phone - banner

Healing from Within: Platelet Rich Plasma Therapy

March 30, 2018

According to an article published by The Telegraph in December 2017, 48% of UK residents are taking prescription medication. Moreover, the country has seen a 47% increase in the number of drugs dispensed over the last 10 years.

These statistics show much we are dependent on drugs to ease pain, prevent complications and promote quality of life. But have you ever wondered where drugs come from?

Drugs come from different sources – plants, animals and some are concocted in laboratories. In short, they are made outside of the human body. This may be the reason why people develop allergies or in some cases, the drugs do not work as well as they should. Scientists have long searched for therapies that are both effective and 100% compatible with the human body.

Platelet Rich Plasma (PRP) therapy, such as the one offered by Dr. Julian De Silva at the Centre for Advanced Facial Cosmetic & Plastic Surgery in London, is one such therapy. It uses the body’s own healing mechanisms to help speed up recovery from surgery.

What is PRP?

Platelet Rich Plasma is a naturally occurring substance in the body. It can be utilized to stimulate the body’s own reparative and healing properties. PRP Therapy first gained a following in the Sports Industry where athletes such as golfing legend Tiger Woods who used PRP to speed up his recovery after an injury.

How is PRP Made?

Platelet Rich Plasma is made from your own blood. A small amount is painlessly taken from a vein in the arm then processed to separate PRP from other blood components. Dr. De Silva’s skilled team and state-of-the-art equipment ensures the production of quality plasma with a high concentration of activated growth factors. The equipment used to generate your PRP if critical importance as simple machines produce low quality PRP, sophisticated high-tech machines produce higher quality PRP with more refined results. This whole process takes less than an hour. The PRP solution is then reintegrated back into the body.

How is PRP used?

PRP can immediately be utilized depending on the patient’s needs. Dr. De Silva often uses it in conjunction with laser and surgical procedures to stimulate healing and improve graft uptake. PRP-based tissue “glue” can help minimize the need for stitches and control bleeding for some surgeries. It can even be used for the seemingly impossible feat of eliminating under eye circles! As you can see, PRP is versatile as it is effective in stimulating body’s natural ability to heal itself, resulting to faster healing and lasting results.

Is there downtime after PRP treatment?

Redness and swelling may persist for 3-5 days after PRP treatment. Although not commonly seen, bruising may also be present. Dr. De Silva’s team will give you a complete rundown of what to expect before, during and after the procedure.

Platelet Rich Plasma Therapy is a relatively new procedure that is slowly gaining ground in medical aesthetics. Dr. de Silva is at the forefront of PRP Therapy and continues to strive to find out how it can help improve his patient’s lives. His team at the Centre for Advanced Facial Cosmetic & Plastic Surgery in London would be delighted to speak with you about Platelet Rich Plasma or other surgical options you may be considering.

Make an appointment today!

Leave a comment

Tips for Before and After Blepharoplasty

September 26, 2016

Blepharoplasty, or eyelid surgery, is a common cosmetic surgery that can revitalize the eye area and rejuvenate your overall appearance. Although it is considered a safe procedure with few risks, there are some steps you can take before and after surgery to support healing and speed up your recovery.

Before Your Eyelid Surgery

If you are in good health, you can significantly reduce the possibility of complications during or after an eyelid surgery. A balanced diet can help ensure that your body recovers as quickly as possible. In addition, lifestyle adjustments you can make–such as reducing late nights and controlling sleep deprivation–that can help strengthen the body’s reserves.

  • Quit smoking. Smoking can inhibit the body’s ability to transport oxygen and nutrients, which can affect the body’s ability to heal. Surgery can be a great opportunity to quit for good. Learn more about the effects of smoking here. 
  • Monitor blood pressure. Stable blood pressure will reduce the risks of bruising.
  • Discontinue certain medications. Aspirin and some herbal supplements increase the possibility of bruising and swelling.


After Your Eyelid Surgery

After a blepharoplasty, the average time for recovery is about 2 weeks. Depending on your profession, it may be necessary to take more than two weeks off before returning to work.

