Lower Blepharoplasty Surgery in Harley Street, London
Dr Julian De Silva #1 Specialist Blepharoplasty Surgeon
Lower eyelid bags, excess skin, dark circles, hollowing under eyes are all common symptoms…
Clare Halliday
2024-06-12
Trustindex verifies that the original source of the review is Google. I would like to share my experience of my face and neck lift with Dr De Silva. First and foremost I will tell you truthfully, that with all I now know for my experience, I would go through it all again tomorrow if I had too. It was so different from what you hear, and all the botched jobs you see. I picked Dr De Silva after much research, and the fact that he only specialises on the face, I made my appointment. From my first consultation till my 1yr check up, I can only but give him and his team 100% Dr De Silva has an extremely calming way with him. He puts you at your ease and explains EVERYTHING in minuet detail. He leaves nothing out, everything he said happened in that way. From having pre op’s till the day of surgery nurses Ellie and Josie were fantastic, so helpful and friendly. I was told by Dr De Silva that It would not be painful, just a bit uncomfortable, that was true. I had no pain at all at anytime from start till now, Swollen and bruised yes, the bruising had all gone in 2 weeks. Swelling took a little longer. I was also told it would be quite numb for some time. It was, but it didn’t bother me, and now I have very little numbness left. It can take up to 9 months I think.
I didn’t want to look different, I didn’t want to change anything, all I wanted was to look rested and fresher, a better version of myself. I am soooo happy with my lovely tight neck and no more loose skin and hanging jowls. It has made the biggest difference to my confidence. No one has asked have I had work done, they just say “ you are looking great”.
If you are thinking of a face lift or any facial work done, I can 100% guarantee you will not find a better surgeon… anywhere.
My extreme gratitude to Dr De Silva, Dr Andre (anaesthetist). Nurse’s Ellie & Josie and to Sarah who sorted all the paperwork etc.
Angela Haines
2024-06-11
Trustindex verifies that the original source of the review is Google. Best of the Best!
Incredible experience all round and natural looking results.
I had originally seen Dr Julian De Silva for a consultation back in 2017 and had followed his work for years, so I was familiar with his style of surgery and artistry. I had studied his work of the ‘Golden Ratio’ and even bought his book years ago.
At my first consultation, Dr Julian and his team immediately made me feel at ease. His wonderful team - Sarah, Mags, Mackez, Adam and the lovely nurses Alice, Josie and Kelly were all very kind and welcoming. I instantly felt at home.
It’s a lovely energy when you go into 23 Harley Street and everything, including the operating theatre is there.
Dr Julian De Silva’s kind and calm nature made him stand out from the rest of top surgeons that I had seen over the years. I didn't feel rushed, and he listened and understood my concerns.
He explained to me about hyper mobility, where the skin can stretch at a younger age and this made sense why I was seeing premature signs of ageing such as ptosis and jowls forming.
I felt relieved that finally a surgeon understood how I was feeling and didn't immediately turn me away dismissing me because of my age, saying I was too young etc.
I knew he was the surgeon for me.
A strong gut feeling and I trusted him 100%.
I knew of his natural looking results from his previous work with other patients.
He is truly an artist and has very fine attention to detail in his work. - Just look at his analysis of Renee Zellweger video on YouTube and you’ll understand what I mean.
It is just over 3 months now since I had the operation and I am delighted with the results!
My jowls have completely gone and I have my v shape jawline back. Dr Julian told me that the skin had dropped 2.5 centimeters and that is how much he had to lift it up again, which is a lot for someone my age and testament to the hypermobility.
I can now wear eyeshadow without it creasing and my eyebrows are back to where they were pre ptosis!
My confidence has come back and I am feeling so much more positive about how I look.
My experience with Dr Julian De Silva and his team was second to none - No other surgeon could have done a better job.
What I like about Dr Julian De Silva is his humbleness and integrity. He is not only a surgeon but an artist - He will look at the symmetry of your face and treat it like a work of art ; this goes beyond just surgery, this is artistry. From my results, especially around my eyes I can see how intricate and finely done with attention to detail he has perfected everything which makes for such natural results.
The whole experience from the first consultation right through to the 3 month mark with several visits in between has been so enjoyable for me.
I loved the whole experience of my trips up to 23 Harley Street. He has a great team who make you feel at home and comfortable straight away, they are very accommodating and always on hand with any questions or concerns you may have. It’s a lovely energy there.
I have had consultations with other top surgeons in London and met their teams over the years but none have been on this level. Julian and his team are a rare find.
I’m so pleased and grateful I picked Dr Julian De Silva and his team - I want to go back and get more things done for the joy of the whole experience, which says a lot!
