Blepharoplasty and Eyelid Surgery in London
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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.
Blepharoplasty Surgery on Harley Street, W1
What Does A Harley Street Blepharoplasty Treat?
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 engaging 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.
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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Why Choose Dr. De Silva for Eyelid Surgery in London?
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. As an Oculofacial Plastic surgeon, he specialises in blepharoplasty and facial surgery and uses a variety of sculpting and suturing techniques to preserve the function and structural integrity of the eyelids, which gives a 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.
- Performs his signature Natural Blepharoplasty Technique
- Professor at the American Society of Oculo-Facial Plastic Surgery, USA
- Natural Results and Fast Recovery Technology
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.
Types of Eyelid Surgery 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.
What our patients say about us!
“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.”
In the Press
Dr De Silva’s Harley Street Blepharoplasty Timeline
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.
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.
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.
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.
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.
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.
- 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
Risks and Side Effects of Surgical Blepharoplasty
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 is uncommon and resolves 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.
Patient Experiences
This is Dr De Silva’s signature natural eyelid surgery (blepharoplasty). Natural enhanced eyelid appearance. I combine blepharoplasty with other facial treatments to give a better natural looking and longer lasting result including facelift and neck lift surgery and rhinoplasty. This patient had natural blepharoplasty, fat transfer, canthopexy and skin rejuvenation.
Blepharoplasty Price of Procedure
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 £2,000 to £6,000, 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.
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.
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.
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.
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.
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.