Natural Blepharoplasty

World Renowned Harley Street

Dr Julian De Silva #1 Specialist Blepharoplasty Surgeon

Over 1000 5-Star Patient Experiences

Fast Recovery Technology

Natural Artistry

The Da Vinci of Facial Surgery

Dr Julian De Silva - top facelift surgeons uk

     Excellent  
     Based on 155 reviews 
    
 
 
   
 
 
        
   Clare Halliday 
 2024-06-12
 
 
  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 
 2024-06-11
 
 
  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 
 2024-06-11
 
 
  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 
 2024-05-15
 
 
  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 
 2024-05-10
 
 
  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 
 2024-04-29
 
 
  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 
 2024-01-07
 
 
  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 
 2023-12-27
 
 
  Dr Da Silva and his all team are very professional, always available for follow up and very clear communication. Thank you
  
 
       
   Ruth Johnson 
 2023-12-12
 
 
  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 ...

FACELIFT SURGERY IN HARLEY STREET

What is Blepharoplasty?

Dr Julian De Silva - Harley Street, London

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As a combination of ageing and genetics, the skin and muscle around the eyelids loosens, 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 results in puffiness owing to fat protruding into the eyelids forming bags in the lower and upper eyelids.

In expert hands eyelid surgery rejuvenates your facial appearance, making you look fresher and less tired. The eyelid anatomy is intricate, and blepharoplasty involves a combination of reshaping excess skin, muscle and prolapsing fat. Dr De Silva focuses on meticulous techniques to ensure a natural-looking result.

Why have Blepharoplasty? Benefits?

Our eyes are so important, whenever you meet someone where social or professional you make eye contact. The appearance of your eyes form part of your first impression on meeting someone, they can make you look fresh and engageing or tired and ageing.

As you age, the natural elasticity of our skin diminishes. This results in fine lines and wrinkles, sagging skin, and a tired, aged appearance. Younger people can have puffiness as a result of genetics. A signature blepharoplasty offers many benefits, including:

Natural results, means the best version of you.
Loose skin, puffiness or wrinkles are readily seen, and common symptoms patients describe include being asked if they are tired, stressed or lacking sleep.
Heavy upper eyelids, dark circles or bags around the lower eyes, often lead to a tired and aged look.
Old photograph from your 20s to 30s can be helpful. The details around the eyes are of great importance, as subtle changes of even less than half a millimetre can be discernible between the right and left sides.
‘Puffy Eyelids & bags‘ are what people associate with tiredness or stress. Friends and family often say you are tired and you are not.
No creams help, despite these marketing claims. These changes are related to anatomy and usually required blepharoplasty (early changes filler can be used).
‘Less is more approach‘ important in the delicate area of the eyes. We treat many patients with revision blepharoplasty, so important that this area scars are hidden and the procedure is completed meticulously.
Commonly our patients find a boost in confidence.
Blepharoplasty offers a longer lasting permanent solution. Some patients may be frustrated with the temporary nature of fillers and non-surgical treatments.
- For information on LOWER EYELID BLEPHAROPLASTY ->
- For information on UPPER EYELID BLEPHAROPLASTY ->

Why Choose Dr De Silva in Harley Street, London ?

Dr Julian De Silva is a widely credited and celebrated facial plastic surgeon who specialises ONLY in the FACE. Eyelid surgery, AKA blepharoplasty is the No.1 procedure that he helps patients with every day. Your face has intricate anatomy; your eyes, nose, face and neck areas, and relatively unique. Dr Julian De Silva is known for Natural Results & Fast Recovery technology.

“We are proud to have over 1000 5* reviews. My focus has always been to be the very best at what I do, to continually innovate to provide World Class leadership with my team, my patients and my associates. My mission is to help every patient be the very best version of themself with World-Class services, life-long follow up with complimentary facial aesthetic procedures.”

Author of the Blepharoplasty Book, The Patient Guide to Blepharoplasty & Eyelid Surgery, to help our patients make the best decisions we gift this book to all our patients. In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.

As an Artist, Dr De Silva’s paintings decorate the walls of the World Class Facility at 23 Harley Street, custom built for Facial Treatments.