  • Avoid certain medications. To help keep bruising and swelling under control, you should continue to avoid blood-thinning medications and herbal supplements for about 2 weeks after the procedure.
  • Avoid exercise. It is highly recommended that you avoid vigorous exercise or strenuous activity in the first week.
  • Cold compress. To help reduce swelling, apply a cold compress to the eyes for the first 3 days.

It is important to follow any post-operative instructions you are given.

If you live in the London metropolitan area and would like to know more about blepharoplasty, contact Dr. Julian De Silva to schedule a consultation.

Leave a comment

How to Find the Best Facial Plastic Surgeon

August 15, 2016

Deciding to have plastic surgery is both exciting and daunting. Choosing the right plastic surgeon can take some time, so it is best to approach the process systematically and arm yourself with as much information as possible. Here are some guidelines to get your started on your search:

Initial Research

Ask for recommendations. A conversation with your general physician should be a great starting point. Your GP not only can tap into the plastic surgeon network, he or she will likely be familiar with your medical history. Also, ask trusted friends and family if they have had any direct experience with cosmetic surgery. If so, see if they can provide a recommendation.
Create a short list. Once you have the names of some surgeons, narrow the list down to a few top choices. Besides general qualifications, you may want to consider location, patient reviews, and specialization, for example. Make sure the surgeon has experience relevant to the procedure you are considering.

Prepare For Your Consultation

Review surgeon qualifications. This is the most basic and important aspect of your search. Find out about the surgeon’s academic background, certifications, specializations, and advanced training.
Learn about the procedure. The more you know about the procedure you would like to undergo, the better questions you can ask your potential surgeon. The British Association of Aesthetic Plastic Surgeons provides full details about specific procedures. Be sure you also know where the surgery will be performed. You should feel confident that you will be treated in a state-of-the-art medical facility.
Prepare questions. Make the most of your surgical consultation by going prepared. Have a list of questions for your potential surgeon. You want to feel 100% confident in the person operating on you.

During Your Consultation

Ask to see patient photos. A surgeon may be skilled, but may have a different aesthetic than you. The American Board of Plastic Surgery has a great tip: look at the patient results for the procedure and seeking and see if it corresponds with what is attractive to you.
See how the surgeon communicates. Do not underestimate the quality of your rapport with your surgeon. An ability to communicate with your plastic surgeon can affect outcome.

For more information, take a look at the NHS guide to choosing a cosmetic surgeon. If you are interested in facial plastic surgery, contact Dr. Julian De Silva for a consultation.

1.5. How to choose your surgeon for facial cosmetic surgery?
Your facial treatment needs to take into account your unique facial characteristics, the expectations that you are looking to achieve and the artistry to achieve this, unlike body surgery, the results from facial surgery cannot be hidden in the same way. There are a variety of surgeons and organisations that perform cosmetic surgery and the following section provides guidance to help you in selecting the right facial cosmetic surgeon for you.
When choosing your surgeon factors that you should consider include area of specialism, experience, memberships, cost and personal recommendations. Facial cosmetic and plastic surgery is as much art as science, no two faces are identical, facial shape and proportions, ethnicity, body shape are all important considerations for facial plastic surgery.
Choosing your facial cosmetic surgeon is the most important decision in defining both the outcome and safety of the surgery.

Leave a comment


January 9, 2016


Cher is one of the most successful entertainers of her time, included a combination of singing and acting over many decades. She has maintained a glamous appearance that helped her to ascend easily to the heights of excellence. However, the charming actress has had her share of rough times as she battled the headwinds of plastic surgery speculations. Cher has lived with the rumors of undergoing plastic surgery to maintain her appearance. The steady flow of speculations has been triggered by her before and after photos, which some people have suggested in very supportive of face and neck lift surgery.
Cher wears a beautiful smile that charms millions of fans who seem ever on the stand-by to sing her praises. After her talents, the second greatest asset she bears is beauty. Her neck lift remains smooth, her jaw line defined and regular that is remarkable for a women in her late sixties. Some people have looked keenly on Cher’s after photos with a third eye and believe she has undergone at least one face and neck lift procedure to improve the appearance of her face. According to some close observers, Cher had an enormous spark of beauty in the past, and she is a product of a gifted plastic surgeon. Key to a natural rejuvenation of facial ageing is techniques that lift the deep muscle layers beneath the skin, according to Dr. Julian De Silva. There are no ways of making scars invisible, however by making them discreet they are hidden in natural facial lines that can result in them being very difficult to see.

