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Ethnic Blepharoplasty
(Eyelid Surgery) in Harley Street, London

The ethnic eyelid is anatomically different from the European eyelid. These differences are related to the underlying facial anatomy, including skin thickness and underlying subcutaneous fat.


What is Blepharoplasty?

Dr Julian De Silva - Harley Street, London

The ethnic eyelid is anatomically different from the European eyelid. These differences are related to the underlying facial anatomy, including skin thickness and underlying subcutaneous fat. The shape and support of the eyelids, as well as the shape and dimensions of underlying bones all have a bearing on how the eyelids look.

A variety of anatomical variations may occur in the ethnic eyelid. Typically, these include relatively full brows, fine upper eyelids, lines in the lower eyelids (with or without bags) with variable dark circles and facial lines. These characteristic changes usually occur as a consequence of facial ageing. However, genetics also play an important role.

Some younger patients present with lines or swelling around their eyelids from their twenties. These genetic changes can give individuals an older or more tired appearance. Dr De Silva uses specialist techniques to produce a natural-looking result. By performing surgery on the inside of the eyelid he achieves a scarless result.

Dr De Silva has many patients of ethnic descent who request eyelid surgery in London, the most popular destination in the world for Middle Eastern patients to have cosmetic surgery.
Ethnic Blepharoplasty includes:

  • Asian Patients
  • Middle Eastern Patients
  • South Asian Patients
  • Afro-Caribbean Patients
  • Mediterranean Patients

Dr De Silva specialises in facial surgery and is renowned for delivering natural-looking results using the most innovative and contemporary techniques from Beverley Hills and New York.
While eyelid surgery is one of the most common cosmetic surgeries he performs, ethnic Blepharoplasty is technically difficult. Some cosmetic and plastic surgeons do not perform it, but Dr De Silva is a specialist in transforming the eye areas for patients from around the world.

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

    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.

    Eyelid Surgery Overview

    Dr De Silva’s technique

    • There is considerable variation in requests for ethnic blepharoplasty, but the key to successful surgery is meeting each patient’s expectations. Thus, Dr De Silva advises patients with specific requirements to bring photographs of eyelids they like.
    • Dr De Silva tailors eyelid surgery to each patient using the most advanced techniques to ensure a natural, long-lasting result.

    Revision Ethnic Blepharoplasty

    While this procedure is challenging, over 30% of all Dr De Silva’s patients have undergone previous surgery and are termed revision procedures. Deemed more difficult than primary surgery, with Dr De Silva’s advanced techniques he obtains a good overall appearance and improvements in the symmetry of the eyelids.

    What are the risks?

    The risk of keloid scarring is a risk in patients with darker skin. Dr De Silva’s surgery techniques provide scarless surgery where incisions are made on the inner side of the lower lid (trans-conjunctival).

    Eyelid surgery requires in-depth knowledge of anatomy and attention to detail, with the difference between success and failure as little as 1mm. Choosing a specialist eyelid surgeon, such as Dr De Silva will ensure you have the best resul

    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
    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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