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The Golden Ratio, first defined by Leonardo Da Vinci in the 1500s, is sometimes referred to as the “divine ratio” because of its apparently pre-planned beauty in nature. In short, it’s a mathematical formula used to determine how beautiful something is. This post outlines the relationship between the Golden Ratio and the perfect nose. The Golden Ratio and the Perfect Nose The Golden Ratio is used for determining the ideal nose shape. When combined with the competent, technical expertise of a skilled plastic surgeon, you can achieve your aesthetic goals. There is a reason why people seeking rhinoplasty, non surgical rhinoplasty, or revision rhinoplasty spend so much time evaluating different plastic surgeons before deciding on the surgeon who will operate on their nose. If only a few mathematical ratios were required to achieve the optimal nose form, plastic surgeons would not be nearly as crucial. Ideally, the ratio of 1 to 1.618 applies to the nose width and nose length, respectively. What Is an Attractive Nose? According to studies, a button nose is the ideal female nose shape. It is raised at the tip and has a narrower nasal bridge. A button nose is a small, round nose that resembles the shape of a button. This nose shape is highly feminine and is frequently wanted by ladies seeking a nose job. Its tip should be at a 90-degree angle with the top lip for the ideal male nose. Long, straight noses that point down are often seen as good-looking for men. If the end sticks out just a little bit (by two millimetres), it’s also liked by many. Who Has the Perfect Nose in the World? While this is regarded to be the ideal nose shape, it is vital to note that there is no such thing. Every face is unique, and we must examine each individual’s facial proportions. As such, individuals with a nose shape in terms of width, length, nose tip, nostril size, and angle are considered ideal. Does the Nasal Tip Matter for the Perfect Nose? The size, shape, and protrusion of the tip determine much of the nose’s aesthetics and beauty. However, for other people, the tip is perfectly good and should be left alone. You and your surgeon can decide on tip adjustments together. In some cases, the nasal tip has to be adjusted to achieve facial balance. In other cases, a chin implant is needed to match your nose. However, you should be careful of fake chin implant procedures and only work with certified cosmetic surgeons. Is a Perfect Nose Straight? This nose type is thought to be attractive, as it is ideal for both males and females and is regarded as the perfect nose by surgeons. However, beauty is always subjective and in some cultures, even noses that aren’t straight are deemed attractive. Plastic Surgeons Say These Are the Most Sought-After Celebrity Noses Bella Hadid Like Kate Beckinsale, Bella Hadid has a smooth nasal bridge with a slightly upturned tip. However, just because her nose is ideal for her doesn’t mean it’s perfect for everyone. Plastic surgeons claim she is frequently cited in their profession as well. She had a significant rhinoplasty with a clearly created ski-slope and ‘done’ look. Beyonce Beyonce has a nice nose with just enough fullness at the tip. For this reason, patients love her natural-looking nose. Repairing a bulbous nose tip to get a nose like Beyonce, which appears to have a slight ball at the end, is considered one of the most difficult cosmetic nose procedures. When executing this challenging procedure, the rhinoplasty surgeon either narrows or inserts cartilage for stability and better definition. Jodie Comer Patients admire Jodie Comer’s precise upturn of the tip. The secret to getting Comer’s nose is to not have too much of the nostrils exposed. A nice alar might also be needed to match the narrow bridge of the nose, just like Comer’s. For a patient to have this, rhinoplasty procedures may be required to strengthen the ligaments and repair the tip by adding, removing, or rearranging cartilage. However, no two noses are alike because it is determined by the patient’s cartilage and skin. Choosing a Nose Shape and Nose Size When Considering Rhinoplasty Surgery One of the most difficult problems for surgeons is identifying what the patient wants from their procedure. To acquire what you want, you must comprehend and adhere to a specific formula. Because everyone has a unique face, determining the qualities and characteristics of a nose that will suit a certain face can be challenging. In general, most people wish to adjust a few items that they regard as reference points. To begin with, most people desire a narrow nose. As a result, narrowing the overall breadth is a critical component of rhinoplasty. Another desirable trait is an ideal nasal tip. Many people have thick nasal skin, which causes the nose tip to be round rather than pointed. The nostrils are intended to transport air into the lungs. It does, however, play an important function in the aesthetic appearance of the face. Alarplasty can aid in the creation of identical smaller or symmetrical nostrils. The angle between the base of the nose and the top half of your upper lip is the main factor for defining an optimal nose. This can help distinguish a more feminine or masculine nose. Finally, your nose should complement the rest of your face. A beautiful nose with asymmetrical facial features wouldn’t make much of a difference. Ensure the Best Results From Your Rhinoplasty Prepare for a safe and smooth procedure