Cher has remained indifferent to the plastic surgery rumors, it is not clear whether she has chosen to weather the storm in silence. Perhaps she knows that her responses will never satisfy the overzealous critics. Nonetheless, the rumors are likely to hang around Cher’s life for longer than she is willing to remain silent. Although there can be no absolute certainty to undergoing surgery, there are no ways of making your jaw and neck line so defined without undergoing face and neck lift surgery. According to Dr. Julian De Silva, the key to world-class result with face and neck lifting, is ensuring that any change is conservative and within natural limits, any improvement must only be a refinement, not over done, key is to keep the media guessing whether the celebrity has actually undergone surgery.

Great women of the red carpet and the big screens tend to be concerned as their age advances, their fame is partly sustained by their good looks. That is why they endeavor to remain glamorous for a long time. It is hard to prove whether she actually went under the knife, however she looks amazing and youthful. Most celebrities are keen to ensure that their surgery is both discreet and camouflaged from the media, I set up my clinic to ensure privacy and celebrity anonymity. Celebrity face and neck lift surgery is challenging in that a celebrity’s face is also their calling card and livelyhood, there is an artistic license for a conservative natural improvement while preserving a person’s underlying facial character and persona.

Leave a comment

Kim Kardashian

January 9, 2016

Kim Kardashian

Kim Kardashian continues to have phenomenal success as a television and social media personality, actress and model. With her career almost unperturbed by the plastic surgery speculations that have followeed her life for a long time. There is no doubt that she is a distinguished celebrity who knows her way around fame and fortune. The shape of Kim Kardashian’s nose continues to fuel speculations of rhinoplasty. The world first noticed Kim Kardashian as a friend of Paris Hilton until she became a celebrity in her own right. She was talented and showed some great promise of stardom. She did not disappoint, Kim Kardashian has a sunshine smile that shone through the full extent of her beauty. In the eyes of many beauty analysts, her beauty has only been enhanced with age and with the alleged help of a few nip and tucks. Some critics in the celebrity world argue that the quest for perfection has always pushed many female celebrities into the hands of plastic surgeons. Bloggers, experts, some fans and surgeons have held up Kim Kardashian’s photos to show evidence of a nose-job well done, and it is hard to verify the authenticity of such claims. According to them, a closer inspection of the before surgery photos would reveal that her nose was more droopy and less defined in her youth. Relatively few celebrities are willingly to openly discuss what procedures they have undergone. Kim Kardashian’s current appearance shows an attractive and well-balanced nose that are suggestive of grace and glamor. Many celebrity analysts agree that she is in a class of her own. From Dr. De Silva’s experience many well known celebrities have undergone a relatively modest improvement which he terms “Rhinoplasty Refinement”. This is for all round improvement of a person’s nose while maintaining their natural facial characteristics. A more attractive nose may mean a narrower more refined tip which is not droopy. Most celebrities are not looking to look different, they are just looking to give themselves an edge, a small improvement in the elegance and balance of their face.

Some celebrities see the risk involved in plastic surgery and its underlying nature a good reason to avoid surgery altogether, however many embrace surgery for a refinement of their natural beauty, says Dr. Julian De Silva. Most celebrities have already been dealt a great genetics card with natural beauty and a nose job may be a way of taking that just a little further.

