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Blepharoplasty and Eyelid Surgery in London

 

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Blepharoplasty Surgery on Harley Street, W1

Discover Eyelid Surgery in London

Blepharoplasty, or eyelid surgery, is a cosmetic procedure designed to enhance the appearance of the eyelids. It is sometimes called eyelid reduction or simply eyelid surgery.

 

Due to a combination of ageing and genetics, the skin and muscle around the eyelids loosen, resulting in loose skin, puffiness and dark rings that may give you a tired appearance. In addition, there are often changes in the anatomy that result in puffiness owing to fat protruding into the eyelids forming bags in the lower and upper eyelids.

Eyelid surgery rejuvenates your facial appearance, making you look fresher and less tired. The eyelid anatomy is intricate, and blepharoplasty involves reshaping excess skin, muscle and prolapsing fat.

As one of the most frequently performed procedures in facial plastic surgery, blepharoplasty is known for its quick recovery time and minimal risk. Depending on the individual’s needs, it can be carried out on the upper eyelids, lower eyelids, or both.

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Based on 155 Reviews

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Clare Halliday

Google

I would like to share my experience of my face and neck lift with Dr De Silva. First and foremost I will tell you truthfully, that with all I now know for my experience, I would go through it all again tomorrow if I had too. It was so different from what you hear, and all the botched jobs you see. I picked Dr De Silva after much research, and the fact that he only specialises on the face, I made my appointment. From my first consultation till my 1yr check up, I can only but give him and his team 100% Dr De Silva has an extremely calming way with him. He puts you at your ease and explains EVERYTHING in minuet detail. He leaves nothing out, everything he said happened in that way. From having pre op’s till the day of surgery nurses Ellie and Josie were fantastic, so helpful and friendly. I was told by Dr De Silva that It would not be painful, just a bit uncomfortable, that was true. I had no pain at all at anytime from start till now, Swollen and bruised yes, the bruising had all gone in 2 weeks. Swelling took a little longer. I was also told it would be quite numb for some time. It was, but it didn’t bother me, and now I have very little numbness left. It can take up to 9 months I think. I didn’t want to look different, I didn’t want to change anything, all I wanted was to look rested and fresher, a better version of myself. I am soooo happy with my lovely tight neck and no more loose skin and hanging jowls. It has made the biggest difference to my confidence. No one has asked have I had work done, they just say “ you are looking great”. If you are thinking of a face lift or any facial work done, I can 100% guarantee you will not find a better surgeon… anywhere. My extreme gratitude to Dr De Silva, Dr Andre (anaesthetist). Nurse’s Ellie & Josie and to Sarah who sorted all the paperwork etc.

Angela Haines

Google

Best of the Best! Incredible experience all round and natural looking results. I had originally seen Dr Julian De Silva for a consultation back in 2017 and had followed his work for years, so I was familiar with his style of surgery and artistry. I had studied his work of the ‘Golden Ratio’ and even bought his book years ago. At my first consultation, Dr Julian and his team immediately made me feel at ease. His wonderful team - Sarah, Mags, Mackez, Adam and the lovely nurses Alice, Josie and Kelly were all very kind and welcoming. I instantly felt at home. It’s a lovely energy when you go into 23 Harley Street and everything, including the operating theatre is there. Dr Julian De Silva’s kind and calm nature made him stand out from the rest of top surgeons that I had seen over the years. I didn't feel rushed, and he listened and understood my concerns. He explained to me about hyper mobility, where the skin can stretch at a younger age and this made sense why I was seeing premature signs of ageing such as ptosis and jowls forming. I felt relieved that finally a surgeon understood how I was feeling and didn't immediately turn me away dismissing me because of my age, saying I was too young etc. I knew he was the surgeon for me. A strong gut feeling and I trusted him 100%. I knew of his natural looking results from his previous work with other patients. He is truly an artist and has very fine attention to detail in his work. - Just look at his analysis of Renee Zellweger video on YouTube and you’ll understand what I mean. It is just over 3 months now since I had the operation and I am delighted with the results! My jowls have completely gone and I have my v shape jawline back. Dr Julian told me that the skin had dropped 2.5 centimeters and that is how much he had to lift it up again, which is a lot for someone my age and testament to the hypermobility. I can now wear eyeshadow without it creasing and my eyebrows are back to where they were pre ptosis! My confidence has come back and I am feeling so much more positive about how I look. My experience with Dr Julian De Silva and his team was second to none - No other surgeon could have done a better job. What I like about Dr Julian De Silva is his humbleness and integrity. He is not only a surgeon but an artist - He will look at the symmetry of your face and treat it like a work of art ; this goes beyond just surgery, this is artistry. From my results, especially around my eyes I can see how intricate and finely done with attention to detail he has perfected everything which makes for such natural results. The whole experience from the first consultation right through to the 3 month mark with several visits in between has been so enjoyable for me. I loved the whole experience of my trips up to 23 Harley Street. He has a great team who make you feel at home and comfortable straight away, they are very accommodating and always on hand with any questions or concerns you may have. It’s a lovely energy there. I have had consultations with other top surgeons in London and met their teams over the years but none have been on this level. Julian and his team are a rare find. I’m so pleased and grateful I picked Dr Julian De Silva and his team - I want to go back and get more things done for the joy of the whole experience, which says a lot!