by first studying how to prepare for rhinoplasty. It is critical to take any surgery seriously in order to minimise risks and enhance the outcome. A good recovery is dependent on preparing your body and mind ahead of time. Qualified and skilled plastic surgeons understand that each patient has unique requirements. They have significant expertise in performing rhinoplasty treatments and assisting the patient in preparing for successful procedures. Always consult your plastic surgeon about what to expect before, during, and after the procedure. Post-Rhinoplasty Patients This woman received filler therapy and was dissatisfied with the shape of her nostrils and the asymmetry of her nose. She went to me and underwent rhinoplasty under anaesthesia. At my clinic, every patient’s procedure is given enough time. It took time to remove the filler, and the procedure was over an hour longer than anticipated. The patient was delighted with the outcome though, and you can see how her nose became way better. This 20-year-old woman disliked the size and form of her chin and nose. She sought a surgeon with an aesthetic vision who could also enhance the appearance of her nose and face. She got rhinoplasty with chin augmentation under sedation anesthesia following a thorough consultation with me, Dr. De Silva. I corrected the lower third of her face with chin augmentation and contoured her nasal bridge by lowering the high bridge to create a smooth and level bridge. The after picture, which was taken six weeks following surgery, demonstrate enhanced facial harmony and balance as well as a more feminine nasal bridge and curved tip. The unusually large size and form of this woman’s nose tip worried her. In an open rhinoplasty, I shaped the cartilage in the patient’s nasal tips and added support for the bridge of her nose with sculpted grafts. The “post” shot reveals a more refined nasal tip, a mild elevation of her nose, and a shorter nose, all of which look natural and improve the harmony of her facial features. Visit Julian de Silva – Rhinoplasty, London Do you want to have a perfect nose like Kate Beckinsale? Are you annoyed by the bump on your nose that affects your side view profile? Contact us for an extensive consultation now!

From lip augmentation or cheiloplasty to lip reconstructive surgery, surgical facial plastic surgery has been known to be a permanent solution to cosmetic issues. Another treatment called lip reduction procedure involves removing some of the lips to enhance duck lips and give a more youthful appearance. The newest one? The lip lift. In this article, I will discuss more about lip lifts and ideal candidates. What Is a Lip Lift? An in-office surgical option called lip lifts shortens and improves the space between the nose and the philtrum and the cupid’s bow. It targets the amount of visible pink soft tissue in the treatment area, making the lips look more pronounced. This results in brighter facial features and a younger-looking appearance. Instead of adding volume to the lips to make them look plumper, it increases the lip height for facial improvements. Who’s a Good Candidate for a Lip Lift? In general, individuals seeking to reduce the gap between their nose and upper lip might find a lip lift suitable. This aesthetic concern often appears in older individuals as lips tend to thin with age. Meanwhile, some younger individuals opt for this procedure due to unsatisfactory results from alternative lip treatments like dermal fillers. It’s essential to note that the changes from this procedure are permanent. Types of Lip Lift Procedures and Recovery Kinds of Lip Lifts Upper Lip Lift This is a prevalent surgical method focusing on the upper lip. The goal is to lift the upper lip, resulting in a rejuvenated appearance and a more compact lip look. Corner Lip Lift A corner lip lift elevates the downward pointing of the lip corners of the mouth to produce a smilier, happier-looking face. In this procedure, two small incisions are made at both treatment sites to target and remove the excess skin at the corners of the mouth. This type can be done with other cosmetic procedures in the lip area to achieve the desired results. People with downturned lips are ideal candidates for this procedure. It can also be done with other cosmetic procedures like facelifts, rhinoplasty, and blepharoplasty. DIRECT Lip Lift A direct lip lift is done to define the lip borders better. Sometimes referred to as a gullwing lip lift, this procedure repositions the upper lip skin upwards so that the pink part of the lips is more prominent. It usually leaves a scar on the upper lip area. CENTRAL Lip Lift The central lip lift shortens the space between the nose and lips. An incision line at the lower area of the nose is made to achieve the desired results. Variants of this cosmetic treatments such as the subnasal lip lift and Italian lip lift, can also lead to the same outcomes. Recovery Avoid moving your lips too much Let your mouth and skin rest for 245 to 48 hours after the cosmetic treatment. If possible, avoid talking for a long period of time and communicate using body language, writing on a board, or your phone. Avoid strenuous physical activities Don’t do heavy exercise like weightlifting and manual labor for one week to two weeks after your lip lift. This will give your body enough time to repair itself and heal from the strain caused by the procedure. It’s also best to limit your movements, including light exercise like walking and jogging, for