Angela Irwin
2024-06-11
Trustindex verifies that the original source of the review is Google. Thank you to everyone for their professionalism and care. PS love the results week 1 to week 6. Completely pain free throughout, thanks again xxx
alexis val
2024-05-15
Trustindex verifies that the original source of the review is Google. I recently had a chin implant by Julian.
It’s something I had considered for years but had felt apprehensive about, not knowing where to go and whom to trust. It’s a serious surgery and it was a bit stressful at the start, knowing where to look to find someone I could trust. I started by googling about chin implants and came across a few people in London who do them. I did as much research as possible by looking at before and afters, reading Google reviews, reviews on other sites like Realself, and looking into doctors abroad, etc…
The great thing about Julian is that he has a lot of YouTube videos and content on Instagram that show him and his personality, along with people's experiences. Specifically, there are a few video diaries on his YouTube channel of people who have had this surgery, with a day-by-day step of their recovery. This really helped me and gave me peace of mind.
I decided to have a consultation with Julian. The consultation wasn’t free but was definitely worth it. I felt listened to and didn’t feel rushed. I had an hour-long chat where I basically asked him to tell me which elements of my face could be treated to improve my appearance. Julian gave me concise information and it made complete sense. I was quoted for a couple of surgeries that I could have which would make a bit of difference to help balance things but from our discussion it was obvious that the chin implant would make the most difference.
I took a few months to think about it but I decided to go for the chin implant.
The operation was performed under twilight anesthesia. I hadn’t had this before and was a bit apprehensive but honestly it was absolutely fine and actually quite relaxing. All I remember is going into the theater, surrounded by lovely friendly nurses, feeling a bit sleepy, and next thing I know I’ve woken up in the theater. It felt like time had passed, I wasn’t groggy and within 30 minutes I was on my feet and could leave.
For the next week after the surgery I was on quite a few different pills and I did feel quite out of it. Definitely do not have anything planned for the week following surgery, you will want to be at home with a few Netflix series ready to watch as you will need to rest up and let your body heal. It was a bit strange to smile for a few weeks after the surgery and my chin area felt a bit tight at first but you start to forget it’s there after a while.
The result is very natural and I feel that I look a lot better, nobody has asked me if I have had something done but people have mentioned that I’m looking good but they aren't quite sure why haha. This is exactly the result I was looking for.
The surgery isn’t cheap, it was upwards of £10,000 but was it worth it? For me, 100% yes. I just wish I had got it sooner tbh. There are other surgeons who are cheaper, you could go abroad to Turkey to get surgery or find someone based outside of London but in my opinion if you want this kind of surgery there is no point in trying to find a cheap option with a risk that it’s not going to be exactly how you want it. With Julian you have peace of mind that you’re with one of the leading plastic surgeons in the country, he also uses a technique that uses two titanium screws which attach the implant to the skull so that it doesn’t move. A lot of other surgeons do not use this technique and from reading reviews a lot of these people have had to get revision surgery to get an implant as it has moved over time because it wasn’t attached like the way Julian does them.
Honestly, If you want a chin implant and want the best in the business, this is the doctor you want.
Ashka C
2024-05-10
Trustindex verifies that the original source of the review is Google. I had a wonderful experience with Dr de Silva and his incredible staff. He is such a gifted and caring surgeon and I cannot recommend the London Centre highly enough.
Michael Chan
2024-04-29
Trustindex verifies that the original source of the review is Google. I am a timid young man plagued by hereditary eye bags. Used all my options from the latest creams advertised to the newest hacks trending to no avail. I concluded that facial surgery is my only way forward as it was starting to affect my mental health.
Discovering his accessible YouTube channel was invaluable to my research. Alongside his detailed website, this gave me the confidence to reach out to the clinic.
I met Julian and his team back in February for my consultation and proceeded with my surgery in March. (2024)
From the consultation with Julian I was immediately relieved from all my questions and worries about the procedure I was enquiring (lower blepharoplasty).
Informed by his wealthy knowledge and articulate descriptions. His respectful manner helped alleviate any stress induced from my own research.
I had my complete trust in him and he proved it to me with his vast portfolio of successful clients who've had the same procedure. In that instance I knew I had come to the right place and could set my mind at ease.
The team are supportive with great communication. Professional and friendly. Nothing but respect and gratitude for them all.
From my experience with Julian's practice I felt welcome, positive and hopeful. Also the twilight sedation that he recommends is excellent! You go into surgery and it’s like falling asleep, and once it’s over the nurse wakes you up and you’re alert and aware.
Thank you so much! I can finally smile with my eyes again. Highly recommend Julian to anyone that is considering facial surgery.