For more information on Rhinoplasty, click on the following links:

Leave a comment

Celebrity Rhinoplasty

January 9, 2016

Angelina Jolie

Angelina Jolie is one of the most desirable American actresses who has mesmerised the audience with her charisma and performances. As one of the highest paid actresses, Angelina Jolie has been rewarded with an Academy Award, two Screen Actors Guild Awards, and three Golden Globe Awards. She has in addition been a humanitarian ambassador around the world as well as courageously openly discussing her breast cancer experience. What makes this actress look even more beautiful may be a gift of a cosmetic surgery or two. Angelina Jolie is believed to have undergone rhinoplasty to enhance the shape of her nose as is suggested from her before and after photos. Before Angelina’s nose was relatively flat and wide with a lack of tip definition, and the appearance did not flatter her appearance, although her natural look did not have considerable effects on her career. Angelina’s appearance more recent photos show her nose look more elegant and refined. Her nose is narrower and they have given her face a better proportioned appearance. The alleged nose job has suited her face, she looks the same person only better. Going through a nose job is a big decision for anyone, she took this to bring out her beauty and make herself more appealingly. Surgical technique for rhinoplasty is different to most cosmetic surgery, there is high degree of artistry as no one nose will fit every person. As the nose lies in the centre of your face there is no hiding a away from the media and public, according to Dr. De Silva. Key is the use of surgical techniques that favour a natural result, enhancing recovery time and minimising aspects such as bruising.

Dr. Julian De Silva discusses the ‘perfect nose’

Angelina Jolie is known for her confidence and boldness, yet like many celebrities she has not admitted to undergoing a nose job. Although there can be no absolute certainty to undergoing surgery, there are no ways of making your nose thinner and more refined without undergoing rhinoplasty. According to Dr. Julian De Silva, the key to world-class result with celebrity rhinoplasty, is ensuring that any change is conservative and within natural limits, any improvement must only be a refinement, not a huge change, key is to keep the media guessing whether the celebrity has actually undergone surgery, often the results are not seen as a dramatic change as swelling immediately after surgery gradually disappears over a period of months leaving a more refined and detailed nose.

As is evident from her photos, Angelina Jolie has had a narrowed bridge with more tip definition, which has enhanced her natural beauty. She looks even more classy and elegant than before. The nose job has suited her face perfectly thereby making her look more beautiful. Her reputation as one of the most beautiful women in the world has been helped with a little nip and tuck, she looks quite eye-catching and appealing with the nose job done. All celebrities are keen to ensure that their surgery is both discreet and camouflaged from the media, I set up my clinic to ensure privacy and celebrity anonymity. Celebrity rhinoplasty is challenging in that a celebrity’s face is also their calling card and livelyhood, there is an artistic license for a conservative natural improvement while preserving a person’s underlying facial character and persona.

For more information on Rhinoplasty, click on the following links:

Leave a comment


October 11, 2015

Blepharoplasty is a plastic surgery operation that is performed to aesthetically enhance the eye area or correct defects and deformities of the eyelids. Blepharoplasty is a very effective way to rejuvenate the eye area by treating under-eye bags, tightening skin in the area, and diminishing the appearance of wrinkles. The surgery may also be performed in instances where an injury or planned surgery (e.g. removal of a skin cancer) has physically altered the natural appearance of the eyes.

If you are planning to undergo blepharoplasty, you are probably interested to learn more about the recovery process. We believe it’s very important to educate our patients about the recovery process so they can adequately prepare and make their recovery as quick and comfortable as possible.
What to expect during your recovery from blepharoplasty
After Dr. De Silva finishes an eyelid surgery, he applies a lubricating ointment and loosely covers the eyelids in gauze. Dr. De Silva has pioneered his own techniques that favour fast recovery and you will remain in his outpatient clinic for less than one hour after the surgery so that he can monitor your recovery before discharging you. You will be given cold compresses to apply while you wait.

After Dr. De Silva has signed your discharge papers, you may return home with a family member or friend (you will not be able to drive immediately after surgery). You should plan to remain at home for at least 3 days and expect to experience some minor discomfort. You will be given pain medication, eye drops, and cold compresses to control pain and discomfort, if necessary. Swelling after blepharoplasty are expected and normal, most of Dr. De Silva’s patients don’t have bruising however there is always a possibility. In most patients the majority of swelling tends to diminish within 3 to 5 days. For a surgery that is more involved including revision blepharoplasty, you should expect some amount of swelling and bruising to remain for up to 2 weeks.

