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Natural Blepharoplasty

World Renowned Harley Street


Dr Julian De Silva #1 Specialist Blepharoplasty Surgeon

Over 1000 5-Star Patient Experiences

Fast Recovery Technology



What is Blepharoplasty?

Dr Julian De Silva - Harley Street, London

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.

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.

    As Featured in Logos for Harley Street Clinic - Dr Julian De Silva

    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.

    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.


    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.”



    Frequently Asked Questions

    Do I need to go to hospital?

    Blepharoplasty is commonly completed in a general hospital with other surgical procedures. Although this is the norm, it does not lead to an optimal patient experience as the staff are not specialised.

    Dr De Silva has built a custom state of the art facility on Harley Street to enable complete specialisation for every patient. This can avoid issues with hospital-acquired infections, such as MRSA, providing the safest environment for patients.

    Will I look like myself?

    Dr De Silva customises his treatments based on your individual facial characteristics, which will give you a natural appearance. You will still look like you, only better!

    Will people be able to tell?

    Often, patients that have substantial rejuvenation are surprised how friends and family have not been able to tell. You will look less tired and refreshed which many people will put down to you having a good night’s sleep!

    At what age should you get blepharoplasty?

    Older Patients:

    There is no specific age limit for blepharoplasty and Dr De Silva has completed surgery for patients in their late eighties. Key to a successful blepharoplasty is your general health and fitness. We complete a comprehensive assessment of every patient before surgery as safety is always the number one priority.

    Often there may be additional factors to consider with increasing age. These can include dry eyes, eyelid laxity and droopy eyelids (termed ptosis), these may require additional treatments at the same time as blepharoplasty to ensure a successful result.

    Although loose skin, puffiness and lines around the eyelids are commonly associated with facial ageing, there are a smaller proportion of patients who have a genetic predisposition to these changes.

    Younger Patients:

    Lower eyelid bags or puffiness may be present in the late teens and early twenties and can be seen in other family members. The treatment of eye bags in young adults with a negative vector requires specific techniques to avoid lower lid retraction and support the lower eyelid after blepharoplasty, which Dr De Silva has written about extensively.

    Note that lower blepharoplasty is not always necessary if you have very early signs of lower eyelid bags because some patients can be managed with non-surgical techniques.

    Dr De Silva completes lower eyelid blepharoplasty on patients from their late teens to twenties, and some of his patients have travelled long distances as surgeons near their homes have not been able to complete surgery locally.

    Contact Details
    Call: 020 8748 2860
    Email: info@drjuliandesilva.co.uk

    23 Harley Street
    London, W1G 9QN, UK

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    Dr Julian De Silva
    5 stars based on 458 reviews

    5 Star Ratings for Dr Julian De Silva

    Renowned expert in Facelift/Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results

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