Blepharoplasty (Eyelid Surgery) in Harley Street, London

Blepharoplasty, more commonly known as eyelid surgery, is the most performed cosmetic operation that Dr De Silva completes for patients.


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?

 Eye contact is a key aspect of our daily communication and the appearance of your eyes form part of your first impression on meeting someone.

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.

Although these changes are usually associated with ageing, some people develop these signs around their eyes from their late teens. 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.

    Why Choose Dr De Silva in Harley Street, London ?

    Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.

    “My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all 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.”

    In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.

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

      Facelift & Facial Only Treatments

      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.

      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

      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.
      • 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

      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

      23 Harley Street
      London, W1G 9QN, UK

      View on Google Maps

      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