepplanefacelift #necklift with and upper and lower #eyeliftsurgery . I love her gorgeous new jawline and how crisp her neck looks! There were so many linked and creases before surgery and a combination of lifting with fat transfer and laser resurfacing has made a massive difference to her appearance. Many patients are worried that facelift surgery will give them an unnatural appearance but this can be avoided with advanced and meticulous techniques. She is such a wonderful lady and I am grateful she trusted me with her face!
This wonderful patient of mine had disliked her fuller neck for many years. I love her after photo and am so excited about how youthful and rejuvenated she looks, she looks natural and beautiful! She was worried about her dropping jawline, full neck, #jowls, fallen cheeks and tired eyes. she also wanted to improve the
This wonderful patient of mine had disliked her fuller neck for many years. I love her after photo and am so excited about how youthful and rejuvenated she looks, she looks natural and beautiful! She was worried about her dropping jawline, full neck, #jowls, fallen cheeks and tired eyes. she also wanted to improve the appearance of her nose as she always hated her neck. I performed a #deepplanefacelift #necklift with #fat transfer. She needed advanced neck surgical techniques to reduce the deeper layers of fat beneath the neck muscle and reduction in her submandibular salivary glands. This is the only way to really contour the neck in some patients although this can take an extra time in surgery and is a more advanced technique it can really define a fuller neck. This can result in a longer recovery, I combine regenerative medicine techniques with hyperbaric oxygen to enhance my patients recovery. I am grateful she trusted me with her surgery and so happy that I have been able to make such a difference to her.
Many people are afraid of plastic surgery because they don’t want to look artificial, stretched or pulled, they just want to look like a naturally younger version of themselves. She had previously undergone facelift surgery, 20-40% of all the patients I treat have undergone previous facial surgery by surgeons elsewh
Many people are afraid of plastic surgery because they don’t want to look artificial, stretched or pulled, they just want to look like a naturally younger version of themselves. She had previously undergone facelift surgery, 20-40% of all the patients I treat have undergone previous facial surgery by surgeons elsewhere. Revision surgery means that there is some scar tissue and change in the natural anatomy that can require additional techniques to enhance recovery including oxygen therapy and regenerative medicine. This patient was only 6 weeks after revision facelift and neck lift surgery and she was super excited by how youthful she looks, natural, just that she looks great. Her daughter thought she looked younger than her! I performed my signature #deepplanefacelift #platysmaplasty with brow lift and fat transfer. The deep plane #facelift lifts the jowls and dropped cheeks, lifting them naturally up and restoring the cheeks of youth. Her jaw line looks youthful and fresh and her scars are already discrete and virtualI hope you agree that she looks amazing, maybe 10 years younger, glowing and radiant!
So this beautiful woman really does look 10 years younger! Still a little swollen but doing great. I performed a #minifacelift version of my signature #deepplanefacelift and I think she looks amazing!! She is young, in her forties and is beautiful before and just wanted to look more refreshed. She found her face was ap
So this beautiful woman really does look 10 years younger! Still a little swollen but doing great. I performed a #minifacelift version of my signature #deepplanefacelift and I think she looks amazing!! She is young, in her forties and is beautiful before and just wanted to look more refreshed. She found her face was appearing fuller along the jaw line and she wanted to recreate her heart shaped appearance and a tighter jawline. She had tried non-surgical solutions to no avail and just wanted it fixed! My technique utilizes an abbreviated incision hidden inside and behind the ear so there is less scarring so you can wear your hair up, but combines the power of the #deepplanefacelift lifting the deep musculature and fat planes of the drooping cheeks #nasolabialfolds and early #jowling. We utilised our regenerative medicine and #hyperbaricoxygentherapy technqiuest to expedite her recovery. Hope that you agree she looks absolutely amazing!
I just saw this beautiful patient of mine 6months after I performed her #deepplanefacelift and #necklift. I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her neck looks. She was worried about her dropping jawline, #jowls, fallen cheeks and multiple lines around her mout
I just saw this beautiful patient of mine 6months after I performed her #deepplanefacelift and #necklift. I am so excited about how youthful and rejuvenated she looks, but more importantly how natural in her neck looks. She was worried about her dropping jawline, #jowls, fallen cheeks and multiple lines around her mouth and bands in her neck. I performed a #deepplanefacelift #necklift with natural #fattransfer. I love her gorgeous new jawline and how crisp her neck! There were so many lines and creases before surgery and a combination of lifting with fat transfer has made a massive difference to her appearance. Many patients are worried that facelift surgery will give them an unnatural appearance but this can be avoided with advanced and meticulous techniques. She is such a wonderful lady and I am grateful she trusted me with her face!
