How To Choose Your Facelift Surgeon

Posted by Dr. Julian De Silva | January 8th, 2015


How to choose the best Facelift surgeon is a common concern for many patients. My name is Dr. De Silva; I am a specialist in facial cosmetic and plastic surgery. I only perform facial surgery and the Facelift is one of the three most common procedures that I perform on a daily basis.

Facelift and neck lift surgery are popular procedure as they can rejuvenate a person’s appearance and offer drastic results that really take years off the patient’s face.

At the same time, the media is quick to cover negative outcomes such as over stretched and fake or plastic looking results. Facelift surgery is a procedure that when completed well looks natural and refreshed. Facelift surgery is a challenging plastic surgery as every person’s face is different and a good result is dependent on both technical excellence and artistry.

To find the best Facelift surgeon for you does require taking time and researching your surgeon. At the end of the day this is your face and you need to put some time into this. Here are a few aspects to consider:

  • A plastic surgeon that specializes in the entire body is accustomed to surgery of centimeters of the breast and body. Facelift requires fine millimeter precision work for a great result. Find a surgeon who specializes in facial cosmetic and plastic surgery and who performs cosmetic Facelift on a weekly basis.
  • Artistic ability of the surgeon to customize your facelift according to your unique facial characteristics can be evaluated with before and after photographs. Ask to look at ‘before’ and ‘after’ examples of the procedure you’re looking into.
  • Time. Ask your surgeon how long the surgery will take. A good facelift that hides scars and that will last for many years takes considerable time. In general, a facelift surgery will take more than 3-4 hours depending on combinations with other procedures. A procedure that takes less than 3 hours is less likely to be of high quality and long-lasting.
  • Request to be put in touch with past patients. Most surgeons are more than happy to direct potential new patients to past patients in order to help build confidence and trust. This is a relativity new approach which I strongly encourage. If the surgeon doesn’t want you to speak to anyone, ask yourself why.
  • Look for a surgeon who specialises in Cosmetic Surgery compared to reconstructive surgery. Cosmetic surgery is an art form where millimeters will make the difference; reconstructive surgery places more importance on function and less on the aesthetic result. There are many different types of cosmetic Facelift surgery and a Facelift expert will be experienced in techniques including Mini-Facelift, SMAS-Facelift, Deep-plane facelift, Combinations with Laser and Fat Transfer, as well as hidden incision techniques including 3D-Telescopic techniques, and tissue glue for wound sealing.
  • More than 20% of the surgeries I perform are revision cases from patients who have had surgery elsewhere. These patients come to me to repair various details of their primary facelift, including revising previous facelift scars. Ask your surgeon what their personal revision rate is. This rate is the number of revisions the surgeon performs on his/ her own work. Every surgeon will have a revision rate. This should be a relativity low number in comparison to the number of treatments which they carry out.
  • Read reviews and see how recent the reviews are. Check online review sites, read magazines which cover aesthetic treatments and check to see if your surgeon has the right credentials for you. I recommend looking out for surgeons who are members of British, European and American organisations.
  • Listening and Communication. It is important that your potential surgeon listens to you and takes time to understand what you are looking to achieve and that you feel rapport with the surgery that they will be supportive after your surgery.
  • Revision surgery can require more complex surgical techniques. Look for an expert who is experienced and specialises in complex revision surgery.

Take your time. Your face is important; do your research and come to your own decision. You are invited to set up a consultation with me at my London private practice to discuss your needs. Out of town patients often send photos via email and interact with me on Skype prior to face-to-face meeting.

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