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Natural Blepharoplasty

World Renowned Harley Street London

Dr Julian De Silva #1 Specialist Blepharoplasty Surgeon

Over 1000 5-Star Patient Experiences

Fast Recovery Technology



Blepharoplasty can this procedure help You?

Upper Blepharoplasty Diagram
      • 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 specialsing 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 Blepahroplasty 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.

    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.

    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.


    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.”



    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

    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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