Read the Latest
from Our Blog

People typically experience the first signs of ageing in their late 20s and early 30s. Depending on your genetic background, lifestyle, and how much sun exposure you’ve experienced, you may start to notice fine lines and sunspots. The skin will also become less firm because of the natural decrease in collagen production that we experience as we age. Dr Julian De Silva has noticed that the average age for first-time cosmetic surgery is falling in his London practice on Harley Street. Here are 5 Reasons he believes you should consider cosmetic procedures in your 20s or 30s. 1. Beautification & Early Prevention Most cosmetic procedures are performed on patients between the age of 35 and 60 as this is when the ageing process is most visible. More frequently, non-surgical treatments can be used to rebalance facial characteristics to enhance or beautify your face with the application of the golden ratio and enhancing natural facial characteristics. The best time to start treating wrinkles is when they first appear. Today, the average age for cosmetic treatment is dropping and luckily, there are some effective London treatments that can prevent wrinkles from forming so your skin stays looking youthful. Baby anti-wrinkle treatment or mini anti-wrinkle treatment are good examples. Other treatments with dermal fillers are also very suitable cosmetic procedures to undergo in your 20s or 30s. 2. Boost Your Confidence There are a number of facial cosmetic procedures that people choose to undergo at an early age. Some of the most popular ones include: Nose reshaping (rhinoplasty) Lip augmentation Ear surgery (otoplasty) Some teens also feel uncomfortable with their appearance from an early age and dream about making a little adjustment to their nose or ears to restore balance in their faces. When they come of age and their bodies are full-grown they may decide to undergo surgery. 3. Enhance Your Collagen Production Collagen is a protein that is naturally present in your skin. It is one of the main building blocks of skin and tissue and can be described as the glue that holds the skin together. It is what gives our skin its youthful firmness. As we age, the production of collagen decreases. This process typically starts in a person’s 30s. There are various cosmetic procedures that can stimulate a person’s collagen production, most notably, laser resurfacing. In addition to activating collagen production, this procedure can even out discolouration caused by sunspots. 4. Desired Results With Less Invasive Treatments By committing to cosmetic procedures at a younger age, patients can enjoy their desired results without having to go under the knife. A non-surgical facial beautification is especially suitable for patients who wish to beautify their face (use of the golden ratio) or with early signs of facial ageing who have a loss of facial volume but minimal skin laxity. This procedure is: Less invasive than a surgical facelift Gives fast and natural-looking results Requires little to no downtime 5. Early Treatment Saves Time and Money Patients who opt for a cosmetic procedure in their 20s or 30s can save a lot of time and money. During each initial consultation, Dr De Silva creates a comprehensive plan outlining which procedure is best based on each patient’s individual goals. All cosmetic treatments are planned ahead so the investment made is smaller and recovery time is shorter. The right treatments and surgeries at an early age may rule out the need for corrective, more complicated procedures later in life. Find a Reputable Cosmetic Doctor in London Before you undergo any cosmetic procedure, it’s important to do your research. Plastic surgery or non-invasive cosmetic treatments should only be performed by a well-trained specialist that has a track record for providing his patients with excellent results. Dr De Silva has extensive experience successfully performing cosmetic procedures on patients in their 20s and 30s in his office on Harley Street in Central London. He is a leading facial plastic surgeon that specialises only in surgical and non-surgical facial procedures. To find out more about how he can help you, call his office to book an initial consultation.