This wonderful patient had hated her neck for many years and I am so proud that she trusted me to make such a difference to her. She looks 20 years younger, but natural and like herself!! I love how her surgery just enhanced her beauty, but did not change who she is. I re-balanced her face with multiple procedures incl
This wonderful patient had hated her neck for many years and I am so proud that she trusted me to make such a difference to her. She looks 20 years younger, but natural and like herself!! I love how her surgery just enhanced her beauty, but did not change who she is. I re-balanced her face with multiple procedures including my signature #deepplanefacelift #necklift #chinimplant #buccalfatremoval with #platysmaplasty. The deep plane #facelift lifts the dropped cheeks and jowls and as the face becomes fuller with age I combined it with the #buccalfatpadremoval to decrease the fullness of the lower cheeks. This helps recreate the heart shape of youth and a more feminine appearance, beautification of the face using the #goldenratio. She needed advanced neck surgical techniques to reduce the deeper layers of fat beneath the neck muscle and reduction in her submandibular salivary glands. Although this can result in a longer recovery, I combine regenerative medicine techniques with hyperbaric oxygen to enhance my patients recovery. She is such a wonderful lady so I am overjoyed for the new confidence she feels. I am grateful that she has allowed me to be part of her journey and trusted me with her face!
I just saw beautiful patient of mine only 8 weeks after her facelift surgery and I think she looks fabulous! She really dislike her drooping #jowls, deep nasolabial lines, fuller neck, #platysmabands and loss of definition of her jawline. I performed a variation of my signature #deepplanefacelift approach that lifts th
I just saw beautiful patient of mine only 8 weeks after her facelift surgery and I think she looks fabulous! She really dislike her drooping #jowls, deep nasolabial lines, fuller neck, #platysmabands and loss of definition of her jawline. I performed a variation of my signature #deepplanefacelift approach that lifts the jowls and deep cheek fat and musculature vertically recreating a heart shaped face. For her neck I performed a #necklift and #platysmaplasty. To open her eyes I performed an upper and lower #blepharoplasty to remove excess eyelid skin. To address her skin I performed a #laserresurfacing which polishes the fine lines and enlarged pores in her skin, combined with regenerative medicine to enhance natural healing. I hope you agree that she looks absolutely amazing and I am so happy that I have been able to make this difference to her.
This beautiful patient of mine is only 6 weeks after #PlasticSurgery . I love her rejuvenation, she looks 15 years younger, and I am so excited about how youthful and natural she looks, more beautiful and fresh! She was worried about her dropping jawline, fuller neck, #jowls, fallen cheeks. I performed a #deepplanefa
This beautiful patient of mine is only 6 weeks after #PlasticSurgery . I love her rejuvenation, she looks 15 years younger, and I am so excited about how youthful and natural she looks, more beautiful and fresh! She was worried about her dropping jawline, fuller neck, #jowls, fallen cheeks. I performed a #deepplanefacelift #necklift temporal brow lift and lower #blepharoplasty. The temporal lift elevates the outer third of the eyebrow opening the eyes, and the lower #eyelidlift rejuvenated her eyes but have maintained their shape and do not look startled or surprised. She had troublesome #festoons aka #malarbags, these can be very troublesome and difficult to treat. I have devised a combination approach utilising radiofrequency and regenerative medicine that effectively treated this for her. I hope that you agree that she looks absolutely amazing and am so grateful she trusted me to help her in this way.
I saw this charismatic genelteman 3 months after I performed his #deepplanefacelift and I think he looks 20 years younger!!! He was frustrated with persistent jowls and drooping neck. Often with a droopier face and more significant aging a SMAS facelift will not create a durable repair. Some studies in the literatur
I saw this charismatic genelteman 3 months after I performed his #deepplanefacelift and I think he looks 20 years younger!!! He was frustrated with persistent jowls and drooping neck. Often with a droopier face and more significant aging a SMAS facelift will not create a durable repair. Some studies in the literature show a 50% failure rate at 2 years after a traditional SMAS facelift. I performed a #deepplanefacelift to reposition the heavy deep fat and musculature but a #platysmaplasty for #platysmabands . For men the face can never be tight because it can feminize the facial appearance. In my #deepplanefacelift approach for men because the skin, underlying #subcutaneousfat and facial muscles are lifted as one unit so the lift comes from the deep structure of the face so the skin never appears tight. His major concern was looking natural and after his surgery I think he looks like a better version of himself just years younger!!! At the same time I performed a #browlift to lift his drooping brow that opened his eyes and an upper and lower #blepharoplasty to treat eyelid bags and extra skin.
Renowned expert in Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results