Angela Irwin

Google

Thank you to everyone for their professionalism and care. PS love the results week 1 to week 6. Completely pain free throughout, thanks again xxx

alexis val

Google

I recently had a chin implant by Julian. It’s something I had considered for years but had felt apprehensive about, not knowing where to go and whom to trust. It’s a serious surgery and it was a bit stressful at the start, knowing where to look to find someone I could trust. I started by googling about chin implants and came across a few people in London who do them. I did as much research as possible by looking at before and afters, reading Google reviews, reviews on other sites like Realself, and looking into doctors abroad, etc… The great thing about Julian is that he has a lot of YouTube videos and content on Instagram that show him and his personality, along with people's experiences. Specifically, there are a few video diaries on his YouTube channel of people who have had this surgery, with a day-by-day step of their recovery. This really helped me and gave me peace of mind. I decided to have a consultation with Julian. The consultation wasn’t free but was definitely worth it. I felt listened to and didn’t feel rushed. I had an hour-long chat where I basically asked him to tell me which elements of my face could be treated to improve my appearance. Julian gave me concise information and it made complete sense. I was quoted for a couple of surgeries that I could have which would make a bit of difference to help balance things but from our discussion it was obvious that the chin implant would make the most difference. I took a few months to think about it but I decided to go for the chin implant. The operation was performed under twilight anesthesia. I hadn’t had this before and was a bit apprehensive but honestly it was absolutely fine and actually quite relaxing. All I remember is going into the theater, surrounded by lovely friendly nurses, feeling a bit sleepy, and next thing I know I’ve woken up in the theater. It felt like time had passed, I wasn’t groggy and within 30 minutes I was on my feet and could leave. For the next week after the surgery I was on quite a few different pills and I did feel quite out of it. Definitely do not have anything planned for the week following surgery, you will want to be at home with a few Netflix series ready to watch as you will need to rest up and let your body heal. It was a bit strange to smile for a few weeks after the surgery and my chin area felt a bit tight at first but you start to forget it’s there after a while. The result is very natural and I feel that I look a lot better, nobody has asked me if I have had something done but people have mentioned that I’m looking good but they aren't quite sure why haha. This is exactly the result I was looking for. The surgery isn’t cheap, it was upwards of £10,000 but was it worth it? For me, 100% yes. I just wish I had got it sooner tbh. There are other surgeons who are cheaper, you could go abroad to Turkey to get surgery or find someone based outside of London but in my opinion if you want this kind of surgery there is no point in trying to find a cheap option with a risk that it’s not going to be exactly how you want it. With Julian you have peace of mind that you’re with one of the leading plastic surgeons in the country, he also uses a technique that uses two titanium screws which attach the implant to the skull so that it doesn’t move. A lot of other surgeons do not use this technique and from reading reviews a lot of these people have had to get revision surgery to get an implant as it has moved over time because it wasn’t attached like the way Julian does them. Honestly, If you want a chin implant and want the best in the business, this is the doctor you want.

Ashka C

Google

I had a wonderful experience with Dr de Silva and his incredible staff. He is such a gifted and caring surgeon and I cannot recommend the London Centre highly enough.