Dr Julian De Silva has Taught Surgery to other surgeons in the USA for over 8 years. “I have always been a passionate teacher and as director of the course I am committed to inspiring the next generation of surgeons.”

As a father and a Family Man he understands how important our appearance, health and well being is for happiness. Dr De Silva is in demand, please be patient if we are unable to offer you an appointment immediately, Dr De Silva is a detailed surgeon, he takes extra time with every patient to understand your needs and expectations, facial treatment is a blend of both precision and artistry, and takes time.

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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.

Natural Blepharoplasty Surgery in London

Eyelid Surgery Overview

Benefits of Eyelid Surgery

Every person’s eyes are different, so bring an old photo from your 20s to your consultation.
Scars must be positioned discreetly; 99% virtually invisible (meticulous technique, multiple levels of stitches, no shortcuts)
Additional procedures can enhance blepharoplasty, including laser resurfacing and fat transfer. They are of key importance to give a long-lasting result that will last 10 years or more and avoid the need for filler.
Older techniques in the lower eyelid can result in scars and change in shape in the eyelid. Dr De Silva uses modern techniques, performing surgery on the inside of the eye (Trans-Conjunctival blepharoplasty) for scar-free results
Uses modern anaesthesia (termed sedation anaesthesia) which is far safer and with a faster recovery than traditional general anaesthesia.
With Dr De Silva’s sedation anaesthesia avoid general anaesthesia. All patients experience rapid recovery less than 30 minutes after procedure.

Reasons for Eyelid Surgery

Tired appearance; feel or look older
Self-conscious; avoid photos
Impact on relationships & profession
Difficulty with makeup; concealer to camouflage changes
Difficulty with makeup; concealer to camouflage changes
Genetic component; starting to look like your mother or father
Tried every lotion and potion to improve eyelids; minimal effect
Disappointed with non-surgical treatments like Plexa; <10% improvement
Revision Blepharoplasty. We help many patients who have not had satisfactory results from their previous surgeon.

What are the risks of eyelid surgery?

Blepharoplasty is demanding and requires in-depth knowledge of the anatomy of the eye area, as well as attention to detail.

One of the most important factors responsible for the success of surgery is the surgeon. In Dr De Silva’s hands complications are uncommon, with swelling and bruising being the most common aspects of recovery.

Pain or discomfort are uncommon and resolve within 24-hours. Infection is very rare, and the gold standard is prophylactic antibiotics to protect against infection.

Dr De Silva avoids the side effects of general anaesthetic (deep vein thrombosis and allergies) by using safer sedation anaesthesia.

Two rare and serious complications are eyelid retraction and damage to vision. Dr De Silva has never had a patient of his own have these complications. However, he takes multiple levels of precautions to avoid these issues in the first place.

The eyelids have an intricate anatomy of millimetres. Thus, an oculo-plastic surgeon specialising in this area of the face is best suited to ensure a smooth journey and successful result.

What are things you can do to speed up blepharoplasty recovery?

Dr De Silva and his team gives comprehensive advice to all his patients on what should be avoided before and after surgery. For example, there are some herbal medications, such as arnica, that should be taken to reduce bleeding.
Our team will cover this in detail with you and we provide 5* service and support along the journey from the procedure to celebrating the results.
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.

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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.

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TESTIMONIAL

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

Eyelid/Blepharoplasty

Frequently Asked Questions

What is different about Dr De Silva’s blepharoplasty technique?

Dr De Silva as an Oculo-Facial Plastic surgeon specialises in blepharoplasty and facial surgery, he does not operate on other parts of the body. By specialising in only facial cosmetic surgery, he has developed specialist expertise and technical skills. Dr De Silva tailors his surgical skills for the individual patient, uses hidden incision techniques, thereby avoiding visible scars, however to give the best possible results he uses additional facial techniques in over eight percent of cases.

Dr De Silva worked in the cosmetic surgery havens of Los Angeles and New York amongst the best Facial Plastic Surgeons in blepharoplasty in the World, and developed skills, including 3-D telescopic camera techniques & invisible incision techniques, that at the time were not available in fellowship training in the UK. Dr De Silva uses a variety of sculpting and suturing techniques to preserve the function and structural integrity of the eyelids, which give a natural rejuvenation. A combination of tried and tested techniques and new innervational techniques.

