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Natural Rhinoplasty

World Renowned Harley Street


Dr Julian De Silva Specialist Rhinoplasty Surgeon

 Over 1000 5-Star Patient Experiences

 Fast Recovery Technology

Natural Artistry

  The Da Vinci of Facial Surgery

Dr Julian De Silva - top facelift surgeons uk
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Based on 155 reviews
Clare Halliday
Clare Halliday
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
Angela Haines
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
Angela Irwin
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
alexis val
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
Ashka C
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
Michael Chan
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
ZaInab Hassan
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
Alice Tibaldi Chiesa
Dr Da Silva and his all team are very professional, always available for follow up and very clear communication. Thank you
Ruth Johnson
Ruth Johnson
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 ...


What is Rhinoplasty?

Dr Julian De Silva - Harley Street, London

Dr. Julian De Silva, is a renowned and accomplished facial plastic surgeon, has dedicated his career to the art and science of enhancing facial aesthetics. Among his expertise lies a profound understanding of rhinoplasty, a transformative surgical procedure that focuses on reshaping and refining the nose. Dr. De Silva’s commitment to precision and innovation in facial surgery has positioned him as a leading authority in the field.

Rhinoplasty, often referred to as a “nose job,” goes beyond mere cosmetic alterations; it involves a delicate balance of artistic vision and surgical skill to achieve harmonious facial proportions. In this intricate procedure, Dr. Julian De Silva employs advanced techniques to address both aesthetic concerns and functional aspects of the nose, ensuring that patients not only achieve their desired look but also experience improved breathing and overall facial balance.

As we delve into the realm of rhinoplasty through Dr. De Silva’s expertise, we embark on a journey that explores the intricacies of this transformative surgery, shedding light on its nuances, benefits, and the transformative impact it can have on an individual’s facial harmony and self-confidence.

As the nose forms the very centre of your face it is also key to facial harmony and balance. Having a nose that is out of place catches our attention when we look at ourselves and people’s faces. This can result in patients feeling self-conscious and over time can affect how we feel about ourselves.

Our thoughts about our own appearance can have an important influence on all aspects of our lives. Dr De Silva has helped many thousands of patients by improving their facial balance.

After surgery, your nose can blend with the rest of your face, reducing those feelings of being self-conscious and enabling you to just get on with life. The detail around the nose is of great importance, as subtle changes of even less than half a millimetre can be discernible.


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 Fast 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.” Dr. Julian De Silva 

Author of the Rhinoplasty Book, The Patient Guide to Facelift & Neck lift 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. 

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.  

    • Avoid Complications with a  board certified Facial Cosmetic Surgeon specialising in eyelids, Dr Julian De Silva. Not a general plastic surgeon (completing breast & body surgery) or ENT surgeon (specialising in ears, nose & throat surgery) or Maxillary-Facial surgeon specialising in teeth). Dr De Silva wrote an extensive book that includes everything patient need to know regarding blepharoplasty which is gifted to all our patients undergoing treatment.
    • 20-30% Revision Procedures, of the patients Dr De Silva treats have had previous surgery elsewhere and were unsatisfied with the results from their previous surgeon. There can be many reasons for this, not adequate improvement, remaining hump, asymmetry, irregularities, breathing issues…
    • World Travelled Specialist, Dr Julian De Silva spent time working in the very best Specialist Hospitals in the World before setting up his practice over 10years ago, this included London, UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York.
    • Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance recovery or longevity of the procedure. These include use of graft material from within your nose, ear cartilage, as well as other more complex cartilages based on individual requirements. It is important to make considerations for facial balance including receding jaw line that can benefit from chin implants. 
    • ultrasonic rhinoplasty. Dr De Silva has pioneered the use of technology for enhancing natural looking results. Use of Piezo ultrasonic rhinoplasty to sculpt nose bones precisely, preserving natural anatomy and offering faster recovery & reduced swelling. Although this is suitable for some patients, for most natural results the procedure must be tailored to the individual person and their unique nasal characteristics. 
    • Closed Vs Open Dr De Silva completes open and closed rhinoplasty procedures based on individual patient needs. Key to World Class Rhinoplasty surgery is virtually invisible scars. There are many important factors to consider including, natural skin position, asymmetry, ethnicity, skin laxity, skin quality and other diagnoses. The skin incision is closed using a combination of interrupted and continuous non-dissolving fine stitches. Non-dissolving stitches are preferred as they avoid scarring and stitch lines. Dissolvable sutures although saves time for surgeons as they dont need to be removed, these can create additional scarring.
    • For information on ETHNIC RHINOPLASTY ->

    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.

    Rhinoplasty Surgery in London

    Nose Reshaping Technique And Procedure

    Tip Definition:

    A sculpted and lifted tip of the nose can be achieved by internal stitches, sculpting of cartilages and cartilage grafts.