three to four days after the lip lift. Consume soft food Avoid food that requires plenty of chewing, high-temperature liquids, and salty meals during this time. Lie down elevated Never put your face head down on the mattress when sleeping. Doing this will put too much stress on the operated area. Instead, elevate your head by using more pillows than usual when sleeping and face up. Of course, don’t forget to get at least eight hours of sleep each night, so your body can recover more quickly and properly. Moisturise and drink supplements Moisturise the lips using Vaseline and other similar products up to three weeks after the surgery. Be careful when applying the product in the treatment area and dab lightly. Consuming vitamin C in the first two weeks can hasten the healing process and prevent bruising. What’s the Procedure Like? To ensure the success of lip lift surgery for your mouth corners, several measures must be followed before and after the procedure. Before surgery, make sure you don’t eat or drink for six hours. Additionally, your surgeon will recommend that you stop smoking weeks before the procedure. You should also avoid drinking alcohol 48 hours before. Both can interfere with anaesthesia. Minimise opening your mouth during this time, and make sure to moisturise the treatment area as much as possible. How Much Does a Corner Lip Lift Cost? Depending on many factors, lip lift surgery can cost between £4,000 to £7,000. The price heavily depends on the location, professional credentials, type of surgery (plastic and reconstructive), and techniques used during the surgical treatment. How Long Do the Effects of a Corner Lip Lift Last? A corner lip lift has a permanent effect on your lips. It can last for more than a decade, depending on your skin condition, skincare routine, sun protection habits, and overall diet. Younger patients can enjoy the effects of the surgery longer due to the higher elasticity of their skin. Generally, post-treatment maintenance is manageable for years to come. How Do You Lift the Corners of the Mouth? A corner lip lift is a popular surgical procedure for addressing cosmetic issues on mouth corners. It fixes the downturned edges of the mouth for a brighter-looking face. Does Corner Lip Lift Leave a Scar? It is barely visible and can be covered by makeup in the first two weeks. The scars fade within a year. Who Is the Ideal Candidate for a Corner Lip Lift Procedure? People with downturn oral commissures or the downward pointing of the corners of the mouth are ideal candidates for corner lip enhancement. Flat or upturned oral commissures can also be addressed and contoured through a corner lift. What Are the Potential Side Effects of a Corner Lip Lift Procedure? Minimal swelling, bruising, and numbness after the treatment are potential risks of the corner lip lift procedure. There is also a risk of poor wound healing and mild bleeding in the treatment area. Your doctor will recommend your course of action after observing the results of your surgery. How to Find a Cosmetic Surgeon The treatment is a surgical procedure done with anaesthesia. Hence, your must select the best-trained plastic surgeons to achieve the best results and maximum safety. Visit Julian de Silva – Cosmetic Surgeon, London A downturned mouth can produce an aged appearance and lower your self esteem. A plastic surgeon can help you with those. I, Dr. Julian De Silva, am a board certified plastic surgeon that enhances the drooping corners of the mouth. I use specialised surgical techniques to eliminate scarring on the surgical site. Book a consultation with me now! As an alternative, you may visit my clinic at 23 Harley St, London W1G 9QN, UK.

Eyelid drooping, also called ptosis or blepharoptosis, is caused by the eyelid’s edge being lower than normal, the presence of excess baggy skin in the upper eyelid, or a combination of both conditions. The malfunctioning levator muscle, responsible for lifting the eyelid, causes these conditions. These can affect your appearance and eyesight. Thankfully, congenital ptosis, severe ptosis, age related ptosis, or acquired ptosis can be treated by eyelid ptosis surgery or blepharoplasty. In this article, I will talk about several options for when your upper eyelids sag. These options include non surgical treatments and eye surgery. How Do You Fix Droopy Eyelids? Eyelid surgery, medically known as blepharoplasty or eyelid ptosis surgery, is the universal surgical procedure for addressing the drooping of the eyelids. These sets of surgical techniques target the upper eyelid (upper blepharoplasty), lower eyelid (lower blepharoplasty), or both, aiming to improve the appearance of droopy eyelids. Be it for cosmetic or functional purposes, this ptosis plastic surgery alters the appearance of the eyelids by removing the excess skin or fat in the region. It helps correct defects and deformities and modifies the eye region aesthetically. Upper blepharoplasty and lower blepharoplasty are separate sets of operations. The results of the ptosis surgery in your upper eyelid are long-lasting and can last for up to a lifetime. The effects of the surgery on your lower eyelids are essentially permanent. How Can I Tighten My Eyelids Without Surgery? While surgery produces the best results for ptosis or droopy eyelids, several nonsurgical options are available to address ptosis. Droopy eyelid or ptosis treatments generally don’t require downtime, except for laser resurfacing. These options target the skin around