Dr De Silva is a keen teacher and has taught numerous instructional courses and led the development of new courses. Dr De Silva teaches facial cosmetic and plastic skills at the prestigious American Society of Oculo-Facial Plastic Surgery conference in the USA.

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 require both artistic interpretation and technical know-how.

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 to detail, Dr De Silva is able to give natural looking blepharoplasty results. Dr De Silva recognizes limitations in surgical results that may be a result of past scarring, skin thickness or trauma, and will advise you against surgery if he believes that a patient is unlikely to obtain the result they desire.

Occasionally patients may have expectations that far exceed the likely results from surgery, if the likely result is below a patient’s expectations Dr De Silva will advise against surgery.

Blepharoplasty is a challenging procedure and is regarded as each person’s eyelids are relatively unique and a natural rejuvenation requires meticulous attention to detail. Dr De Silva advises patients seeking blepharoplasty surgery to see a meticulous surgeon who specialise in eyelid surgery for this reason.

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.

Dr De Silva’s customised Natural Blepharoplasty Technique, from Dr De Silva Textbook on Blepharoplasty, AKA eyelid surgery

How long does the procedure take?

Depending upon the scope of the procedure, the operation takes approximately 1 to 3 hours to complete. 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.

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 for natural results that are long lasting. Many surgeons do not use fat transfer for this procedure however the results will not be as good or long lasting and other volume may be required such as maintenance with fillers. Dr De Silva customised 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.

Is there much discomfort or pain after blepharoplasty surgery?

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 reduced the discomfort (e.g. Paracetamol or Tylenol).

Are the scars noticeable after blepahroplasty surgery?

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. The eyelid skin is unique in that it is very thin, and although rarely patient who are predisposed to scarring my have keloid scars, keloids on the eyelids are rare.

Upper Blepharoplasty Scar at 6 weeks. All scars are initially slightly pink in colour and lumpy bumpy in appearance. Over a period of weeks to months the colour returns to normal and the scar smoothens 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.

Video on How to avoid terrible scars after blepharoplasty surgery?

What are the potential risks and complications of blepharoplasty?

Blepharoplasty is the commonest cosmetic procedures to be completed in the world and is regarded as a safe procedure. As with any surgery there are potential risks and complications that many 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 and can be divided into four categories; intra-operative, immediate post-operative, early and later post-operative.

Intra-operative 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 post-operative complications occur immediately after the surgery when the patient is in the initial recovery stage and may include bleeding or a 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, infection and can be corrected by contacting the doctor immediately.

Late post-operative 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), 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 commonest 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% 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.

Can I have blepharoplasty under local anaesthesia alone or do I need general anaesthesia?

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 over more than 10 years, Sedation Anaesthesia offers the advantage being 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 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 have been awarded a patent for their innovational sedation anaesthesia technique.

Who is the best plastic surgeon for blepharoplasty in London, UK?

The best UK surgeons in 2024 according to Rate MD

Dr Julian De Silval. Plastic/ Cosmetic Surgeon

23 Harley Street, London, London, ENG, W1G 9QN

Dr Riccardo Frati. Plastic/ Cosmetic Surgeon
Dr. Ayham Al-Ayoubi.

Milner House, 14 Manchester Square, London, ENG, W1U3PP

How do I choose a blepharoplasty surgeon?

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 detail of millimetres, body surgery is detail of centimeters 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 top-notch state-of-the-art facility, ensuring the highest standards of care.

Dr De Silva specialises in Blepharoplasty and Face Only procedures. Blepharoplasty is the #1 Procedure he completes for his patients every day. Dr De Silva customises blepharoplasty surgery for each individual patient and often combines with other procedures including brow lifting, fat transfer, skin resurfacing, buccal fat reduction, face and neck lift surgery. Dr Julian De Silva travelled world-wide with fellowship in the USA and spent time working in some 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, faster recovery with over 1000 5* reviews was voted the best in plastic surgeon in the UK on an independent review site.

Video on: How to choose the Best Eyelid/ Blepharoplasty surgeon for you? What to look for and avoid …

Video Blepharoplasty FAQs

https://www.youtube.com/playlist?list=PLdaOGPY2vBjRNN0H5lMoOSuoPKdjv34WR