The goal of any plastic surgery is to improve your appearance and in many cases it does just that. Everyone has imperfections that they wish they could change. Plastic surgery has become a common avenue to try and address these concerns. However, some plastic surgery gives patients an irreversible, fake, stiff, puffy, or unnatural look. Whether it be in the media, on TV, or a close friend, we have all seen someone that has taken plastic surgery too far, ironically adding years to their appearance instead of enhancing the way they look. Hopefully, these tips from Dr Julian De Silva and his London based practice can give you a better understanding and help you avoid the common mistakes in plastic surgery today. Avoid Overuse of Dermal Fillers The use of dermal fillers in plastic surgery has become a popular and effective tool to help tighten, lift, and fill sagging or droopy skin. When used properly, dermal fillers can transform a person’s appearance, eliminating wrinkles to rejuvenate the skin. Unfortunately, some patients inject too much filler in a given area causing extreme swelling and puffiness, making them look years older than they actually are. It is important to keep the face looking proportional when considering plastic surgery. If cheeks or lips are injected with too much filler, the face will look unsymmetrical and noticeably fake. When considering how much filler to use, keep in mind that less is more. The goal at our Central London practice is always to minimize the evidence of plastic surgery and maintain a natural, revitalized look. More dermal filler can always be added if a patient is dissatisfied with the changes, but it is very difficult to regain a natural, subtle look of the face after too much filler is injected. Bigger Is Not Always Better While a fuller face might be well suited for a sizeable lip augmentation, a narrow or slender face might be better suited for a more subtle lip enhancement. This also holds true when considering other parts of the body as well. When it comes to bodily features, it is important to have a realistic and natural vision of your intended results. For example, extremely large breasts do not always work with a slim and sleek physique. In any case, it is important to keep a realistic and organic proportionality to your appearance to avoid an overdone and older look. Always Consult a Specialist When choosing between doctors for any procedure, it is vital to understand the strengths and weaknesses of every practice. Dr De Silva, for example, is a face and neck cosmetic specialist. His Central London team of experts have been specifically trained to advise patients on areas such as the nose, cheeks, lips, forehead, eyebrows, and eyelids, among other facial features. We understand the best techniques to accent the natural aesthetic of the face without creating an irregular looking face. Schedule Your Consultation If you want to see for yourself the beautiful work Dr De Silva has done and what options are available for you, contact us at our London office or fill out the form below.

The neck is one of the first areas to show signs of ageing as skin sags and begins to wrinkle. In the past, celebrities would get creative on how to cover up their necks. They’d wear chunky necklaces or cover the area with turtlenecks or scarves. Thankfully, continuing advancement in cosmetic surgery has lead to modern approaches that give celebrity clients what they want – safe, natural looking results with minimal risks and virtually no downtime. Located in London on the World Famous Harley Street, The Centre for Advanced Facial, Cosmetic and Plastic Surgery has long been known as a hub for aesthetic excellence. Lead by board certified and internationally renowned cosmetic surgeon Dr Julian De Silva, the Center for Advanced Facial, Cosmetic and Plastic Surgery prides itself on pioneering state of the art aesthetic procedures. Their commitment to giving all clients a safe, world-class experience is what makes them popular among London’s elite. Word of mouth remains Dr De Silva’s best advantage over other clinics in the area and his growing celebrity clientele is proof of his skill and service. One of the clinic’s most popular procedures is the neck lift. As a neck specialist, Dr De Silva understands the importance of pulling the skin in the right direction to produce a naturally lifted neck. This way, a smooth transition between the jaw and the neck can be created. This exact result is what celebrities are looking for. In some cases, pulling the skin in the wrong direction or pulling it too tight can result in disturbances in the way the neck moves. Furthermore, it can also lead to an unnaturally taught neck. This is the reason why celebrities seek the help of a neck specialist such as Dr De Silva. At The Centre, the custom built facility for Facial Plastic Surgery has a private entrance for A-list celebrities, by appointment only. During the planning stage, Dr De Silva will discuss his strategy to sculpt your neck to perfection. His one on one consultation makes it possible for him to plan a client’s procedure down to the very last detail. He understands that each client is different and therefore may also require the use of adjunct treatments such as fat reshaping and reduction or implants. What should you look for in a neck lift? A distinct jaw line along the mandibular bone and a sharp angle to the neck are the hallmarks of a well-executed neck lift. Furthermore, incisions should be almost invisible and placed in areas that blend well into the natural folds of the skin. Pain and discomfort are kept at a minimum and are managed by anesthesia. Dr De Silva applies his experience in microsurgery to take additional care in each procedure, using a signature triple stitch technique to hide scars in natural curves, utilising 3-D telescopes to aid recovery and the latest in Bio-therapy to heal faster. Another advantage of working with Dr De Silva is that you’ll get his A+ team as well. You’ll be given pre and post-op information, as well as the chance to ask questions about the all the steps of your neck lift procedure. Book an appointment with Dr Julian De Silva at the Center for Advanced Facial, Cosmetic and Plastic Surgery, located in the West London area, to learn more about how you can say good bye to turtlenecks for good!