your eyes to tighten and smoothen the treatment area, fill the saggy skin on your eyelids, or stimulate your body’s healing process. Botulinum toxin, more popularly known as anti-wrinkle treatment injections, is one of the most popular non-invasive droopy eyelid treatments. It targets the wrinkles and sagging skin in the treatment area, effectively reducing the appearance of ptosis or droopy eyelids. These products are injected to correct droopy eyelids or ptosis caused by ageing, which severely weakens the muscles in the eye region. It results in a more youthful look, eliminating unwanted folds and fine lines around the eyes. Hyaluronic acid-based dermal fillers are products used to fill the volume around the cheeks and the lower eyelid area. It removes the depth of circles under the eyes caused by eye bags, giving a more refreshed appearance. These treatments typically require additional sessions to maintain their effects, which fixes the fluid buildup and unsightly contours that form over multiple injections in the eye region. They are often paired with other nonsurgical options to achieve the best results. Laser resurfacing is also a non-invasive ptosis treatment that softens and smoothens wrinkles and fine lines by targeting the upper skin cells to stimulate the formation of new ones. The younger skin cells produced from the healing process are smoother and can help lessen droopy eyelids in the process. Finally, certain medications and prescription eye drops can also help reduce droopy eyelids without undergoing surgery. These options require professional medical advice, so it’s best to consult a doctor before opting for these alternative ptosis treatments. What Causes Your Eyelids to Droop? Ageing The most common cause of ptosis is ageing. Our body reduces collagen and elastin production as we age, which impacts the elasticity of our skin and its appearance over time. As a result, the eyelid droops. While the signs of ageing can be reduced, it’s up to the person whether they want to address them for cosmetic purposes. However, for some people, it can obstruct eyesight and affect their everyday lives when the eyelids are not positioned lower than usual. Genetics Genetics plays an essential role in how your eye region is formed. If your parents have prominent ptosis, you are most likely to acquire these physical traits. As such, while older patients tend to be more vulnerable to this condition, younger people can manifest symptoms of droopy eyelids early in their lives due to their genes. Excess Skin on the Upper Eyelid Extra skin on the upper eyelid can cause them to droop. It makes wrinkles and creases more prominent with age, which accentuates other skin concerns such as dark circles, bags under the eyes, and ptosis or the weakening of the muscle tissues in this region. Nerve Damage A droopy eyelid condition caused by nerve damage is called neurogenic ptosis. When there are problems with the nerve pathways that control the muscle movements in the eyelid region, it causes the upper eyelids to droop and lose shape. The person’s eyesight can be obstructed by this functional concern. Trauma, Injury Trauma or injury in the eye region can destroy nerve endings and weaken eyelid muscles, causing them to droop. Droopy eyelid surgery can address this functional issue. Underlying Medical Condition Several medical conditions can cause droopy eyelids. In some patients the actual eyelid can be droopy, this is termed ptosis in medical jargon. There are many causes including diabetes, stroke, Myasthenia gravis, Horner syndrome, and tumours, as well as ageing and contact lens wear. An examination in person is required to look at the cause and the treatment is different from blepharoplasty surgery alone. Droopy Eyelid Symptoms 1. Appearance of the eyelids The most prominent clue of droopy eyelids is their appearance. The upper eyelid tends to sag and cover parts of the eye. The lower drooping eyelid appears as stretching away from the eyes. These are visible signs of drooping eyelids. 2. Vision problems People with droopy eyelids would feel a subtle sensation in their upper field of vision as being blocked. Over time, when the upper eyelid drops further and covers part of the pupil, it may completely block eyesight. 3. Fatigue and pain in the eye region Droopy eyelids can cause fatigue, mild pain, and discomfort in the eye region. It’s a consequence of the vision being slowly blocked by the sagging eyelids. People who suffer from this condition can expect increasingly teary eyes paired with dryness. 4. Unusual behaviour People with droopy eyelids and weak muscles are more difficult to examine. Symptoms typically do not appear in early childhood unless genetics plays a key role in its cause. However, some behavioural changes can be observed when their vision is affected, and no visible signs are present for adults to notice. Those who have droopy eyelids at a young age usually tip their heads back to improve their vision under the eyelid muscle. When the person complains about vision issues in their upper field of vision, it may be a sign of eyelid sagging. Book a Consultation Are you looking for a doctor that can lift your eyelids and eyebrows without having to go under the knife? I, Dr. Julian De Silva can help. As one of the best cosmetic doctors in the UK, most patients come to me to invigorate their eye area through a personalised procedure. If you want to enjoy the benefits of the said procedure, book a consultation with me now!

