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William Townley - Consultant Plastic Surgeon

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William Townley - Consultant Plastic Surgeon

Boutique aesthetic surgery service in London with special interest in advanced techniques in face and neck lift surgery as well as as rhinoplasty.

William Townley is a London Plastic Surgeon providing a boutique aesthetic surgery service with a special interest in advanced techniques for piezo rhinoplasty and facial rejuvenation including deep plane facelift and neck contouring surgery.

08/08/2025

Rhinoplasty is one of my very favourite procedures - so varied, so many technical intricacies, so challenging but very enjoyable and very rewarding. It has the potential to be completely transformative - make a genuine difference to patients lives, improve confidence and function.

Yesterday, I performed 3 primary rhinoplasties - all completely different.

The first case was a straight profile (no bump), just too too high and out of proportion to her facial features. This is a less common indication but can also be transformative, creating a much more balanced and feminine profile.

The 2nd case (and 2nd photo here) was probably the most challenging - thick skin, bulbous tip,
high septal deviation, short septum - more tricks required to get it right, more pitfalls to be wary of, but very fulfilling and I can’t wait my patients reaction when we remove the cast.

The final case (not shown here) was a classic rhinoplasty nose - trio of bump on bridge, droopy tip and septal deviation.

More than any other facial procedure, the surgical plan needs to be meticulously carefully tailored to the individual.

06/08/2025

I am delighted to share these early post-op results 2 months after a short scar neck lift, one of my favourite procedures 😊!

This lovely 30-year old lady was bothered by a full obtuse neck despite being young and petite. This is a common situation I see - completely unrelated to ageing or weight change.

The appearance is symptomatic of natural structure not laxity - low hyoid bone, deep fat herniation, bulky and low submandibular glands, weak platysma. These are common features of patients in their 20s and 30s with a lack of neck contour. It often coexists with a weak chin.

By the time patients come to me, they have often tried out several non surgical treatments with minimal or no benefit (fillers, HiFU, fat-dissolving injections). In fact, these treatments may create problems and make surgery more difficult.

The most consistent solution in my experience is a short scar neck lift - which addresses the underlying structural issues directly.

It is a daycase general anaesthetic of around 2 hours and is performed through a smallish incision under the chin. The risks, recovery and expectations are discussed in detail during the consultation process.

Thank you for allowing me to share 🤩🤩🙏

17/06/2025

Team photo from today’s list 🙌🙌. A complex and interesting case - revision face and neck lift with …. ultrasonic reduction of a previous cheek bone graft! Yes - 😉😉

It was great to be joined by observers from Australia, Denmark and Greece!! A full house.

11/06/2025

Delighted to receive this holiday snap update. What a transformation 🤩 from 18 months ago on the morning of surgery to now - striking a cool, confident and contoured pose on holiday in Greece!

The power of combined facial contouring surgery - chin implant and short scar neck lift in this case! Details in previous post! 🙏🙏

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09/05/2025

One to share for the weekend! This young lady was troubled by a large bump in the bridge. She underwent a piezo rhinoplasty yesterday to remove the bump and feminise the profile! On table result!

28/02/2025

18-month follow-up after ultrasonic rhinoplasty.

This young lady had previously tried out filler to correct an underlying deviation and bump on the bridge. Whilst filler can often disguise bumps and irregularities, it is one dimensional in only being able to increase the size of the nose rather than reduce it - which is ultimately what the vast majority of patients want.

The pre-op images show some of the typical features of a filler nose with a round, slightly heavy tip and widening of the radix (‘avatar’ nose).

We dissolved the filler and performed bridge reduction using an ultrasonic technique and tip reshaping with strategic sutures and cartilage grafts (recycled from the septum).

Outcome at 18 months. Thank you for allowing me to share 🙏🙏

26/02/2025

We often talk about the importance of submandibular gland reduction as a critical step in neck contouring surgery - in my opinion, it is what defines a deep neck lift.

In this case, gland excess was not the issue but bulky digastric muscles - another common target in deep neck lifts. There was also a degree of age-related laxity in the platysma muscle, which was addressed through tightening at the side (via a separate incision behind the ear). Overall, the neck fullness was modest - many patients present with much heavier necks.

