THE FACE

Facial rejuvenation and re-contouring is a specialist area and Jonathan provides a variety of proven procedures that significantly help clients feel restored, rejuvenated, and more confident in their appearance.

Jonathan’s authority in this field is widely acknowledged and he is often invited to lecture on various aspects of facial aesthetic surgery – including his perspective, experience and aesthetic philosophy as well as technical advice.

Clients benefit from Jonathan’s skills in a range of facial rejuvenation and recontouring procedures, such as eyelid tucks (blepharoplasty), facelifts, neck, cheek and brow lifts, brow softening, mask-lifts, jowl lifts, jaw remodelling, nose reshaping (rhinoplasty), chin contouring (genioplasty), facial liposuction, lip augmentation, and ear reshaping and setback.

Rejuvenating and refreshing facelift, using a change in hairstyle to complement the effect. Contemporary non-surgical treatments such as Botox, and chemical peels and fillers are often combined with surgical procedures to produce synergistic, fresh, and proportionate results.

Many clients request cosmetic product recommendations after facial surgery. Jonathan and his team are happy to discuss bespoke cosmetic products to suit your skin type as part of your individual treatment plan. See Medical Aesthetics and Skin Health for more detail, or book a consultation to find out how Jonathan can help you achieve an holistic facial contour and natural healthy skin.

FACELIFT

Far from simply tightening the skin, successful facelifts involve volume rebalancing of the face in a layer by layer approach; defining key features and hiding scars to achieve perfectly natural results. Procedures can take one to four hours and might involve an overnight hospital stay. Certain procedures may be undertaken with ‘twilight’ sedation and conscious anaesthesia approaches. Clients should plan to be away from work for two weeks, and can resume exercise at three to four weeks.

NECKLIFT

A necklift (platysmaplasty) is a popular procedure used to correct ‘slack neck’ and loose skin along the jaw line to achieve a smoother fresher appearance. Jonathan combines close analysis of the neck, jowl and face with anatomical knowledge to offer improved definition and a pleasing aesthetic. Chin repositioning and other facial aesthetic procedures can be combined where necessary. Clients can expect an overnight hospital stay with two to three weeks away from work.

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SMAS – based face and neck lift

BROWLIFT

A Browlift is a multi-vector procedure that lifts and spreads the brow whilst smoothing the skin on the forehead and improving the appearance of the upper eyelid. Browlifts are undertaken in the context of the whole face, rejuvenating the upper third of the face and creating a more youthful look. A number of techniques are used to produce stable brow fixation for reliable long-term results. Browlifts are normally undertaken as day cases with a few days away from work and complete results after three months. Maintenance therapies and combination non-surgical procedures provide a contemporary ‘synergistic surgery’ philosophy for lasting natural results.

EAR RESHAPING

Ear reshaping or pinnaplasty is a specialist procedure involving expert knowledge of the ear’s visible cartilaginous framework coupled with an understanding of the differences in the properties of that cartilage framework in the adult and child. Jonathan will select the best technique to minimise downtime, but clients can expect procedures to last up to 90 minutes in day surgery under ‘twilight’ sedation, general anaesthesia, or conscious anaesthesia as required. A few days away from client facing work or school might be expected with normal life resuming soon thereafter.

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Two examples of pre and postoperative ear setback (pinnaplasty).

STRUCTURAL FAT GRAFTING

Structural fat grafting has become a valued technique of reconstructive and aesthetic craniofacial surgeons. It allows the harvest of body fat from – usually – an abdominal donor, to be placed by injection providing volume and contour in the face.

The aesthetic anatomy of the face requires the harmonious distribution of fat – such as in the ‘chubbiness’ of a young child. The fat pads of the face are highly organised, and can be enhanced and manipulated by knowledgeable surgeons.

The wise placement of fat graft, as a stand-alone technique under conscious anaesthesia in day case surgery, or as part of a wider facial surgery (including facelift, blepharoplasty, implant surgery or rhinoplasty) can offer bespoke and beautiful aesthetic results in both men and women.

Fat graft has been extensively studied, and provides not simply volume, but also a biological regenerative function by ‘stem cell’ transfer, that influences the overlying skin and underlying bone to provide enhanced health to the surrounding tissues.