Sunken eyes make you look tired all the time. For many, sunken eyes are an annoying feature made worse by dark shadows and a hollow eye socket. Sunken eyes can also make sensitive skin worse. With all these issues surrounding sunken eyes, many people ask if they can be fixed. In this article, I will talk about sunken eyes and their causes. I will also discuss whether they can be fixed or not. On top of that, I will show you pictures of my patients with sunken eyes so you can make an informed decision about treatment options at my clinic. What Causes Sunken Eyes? Here are the common causes of sunken eyes: Ageing As we age, we lose bone density and body fat all over, including on our faces. The underlying frameworks that hold everything together are also deteriorating. Moreover, the skin thins and becomes more translucent as it loses collagen. Part of the ageing process involves the appearance of sunken eyes or hollow eyes. Dramatic Weight Loss When you shed a lot of pounds, you lose fat from all parts of your body, including your face. If you lose weight and your collagen production goes down, the hollow looking space under your eyes becomes more noticeable. Additionally, a significant loss of facial fat can make the blood vessels more transparent and visible. Genetics Your genetics also play a role in how your tear trough hollows appear. Tear trough deformity can also be passed on. Consequently, you will likely have sunken eyes if other members of your family have them. Not Enough Sleep Inadequate and poor quality sleep is another common factor that can worsen the appearance of sunken eyes. However, the effects of inadequate sleep are temporary. The appearance of your eyes will get back to normal once you get 8 hours (or more) of sleep. Dehydration Sunken eyes can also result from inadequate hydration. Consult a doctor if you have sunken eyes, diarrhea, or vomiting. This could indicate severe dehydration. Sun Exposure Sun exposure can make the thin skin under your eyes appear darker. Dark circles under your eyes that resemble shadows can also get worse due to sun exposure. Allergies Seasonal allergies, also known as allergic rhinitis, can also result in the development of under-eye puffiness, leading to a sunken appearance. People with allergies may also rub or scratch the skin around their eyes, causing irritation. Therefore, your sunken eyes become more noticeable. Smoking Smoking damages collagen and reduces the elasticity of your skin. This may cause your facial skin to sag and result in the appearance of sunken eyes. Thinning of the skin also gives rise to more fine lines and wrinkles particularly seen when smiling! How Do You Fix Sunken Eyes? You can fix sunken eyes through lower eyelid surgery or blepharoplasty. In particular, the procedure can fix dark circles and sunken eyes. It can also smooth out the thin crepy skin and crow’s feet around the eyes. Before eyelid surgery, you must consult with a cosmetic surgery expert like me, Dr. Julian De Silva, to see if it’s the best option for you. During the consultation, we will discuss your medical history and goals. Once you agree to everything we discussed, you can then schedule an appointment for your treatment. With the right doctor, eyelid surgery rejuvenates your facial appearance, making you look youthful and less tired. The eyelid anatomy is complex, so choosing the right eyelid surgeon for blepharoplasty is a must. At my clinic, the procedure involves reshaping excess skin, muscle, and prolapsing fat. I also use advanced techniques during this cutaneous and aesthetic surgery. What Are Sunken Eyes? Sunken eyes refer to the hollows under the eyes. A hollow is left behind by the delicate skin that appears to slide inward under the eyes. Typically, the hollow appears darker than the surrounding skin. While sunken eyes may not cause issues with your eyesight, they mess up your appearance. Fortunately, sunken eyes can be treated through surgical and non-surgical methods like dermal fillers with hyaluronic acid, a naturally occurring substance in the body. The results of surgery are permanent. On the other hand, dermal fillers offer temporary results. At the end of the day, the best treatment depends on whether you are a good candidate for eyelid surgery or dermal fillers. Pictures of Sunken Eyes and Dark Circles Here are some pictures of my patients with sunken eyes before and after treatment: Before and After Blepharoplasty: Patient 1 This patient reported sagging skin that appears sunken under her eyes. As a result, she became bothered by her fatigued appearance. She aimed for a completely natural appearance and didn’t want her friends to suspect she had surgery. She underwent transconjunctival blepharoplasty, a procedure with the lower lid incision hidden. The treatment also removed fat, tightened her tendon (canthopexy), and restored her sun-damaged skin (CO2 laser resurfacing). I also performed upper blepharoplasty to correct the fullness of her upper eyelid and the disappearance of the eyelid crease. She was pleased with the outcomes of the surgery. As you can see in the picture, it provided her with a more youthful appearance and enhanced her green eyes and eyelid shape. Before and After Blepharoplasty: Patient 2 The 61-year-old CEO thought that his ageing eyelids made him appear furious and exhausted even though he wasn’t. Morevoer, they