Upper Blepharoplasty Surgery in Harley Street, London | Dr Julian De Silva image 1

Upper Blepharoplasty in London

  • Author of The Complete Guide to Blepharoplasty
  • Over 1000 5* Patient Reviews
  • #1 Specialist Blepharoplasty Surgeon
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Understanding Upper Blepharoplasty in London

Upper blepharoplasty is a surgical procedure that addresses excess skin and fat on the upper eyelids, which can cause a tired or aged appearance. Dr De Silva specialises in natural, subtle results, ensuring that the eyelids retain their youthful shape and function. His approach uses advanced techniques, such as minimal incisions hidden in the natural crease of the eyelid, to avoid visible scarring. This procedure can also improve vision in cases where excess skin obstructs the field of view. Dr De Silva’s use of cutting-edge technology ensures faster recovery and reduced bruising after your upper blepharoplasty in London.

Upper Blepharoplasty Diagram

What Can Upper Eyelid Blepharoplasty Can Treat?

Patients seek Dr De Silva’s upper eyelid blepharoplasty surgery to address sagging or excess skin that creates a hooded appearance, drooping eyelids that impair vision, and puffiness caused by fatty deposits. This procedure is ideal for those experiencing eyelid heaviness, tired-looking eyes, or obstructed vision due to excess skin.

Excess Drooping of Upper Eyelids

Drooping of the upper eyelid is a relatively common eyelid condition that usually occurs as the facial tissues age. There is a small muscle behind the upper eyelid that opens the eyelid (the levator aponeurosis) and with facial ageing, or as a consequence of genetics (inherited from your parents), the muscle can slip or it may be weak, resulting in a droopy eyelid.

Puffy Eyes

Puffy upper eyelids are often caused by excess fat or fluid retention, leading to a swollen or heavy appearance. This can be due to ageing, genetics, or lifestyle factors such as lack of sleep or allergies. Over time, the skin and underlying tissues lose elasticity, allowing fat to protrude. Upper blepharoplasty can help by removing or repositioning excess fat for a more refreshed look.

Asymmetrical Eyelids

Asymmetrical upper eyelids occur when one eyelid sits higher or has a different shape than the other, creating an uneven appearance. This can be due to genetics, ageing, muscle weakness, or previous surgery. In some cases, the difference is subtle, while in others, it can affect vision. Dr De Silva uses upper blepharoplasty surgery to adjust the eyelid position and contour, restoring balance to your appearance.

World Class Facial Cosmetic and Plastic Surgery

Browse Our Upper Blepharoplasty Before and After Gallery

Enjoy seeing how Dr De Silva has restored both form and function for his upper blepharoplasty London patients.

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

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Why Choose  Dr. De Silva 
for a Harley Street Facelift?

Why Choose Dr. De Silva As Your Upper Blepharoplasty Surgeon?

“People have an exquisite ability to recognise less than one-millimetre asymmetry between the eyelid heights, and half a millimetre or more drooping of one eyelid can be noticeable,” says De Silva. “Meticulous detail is important”. To ensure the most natural-looking results, Dr De Silva employs a facial mapping technique based on the Golden Ratio, a principle that’s long been associated with beauty and harmony. By choosing Dr De Silva, you're entrusting your eyes to a renowned facial plastic surgeon, celebrated for his expertise and specialisation in facial surgery alone. Blepharoplasty, or eyelid surgery, is the most common procedure he performs, and his skilled hands deliver consistent, refined results that add harmony to your facial anatomy.

  • Dr De Silva uses natural growth factors to aid healing and speed up recovery
  • Advanced Sedation Anaesthesia is used to reduce surgical risks
  • All surgery is performed at Dr De Silva’s CQC-accredited Harley Street practice

Your Upper Blepharoplasty Harley Street Surgery

Upper blepharoplasty improves the appearance and function of the upper eyelids by removing excess skin and fat.

Types of Facelifts  Offered by Dr. De Silva Images

Initial Consultation

During your private consultation in Dr De Silva’s Harley Street practice, you will discuss your medical history along with your desired results. Photos may be taken and a personalised treatment plan drafted.

Pre-surgery Preparation

Prior to surgery, you will receive clear instructions on which medications to avoid. Dr De Silva advises all patients to stop smoking at least two weeks before the procedure to reduce the risk of surgical complications. Medical assessments will also take place with blood, MRSA, +/- ECG tests requested when necessary.