Most of our patients feel comfortable returning to work within 7 days and use makeup to conceal any signs of surgery. After 3 weeks, you should be able to go completely makeup free! We encourage our patients to refrain from exercise routines and heavy housework for 3 weeks. The final results of your blepharoplasty will be seen within several months after surgery. It’s very important to continue wearing sunscreen around your eyes and avoid extreme sun exposure for 6 months following surgery to prevent visible scarring.
Tips to make your recovery more comfortable
When you leave our clinic, you will be given a detailed list of instructions to follow during your recovery. This will detail how often to use cold compresses, how long your head should remain elevated, and how often you can take certain pain medications. We will also advise you to be vigilant of any signs that may indicate an infection. Other specific care instructions may also be included. By following these instructions, you are more likely to experience a comfortable and speedy recovery after eyelid surgery.

Dr. De Silva has performed countless eyelid surgeries during the years he has been in practice. During this time, he has compiled a list of tips that can help speed the recovery process. These include:

• Keep your head elevated as much as possible in the week following surgery. It is especially important to sleep with your head elevated on several pillows for the first few nights following surgery.
• Use cold compresses for at least 3 days at recommended intervals.
• Avoid excessive blinking as it can lead to irritation and increased swelling.
• Avoid strenuous activities, which can increase blood flow to the eyes and lead to more swelling and bruising.
• Don’t drink alcohol or smoke cigarettes, as it is known to hinder the recovery process.
• Avoid activities such as reading, watching TV, and wearing contacts, as these are known to dry out the eyes.
• Light activity, such as walking, is known to speed the healing process. If you feel up for it, take a short walk each day during your recovery.
How to prepare for blepharoplasty
We encourage all of our patients to prepare for their recovery before surgery. After surgery, you will need to focus on resting and recovering – it is not the ideal time to go out to the shop for supplies!

Prepare your home ahead of time by cleaning it and making it a comfortable place to recover. Create a cozy place, perhaps on the couch or in your bed, where you can rest and relax in comfort. You may wish to cook some food ahead of time or arrange to have someone prepare meals for you for during the first few days. If you tend to get bored at home, arrange to have friends visit for short periods of time during your recovery.

Be sure to stock up on the supplies you will need during your recovery. You’ll want to have cold compresses readily available. These can be purchased at a medical supply store or pharmacy. If you are prescribed any medicines or other-the-counter medications, pick them up ahead of time or arrange for someone to collect them so you don’t have to venture out after surgery.
Consultation with Dr. De Silva
Eyelid surgery must not only enhance the eye area, but must also preserve and maintain the function of these important structures. As such, it is very important to work with a highly experienced and skilled surgeon. If you are considering blepharoplasty, we encourage you to set up an initial consultation with Dr. De Silva. Dr. De Silvia is one of the most accomplished and experienced plastic surgeons working in London today. He has completed advanced training in Los Angeles and New York, where he acquired skills in micro-incision techniques and scar-less surgery – incredibly important skills when it comes to performing plastic surgery on delicate facial structures. Please contact us today to set up your appointment and learn more about blepharoplasty with Dr. De Silva.

Leave a comment

Asian Blepharoplasty Patient Experience

June 5, 2015


This patient underwent Asian Blepharoplasty under Sedation/ Twilight Anaesthesia with Dr. Julian De Silva, this is her personal account and experience.


I had disliked my upper eyelids ever since my teens, and had always been conscious of the expression they gave to my face. My lids were quite hooded and had a look of puffiness, and even though I did have half a natural crease, this was hidden by the heaviness of my eyelids. The hoodedness made my eyes look small. I had wanted to have Asian blepharoplasty for many years to make my eyes look more open but, being quite nervous of surgery, hadn’t ever plucked the courage to go through with it. It wasn’t until around a year ago, when I started looking into it again, that I realised that techniques had moved on since my teens and recovery was easier.

I knew that finding the right surgeon for me would be integral to my final decision, so I made a long list. I googled ‘best London cosmetic surgeon’ and received a list of names, shorter than I had actually expected, and researched each one. I focused on past patients’ reviews, as I wanted to cut through the marketing, understand the surgeon’s surgical methods and approach to patients, and get a sense of his success rate. I found a website that shows patient reviews, googled for more reviews for each surgeon, and also looked at their facilities and location. Throughout my research, Dr. De Silva came out as a front runner, with excellent reviews. I read through his website several times and was struck by the level of detail and by his combined emphasis on the aesthetic and on modern techniques – both very important. I had consulted one other surgeon previously and hadn’t been as impressed by the level of information or reassurance given. So I made my first appointment with Dr. De Silva.

