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.

I really know the face. In reflecting upon all the facial restorative, aesthetic, and reconstructive surgery that I have undertaken for patients and families, I have been privileged to see facial restoration from all sides. My work in facial development, facial anatomy and craniofacial surgery for aesthetic balance, birth differences, and restoration from cancer tells me what we, as surgeons, can ask of the facial structures and planes…

Jonathan Britto.

Jonathan’s authority in this field is widely acknowledged and he is often invited to lecture on various aspects of facial aesthetic surgery – the analysis, philosophy and technical management of facial restoration.

The aim is to balance the light and shadow in the face, to refine the definition and reflect youth and health. Bespoke planning and technique deliver specifically and appropriately for natural balance in men and women for all ages.

A family of procedures, including dynamic non-surgical treatments such as Botox™, chemical peels and fillers are often combined with surgical procedures to produce synergistic, fresh, and proportionate results. 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.

‘I first met Mr Jonathan Britto in April 2016. I had been considering facial surgery for some time and decided to book a consultation not really knowing what to expect, he explained the various procedures that would be suitable for me and also sent by email a detailed report which I found very informative so that on my next visit I had a great many questions. He took his time and answered them all fully, I was never rushed or pressurised into making a decision and his manner was always professional yet friendly and approachable. Having decided to go ahead I was booked in to hospital for a date that suited me and had surgery in Oct 2016, the excellent care continued after I left hospital with regular check ups and the reassuring knowledge that help and advise were only a phone call or email away. I am now nine months post surgery and I still have easy access to see Mr Britto in the clinic if I wish to. Waiting times have always been well within acceptable levels and if there is a slight delay it is in a comfortable waiting room. I am delighted with my choice of surgeon and with the results achieved and I would not hesitate to recommend him to others.’

BY A VERIFIED PATIENT – 5*

12-07-2017  ‘Doctify’

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. Facelifts are a family of procedures and no one technique fits all – faces are bespoke and aims from facelift similarly so.

Picture1     ‘… pull the result from the bag! Its knowing which techniques and when to use them that makes the confident difference’

Jonathan Britto

 

Procedures can take one to four hours and might involve an overnight hospital stay. Most facial procedures may be undertaken with ‘twilight’ sedation and conscious anaesthesia approaches, which makes for faster recovery and reduced downtime. 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.

jonathan-britto-smas-face-and-neck-lift

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.

6 weeks post upper eyelid blepharoplasty and brow lift as conducted by Mr Britto and his team. I am extremely satisfied with the results of the surgery. There have been no adverse effects, and the surgery has ‘freshened’ the appearance of my face enormously. There is not a hint of the ‘surprised’ look I was concerned about when researching the surgery when lesser surgeons remove too much tissue, Mr Britto has done precisely what I wanted, and I can only imagine the surgical skill level required to get that just right. Must also comment on the professionalism of the team. I was made to feel totally at ease during every phase of my journey, from initial consultation and now into post op care. I’d recommend Mr Britto unreservedly.

BY A VERIFIED PATIENT

03-01-2018  ‘Doctify’

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.

jonathan-britto-ear_reshaping

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.

 

Autologous fat transfer has been revolutionary in both aesthetic and reconstructive surgery. The regenerative power of transferred fat and its derivatives is a science still only minimally explored – but beware too many ‘carbs’ – the transferred fat retains the properties of the donor site!

Jonathan Britto