Upper Blepharoplasty in London

On the day of your surgery, Dr De Silva will review your treatment plan with you to ensure you're happy with the proposed approach. Twilight sedation will be used as a safer alternative to local anaesthetic, minimising downtime and reducing risks. Small incisions are made along the natural eyelid crease to minimise scarring, and Dr De Silva will carefully remove excess tissue. If you have droopy eyelids (ptosis), the underlying muscle will be tightened to create a lifted appearance. Your eyelid will be closed with fine sutures and the procedure typically takes between one to two hours meaning you’ll be able to return home the same day.

Follow-up Appointment

Dr De Silva will check up on your healing process within 24 hours of surgery via a video call and discuss the best practices for a speedy recovery. 7-10 days post-surgery you will be advised to attend a follow-up appointment at his Harley Street practice to inspect the surgical wounds, check the healing process and remove any stitches.

Social Readiness

Downtime typically lasts between 1 to 2 weeks, during which it's recommended that you rest and have someone assist with daily tasks. After one week, you can resume driving, and after 3 to 4 weeks, you can return to exercise. It’s normal for your eyes to feel swollen and bruised initially, but this will gradually subside as your body heals.

Read Our Upper Eyelid Surgery Patient Testimonials

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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.

Ideal Candidates for Upper Blepharoplasty in London

Ideal candidates are those with excess skin, puffiness, or drooping eyelids that affect both appearance and vision.

  • Individuals with excess skin that obstructs vision.
  • Those experiencing puffiness or fatty deposits on the eyelids.
  • Candidates irritated by their sagging eyelids.
  • People with asymmetry in their upper eyelids.
  • Those in good general health and without active eye conditions.
  • Non-smokers or willing to stop smoking before surgery.

What to Expect from Recovery

After upper blepharoplasty, most patients experience minimal discomfort, with swelling and bruising subsiding within a week or two. Recovery is fast due to Dr De Silva’s advanced techniques, and many patients return to work within 7-10 days. Some temporary numbness and dryness around the eyes may occur, but it resolves with time. Dr De Silva’s use of regenerative medicine aids healing, reduces bruising, and speeds up recovery.

What Are The Common Risks of Upper Eyelid Surgery?

While complications are rare and are significantly reduced thanks to Dr De Silva’s extensive expertise and surgical skill, as with any surgery, there are some risks to be aware of.

  • Infection, though rare, can be prevented with antibiotics.
  • Bleeding or bruising may occasionally occur in less than 10% of Dr De Silva’s patients
  • Scarring, is usually minimal by hiding scars in natural creases, can vary depending on ethnicity and genetics. 
  • Dr De Silva can advise on use of regenerative medicine to enhance recovery
  • Nerve damage is rare but could cause temporary numbness.
  • Dry eyes or irritation may occur but typically resolves, meticulous care measuring of eyelids in millimeters is required to ensure eyelid closure.

Dr De Silva’s Popular Procedures To Combine With Upper Eyelid Surgery

Sometimes an upper eyelid enhancement is all you need. However, other times, a combined approach is required to achieve your desired look. Dr De Silva often performs these surgeries in combination with his upper blepharoplasty procedure:

Lower Blepharoplasty

Dr De Silva commonly completes lower and upper blepharoplasty (termed quad blepharoplasty)

Brow Lift

Elevates sagging brows and reduces forehead lines for a more youthful appearance.

Facelift

Targets sagging skin and deep wrinkles for full facial rejuvenation.

Fat Transfer

Restores lost volume to the eyelids or surrounding areas for a softer, natural look.

Is Dr. De Silva the Right Fit for Your Upper Eyelid Operation?

Dr Julian De Silva is a globally recognised expert in facial cosmetic surgery, holding board certification from the prestigious American Board of Facial Cosmetic Surgery (ABFCS). With over a decade of specialised experience, he is renowned for his natural-looking results and innovative techniques in procedures such as upper blepharoplasty.

Having trained in London, New York, and Los Angeles, Dr De Silva has pioneered signature methods in eyelid surgery, focusing on precision and minimising recovery time. He is a sought-after international speaker, has appeared in leading media outlets, and is widely respected for his personalised approach. With a private, state-of-the-art clinic in London's Harley Street, upper blepharoplasty patients can expect the highest standards of care and expertise in facial rejuvenation.

Your Eyes, Your Confidence—Let’s Make Them Shine

Refresh your eyes with a surgeon you can trust. Book a consultation with Dr De Silva, one of the UK’s leading upper blepharoplasty specialists, for precise, natural-looking results.

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Frequently Asked Questions

When performed by an expert like Dr De Silva, upper blepharoplasty won’t change your appearance, Dr De Silva asks patients to bring old photographs and will use this as a template for your procedure. The procedure enhances the natural contours of the eyelids, creating a more refreshed, youthful look while maintaining a masculine appearance. Dr De Silva adapts each surgery to your facial anatomy to ensure results feel natural and enhance your profile.

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