Natural Blepharoplasty
World Renowned Harley Street London
Dr Julian De Silva #1 Specialist Blepharoplasty Surgeon
Over 1000 5-Star Patient Experiences
Fast Recovery Technology
The Da Vinci of Facial Surgery
Clare Halliday2024-06-12I 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 Haines2024-06-11Best 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 Irwin2024-06-11Thank 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 val2024-05-15I 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 C2024-05-10I 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 Chan2024-04-29I 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 Hassan2024-01-07Dr 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 Chiesa2023-12-27Dr Da Silva and his all team are very professional, always available for follow up and very clear communication. Thank you
Ruth Johnson2023-12-12Almost 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 ...
FACELIFT SURGERY IN HARLEY STREET
Blepharoplasty can this procedure help You?
- Who can benefit from blepharoplasty? Tired appearance, loose eyelid skin, puffy eyes, skin laxity, bags under eyes, dark circles, asymmetry tired eyes appearance, smudging concealer, being mistake for being tired, lack of sleep… are all common symptoms that Dr Julian De Silva’s patients describe.
- Dr Julian De Silva developed customised blepharoplasty techniques based on conservative reshaping and repositioning that restores anatomy to where it used to be, this results in a Natural Blepharoplasty. Avoid an ‘operated appearance’ or ‘hollowed-out’ appearance to the eyelid that is unappealing. Key to excellent surgery is a less is more approach.
- Intricate anatomy of the Eyelids ensures blepharoplasty is a detailed procedure of millimetre precision and artistry: Important to assess position of brows, asymmetry of eyelid, hollowing of eyelids, skin quality, appearance of swelling (malar bags), previous filler use, tear quality and dry eyes to mention a few. The scars should be hidden and with good surgery no one will be able to tell you have undergone a procedure. Dr Julian De Silva specialises in Natural Blepharoplasty. “People or celebrities who look like they have had a lot of work done, often their eyes have been changed by blepharoplasty, less is more to keep a natural result.” Dr Julian De Silva.
- Young People may have Eye Bags as a consequence of genetics, often other family members can also have eyelid changes. Of key importance is anatomy, often there is ‘negative vector’ which results in eye bags at young age, Dr De Silva previously wrote a book chapter on this subject and avoid complications such as eyelid retraction. In these patients the incision should be ‘trans-conjunctival’ (inside of the eyelid) with fat transfer to preserve the natural shape of your eyelid and mid-face.
- Avoid Complications with a board certified Oculo-Plastic Surgeon specialising in eyelids, Dr Julian De Silva. Not a general plastic surgeon (completing breast & body surgery) or ENT surgeon (specialising in nasal 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 Blepharoplasty, of the patients Dr De Silva treats have had previous eyelid surgery elsewhere and were unsatisfied with the results from their previous surgeon. There can be many reasons for this, not adequate improvement, lose skin and puffiness remains, short longevity, visible scars.
- World Travelled Eyelid Specialist, Dr Julian De Silva spent time working in the very best Specialist Eye Hospitals in the World before setting up his practice over 10years ago, this included Moorfields Eye Hospital in London, UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York.
- Dr De Silva specializes in Face Surgery Only and Blepharoplasty is the #1 Procedure he completes for his patients.
- 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 a US-manufactured CO2 laser or monopolar electrocautery, to establish meticulous control of bleeding which is key to preventing both bruising and preserving good vision after surgery.
- Virtually Invisible Scars. Key to World Class Blepharoplasty 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 (hidden ptosis, puffiness). 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 LOWER EYELID BLEPHAROPLASTY ->
- Beautification & facial mapping techniques based on research completed on the Golden Ratio to evaluate beauty and harmony. Since Greek, then Renaissance period many works of art have incorporated this ratio in art and beauty. Dr Julian De Silva has pioneering research to use the golden ratio to evaluate beauty and to enhance elegance. Beautification of the face with brow position ad eyelid shape can enhance femininity and masculinity with facial procedures.
- Dr De Silva has pioneered the use of Regenerative Medicine with blepharoplasty. This innovation is preferred by his patients, as it enables natural growth factors to aid healing, improve the speed of recovery and reduce bruising. This technology is at the forefront of modern medicine and some procedures including laser resurfacing requires this for fast healing.
- Dr De Silva has pioneered and patented our Advanced Sedation Anaesthesia. This means patients can avoid the risks, complications and longer recovery associated with General Anaesthesia. All of Dr De Silva’s patients are able to see immediately after surgery and are able to go home 30-60 minutes after it is completed! No overnight hospital admission is required with Dr De Silva’s techniques.
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. Eyelid surgery, AKA blepharoplasty is the No.1 procedure that he helps patients with every day. Your face has intricate anatomy; your eyes, nose, face and neck areas, and relatively unique. Dr Julian De Silva is known for Natural Results & 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.”
Author of the Blepharoplasty Book, The Patient Guide to Blepharoplasty & Eyelid 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, Dr De Silva’s paintings decorate the walls of the World Class Facility at 23 Harley Street, custom built for Facial Treatments.