Michael Chan

Google

I am a timid young man plagued by hereditary eye bags. Used all my options from the latest creams advertised to the newest hacks trending to no avail. I concluded that facial surgery is my only way forward as it was starting to affect my mental health. Discovering his accessible YouTube channel was invaluable to my research. Alongside his detailed website, this gave me the confidence to reach out to the clinic. I met Julian and his team back in February for my consultation and proceeded with my surgery in March. (2024) From the consultation with Julian I was immediately relieved from all my questions and worries about the procedure I was enquiring (lower blepharoplasty). Informed by his wealthy knowledge and articulate descriptions. His respectful manner helped alleviate any stress induced from my own research. I had my complete trust in him and he proved it to me with his vast portfolio of successful clients who've had the same procedure. In that instance I knew I had come to the right place and could set my mind at ease. The team are supportive with great communication. Professional and friendly. Nothing but respect and gratitude for them all. From my experience with Julian's practice I felt welcome, positive and hopeful. Also the twilight sedation that he recommends is excellent! You go into surgery and it’s like falling asleep, and once it’s over the nurse wakes you up and you’re alert and aware. Thank you so much! I can finally smile with my eyes again. Highly recommend Julian to anyone that is considering facial surgery.

ZaInab Hassan

Google

Dr Julian De Silva is the best surgeon ever . He is down to earth, kind, honest and you will definitely get the best results. He is an expert in his field of medicine and the Surgery has a team of fantastic staff.

Alice Tibaldi Chiesa

Google

Dr Da Silva and his all team are very professional, always available for follow up and very clear communication. Thank you

Ruth Johnson

Google

Almost one year in ... I am still delighted. Surgery is not for the faint hearted. You need to be brave, and prepared for some bumpy times in recovery. But it's worth it. Julian de Silva is on another plane. Not only an exceptional (world class) technician, he is also an artist who doesn't paint by numbers. So easy for me to recommend ...

What Can Be Treated with a Harley Street Blepharoplasty?

Our eyes are so important, whenever you meet someone either socially or professionally, you make eye contact. The appearance of your eyes forms part of your first impression on meeting someone, they can make you look fresh and engageing or tired and ageing. Some common eye concerns that can be improved with eyelid surgery in London include:

Excess Skin

Blepharoplasty removes excess skin from the upper eyelids, smoothing the area and restoring a more youthful appearance. This procedure tightens and lifts the eyelid, reducing the sagging that can occur with age.

Puffy, Bags Under Eyes  

Blepharoplasty targets the under-eye area by removing or redistributing fat, reducing puffiness and the appearance of dark circles. This creates a fresher, more rejuvenated look, restoring balance to the face.

Hooded Eyelids

Hooded eyelids, caused by sagging skin, are addressed in blepharoplasty by removing the excess tissue. This procedure enhances the eyelid contour, providing a more open, alert, and youthful appearance.

Obstructed Vision

Excess skin on the upper eyelids can obstruct vision, especially when it droops over the lashes. Blepharoplasty removes this tissue, restoring full peripheral vision and improving the overall functionality of the eyes.

Wrinkles and Fine Lines

Blepharoplasty smooths wrinkles and fine lines around the eyes by tightening the skin and removing excess tissue. This procedure rejuvenates the eye area, reducing the signs of ageing and restoring a youthful appearance.
Dr Julian De Silva - top facelift surgeons uk

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World Class Facial Cosmetic and Plastic Surgery

Natural Blepharoplasty Before & Afters

Dr De Silva has transformed thousands of faces through his unique surgical techniques. Below is a small sample of some of his transformations.

Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 6 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 1 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 2 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 3 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 4 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 5 - Set 1

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What Makes Dr. De Silva the Preferred Choice for Eyelid Surgery in London?

Dr. De Silva honed his skills in the cosmetic surgery hubs of Los Angeles and New York, working alongside some of the world’s leading Facial Plastic Surgeons in blepharoplasty. During this time, he mastered advanced techniques, such as 3D telescopic camera methods and invisible incision approaches, which were not available in UK fellowship training at the time. As a highly specialised Oculofacial Plastic Surgeon, Dr. De Silva focuses on blepharoplasty and facial surgery. He employs an array of precise sculpting and suturing techniques to ensure the functional and structural integrity of the eyelids, delivering natural rejuvenation with minimal scarring.

