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Our Facilities & Fees

Dr De Silva’s offices are located in World Famous London medical district at 23 Harley Street. The Centre was a custom built state-of-the-art facility built for only facial cosmetic and plastic surgery.


The Centre, Harley Street

Dr Julian De Silva - Facial Plastic Surgeon

The Centre has the latest advanced medical and surgical equipment, as well as full CQC (Care Quality Commission) hospital grade certification. In addition, The Centre is decorated with Dr De Silva original paintings for the patient’s enjoyment. The Central London office and is on the prestigious and well known Harley Street in the heart of the Medical District.

Dr De Silva provides all patients with bespoke and customised care to their individual needs, we are not able to provide mass-market services with instant gratification. Dr De Silva gives every patient the time they need to ask all the questions they would like and discuss the optimal solutions for you in detail. If you are not able to have an appointment straight away we ask you to have patience as any facial cosmetic surgery should be carefully considered, tailored towards you without rushing.

The state-of-the art operating room is a substantial cost to build, maintain, and staff. The operating facility fee is charged to our patients for the use of the accredited facility/ private hospital and is based on the duration of the procedure.

The philosophy of our practice is to provide our patients with the highest quality of safety, privacy and experience. All facility equipment and processing is in accordance with the full hospital accreditation and standards set by the Care Quality Commission.

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.


Cost of Surgery

The cost of surgery is influenced by complexity of surgery, time in the operating room, materials required, state-of-art equipment, after care with the surgeon or nursing staff, as well as experience and personalisation of the service you receive.

The cost of surgery consists of:

  • Consultation Fee (Comprehensive assessment, examination & discussion with surgeon)
  • Complexity of surgery (Revision surgery results in scarring and changes in the natural anatomy)
  • Surgeon’s fee
  • Hospital or Facility fee
  • Anaesthesia fee
  • Cost of equipment, graft material etc (Usually factored into Hospital fee)
  • Follow-up appointments

Consultation Fee

Your initial consultation will consist of a review of your medical history, clinical assessment and a discussion of your expectations and concerns. In some patients the use of computer modelling is used to give a visual representation of the results of cosmetic surgery. The nature of any proposed treatment will be explained in detail including the procedure itself, recovery time and anticipated result along with any potential risks of the operation. 

Dr Julian De Silva is an artist and takes meticulous care to evaluate your facial characteristics, discuss your expectations and customise your surgery to you, this takes time and cannot be rushed. Dr De Silva is not able to offer free consultations as he personally spends time with every patient discussing your individual and unique needs, your expectations from surgery and how to achieve a fast recovery and the most natural looking results. Dr De Silva has treated celebrities, actors, actresses, models, professionals from every walk of life and from every continent, all patients are given the time they need to make an informed decision, with discretion and anonymity.

Surgery Fee

Dr De Silva is a London facial cosmetic surgeon who specialises in the eyes, nose, face and neck areas only. Dr De Silva does not perform body plastic surgery and is known for natural looking results. All surgery is meticulously planned and conducted as discussed with each of his patients, the surgery cannot be rushed.

Cosmetic surgery is not covered by health insurance or by the NHS. All fees are discussed with you before the surgery and are all inclusive fees, so there are no further costs at a later stage. The fee is a combination of the surgeon’s fee, the anaesthetic fee and the operating facility fee.

Facial surgery of all types can be performed at our facility. The majority of facial plastic surgery procedures which include blepharoplasty (eyelid surgery) rhinoplasty (nose reshaping), facelift (Deep-plane Vertical Vector Facelift), necklift, browlift, neck fat reshaping and reduction, cheek and chin augmentation and reduction, otoplasty (ear pinning) and ear shaping, lip surgery, skin resurfacing, laser surgery and revision surgery may be performed.

Anaesthesia Fee & Staffing

Our facility only employs fully accredited physicians who specialise in anaesthesia with years of experience.

We do not employ nurse anaesthetists to give anaesthesia.

We only employ certified health care professionals with both experience and full accreditation.

Operating room and recovery room nurses are Registered Nurses (with the National regulatory board, The Nursing and Midwifery Council) specialising in plastic surgery with years of experience in hospitals and ambulatory facilities.

State-of-the-Art Equipment

The Centre invests in the latest equipment and technology to give patients the safety, effective and comfortable surgery. This includes state-of-the-art digital x-ray machine, radio-frequency machine and state-of-the-art laser skin resurfacing machine. Oxygen is available in both the operating room and recovery room and a central large capacity suction system also supplies suction to operating room and recovery rooms.

Both operating rooms and recovery rooms have a central built-in light system in addition to a fiberoptic xenon headlight system for extra safety. Special flooring system in the operating room is designed for maximal cleanliness. An industrial strength hospital steriliser is used, which has a special built in printer to print temperature readings which is then logged into a book daily to show that the temperature necessary for sterility was reached. All of our equipment is brand-new and not reconditioned, recovery room chairs, light sources, imageing, computer systems and all other equipment are all purchased new. We also routinely use warming blankets for safety and comfort.

Follow-up Appointments

Dr De Silva continues to see his patients for 12-months after surgery and sees all patients personally.

Some cosmetic surgery providers and organisations use treatment coordinators to follow-up patients, Dr De Silva sees all his patients for follow-up consultations.

For some procedures Dr De Silva will use anti-inflammatory medications to speed up resolution of swelling and speed up recovery, the cost of these treatments is included in the overall fee, there are no additional fees.


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

World Class Facial Cosmetic and Plastic Surgery

Accreditation & Operating Facility

Our surgical custom-built facility in Central London has attained the Care Quality Commission (National organisation to certify office facilities and hospitals). The Centre at 23 Harley Street is a surgical outpatient facility built to the highest standards.

Our facility not only meets all building and fire department requirements but also exceeds standards specified by the Care Quality Commission (CQC). Dr De Silva invests in the very latest state-of-art equipment, all equipment is purchased new micro-burr and US manufactured laser equipment. All medical staff members are certified in Cardiac Life Support.


What our satisfied clients are saying

“It is truly difficult to find the words to fully express my happiness and excitement since my surgery last week. The outstanding care and kindness shown to me from my first consultation till aftercare is by far beyond my expectation. Never have I met such a remarkable doctor and team of professionals. It is evident that you all enjoy what you do and I cannot thank or praise you all enough.”


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

Medical Association Logos for Dr Julian De Silva