ZaInab Hassan
2024-01-07
Trustindex verifies that the original source of the review is Google. Dr Julian De Silva is the best surgeon ever . He is down to earth, kind, honest and you will definitely get the best results.
He is an expert in his field of medicine and the Surgery has a team of fantastic staff.
Alice Tibaldi Chiesa
2023-12-27
Trustindex verifies that the original source of the review is Google. Dr Da Silva and his all team are very professional, always available for follow up and very clear communication. Thank you
Ruth Johnson
2023-12-12
Trustindex verifies that the original source of the review is Google. Almost one year in ... I am still delighted. Surgery is not for the faint hearted. You need to be brave, and prepared for some bumpy times in recovery. But it's worth it. Julian de Silva is on another plane. Not only an exceptional (world class) technician, he is also an artist who doesn't paint by numbers. So easy for me to recommend ...
FACELIFT SURGERY IN HARLEY STREET
Lower Blepharoplasty
- Loose skin, puffiness, bags, Tired Eyes are common symptoms Dr Julian De Silva’s patients describe. Often friends, family or work colleagues have asked if they are tired, stressed or lacking sleep.
- 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.
- Many patients have tried everything possible to improve these without success, creams, lotions and non-surgical fillers. Often Dr De Silva dissolves previous fillers to get the best results. Filler treatment in the lower eyelid is challenging as it the skin is very thin, the results can be unpredictable with fillers absorbing water and becoming puffy. “Some weeks I have dissolved 3 or more patients lower eyelid filler and corrected it with intricate lower blepharoplasty combined with fat transfer, laser, canthopexy, skin pinch. Often we need to do more than just remove puffy fat, this will give a natural result that will last for years and years. I have seen some of my patients return for other procedures even 8-9 years later and still the results look really good” Dr. Julian De Silva.
- Dr De Silva specializes in Face Surgery Onlyand Blepharoplasty is the #1 Procedure he completes for his patients. Of key importance is to hidden incisions (termed trans-conjunctival blepharoplasty) in most lower eyelid cases. The surgery, although technically more challenging, avoids a scar on the skin.
- How is lower blepharoplasty completed? There is intricate anatomy in the lower eyelid that must be looked after to avoid eyelid retraction complication associated with older techniques. The figure shows an incision being made on the inside lining of the eyelid with a specialised instrument (CO2 laser or monopolar electrocautery machine). This technology prevents bleeding instantaneously, thereby reducing swelling and speeding up recovery. The soft tissues are then supported both superiorly and inferiorly to enable the fibrous septum to be seen in the lower eyelid.
- A fibrous, layer known as the orbital septum is opened, which reveals the orbital fat pockets. The appearance of bags beneath the eyes is a result of the fat pushing forwards. However, there is a controversy between surgeons whether the fat should be removed or repositioned.
- Known as tissue-sparing, removal of excess fat may result in a hollowed appearance that is unsatisfactory and difficult to remedy. Dr De Silva uses both techniques, depending on the individual patient.
- Dr De Silva’s preferred technique is a Conservative Blepharoplasty approach to transpose fat immediately below the eyelid at the cheek (termed fat transposition). In patients where there is a large volume of fat prolapsing forward both transposition of some fat and excision of the remaining fat may be the preferred option.
- Dr De Silva uses state-of-the-art technology, including a US-manufactured CO2 laser or monopolar electrocautery to establish meticulous control of bleeding. This is key to reducing bruising and preserving vision after surgery.
- Dr De Silva often utilises a supporting stitch during the healing period to improve the final result. In the figure, a canthopexy support stitch has been used to support the lower eyelid to the bony orbital rim. This stitch is completely hidden and dissolves a few weeks after surgery.
- The older method of lower eyelid surgery involves making an incision immediately below the eyelid. This method always leads to a scar, can change the shape of the eyelid and sometimes results in eyelid retraction.
- Dr De Silva has pioneered Advanced Sedation Anaesthesia. This means patients can avoid the risks, complications and longer recovery associated with General Anaesthesia. All of Dr De Silva’s patients are able to see after surgery and are able to go home 30-60 minutes after it is completed! No overnight hospital admission is required with Dr De Silva’s techniques.
- For information on UPPER EYELID BLEPHAROPLASTY ->
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. Facial surgery is intricate, your eyes, nose, face and neck areas, and is known for Natural Results and Rast 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, all of Dr De Silva’s portrait paintings are vision in 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.
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.
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.
TESTIMONIAL
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.”
Sandra
Eyelid/Blepharoplasty
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
Address:
23 Harley Street
London, W1G 9QN, UK
Dr Julian De Silva
5 stars based on 458 reviews
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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