De Silva’s Signature Vertical Face Restore 7

Square jowls, Skin laxity, needs vertical deep-plane facelift without sideways pull of traditional SMAS facelift or removal of natural volume.

Vertical Restore releases the principal facial ligaments in the face and neck, thus allowing the tissue to be elevated and repositioned without pulling against those ligaments. This is the reason the effect of the VFR is so effective and is why, despite the large improvements, the results look fake nor “pulled. “We believe the Vertical Face Restore incorporates a deep-plane facelift approach, offering the most advanced facelifting techniques for the face and neck.

A small proportion of patients benefit from only a facelift procedure, in most patients the neck needs to be improved at the same time as the face to give the best results. When the face drops with gravity, the neck also sags as the neck muscle is linked in terms of facial anatomy, the vertical face restore technique lifts the face upwards restoring the contours and youthful shape of the neck at the same time. When combined with release of ligaments and tightening of the lose neck platysma muscle, the neck is sharper and more youthful in shape. A typical horizontal lift won’t address the neck in the same way as because it pulls the face sideways, key to facial harmony is lifting vertically upwards to restore naturally. The lose skin is then removed behind the ears.

This patient had my Vertical Face Restore-7 technique including a deep plane facelift with lifting of the dropped face in an upward direction restoring natural ‘V-shaped’ jaw line. This deep plane technique requires key release of the facial ligaments to enable a longer lasting facelift technique.

Sometimes accompanied with small chin and lower cheek fullness, can benefit from buccal fat reshaping & chin implant

This patient had my Vertical Face Restore-7 technique, a deep plane facelift with reduction of buccal fat pad, enhancing the ‘V-shaped’ jaw line. This technique avoids extra scars inside the mouth by using detailed knowledge of the anatomy, Dr De Silva has pioneered this technique and presented to other surgeons in the UK and internationally.

This patient of Dr De Silva had a small chin that resulted in loss of jawline definition (shown with green lines on the photo below).. Dr De Silva inserted a large chin implant, a customised chin implant specifically for this patient’s jawline to enhance the jaw line and neck definition while maintaining a natural V-shaped jaw line. A key step is sculpting the implant to match the jawline, without this it will result in an older more masculine appearance.

Improved with Preservation Blepharoplasty & Temporal Brow lifting to restore youthful eye appearance.

Preservation of the natural anatomy is of key importance with natural looking blepharoplasty results. Too much removal of skin and soft tissues results in a different looking person. This can be seen in many celebrities, some years ago Renee Zellweger underwent eyelid surgery, afterwards she looked different, with good natural eyelid surgery it is likely that most people will not notice that you have undergone surgery.

 Often the tail of the eyebrow descends with gravity and the best results, lifting with temporal (lateral) brow lift enhances the appearance in this area, I like to hide these scars completely within the natural hair (many patients ask if this requires shaving of my hair, no this is never required!). For many more photographs of patients before and after blepharoplasty surgery with Dr De Silva’s preservation blepharoplasty techniques please see this link.

This patient had my Vertical Face Restore-7 technique including a temporal (aka lateral) brow lift and blepharoplasty to rejuvenate her tired eye appearance. The key steps are lifting and use of fat transfer to give a more youthful appearance. Older techniques involved removing soft tissues this thins the natural anatomy and looks more tired long-term.

Fat transfer to restore volume with deep plane lift, vertical lifting of lengthened lip area with lip lift.

The area around the lips is often a challenging area and is unique to each individual person. This area requires a cautious approach to conceal scars in natural creases under the nose. The deep lines require release of the deep facial ligaments, vertical lifting often in combination with fat transfer for restoring natural volume.

This patient of Dr De Silva had my Vertical Face Restore-7 technique including a lip lift and fat transfer to rejuvenate the mid face area. The key steps are conservative lip lifting and use of fat transfer to give a more youthful appearance. Not all patients need lip lift procedures however it can be a powerful technique to add further balance and harmony to the face.

Use of Gold-Standard Lumenis laser to resurface and polish skin reducing fine lines and pore size. For photographs of patients before and after blepharoplasty surgery with Dr De Silva’s laser resurfacing techniques please see this link.

This patient of Dr De Silva had my Vertical Face Restore-7 technique including a Lumenis laser resurfacing to rejuvenate the skin. Although there are many types of laser for more than 10years the Lumenis has emerged as the most powerful laser device able to reduce fine lines, pore size and age spots at both superficial and deep levels of the skin. I use in combination with regenerative medicine techniques to enhance recovery of the skin.

Use of regenerative medicine (PRP) and Oxygen therapy to enhance recovery. Sedation (‘Twilight’) Anaesthesia to avoid the risks and side effects of general anaesthesia with our customised Sedation Anaesthesia that has been developed over ten year period.

Dr De Silva has worked with the same team of anaesthesiologists for over ten years, and have every year audited and improved their sedation anaesthesia technique, this enables us to avoid the risks and longer recovery associated with general anaesthesia. For more information on sedation anaesthesia and how it differs from general anaesthesia please see this link.

This patient of Dr De Silva had my Vertical Face Restore-7 technique in a 7.5-hour procedure with Sedation (‘Twilight’) Anaesthesia. Although the procedure took hours to complete, she was able to walk out of the operating theatre ONLY 30 minutes after the procedure. The equivalent recovery with general anaesthesia is hours and all patients have more recovery and potential side effects. The photographs show before, one week after and two weeks after the VFR-7 procedure.

Deep plane facelift surgery lasts for up to 10 years and maintenance of your appearance after surgery will enhance longevity of results. Although with surgery we can address centimetres of facial ageing, non-surgical treatments can enhance millimetres. I, Dr. Julian De Silva, offer continued follow-up care for all my patients after surgery, I will see you annually and give you continuous care by forming long-term connections with you, should you choose to be my patient. Maintenance with non-surgical treatments include a triple approach; volume replacement (including fillers) skin rejuvenation (botox, laser, regenerative medicine) and skin tightening (Radiofrequency).