Guess which type of implant is sweeping the country by storm? Whenever plastic surgery is discussed, the first procedures to come to mind are typically breast implants or face lifts. However, according to London based facial cosmetic and plastic surgeon Dr Julian De Silva, there is a new procedure gaining popularity – the chin implant. As one of the most skilled and sought after cosmetic surgeons in London, Dr De Silva has seen the demand for chin plants increase in the last couple of years, the reason being that this is a relatively safe, quick procedure that can produce dramatic results. In addition, today’s social media generation has brought us all closer to celebrities. In the past, we can only admire their features in pictures from magazines or the big screen. However, because we can now zoom in on their features from every angle it makes it possible for a client to describe exactly how they want their surgery to change their own appearance. At the hands of an expert, a chin implant can improve a client’s overall facial symmetry. Dr De Silva’s Centre for Advanced Facial, Cosmetic and Plastic Surgery, based in the West London area, caters to both men and women who wish to improve their appearances through chin implants. Heart shaped chins like Scarlet Johansson’s are the most popular among women while Ryan Gosling’s defined jaw is the favorite among men. As a highly trained and accomplished facial plastic surgeon, Dr De Silva can help you achieve your desired aesthetic results. What are the benefits of a chin implant? Women can achieve a softer more feminine look while men can enhance their jawline. For both sexes, a chin implant improves facial symmetry and enhances attractiveness. In men the chin and jaw line is often a defining feature that characterises masculinity, with very handsome men such as Brad Pitt having a very strong and masculing jaw line. In women it is important that a more ‘V-shaped’ chin and jaw line is maintained as this is a more feminine and attractive chin. What happens during a chin implant procedure? A chin implant begins with an initial consultation with Dr De Silva, who walks you through the entire process, in addition to taking high definition pictures of your chin from several angles. He then uses state of the art software to correctly determine the size and position of the implant. Dr De Silva also uses this software to show clients how they would look once the procedure has been preformed. Local anesthesia will be used in order to numb the area where small incisions will be made. Dr De Silva makes the cut unnoticeable by choosing a natural crease in the skin and carefully maneuvering the implant through the incision. Silicone implants are sculped to fit the client’s unique jawline, providing natural results. What is chin implant recovery like? Because it is a minimally invasive surgery, there is little downtime required after the procedure. The client may go back to their normal activities the following day. Pain management and other pertinent information you need to know during the post procedure period will be discussed with you by Dr De Silva and his team. For most patients the recovery and time off work is limited to a week and many patients find they have a fast recovery. For some patients the procedure can be enhanced with neck fat reshaping and reduction, and Dr De Silva has a signature technique that enhances the neck further with specific tightening of the underlying neck muscle (termed platysma). Clients will have to go back to the Centre for Advanced Facial, Cosmetic and Plastic Surgery after a week to have the stitches removed. An expert medical team composed of experienced and licensed health care professionals support you through the entire process. The chinplant procedure is taking the world by storm because it is both minimally invasive and effective. Trust only the experts to ensure a safe and worry-free procedure. Book an appointment with expert facial plastic surgeon Dr De Silva and his team today!