Dr De Silva trained in microscopic surgery before cosmetic surgery. In micro-surgery millimetres makes the difference between success and failure. Using these same principles of microsurgical finesse and obsession with detail, Dr De Silva can give natural-looking blepharoplasty results.

Only the Face

By focusing entirely on only facelift & facial cosmetic surgery procedures, Dr De Silva is able to provide the expertise that can only come with specialisation: facelift and neck lift, blepharoplasty, rhinoplasty and chin implants.

Natural Looking Results

Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.

Fast Recovery

Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.

World Class Expertise

Dr De Silva also teaches other surgeons internationally and has contributed to the development of advanced surgical techniques, laser technology and stitch-less tissue adhesives.

Reasons For Blepharoplasty Surgery

Feeling that you look tired or older than you are can affect confidence and make you self-conscious, often leading to avoiding photos or social situations. Changes in your appearance may even impact personal relationships and professional interactions.

Applying makeup, like concealer, can become challenging as it no longer effectively conceals these changes. You may also notice a genetic link, seeing traits in your eyelids that remind you of your mother or father.

Perhaps you’ve tried countless creams and serums with little success, or non-surgical treatments like Plexa, only to see minor improvements of less than 10%. If you’re disappointed with these results, or if you’ve had previous eyelid surgery and are still unsatisfied, Dr De Silva is a specialist in blepharoplasty and revision blepharoplasty helping you achieve the results you’ve been seeking.

Different Types of Eyelid Procedures in London

Dr De Silva performs a conservative blepharoplasty that preserves the natural architecture of the eyelid, by using tissue-sparing techniques and avoiding unnecessary trauma to the intricate anatomy of the eyelids, this prevents the surgical signs of complicated blepharoplasty such as eyelid retraction or change in natural eyelid shape. Depending on your features and aesthetic goals, Dr De Silva may select one of these techniques for your surgery.

Upper Blepharoplasty

Upper blepharoplasty addresses excess skin and fat on the upper eyelids, lifting and smoothing the area. This procedure rejuvenates the eyes, reducing sagging and improving the overall appearance of the eyelid.

Lower Blepharoplasty

Lower blepharoplasty targets under-eye bags and puffiness by removing or repositioning fat. It also tightens loose skin, reducing wrinkles and dark circles, leading to a fresher, more youthful look around the eyes.

Lateral Canthoplasty

Lateral canthoplasty reshapes the outer corners of the eyes to create a more lifted and almond-shaped appearance. Often performed alongside other eyelid surgeries, it enhances the overall contour of the eyes.

Ethnic Blepharoplasty

Ethnic blepharoplasty is tailored to individuals of Asian or other ethnic backgrounds. It focuses on creating natural-looking eyelid creases while maintaining unique ethnic characteristics, improving eyelid appearance without altering identity.

Male Blepharoplasty

Male blepharoplasty addresses signs of ageing around the eyes, such as drooping eyelids or under-eye bags, while maintaining a masculine look. The procedure preserves a strong, defined eye contour while rejuvenating the area.

Revision Blepharoplasty

Revision eyelid surgery is carried out to correct previous unsatisfactory blepharoplasty surgery.

The anatomy and soft tissues of the lower eyelid are highly intricate, and once surgery has been completed there is a degree of scarring and change in anatomy that is unique to each individual patient.

The level of scarring is dependent upon multiple factors, including the previous surgery, the surgeon, the ethnicity of the patient, their individual genetic makeup and their body’s ability to heal.

The treatment of patients who have undergone previous lower blepharoplasty is challenging, and is dependent upon the degree of change required and the patient’s expectations from surgery. Although for most patients a substantial improvement can be made, the key to success is achieving the patient’s expectations.

In the eyelids, removal of too much soft tissue results in the increased appearance of the white sclera and the eyelids not closing, or hanging below the coloured iris. This can be improved though for some patients advanced techniques including fat grafting, elevation of the cheek (deep plane facelift surgery) and graft material may be required. 

