Facelift – should I go surgical or non-surgical?

Posted on August 24, 2020

face lift options surgical or non surgical

As we age, the facial contours can change, leading to loose and sagging skin. The facial skeleton loses bone mass, we lose fat pads in vital places such as the cheeks and the skin can become less elastic and toned. All of these add up to an ageing facial appearance. We have completed research utilising the golden ratio that identifies the aspects of the face that change with age with respect to youth.

Not so long ago, the only solution to lift and tone the skin on the face would be to have an invasive surgical procedure. However, this isn’t always a suitable choice, especially if you are just noticing the signs of ageing and need a small amount of facial correction. Fortunately nowadays, there are non-invasive solutions to facial ageing which can take as little as 30 minutes, offer little-to-no downtime and can last up to a year.

Dr Julian De Silva and his team of specialised facial practitioners offer both surgical and non-surgical options to combat the signs of mild and more advanced facial ageing and restore a youthful confidence to his patients at The Harley Street Face Clinic, London.

Surgical vs non-surgical facelift: which to choose?

You might be looking in the mirror and are completely confused about which route to take when it comes to revitalising your own look. Although non-surgical treatments offer an alternative to surgery, too much volume and filler is not a good look. As experts in facial surgery we are able to advise when surgery is a better alternative to non-surgical treatments. Dr De Silva specialises in only facial cosmetic and plastic surgery and is able to guide you towards the best treatment for you.

You may be noticing the first signs of facial skin sagging on the lower face. Jowls may be appearing and the overall shape of your face may be changing from that of a heart or rounded facial contour to a more square ‘masculine’ looking shape. This is very common when it comes to facial ageing, as the cheek bones and fat pads we have when we are younger support the lower facial contours and offer a scaffold on which our more toned and healthy skin tissues can sit.

When facial tissues diminish, the skin has nowhere to go but south! Not only that, but the skin itself loosens and becomes less vibrant. This is due to the loss of substances such as collagen and elastin – the building blocks of robust and resilient skin which holds firmly to the facial contours.

When you think of a baby’s skin, it’s plump, smooth and has a firm quality. This is because it is packed with collagen and elastin as well as hydrating agents such as hyaluronic acid. When we reach the age of around 21, these substances start to diminish at a rate which is startling and gets worse if we put our skin through stress such as smoking and excessive sun exposure. Living in polluted areas such as big cities can also have a detrimental effect on our skin as free radicals attack the skin cells and degrade the complexion.

It’s when we first notice the signs of facial ageing (at around 35 to 40 years old) that a non-surgical approach may be more suitable.

surgical v non-surgical face lift options
Achieving excellence in the non-surgical facelift: our signature Phi-lift - female face, acupuncture geometry

The non-surgical facelift: The liquid lift

One of the most popular non-surgical facial restoration procedures which is available here at The Harley Street Face Clinic is the ‘liquid lift’, which utilises temporary injectable dermal fillers. This is a popular choice for those not wishing to go under the knife.

A liquid lift involves injecting a gel-like substance, packed with hyaluronic acid, (a superb hydrator for the skin as it holds up to 1000 times its own weight in water) into specifically selected points of the face to lift and tighten the skin as well as add volume to areas such as the cheeks and temples, creating that youthful ‘heart’ shaped face and smoothing contours, supporting loose skin and offering hydration to the deeper dermal layers.

The procedure can be administered in around 30 minutes (this doesn’t include any time for numbing, which your practitioner will discuss with you) and the results are instant. You’ll notice that your skin is lifted and more toned and over time, this only gets better, as the hyaluronic acid gets to work within your skin cells and creates that youthful, plump, baby-like skin quality that, let’s face it, we all covet!

Results from a non-surgical face-lifting procedure using dermal fillers can last anything from 6 to 24 months and this all depends on your individual response and metabolism of the product injected, your lifestyle and how you take care of your skin. For example, if you smoke, exercise excessively and sit for long periods in the sun, the dermal fillers will metabolise and dissipate quicker than if you don’t do these things. If you take care of your skin, your diet and your general health, you will probably notice that your dermal fillers will do you proud for longer.

Getting a liquid lift from Dr Julian De Silva puts you in the hands of one of the world’s leading facial plastic surgeons.

Assessment for a treatment as unique as you are

When a non-surgical approach is not going to offer you the results that you’re looking for, this is a time when you can discuss a surgical face-lifting procedure with your practitioner. In general, if you have had no previous facial procedures (surgical or non-surgical) you can expect to perhaps require the more invasive solution at around 60 years of age. However, if you haven’t taken the best care of your skin and you smoke, sit in the sun or drink excessive amounts of alcohol, you may find that a surgical option may be required sooner.

At The Harley Street Face Clinic, we are experts on assessing your unique facial anatomy and understanding not only the results you would like to achieve, but your lifestyle, budget, medical suitability and the amount of downtime you are able to undergo, before making a decision with you on whether the non-surgical or surgical procedure would be right for you.

This happens in a no-obligation consultation with one of our medical practitioners. They can discuss what bothers you about your facial ageing and the degree of correction you require. They will also discuss with you, your medical history and any conditions or medications that may restrict or prevent a treatment from going ahead. It’s in this meeting that they can build a picture of your desires and goals as well as your lifestyle, ability to take time off work and what you would like to spend on your facial revitalisation. Only then can a decision be made on which treatment would be right for you. You may find that a non-surgical approach in the first instance can prevent the need for a more invasive treatment down the line. Your practitioner can expertly guide you and advise on an effective and suitable treatment plan.

Book a non-surgical facelift consultation at the Harley Street Face Clinic

Facial ageing can now be addressed effectively and with modern techniques, surgical options are not always needed. However, we have the advantage of being able to offer both treatments here at The Harley Street Face Clinic, so that you can achieve your facial rejuvenation goals for a more youthful you, for years to come.

Contact our clinic today to book a no-obligation consultation with Dr Julian De Silva today.

Dr. Julian De Silva, Medical Director

About the Author

Dr Julian De Silva is a leading facial plastic surgeon that specialises only in surgical and non-surgical facial procedures. Dr. De Silva has considerable experience in cosmetic and reconstructive facial surgery from fellowships in London, Los Angeles, and New York. He is one of a handful of elite surgeons to be recognised with British, European and American qualifications, memberships and board certification.

About Dr De Silva | Dr Julian De Silva's Google Scholar

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