Your Consultation with Dr Julian De Silva

We offer our patients a consultation appointment as an opportunity to have a detailed discussion with Dr Julian De Silva to discuss patient concerns, surgical recommendations and realistic expectations of our patient’s desired surgical outcome. 



Julian De Silva Consultation

We offer our patients a consultation appointment as an opportunity to have a detailed discussion with Dr Julian De Silva to discuss patient concerns, surgical recommendations and realistic expectations of our patient’s desired surgical outcome. The consultation appointment can be carried out as an in person appointment or an online consultation. It is important to make sure that you discuss this with the surgeon who will be performing your procedure before you give your consent to have surgery. 

During your consultation your surgeon will go through the following steps.

1. Your Surgeon will ask you about your expectations for improvement

2. Your Surgeon will assess your medical history

3. Your Surgeon will assess your face

4. Your Surgeon will discuss what can be achieved and how

5. Discussion of tests required for safety

6. Discussion of cost of surgery

7. Procedure dependent: Computer Imageing or evaluation of Old Photograph to help determine goal of surgery

Your surgeon will ask you about what you are looking to change and the results you are looking to achieve from the surgery and should give sufficient time to discuss your surgery in detail. There should also be an opportunity for you to express and discuss any fears or concerns that you might have.

With facial surgery some aspects of the surgery may be fully achievable and other aspects may be more complex and difficult to achieve. For example, during a consultation with one of my patient’s for facelift surgery, the patient had thin neck skin, although the appearance of the loose skin around their neck could be largely improved, the nature of the thin skin meant that they would still have some unevenness as with skin the natural anatomy of the neck can be seen after surgery. Your surgeon should spend time with you discussing what realistic expectations can be achieved with your surgery.

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.

What should I ask during the consultation?

Before your appointment it is worthwhile doing some research. Consider what are you looking to achieve, evaluate the types of surgery open to you, read information on the possible procedure, the alternatives, risks and limitations. Having some relevant information beforehand will make your consultation more informative and useful. Most physicians appreciate a well-informed patient and will welcome the opportunity to answer relevant questions.

There is no reason to be nervous, you are going to a consultation for a discussion so there is no need to overtly anxious. At the consultation you are not obligated to have surgery.

Your surgeon will ask you what surgery you are looking to achieve, and the circumstances around why. It is best to be sincere about what you are looking to achieve so that the surgeon can be clear with the objectives of surgery and the potential limitations.

 If you have questions that you would like to ask, write them down in advance, this prevents you forgetting them at the time.

Find out further information about the surgeon. This is the most relevant time when you are visiting the surgeon’s office. You can ask to see before and after pictures of the surgeon’s own patients.

 If you still feel nervous, you can ask to talk to some of the doctor’s patients who have had the operation you are considering. This is a reasonable request, and your surgeon can arrange for you to speak with one of his previous patients. Although this can be useful as a guide, everyone’s experience of surgery is to some extent unique to them.

These are some common questions:

  • What procedure do you recommend?
  • What are the benefits of the procedure?
  • What are the limitations and risks of surgery?
  • How long is the recovery period?
  •  What kind of anaesthesia will be used
  • Can I avoid having general anaesthesia?
  • When can I have surgery?
  • Where will the operation be performed?
  • What will it cost?
  • What are my alternative options?
  • How do you charge for revision surgery?

Dr De Silva utilises 3-D facial scanning in evaluating each patients facial characteristics before facelift surgery.

Facial Surgery Consultation

Your treatment plan letter

Your tailored treatment plan letter will outline the procedures recommended, the time required for your surgery, whether you require an overnight stay at The Centre, and the cost associated with each treatment. We will also provide you with the cost of completing your blood test, ECG testing and medication.

    Will surgery need to be repeated in the future?

    In some cases patients undergoing specialist may require a revision. Dr De Silva will discuss this if this may be the case for you.

    Possible risks and complications of your procedure Like any surgical procedure there are risks as well as benefits to weigh up

    Find out what could go wrong with the procedure you want, how likely it is to happen and what can be done to correct it. The consultation and the pre-op appointment is the best way for us to discuss this issue with you.

    Your aftercare:
    Find out what to expect after surgery including recovery time, how long the pain is likely to last and what you will and will not be able to do after surgery. At The Centre, Dr De Silva and our nurses will go through this process with you.

    What happens if you change your mind after you have paid some or all of the costs for your scheduled surgery?

    Inform the treatment coordinator as soon as possible. Schedule an appointment with the surgeon performing the procedure to discuss what you want to change and why. Let them know what you would consider to be a successful result.

    Discuss the possible benefits and risks of all treatment options and find out if the surgeon can give you the results you want. Only the operating surgeon should advise you about the procedure and take your consent.

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    Contact Details
    Call: 020 8748 2860

    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