Blepharoplasty Testimonials

What our satisfied clients are saying

“Having Lower Blepharoplasty with Dr. De Silva gives you the benefit of years of experience, qualifications not only in the U.K. but also the U.S. and yet you don’t lose the gentle bedside manner from this doctor. From our first meeting, Dr. De Silva won me over because he gave me the time to obtain answers and explanations to all my questions in kind details, as many times as I needed.”

Sandra
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In the Press

Eyelid Surgery in London: Harley Street Blepharoplasty image 14
In the Press: TATLER
In the Press: VANITY FAIR
In the Press: TATLER (2020)
In the Press: Vogue
In the Press - Cosmopolitan
In the Press - TATLER
Eyelid Surgery in London: Harley Street Blepharoplasty image 14
In the Press: TATLER
In the Press: VANITY FAIR
In the Press: TATLER (2020)
In the Press: Vogue
In the Press - Cosmopolitan
In the Press - TATLER

A Comprehensive Guide to Your Blepharoplasty Procedure with Dr. Julian De Silva

The procedure may be completed only on the upper eyelids, the lower eyelids or both concurrently. Commonly blepharoplasty may be combined with tightening of the lower eyelid tendon (canthopexy or canthoplasty) or rejuvenation of the lower eyelid skin (laser treatment or skin peels) or volume restoration (e.g. fat transfer) to give the best natural results.

Dr De Silva customises blepharoplasty to the individual patient and most procedures take between 1.5 to 3 hours depending on the intricacy and complexity of the procedure. From Dr De Silva’s experience customised blepharoplasty surgery can last 10 years in the majority of patients and a lifetime in some patients.

1. Initial Blepharoplasty Consultation

Blepharoplasty is demanding and requires in-depth knowledge of the anatomy of the eye area, as well as attention to detail. In your initial consultation, Dr De Silva will discuss your aesthetic and functional concerns and goals, analyse your medical history and help set realistic expectations for your surgical outcome. Every person’s eyes are different, so bring an old photo from your 20s to your consultation. Based on your needs, a personalised procedure plan will be developed outlining the best way to prepare, the surgical techniques to be used and the optimum ways to recover.

2. Pre-surgery preparation

Carefully follow Dr De Silva’s instructions and avoid certain medications, supplements, smoking, and alcohol to promote healing. Arrange for someone to drive you home and have a recovery space ready with essentials like pillows and ice packs. Discuss realistic outcomes with Dr De Silva to set clear expectations, and support your recovery with a healthy lifestyle before and after surgery. Dr De Silva’s team offers personalised guidance and full support to ensure a smooth experience from preparation to recovery. For example, there are some herbal medications, such as arnica, that should be taken to reduce bleeding.

3. Day of Surgery

All surgery takes place in our Harley Street CQC-regulated practice. Dr De Silva uses modern anaesthesia, known as sedation anaesthesia, which is far safer and with a faster recovery than traditional general anaesthesia. In most cases, patients come around within 30 minutes after surgery.

 

Eyelid surgery can be completed in 1 hour. However, to obtain the best natural results that are long-lasting, the procedure will take 1-3 hours as it will require a combination of fat transfer, fat preservation, skin resurfacing, regenerative medicine, and attention to detail.

In upper blepharoplasty, the incision is hidden in the crease of the eyelid and is often difficult to see even 1 week after surgery. In lower blepharoplasty, the incision is placed either in the conjunctiva (termed transconjunctival) of the eyelid in which case it is completely hidden. Or the incision is just below the lower lid eyelashes (termed transcutaneous) within several weeks this incision is hidden by the eyelashes of the lower eyelid. Following the removal of excess tissue, Dr De Silva will carefully contour the eyelids to restore a rejuvenated, youthful appearance. This process may involve adjusting or extracting fat, along with removing any extra skin or muscle as needed. The small incisions will be closed with sutures, surgical tape or tissue glue.

4. Follow-up Appointment

After eyelid surgery, Dr De Silva’s team provides dedicated follow-up care, with daily check-ins during the first two weeks. This attentive approach ensures comfort and enables early detection of any concerns for prompt treatment. You may also be asked to assist in-person follow-up appointments to remove sutures and assess the real results of the healing process.

5. Social Readiness

It is normal to experience some swelling and bruising for the first week or two. This will decrease over time. It is recommended to rest for the initial fortnight following your surgery, returning to work and your daily routine from the second week onwards. Avoid exercise for the first weeks and strenuous activity for a month. After a month you will be able to enjoy your blepharoplasty results.