First consultation

I went armed with dozens of questions and quizzed Dr. De Silva on many fine details about the surgery, recovery period and expected results. I received all the information I needed and by the end of the consultation, felt confident enough to seriously consider surgery. After mulling it over for a couple more weeks, I decided to book.

Pre-surgery consultation

My surgery was scheduled for around 8 weeks after my first consultation, and I was booked in for a pre-surgery appointment around 2 weeks before. There, we went over the procedure again and the kind of results I was looking for. I tried to be as specific as possible about how I wanted to look, though also understanding that the exact results can’t be guaranteed. It helped to show Dr. De Silva photos of someone whose eyelids I liked, and I was quite specific about how much higher I hoped my eyelid crease would be. At the consultation also I received my prescription for medications, which included antibiotics, anti-swelling medicines, antibiotic ointment, Vitamin C, arnica and painkillers. I made myself a timetable for the 8-9 days around surgery so that I would know day-to-day exactly what I needed to take and when, as the prescriptions varied quite significantly. A few meds, like antibiotics, need to be started a day or so before the actual procedure.

Pre-surgery, I also prepared small bags of frozen peas to reduce swelling, gathered as many pillows as possible (because I had to sleep upright and propped up on them, post-surgery), and generally prepared to be homebound for 7-10 days after surgery.

The surgery

The night before I was both very nervous and somewhat in denial! I aimed to get a good night’s sleep, and was careful not to eat or drink past the permitted time. I had opted to have twilight sedation in my surgery, so I had a few rules to observe.

In the morning, I took an antibiotic pill with a sip of water, but had nothing else. On arrival, I was led to the surgical facilities downstairs, where Dr. De Silva first ran through a few procedural matters. I was given a fetching blue gown, slippers and cap to wear, and had to remove all metal (jewelry, underwired bra etc.). I then met the anaesthetist, who talked me through what I could expect with the sedation, then gave me an IV paracetamol drip because the sedation drugs might otherwise smart when introduced. The anaesthetist explained that I would be in a state of half-sleeping, half-wakefulness but would probably not remember much or anything of the procedure. I might drop in and out of a light sleep, and could signal to the anaesthetist if I was feeling too awake at any time. Throughout, I would be on painkillers, so even if I felt more awake than I wanted, I would not be able to feel anything. Although everyone reacts differently to sedation, I joked that my ideal would be to be knocked out completely and not remember a thing!

Last before surgery, Dr. De Silva came in to markup my eyelids. He spent a fair amount of time measuring the right proportions and getting the lines right.

Mark up done, I went into the theatre, lay on the table with my head propped in a soft disc, and had a metal patch attached to the cauterizing equipment stuck on to my leg (this is to earth the system). The anaesthetist fed the sedation medications into my drip, and no sooner had I commented on being able to feel them flow lightly up my arm, did I switch off spontaneously! I was out like a light and only came to when the surgery was over and I had a bag of ice over my eyes. I didn’t remember anything of the surgery (and still don’t now), and felt comfortable and reasonably alert when I woke up.

A friend was waiting to take me home, and though I felt a little woozy, I was pretty much fine. I took my medications as prescribed for the rest of the day, slept a little and took it easy. I had mostly no pain, apart from needing to take a painkiller in the evening for a little discomfort. I had a line of stitches in each eyelid but no dressing. There were two types of stitches – one permanent and the other dissolvable. They were not visible apart from the small knots in places.


The first week, I stayed at home and didn’t venture out. I spent the days taking my meds, applying antibiotic ointment on the wounds, and applying the frozen pea bags to my eyelids every 15 mins. I took it easy but was able to do everything for myself. My main focus was to follow Dr. De Silva’s instructions to the letter! My eyelids were quite swollen but the wound was already obviously within the crease, so I was confident that, when the swelling went down, the scar lines would not be visible. I had no pain throughout my recovery and no bleeding or seepage. I had a little discolouration at the corner of my right eye and above my let, but apart from that, virtually no bruising.