    Cartilage Support Grafts:

    In the past, cartilage reshaping could be imprecise, leading to misshapen results. Now, by using pieces of your own cartilage to assess and correct internal contour irregularities,
    Dr De Silva can create more symmetrical results.


    Although many patients are focused on the appearance of the nose, rhinoplasty often makes your nose smaller, breathing is important! Often a combination of straightening your septum (cartilage in the middle of nose) and graft material is required to ensure good breathing.

    An Ultrasonic Rhinoplasty:

    Your surgeon can now cut through bone with extreme precision. This advanced osteotomy technique is highly successful.
    It prevents damage to the surrounding blood vessels and tissue while cutting bone, and it may lead to less swelling and bruising. Not necessary for all patients.

    Cartilage Suturing:

    Previously, lower nose cartilage was trimmed to correct bulbous features. Now, we know that the nose must be properly approached with a combination of trimming and specialised suturing. This dual technique creates better proportions and a more uniform appearance.

    Faster healing:

    Healing can be enhanced with the use of anti-inflammatory medicine after surgery, this can be particularly important for revision rhinoplasty, ethnic rhinoplasty and patients with thicker skin.

    World Class Facial Cosmetic and Plastic Surgery

    Rhinoplasty 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.

    Patient Experiences

    All these patients underwent Rhinoplasty with Dr De Silva. We encourage patients to watch one or two videos of patient experiences to have a good understanding of healing and the recovery period. Dr. De Silva and his team will provide support and reassurance during your recovery, we believe that being a well-informed patient is helpful to most patients undergoing Rhinoplasty.


    What our satisfied clients are saying

    “From the moment I first met Dr Julian De Silva I knew I had chosen the right surgeon for me! I was apprehensive as it had taken me years to pluck up the courage to have rhinoplasty and at 69 it was a big decision! Dr De Silva has the most calming disposition, both in his manner and his speaking voice and he immediately made me feel at ease, answering my questions and explaining the procedure clearly. The day of my surgery arrived and again I really felt confident that I was in very good hands!”



    Frequently Asked Questions

    I Live Abroad, How Can I Have Surgery?

    Dr De Silva has a large number of patients that live overseas. Our specialist team can help you organise a virtual consultation and coordinate your trip to the UK.

    You would need to say in the UK for approximately 10days, prior to covid, many patients would fly internationally to London to undergo rhinoplasty before returning to their home country.

    We are able to utilise the latest technology to enhance your recovery including oxygen therapy, medications, lymphatic drainage and regenerative medicine.

    At What Age Should You Get Rhinoplasty?

    Most patients who look to undergo nose reshaping have felt self-conscious about their nose for many years before attending the consultation.

    A nose that is out of balance with your face often becomes apparent in teenage years, though many patients take years to look into changing their nose.

    Rhinoplasty is most commonly completed in patients aged twenty to forty-five, and Dr De Silva has completed surgery for some teenagers and patients in their 80s. Dr De Silva has had patients travel long distances and internationally for opinions on their nose, sometimes they have been refused surgery by local surgeons.

    Often there may be additional factors to consider with increasing age, these can include breathing issues, drooping tip (termed ptosis) and increase irregularity, and these may require additional treatments at the same time to ensure a successful result.

    Am I Too Young to Have Rhinoplasty?

    Dr De Silva sees many younger patients for nose shaping in their teenage years. Many of these patients have disliked the appearance of their nose for many years before attending a consultation, and some have associated breathing issues and have been teased about their appearance.

    Of key importance before considering rhinoplasty is the patient understands the implications of surgery, recovery, and expectations.

    Utilising modern surgical techniques are important to ensure a long-lasting natural result. Dr De Silva completes nose reshaping on younger patients only when it is in their best interest and some patients travel long distances to London.

    Do I Need to Go to Hospital?

    Rhinoplasty is commonly completed in a general hospital with other surgical procedures in a general private hospital. Patients often are concerned about issues with general hospitals such as MRSA and hospital-acquired infection. Dr De Silva has built a custom state of the art facility including a private operating theatre to enable complete specialisation for every patient.

    How Much Does Rhinoplasty in London Cost?

    When looking for the best rhinoplasty results in London then costs should not be a consideration, but rather focus on the facility, qualification, experience, and technique of your surgeon. Given these considerations, expect to pay anywhere between £5,000 to £15,000 for a nose job in London, UK.

    Can Rhinoplasty Be Combined With Other Techniques?

    Dr De Silva frequently combines rhinoplasty with other facial procedures to give a natural-looking result and avoid the use of scars associated with conventional techniques:

    Contact Details
    Call: 020 8748 2860
    Email: info@drjuliandesilva.co.uk

    23 Harley Street
    London, W1G 9QN, UK

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    Dr Julian De Silva
    5 stars based on 458 reviews

    5 Star Ratings for Dr Julian De Silva

    Renowned expert in Facelift/Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results

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