Ideal Candidates for Eyelid Surgery in London

Ideal candidates for blepharoplasty include: 

  • Those with excess upper eyelid skin affecting their field of vision.
  • Individuals with puffiness or under-eye bags that create a tired or aged appearance.
  • People concerned about fine lines or wrinkles around the eyes that add years to their look.
  • Those with a family tendency toward extra skin or fat around the eyelids.
  • Patients in good overall health, with a positive mindset and clear goals for the outcome.
  • Individuals with realistic expectations who understand both the potential benefits and limitations of the procedure.

What to Expect from Blepharoplasty Recovery

The surgery generally causes mild ache or discomfort which settles over less than 48 hours, and the surgery is not regarded as painful. Most of Dr De Silva’s patients require minimal or no analgesia after blepharoplasty. Usually over the counter mild analgesia is sufficient to reduce the discomfort (e.g. Paracetamol or Tylenol). 

Icing the eyelids for the first three days, in the form of ice in a zip lock bag, frozen peas or gel mask all have a beneficial effect on reducing swelling when applied to the eyelids for ten minutes regularly after surgery. 

There are other factors such as resting and taking things easy during the daytime that will maintain a relatively low and stable blood pressure. Keeping your head elevated when sleeping, will also reduce bruising and swelling.

How To Speed Up Recovery

Dr De Silva has pioneered innovative techniques to accelerate recovery following blepharoplasty, using cutting-edge regenerative medicine combined with advanced oxygen and LED therapies. These approaches promote faster healing by supporting tissue repair, reducing swelling, and minimising bruising.

Regenerative medicine techniques, such as growth factor treatments and platelet-rich plasma (PRP), stimulate the body’s natural healing response, helping cells to regenerate more quickly. This can significantly reduce downtime and help patients see visible improvements sooner.

Oxygen therapy delivers concentrated oxygen to the skin, which enhances cellular activity, speeds up tissue repair, and reduces inflammation. This therapy is particularly effective in minimising bruising and swelling in the delicate eye area.

LED light therapy complements these methods by using specific wavelengths of light to calm inflammation, boost collagen production, and support overall skin healing. This gentle, non-invasive treatment can further accelerate recovery, leaving the skin around the eyes looking fresher and healthier.

Through this comprehensive approach, Dr De Silva offers patients a more comfortable recovery process, allowing them to enjoy the results of their eyelid surgery sooner and with minimal discomfort.

Benefits of Blepharoplasty Surgery with Dr De Silva

While Blepharoplasty surgery provides a wealth of functional and cosmetic benefits, not all surgeons perform the procedure in the same way. By choosing Dr De Silva, you can enjoy all the traditional advantages of the surgery in addition to these bespoke benefits.

Potential Risks and Side Effects of Surgical Blepharoplasty

  • 99% of eyelid surgery scars are almost invisible thanks to Dr De Silva’s meticulous Trans-Conjunctival blepharoplasty technique that involves incisions inside the eye and multiple layers of stitches.
  • Quick recovery from anaesthesia, usually within 30 minutes
  • Blepharoplasty is the #1 procedure he completes for his patients every day
  • 1000s of 5* patient reviews
  • Natural looking results
World Class Facial Cosmetic and Plastic Surgery

Natural Blepharoplasty Before & Afters

Dr De Silva has transformed thousands of faces through his unique surgical techniques. Below is a small sample of some of his transformations.

Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 6 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 1 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 2 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 3 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 4 - Set 1
Photo of the patient’s eyes before and after the Blepharoplasty surgery. Patient 5 - Set 1

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Blepharoplasty Procedure Pricing

In the UK, particularly on London’s Harley Street, the cost of blepharoplasty varies based on several factors, including the surgeon’s expertise, the extent of the procedure (whether it’s upper, lower, or both eyelids), and the specific clinic or facility chosen. Typically, prices range from around £8,000, with upper and lower blepharoplasty often costing more. Additional costs may include consultation fees, anaesthesia, and post-operative care, all of which contribute to the final price. It’s essential for patients to ensure that the chosen surgeon is highly qualified and transparent about costs to ensure both safety and quality results.