In younger patients like this lady (early 40s) without lower facial heaviness and only early jowl formation, there is often a secondary benefit in terms of jawline contouring that avoids the need for a simultaneous facelift. This is a common situation amongst patients who come to me for surgery!

17/02/2025

Extended deep plane facelift and neck reduction 1.5 year results!

This 56 year-old lady came to me troubled by fullness under the neck and a heavy lower face. She underwent a combined deep plane facelift and deep neck reduction to restore a youthful jawline and neck contour. As is quite common in my practice, a browlift and eyelid rejuvenation were performed at the same time.

At 18 months, the swelling has settled and the scars are very inconspicuous (see second photo).

I look forward to sharing these techniques on in May!

11/02/2025

I am delighted to share a snippet of this patients journey - 1 week after revision rhinoplasty.

She felt the nose was too droopy and still too projected after her first rhinoplasty.

A full revision was performed with bridge reduction and narrowing (piezo) as well as complete tip reshaping. In this case, no rib graft was required.

Deprojecting the tip (ie reducing the height) is one of the most technically challenging goals in any rhinoplasty procedure. It is also only a realistic ambition in patients with thin (like this patient) or moderate thickness skin - some height is often a key element to achieving a nice shape in patients with thick skin. I am very selective about the revision cases I take on - the balance of risks vs benefits is often dramatically less favourable compared with primary cases.

It is very early on but the change was immediately apparent on removing the splint and she was thrilled! 🤩

01/02/2025

It was a great pleasure to give two lectures at the Aesthetics Day yesterday. I was presenting on combined facial profile surgery (chin, necklifts and nose surgery) as well as my technique for creating a refined tip appearance in rhinoplasty - some of my favourite topics.

I had the privilege of sharing the stage with some of Europe’s finest facial plastic surgeons .gomezbravo and . Thank you for the invitation.

It is a busy time in the academic calendar. In a few weeks, I will be heading to Durham to lecture on deep plane facelifts, chin and neck lift surgery!

23/01/2025

I am thrilled to share these progress photos nearly 1 year after deep plane facelift and neck lift.

This lovely lady came to me troubled by heaviness in the lower face and a loss of neck contour that was particularly unflattering on side photos.

After a careful discussion about treatment options, she underwent a combined deep plane facelift and deep neck reduction with gland reduction - a key manoeuvre in achieving a youthful neck contour.

At 11 months, she was thrilled with the outcome and improved self confidence. Notice also that can now wear her hair up at this stage without the scars being conspicuous - that may take anywhere from a few weeks to several months to manifest.

We will be demonstrating these techniques on May 15-16, Cambridge.

09/01/2025

We are now 7 months along in this lady’s journey following an isolated neck lift! Scroll back to her 2-month progress post to see the change over the last few months. The swelling has continued to settle creating a more youthful and sharp neck contour.

In a deep neck lift such as this patient’s procedure, reduction of the submandibular glands is one of the key manoeuvres but does create quite a lot of swelling that can take a long time to settle. Sometimes the biggest changes occur after 2months and there is often some uneven swelling along the way.

An isolated neck lift such as this is often most appropriate in younger patients (30s, early 40s). In this case, we also used an incision behind the ear to suspend/ tighten the platysma muscle but sometimes, an incision under the chin is all that is required (so called short scar neck lift).

This is one of the techniques we will be teaching on - in Cambridge, May 15-16!

Thank you for allowing me to share 🙏🙏🤩😊

Address

9 Harley Street
London
W1G9AL

Opening Hours

Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm

Telephone

+442031241373

Website

http://www.williamtownley.co.uk/

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Our Story

I am a Consultant Plastic surgeon in London with expertise in facial aesthetic surgery and complex facial reconstruction including facial palsy. I am a graduate of both Oxford and Cambridge Universities and have trained in many major Plastic Surgery units in London, Oxford and Toronto.

I provide a boutique aesthetic surgery service in London. Rhinoplasty and facelift surgery form the bulk of my practice and revision work forms a major part of my practice. I also enjoy and have a special interest in eyelid and breast reshaping surgery. As well as my cosmetic practice, I run a busy reconstructive practice at Guy’s and St. Thomas’ Hospitals in London where I was Chief of Plastic Surgery from 2016-2019. I have a specialist interest in advanced corrective treatments for patients with facial palsy.

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