had gotten worse over time. He started looking into plastic surgery in London to see which procedure would be best for him. He wanted to soften his looks and make his eyes appear more attentive. After giving it some thought, he chose to arrange an appointment with me, Dr. Julian De Silva. The pictures of this patient show that after blepharoplasty, his eyes appeared kinder and more alert. He was also thrilled with the outcome and was relieved that he was no longer concerned about coming off as angry. Before and After Blepharoplasty: Patient 3 This 45-year-old working woman was starting to see the symptoms of ageing and wanted to look younger. She was particularly dissatisfied with the bags and puffiness under her eyes. She scheduled a consultation with me, Dr. Julian De Silva to go through her alternatives. I carefully listened as she discussed wanting to look younger and more refreshed on the day of her visit. She said she wanted her skin to look tighter and smoother because the bags under her lower eyelids made her eyes appear fatigued. I recommended lower eyelid surgery to get rid of the extra fat that was creating her eye bags. The procedure would enhance her face contours and give her the refreshed appearance she desired. Her post-operation pictures show that the procedure was successful as her sunken look was gone. She now looks rested and renewed. Her hazelnut brown eyes also look more noticeable. The blepharoplasty helped to smooth the creases and tighten the skin around her eyes. Before and After Blepharoplasty: Patient 4 This 63-year-old woman was brought to me by a friend who thought her puffy lower lids and drooping brows were hiding her brown eyes. She sought to make her eyes appear bolder and more awake by getting eyelid surgery. However, she wanted subtle and natural-looking results. The “after” photo was taken roughly six months following the operation. They show a reduction in the drooping above the eyes, giving her eyes a bigger, more attentive appearance than in the “before” photos. She was delighted with her new look because her huge, gorgeous brown eyes received many praises. They also stand out now, rather than hide in plain sight. This also gave her more confidence to face the world. What Are the Symptoms of Sunken Eyes? Here are the symptoms of sunken eyes, though the precise appearance may vary from person to person: Hollowing Under Your Eyes Because of their depth and location in the face, hollows beneath your eyes, also known as tear troughs, are a condition caused by a lack of volume in the under-eye area. Similar to puffy under-eye bags, it can make people appear exhausted, older, and less energised. A Dark Shadow Over Your Lower Eyelid This has a number of causes, including hyperpigmentation and changes to your blood vessels and surrounding skin. Additionally, congenital disorders and eye traumas may cause dark eyelids. It’s possible to have both black eyelids and under-eye circles at once. Additionally, one can exist without the other. Thin and Delicate Skin Under Your Eyes Your skin ages with you and becomes drier and thinner as you get older. Collagen is a substance found in the dermis, the middle layer of your skin, and accounts for the majority of the thickness of your skin. As you become older, your body creates less collagen. Research reveals that persons with darker complexions likely have thicker skin than those with lighter skin. It’s because some people are born with skin that is inherently a little bit thicker than others. Purple Blood Vessels Under Your Eyes The skin under your eyes is thinner than in other locations. Therefore it’s possible that these veins will become noticeable. Your periorbital veins are present naturally around your eyes, although not everyone has noticeable ones. My clinic might be able to assist you if your periorbital veins are bothering you. Moreover, the skin surrounding your eyes may become more transparent and pale as you age. The veins beneath may become more noticeable and pronounced as a result. Tired or Fatigued Look On Your Face The most frequent cause of fatigued skin is sleep deprivation. Staying up late, whether it be to use social media, play games, watch movies, or engage in any other activities that cause you to lose track of time, can cause it. As a result, your sunken eyes will begin to show themselves. In addition, lack of sleep causes our bodies to produce more of the hormone cortisol. This causes inflammation and dull skin. If you continue to sleep less than the recommended 7 to 9 hours, your sunken eyes will become worse. Can Sunken Eyes Cause Other Conditions? Sunken eyes caused by ageing or genetics are not usually harmful. They also do not cause other conditions. However, unfavourable changes to someone’s appearance might cause emotional responses. Depression or anxiety may eventually result from low self-esteem and lack of confidence. Visit Dr. Julian De Silva Are you looking for a doctor with over 20 years of experience in cosmetic surgery? Do you want to get rid of your sunken eyes and other symptoms that make you look older than you really are? Are you looking into minor surgical treatments that will make your look younger? Let me help you. Contact us and book a consultation with me now! As an alternative, you can visit my Harley Street Clinic at 23 Harley Street, London W1G 9QN, United Kingdom.