Dr Julian De Silva has Taught Surgery to other surgeons in the USA for over 8 years. “I have always been a passionate teacher and as director of the course I am committed to inspiring the next generation of surgeons.”
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.
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.
Loose Skin & Drooping of the upper eyelids
How is Upper Blepharoplasty completed? Watch Dr Julian De Silva’s 3D Animation video to be informed on how…
Of key importance when considering eyelid surgery is a thorough evaluation of the eyelids to exclude subtle signs of a droopy upper eyelid, termed ptosis in medical jargon. The signs of drooping may be subtle.
However, recognition is of key importance to ensure a good natural result after eyelid surgery. Oculo-facial plastic surgeons are specialists in this area of facial surgery. Drooping of the upper eyelid is a relatively common eyelid condition that usually occurs with ageing of the facial tissues
“People have an exquisite ability to recognise less than one-millimetre asymmetry between the eyelid heights, and half a millimetre or more drooping of one eyelid can be noticeable,” says De Silva. “Meticulous detail is important”.
There is a small muscle behind the upper eyelid that opens the eyelid (the levator aponeurosis) and with facial ageing, or as a consequence of genetics (inherited from your parents), the muscle can slip or it may be weak, resulting in a droopy eyelid.
Ptosis can be quite obvious and increase over a period of years. In addition, ptosis can also be subtle and vary throughout different times of the day.
Ptosis repair can be repaired in two main ways:
- Traditional skin incision technique (termed Trans-Cutaneous Approach). The most common method for repairing a droopy eyelid is by making an incision in the crease of the upper eyelid skin, reattaching the muscle and closing the skin with stitches.
- This method is used in the majority of NHS Hospitals as the treatment of choice. It is notoriously unpredictable, with a need for further revision surgery in 10-30% of patients.
- Hidden incision (internal approach) is performed from the undersurface of the eyelid, leaving no visible scars. The levator muscle is reattached further down the eyelid in order to allow a wider opening of the upper eyelid. Fewer surgeons are able to perform this surgical technique, but it has a far higher success rate, with a need for further surgery in only 3-10% of patients.
- Ptosis could also be caused by a nerve problem or from birth and can require further investigations. In rare circumstances, if the muscle is too weak a sling procedure is required to connects the forehead muscle to the eyelid muscle which helps elevate the upper eyelid.
World Class Facial Cosmetic and Plastic Surgery
Blepharoplasty 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.
TESTIMONIAL
What our patients are saying about us…
Over 1,000 Reviews
*****
“Having Lower Blepharoplasty with Dr. De Silva gives you the benefit of years of experience, qualifications not only in the U.K. but also the U.S. and yet you don’t lose the gentle bedside manner from this doctor. From our first meeting, Dr. De Silva won me over because he gave me the time to obtain answers and explanations to all my questions in kind details, as many times as I needed.”
Sandra
Eyelid/Blepharoplasty
Frequently Asked Questions
Do I need to go to hospital?
Blepharoplasty is commonly completed in a general hospital with other surgical procedures. Although this is the norm, it does not lead to an optimal patient experience as the staff are not specialised.
Dr De Silva has built a custom state of the art facility on Harley Street to enable complete specialisation for every patient. This can avoid issues with hospital-acquired infections, such as MRSA, providing the safest environment for patients.
Will I look like myself?
Dr De Silva customises his treatments based on your individual facial characteristics, which will give you a natural appearance. You will still look like you, only better!
Will people be able to tell?
Often, patients that have substantial rejuvenation are surprised how friends and family have not been able to tell. You will look less tired and refreshed which many people will put down to you having a good night’s sleep!
At what age should you get blepharoplasty?
Older Patients:
There is no specific age limit for blepharoplasty and Dr De Silva has completed surgery for patients in their late eighties. Key to a successful blepharoplasty is your general health and fitness. We complete a comprehensive assessment of every patient before surgery as safety is always the number one priority.
Often there may be additional factors to consider with increasing age. These can include dry eyes, eyelid laxity and droopy eyelids (termed ptosis), these may require additional treatments at the same time as blepharoplasty to ensure a successful result.
Although loose skin, puffiness and lines around the eyelids are commonly associated with facial ageing, there are a smaller proportion of patients who have a genetic predisposition to these changes.
Younger Patients:
Lower eyelid bags or puffiness may be present in the late teens and early twenties and can be seen in other family members. The treatment of eye bags in young adults with a negative vector requires specific techniques to avoid lower lid retraction and support the lower eyelid after blepharoplasty, which Dr De Silva has written about extensively.
Note that lower blepharoplasty is not always necessary if you have very early signs of lower eyelid bags because some patients can be managed with non-surgical techniques.
Dr De Silva completes lower eyelid blepharoplasty on patients from their late teens to twenties, and some of his patients have travelled long distances as surgeons near their homes have not been able to complete surgery locally.
Contact Details
Call: 020 8748 2860
Email: info@drjuliandesilva.co.uk
Address:
23 Harley Street
London, W1G 9QN, UK
Dr Julian De Silva
5 stars based on 458 reviews
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