As recently as 10-20 years ago, plastic surgery for men was typically limited to reconstructive surgery that focused on repairing damage caused by deformities or trauma. Cosmetic surgeries tended to be dominated by women, and the industry reflected that by catering primarily to treatments that were female-centric. With the advent and popularization of the internet and social media, cultural values have begun to shift towards greater acceptance of these treatments in men. In addition, medical advances in technology have drastically decreased the costs, recovery time, while improving the aesthetics of the end result. So, whereas a cultural taboo may have once been a socially acceptable deterrent at one time, many men, especially those over 50, don’t feel the societal pressure that they once did. Many still wish to keep the rugged male look, but opt for the removal of some lines and a more relaxed look. There are a number of specialist facial treatments available that enhance and rejuvenate the male face some of the more popular procedures available to men who are over 50 are discussed below: Blepharoplasty Blepharoplasty (Eyelid surgery) is a corrective surgery that adds or removes excess skin and fatty tissue from the eyelids. As we age, our skin loses elasticity, and gravity causes the eyelids to sag downwards. In addition, fat stores can accumulate in the eyelid, increasing a baggy look, and potentially hindering vision. Typically, this involves reshaping and rejuvenation both upper and lower eyelids. Male blepharoplasty is more challenging than female blepharoplasty as it is key to be conservative to provide a natural looking result. Often male celebrities (e.g. Tom Jones, Mickey Rourke) who look very different to when they were younger have had upper blepharoplasty that has opened up their eyelids changing their appearance, key is conservative surgery and attention to fine detail to achieve a natural looking result (e.g. George Clooney). Recovery following surgery, may include minor bruising and swelling that can last one to two weeks, and any scars that form slowly fade over subsequent weeks. Dr De Silva utilises state-of-the art modern technology including bio-technology to enhance recovery and speed up healing. The overall result is a more rested and youthful look. Neck and Chin Lift Neck and chin lifts typically involve an incision under the chin and/or behind the ears in order to deal directly with sagging skin or a weakened platysma muscle that becomes increasingly more likely as we age. This typically falls under cervicoplasty (for sagging skin) or platysmaplasty (to strengthen the neck). Dr De Silva utilises state-of-the art modern technology including bio-technology and sedation anaesthesia to enhance recovery and speed up healing. Recovery time generally lasts for 3-weeks depending on the surgery involved, but patients should expect to return to their normal day-to-day activities within two weeks. Swelling and bruising, given the nature of the treatment are the most common side effects of the procedure. Results are often dramatic in nature, and patients should expect a much more streamlined throat, a more youthful look over the long-term. Chin Implants If you check out someone’s side profile, you might notice if their chin doesn’t stand out much. Ideally, it should be in a straight line with where the upper lip meets the nose. For many men, having a well-defined chin is considerably attractive. There’s an operation, known as chin augmentation, to help with this. Different approaches exist, but a popular one uses chin pads. In earlier times, doctors had to adjust the jaw bone, and that took longer to heal. Nowadays, using these pads offers a faster way to enhance the chin’s appearance. Why the Centre for Advanced Facial Cosmetic & Plastic Surgery? Dr Julian De Silva is a certified plastic surgeon with multiple board certifications in both the US and UK, specializing in cosmetic procedures in the greater London area. Call us to schedule a consultation today, and we can discuss in further detail what your options are!

What is an otoplasty? Otoplasty, also known as ear pinning, is a cosmetic ear surgery that modifies the shape of the outer ear, medically known as the pinna. Most commonly employed to address prominent or protruding ears, known as prominotia, an otoplasty can also be used to correct deformities and other issues requiring reconstructive ear surgery. Does an otoplasty affect hearing? The main goal of an otoplasty is to reposition the pinna to balance the ears with the rest of the facial features. During the procedure, an incision is made in the natural crease behind the ear, cartilage is removed and remolded, and sutures are put in place that support the ear during the healing period. Although an otoplasty involves incisions to the external ear, the procedure does not have an impact on the internal structure of the ear. The anatomical structures related to hearing are located in the middle and inner ear are not effected by otoplasty surgery. If there was a change in hearing following an otoplasty, an otolaryngologist (ear, nose and throat specialist) should be consulted. The problem may be related to a viral infection or another medical issue. Your Otoplasty Consultation with Dr De Silva Dr De Silva specializes in cosmetic ear surgery and performs otoplasties as outpatient procedures. He understands the unique needs of younger patients, including the impact peer teasing can have on an individual and the fear of surgery. If you would like to know more about otoplasty, contact Dr De Silva to schedule a consultation. He can determine if the procedure is the appropriate option for you or your child.