1. Who will I see at my consultation? This is important as some consultations with other surgeons are carried out by the treatment coordinator only and you meet the surgeon on the day of surgery. Dr De Silva completes all consultations himself, as he wants to ensure that any procedure is the right one for you, not everyone needs surgery and some people are advised against having surgery. Dr De Silva offers a personalised service of care for all his patients, you will meet him at all your appointments. 2. What are the surgeon’s qualifications? Some patients do their full research and some do not and ask us in the consultation room. It is important for patients to know who will treat them – Sometimes it’s a nurse treating for non surgical patients think they are coming to see the Dr. It is important to know if you doctor specialises in this area, if they are predominately a body plastic surgeon they may only complete few facial procedures a week. Or there can be a situation where you meet one Dr at your consultation and another training Dr completing the operation, under the same umbrella. More importantly with facial cosmetic procedures you want to ensure the surgeon is full trained and specialized in the field of procedures he provides. Needless to say Dr De Silva completes all consultations and procedures himself. 3. Is the Surgeon and The Centre fully insured in case anything goes wrong? Why do you put this as no3 in terms of importance This is extremely important – to ensure you are not seeing a cowboy Dr who just rents rooms and provides surgery.What has happened in some clinics, you only see the surgeon on the day of surgery and if anything was to go wrong you cannot locate him especially when they are from abroad. Needless to say Dr De Silva completes all consultations and procedures himself. 4. What is your experience in performing my procedure? Ideally you need to see a surgeon who has 10, 000 hours of experience, this was defined as an expert in their field in Gladwell’s book Outliers. In terms of surgery this translates to nearly 8years depending on time spent in the operating theatre. Dr De Silva qualified in 1999 and has working in purely facial aesthetic and plastic surgery for more than 10years. 5. Can I see before and after photos? Many on website… we also show specific photos to patients in consults. Yes, many 100s of photos on our website of past patients. We also have video diaries and testimonials of patients, who talk about anaesthesia and recovery from surgery.Video diaries can be particularly helpful for nervous patients as each day patients talk about their experience and recovery. www.londonfacialplasticsurgery.co.uk/surgery-video-diaries 6. Do you feel I can give you the result I am looking for? I always state that Dr De Silva has a care of duty towards you post surgery and his focus is always to ensure patients are happy and have realistic expectations. In cases where’s scars have not settled he does everything in his power to revise the scars etc. everyone heals differently. Some patients we advise against surgery if we feel that we are not able to achieve the expectations from surgery or the potential downsides or risks outweigh the benefits. 7. Where will I have my procedure? Some patients attend consultations in a fancy clinic in Harley Street, London Hotel, The Shard… and then their surgery is in another completely different place, a hospital outside London or sometimes overseas in Eastern Europe. This should ring alarm bells… Dr De Silva all his appointments and surgery in central London at a custom built facility in the World Class Medical area of Marylebone, 23 Harley Street W1G 9QN. 8. What will my recovery be like? Need to allow time for swelling, sometimes bruising, depending on the procedure most patients we recommend to have 2-3 weeks free of social and professional commitments. 9. How will any surgical complications be handled? What do you tell patients In terms of complications we may have patients that need revision surgery especially for “turkey neck cases” – usually that is included in the initial cost so patients do not feel disheartened. Sometimes asymmetry is difficult to treat – we can improve the area but not provide perfection. These complications and potential issues that may arise we discuss in great details with patients.The nature of all medical procedures there are always some risks, key is these are discussed and managed appropriately, Dr De Silva provides personalised care and will always be there for you during your recovery. 10. What procedures would you recommend to me to help achieve my concerns? All procedures should be tailored to individual needs. This is determined by your expectations, clinical signs and other factors e.g. previous surgery (Scarring present and change in natural anatomy). Another important factor is mental health, and it is important not to have a facial procedure if you are major life event or heightened emotional state.