Combine your Eyelid Surgery with other facial enhancements

Dr De Silva customises blepharoplasty surgery for each individual patient and often combines it with other procedures such as fat transfer, brow lifting, skin resurfacing, buccal fat reduction, and face or neck lift surgery to enhance overall facial rejuvenation.

Fat Transfer

Fat transfer involves harvesting fat from one area of your body and injecting it into areas of the face that have lost volume, such as the cheeks or under-eye hollows. It is often combined with blepharoplasty to restore youthful fullness around the eyes and midface.

Brow Lifting

Brow lifting elevates drooping brows and smooths forehead wrinkles, creating a more youthful and refreshed appearance. When combined with blepharoplasty, it enhances the upper face, giving a more balanced, natural look.

Laser Skin Resurfacing

Laser skin resurfacing improves skin texture, tone, and pigmentation by removing damaged skin layers. Combined with blepharoplasty, it rejuvenates the entire eye area, reducing fine lines and enhancing the smoothness of the skin.

Buccal Fat Reduction

Buccal fat reduction removes excess fat from the cheeks to create a more sculpted and contoured facial appearance. When combined with blepharoplasty, it enhances facial definition and can complement a youthful eye area.

Facelift

A facelift addresses sagging skin, loss of muscle tone, and facial ageing by lifting and tightening the face. Combining a facelift with blepharoplasty offers a comprehensive rejuvenation of the entire face, restoring both youthful contours and a refreshed eye area.

Neck Lift

A neck lift targets loose skin, muscle bands, and excess fat in the neck, creating a smoother, more defined jawline. Combined with blepharoplasty, it enhances both the eyes and neck for a harmonious, rejuvenated appearance.

Is Dr. De Silva the right fit for your Eyelid Surgery in London?

Dr Julian De Silva travelled worldwide with a fellowship in the USA and spent time working in some of the best Cosmetic centres in the World before setting up his practice over 10 years ago. This included London, UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York. Dr De Silva wrote an extensive book that includes everything each patient needs to know regarding facelift and neck lift surgery. Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance recovery or longevity of the procedure including oxygen therapy and regenerative medicine. In addition, Dr Julian De Silva has pioneered the use of sedation anaesthesia in the UK and has been awarded a Patent for his innovation. Dr De Silva has always taken pride and constantly innovated on improving natural results and faster recovery with over 1000 5* reviews was voted the best in plastic surgery in the UK on an independent review site.

Interested in Eyelid Surgery in London?

Dr De Silva is dedicated to delivering the highest standard of patient care which is what makes him a premier choice for Blepharoplasty surgery across the UK.

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Frequently Asked Questions

Dr De Silva is an artist having painted for exhibitions in London at the Royal Academy of Arts and National Portrait Gallery and a sculptor of clay. The sculpting of the human face to balance the proportions of the face and body type requires both artistic interpretation and technical know-how.

The surgery generally causes mild ache or discomfort which settles over less than 48 hours, and the surgery is not regarded as painful. Most of Dr De Silva’s patients require minimal or no analgesia after blepharoplasty. Usually over the counter mild analgesia is sufficient to reduce the discomfort (e.g. Paracetamol or Tylenol).

Upper Blepharoplasty Scar at 6 weeks: All scars are initially slightly pink in colour and lumpy and bumpy in appearance. Over a period of weeks to months, the colour returns to normal and the scar smoothes out. Dr De Silva takes care to hide scars in natural lines and creases and avoid scars wherever possible. Issues with scars are relatively rare and occur in less than 1%. Key is the detail, Dr De Silva does not use dissolvable stitches in this delicate area, as these can result in more visible scars afterwards.

Lower Blepharoplasty at 6 weeks: No scar is visible. Dr De Silva prefers to avoid scars in lower eyelid surgery by hiding the scars and completing the surgery on the inside of the eyelid. There are a small proportion of patients who may not be suitable for this technique however each patient’s surgery must be tailored to the individual to give the best possible natural-looking result.

Blepharoplasty is the most common cosmetic procedure to be completed in the world and is regarded as a safe procedure. As with any surgery, there are potential risks and complications that may occur.

