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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



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.  

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

    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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