I took care to remain upright at all times, so slept propped up on pillows. The swelling went down quite rapidly between the 4th and 7th days, and the wound began to settle into the crease.

At day 7, I had my permanent stitches taken out, which I was so glad for as they had been feeling tight for a day or two. My eyelids had healed so well that apparently the skin had healed over the stitches in a couple of places, but the stitches were not difficult to take out. There were a few twinges and sharp pulls but the stitches came out easily. The dissolvable ones were left in.

I went back to work on day 9, and by then the swelling was coming under control. My eyes looked a little puffy as if I had just woken up, but I don’t think anyone really noticed. I used eye drops regularly as my eyes were a little dry, but otherwise all was as good as normal. I made the decision not to cover up the scar with concealer, as I didn’t feel comfortable with applying chemicals over healing skin, and to be honest, the scar has formed into my crease so well now that I don’t think anyone can see it unless I close my eyes.

At week 4

Well, now I am at week 4, and very happy! The swelling has almost all gone down, the skin has healed well, and I no longer need eye drops. Though I still have a red line across my eyelid, I’m fine with that. My dissolvable stitches disappeared just after 2 weeks. I have no real lingering effects of the surgery, apart from my lids feeling numb where the fat has been taken out. The results of the surgery look very natural and my eyes are more open, to a subtle, conservative degree but just enough to change the overall expression of my face. I look forward to further scar healing, when the line turns lighter, and I am already beginning to lightly use eyeshadow on my lids. Overall, I am very pleased with my results, and so happy that I took the plunge! This has been well worth it!


Leave a comment

Do Non-Surgical Necklifts Really Work?

May 8, 2015

Increasingly, individuals seeking to rejuvenate their appearance have been inquiring about minimally invasive rejuvenation therapies, a set of techniques collectively known as a “non-surgical facelift.” Lauded as a way to reap the benefits of cosmetic work without having to endure the recovery time associated with surgery, the non-surgical facelift is an option for those who want a visible boost, but are not ready for a more extensive procedure.


What Is A Non-Surgical Facelift?

A non-surgical facelift can include volume enhancers, smoothing, resurfacing and tightening treatments. To combat volume loss and skin laxity, dermal fillers, such as Juvaderm, Sculptra, Restylane and Radiesse, are commonly injected into sunken areas of the face–often the cheeks–to restore youthful plumpness. To smooth out lines and deep creases, a wrinkle thinning agent such as Botulinum toxin, also known as botox, can be used to soften the formation of wrinkles, this be injected into the skin.  In the UK this treatment requires a medical prescription and should be only administered by trained doctors or nurse subscribers. Botox temporarily relaxes muscle movement, thereby smoothing wrinkles associated with facial expressions. Laser resurfacing can prompt collagen production and tighten the skin.

One great advantage of many minimally and non-invasive techniques is that they are typically painless, can be performed quickly and can yield results can be immediately visible. A treatment can be done on a lunch hour and the patient can resume normal activities without a break in their daily routine. With no incisions and sutures involved in the procedures, there is no drawn out recovery time or need for post-surgical pain management. Dr. De Silva utilizes non-needle techniques with the latest technology to minimize the chance of bruising from these treatments compared to traditional treatments. Without bruising most patients there can be no signs a patient has undergone treatment.

So how does the non-surgical facelift stack up against a traditional facelift? Both approaches have their pros and cons. Non-surgical facelift treatments can be highly effective on skin that shows early signs of aging. Therefore, the best candidate is generally younger and has skin that still has some elasticity. A non-surgical facelift cannot counteract note able skin laxity and more advanced signs of aging. While the results of a non-surgical facelift can be long-lasting, they will not be as enduring as a traditional surgical facelift. Typically non-surgical techniques can last from 6 months to over a year, depending on the type of treatment. Though a surgical procedure involves more time and carries some risks, the positive outcome of a facelift can last for many years.