Complications in blepharoplasty may occur because of several reasons. One of the most important factors responsible for the success of surgery is the surgeon. The surgeon must have complete knowledge of how the surgery has to be performed. Blepharoplasty, particularly of the lower eyelid is demanding and requires in-depth knowledge of the anatomy and attention to detail. Dr De Silva’s number one procedure is blepharoplasty and revision blepharoplasty.

Complications can be defined as any unforeseen occurrence during or after the surgery. The complications that can occur during or after blepharoplasty can be divided into four categories; intra-operative, immediate post-operative, early and later post-operative.

Intraoperative complications occur during the surgery. For example, these can occur due to a reaction to some medication or due to the local or general anaesthesia given and are managed by the surgical team at the time of surgery.

Immediate postoperative complications occur immediately after the surgery when the patient is in the initial recovery stage and may include bleeding or medication. These complications need to be handled immediately by the surgeon who performed the operation.

Early post-operative complications in blepharoplasty occur once the patient has been discharged. These appear almost immediately after the person returns to normal routine. They can include bleeding, a reaction to a medication, or infection and can be corrected by contacting the doctor immediately.

Late postoperative complications associated with blepharoplasty may occur when the patient fails to take proper care after the surgery, the surgical technique used or the patient’s healing process. These complications include those of the upper eyelid (asymmetry, scarring, hollowing, inability to close the eyes, dry eyes) and lower eyelid (asymmetry, residual fat bags, lower lid retraction). Most of these complications are minor and can be easily corrected, however, some such as lower lid retraction require complex revision surgery with the use of graft material and reconstructive techniques.

The most common complications are bleeding and bruising, all of which are treatable. There is a risk of asymmetry between the two eyes and this may settle with time or in approximately <5% of cases may require a small revision procedure that can be completed under local anaesthesia. The most serious and feared complication of blepharoplasty is loss of vision following surgery, as a result of bleeding that collects behind the eye, this is an extremely rare complication and if recognized early on it can be treated. Blepharoplasty is generally a popular surgery with high patient satisfaction and low risk of complications.

Patients are able to have upper blepharoplasty under local anaesthesia alone, sedation or general anaesthesia. Dr De Silva has used all of these for his patients for more than 10 years, Sedation Anaesthesia offers the advantage of a more comfortable experience and faster recovery. Blepharoplasty may also be completed under local anaesthesia, however, the eyelids are sensitive and delicate and the use of sedation is a useful adjunct for surgery. For best natural results eyelid surgery is often combined with other procedures such as fat grafting and skin resurfacing, with these additional procedures light sedation is generally preferred. General anaesthesia is not a requirement of blepharoplasty and is associated with more recovery and potential side effects can be avoided. Dr De Silva takes time to advise each patient on the best type of anaesthesia for them. His team have pioneered the use of faster recovery sedation, aka twilight anaesthesia in London, UK and has been awarded a patent for their innovative sedation anaesthesia technique.

Choosing the right blepharoplasty surgeon is crucial for achieving the best results. Here are detailed measures to help you select a highly qualified and experienced surgeon:

Key Considerations:

  • Board Certification: Ensure the surgeon is board-certified in plastic or facial cosmetic surgery. This certification indicates they have met rigorous standards in training and expertise. Within plastic surgery, Oculo-Plastic Surgeons specialise in eyelids and blepharoplasty, more than general plastic surgeons or ENT Facial plastic surgeons.
  • Specialisation: Look for a surgeon who specialises exclusively in facial surgery, as this indicates a deep understanding of facial anatomy and techniques. Facial surgery is a matter of millimetres and body surgery is a matter of centimetres. Dr Julian De Silva, for example, has dedicated over 20 years to specialising in facial procedures
  • Experience and Results: Review the surgeon’s portfolio of before-and-after photos to assess their skill and the naturalness of their results. Dr. De Silva has performed thousands of facelifts and has extensive experience in revision surgeries.
  • Consultation: Schedule consultations with multiple surgeons to discuss your goals and assess their approach. This will also give you an opportunity to gauge their communication style and bedside manner.
  • Patient Reviews and Testimonials: Read reviews and testimonials from previous patients to understand their experiences and satisfaction levels.
  • Hospital Affiliations: Check if the surgeon operates in reputable hospitals or clinics with accredited facilities. Dr. De Silva operates in a top-notch state-of-the-art facility, ensuring the highest standards of care.