1. What procedures would you recommend? Dr De Silva recommends that every procedure must be tailored to your needs, there is no cooky cutter approach to facial surgery, what every person needs is determined by their individual characteristics. Broadly speaking there are three groups of patients I Patients who really notice one specific area: For example some patients may find their nose has always bothered them e.g. hump, or they have noticed bags in their lower eyelids or loose skin, or felt their jaw line is sagging with lose skin, or always been self-conscious about a small chin or large lip II Some patients feel they are looking more tired and they just want to be generally refreshed, look like themselves just younger and less tired. Often there are 3 aspects 1. gravity 2. Volume replacement e.g fat transfer or fillers 3. Skin enhancement, fine lines, pores lose skin, may need laser resurfacing, PRP, radiofrequency or removal of loose skin III Beautification or refinement. Patients who look good, they want to look ever better 1. Use principles of Golden ratio, Symmetry and Gender considerations (male jaw line and chin, women ogee curve, V-shaped jaw line 2. Facial Balance and symmetry 3. Enhancement of facial characteristics 2. How often do you perform these procedures? Only complete facial procedures Blepharoplasty aka eyelid surgery, nose job surgery aka Rhinoplasty & facelift and neck lift surgery and non-surgical facial treatments. I perform these procedures every day for my patients. i.e. Specialise only in face. Intricacy and fine detail in your face, for example a medical conference on rhinoplasty can be 5 days long, yes 5 whole days talking about nose jobs only! 3. Are there any before and after photos available? Yes, many 100s of photos on our website of past patients. We also have video diaries and testimonials of patients, who talk about anaesthesia and recovery from surgery. Video diaries can be particularly helpful for nervous patients as each day patients talk about their experience and recovery. Facelift Before & After PhotosVideo Diaries 4. Can I speak to previous patients who have had this surgery? Some patients ask us can we speak to previous patients. Yes, we can help patients organise this. You can also watch some of our patients talk about their experiences in the form of video diaries on our website. Video DiariesPatient Video Testimonials 5. How many pre-op appointments will I need? Most patients have 2 preops, first appointment we discuss exactly what are you looking to achieve, realistic expectations, what is involved, what is the recovery, what are the relative risks, what can be done to speed up recovery. 2nd preoperative appointment, we recap the surgery, talk in more detail, answer any questions, complete gold standard tests before surgery, we complete everything you need in house (e.g. blood tests, heart tracing)Some patients may require an additional appointment. Patient who are travelling from overseas or long distances we try and combine appointment to reduce inconvenience. 6. What location will the procedure be performed? The Centre, 23 Harley Street, we have a custom-built facility for facial cosmetic & plastic surgery. Harley Street has long been considered the medical area of excellence in London and has patients visit from all over the world seeking expert medial care. We have invested in state-of-the-art equipment that is continually updated. For example we have 3 working PRP regenerative medicine machines, 2x state of the art lasers for resurfacing. 7. Will my procedure require general anaesthesia or twilight sedation? What does this mean, talk about general and sedation anaesthesia? More than ten years ago Dr De Silva completed more procedure under general anaesthesia, however now almost all procedures can be completed under sedation anaesthesia. Sedation also known as Twilight sedation allows all patients are able to go home same day usually less than one hour after surgery, avoiding the issues and longer recovery associated with general anaesthesia. We believe twilight sedation is the future, less recovery time, less swelling or bruising, better patient experience, reduced risks such as DVT, clot in leg associated with general anaesthesia. For more information please see: 8. What is the downtime associated with this procedure? Depends on the procedure, most facial surgery we recommend have 2 weeks. Most swelling and bruising goes in 2 weeks. If you have a wedding or very important event we recommend having 6weeks just in case. For facelift surgery 3-weeks is recommended as some patients can have more swelling. If you have more swelling there are things we can do to help recovery including, lymphatic drainage, medicines and oxygen therapy. If you work with high definition film or cameras, actor or model more time is recommended as these do not hide even small amounts of swelling. 9. Is there a medical professional on call to answer any pre-op or post-op questions? Yes, Dr De Silva provides a personal service, we appreciate having facial surgery is a big decision for our patients. We will support you on this journey, this is what we do every day for our patients. 10. How many follow up appointments will be required? Most patients we see two or three times after surgery, 1 week, sometimes at 2weeks and 6weeks, and then some patients require additional follow up. However, for many patients we provide ongoing long term care, having surgery is a substantial decision for many patients and we provide ongoing are maintains the results of surgery long-term. Trust is the key element of undergoing surgery and we provide our patients with long-term maintenance after surgery as long as patients are happy to travel to see us! Many of our patients come back for additional facial procedures for years after surgery. Welcome to our family! 11. How long will it be before I see results? Most patients see some results even one week after surgery, however expectations are key. Swelling and sometimes bruising isa normal aspect of healing and with facial surgery most details comes down to millimetres. With any surgical procedure although most swelling usually has resolved by 6weeks, final results are often as long as one year after surgery. Patience is key! More and more patients come to see us for refinement surgery, often with minor amendments results are not initially visible as minor swelling can hide subtle refinements. Sometimes we can use additional techniques including anti-inflammatories or regenerative medicine to enhance healing.