While a non-surgical facelift will not address severe sagging in the face and neck and jowls, the techniques can be transformative on patients who younger, particularly those in their 30s and 40s. For those who would like to avoid surgery and downtime, the non-surgical facelift is an excellent option. Not all the treatments used in non-surgical facelifts are appropriate for every individual, so it is essential to have a comprehensive consultation so that the results can be optimized.

Your Non-Surgical Facelift Consultation

Because the non-surgical facelift is a single therapy, your skin needs to be evaluated in order to identify the combination of treatments that will be most effective for you. The aim is to achieve natural-looking results in the most efficient manner. A customized plan will be recommended based on the overall condition of your skin, the areas of concern, and other factors specific to your case.

Leave a comment

Beware of Medical Spas for Cosmetic Treatments

November 7, 2014



Unregulated Medical Spas May Cost You More in the Long Run

Medical spas are popping up all over the UK with increasing popularity. These spas are known for providing clients with cosmetic procedures such as non-surgical treatments including wrinkle relaxants, filler and laser treatments. Consumers are drawn to the idea of receiving such procedures in between their pedicure and bikini wax. The problem with these medi-spas is the lack of regulation and attention from less qualified personnel. Many of these spas are reported to have employees performing various cosmetic procedures without the essential training and licensing. The result of this frightening situation is patients suffering from severe facial burns, droopy eyelids, and dark spots around the face. An alarming amount of injuries, some fatal, have been reported due to these irresponsible practices.

Cosmetic procedures that need to be performed by a specialist clinician

Botox injections, wrinkle fillers and laser treatments are the main cosmetic procedures that are concerning professionals.

Wrinkle Fillers:

Fillers can ease the skin under a line or wrinkle, effectively smoothing it out and decreasing its appearance. However, different fillers have different effects on different parts of the face. In order to achieve a natural look, the type of filler, the amount injected, and the area in which it is injected must be considered. The amount of the filler used also depends on the patient’s skin type. Possible negative side effects of this treatment are:

  • Allergic reaction
  • Tiny skin bumps that sometime become permanent
  • Bluish skin discoloration
  • Skin cells may die

Wrinkle relaxants:

Wrinkle relaxants, including botulinum toxin, is derived from a neurotoxin. It must be administered by someone who is medically qualified. Aside from causing a “frozen” look, botched Botox injections can have many consequences that require professional medical attention. Side effects include:

  • Droopy eyelids
  • Problems with vision
  • Crooked smile
  • Difficulty swallowing or breathing
  • Excessive tearing

Cosmetic laser treatments use a focused amount of light energy to remove/ reduce the appearance of wrinkles, moles, sunspots, tattoos and hair. When tuned inappropriately, laser wavelengths have the potential to severely damage skin. Laser procedures that were not performed by professionals have resulted in severe facial burns or blindness. Some other side effects of laser treatments include:

  • Bleeding
  • Infection
  • Scarring
  • Hyperpigmentation

Laser treatments, along with wrinkle relaxants and fillers are delicate procedures, and should always be performed by a specialist plastic surgeon, dermatologist or nursing staff. These medical professionals are properly trained to assess differences in individual skin type and texture, and suggest a treatment plan accordingly. In the hands of a specialist facial plastic surgeon such as Dr. Julian De Silva, risks associated with non-surgical treatments severely decreases. When researching these cosmetic procedures, it is imperative to request detailed information about the doctor who will be helping you. Though a medical spa may seem convenient, it is much wiser and safer to stick to the simple facials they offer.

Leave a comment
Before and after photo gallery

Contact Us

Email Address*:
Procedure(s) of Interest*:
Questions & Comments:
Subscribe to our eNewsletter
*Required fields

Central London: 10 Harley Street, London W1G 9PF, UK
West London: The Centre, 89 Hammersmith Grove, London, W6 0NQ, UK | Phone: 020 8748 2860

Home | Before & After | Out of Town | In The Media | Eye | Nose | Face & Neck | Chin | Ear | Skin | Terms of Use & Privacy | Sitemap

Find us on Google+

Copyright © 2018 Dr. Julian De Silva Protection Status