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Dr. Julian de Silva, MBBS MD FRCO FACS BSc PGc DIC

Dr. Julian de Silva

MBBS MD FRCO FACS BSc PGc DIC

Dr. Julian de Silva, MBBS MD FRCO FACS BSc PGc DIC

Dr. Julian De Silva is a London facial cosmetic surgeon who specializes in the eyes, nose, face and neck areas only. Dr. De Silva does not perform body plastic surgery and is known for natural looking results

Facial cosmetic surgery is as much an art as it is a science and with facial surgery millimetres make the difference. Dr. De Silva spends additional time with each patient and currently has a waiting list for appointments. Dr. De Silva asks his patients to be patient if they cannot get an appointment straight away as Dr. De Silva takes time to customise each individual’s appointment and surgery which takes additional time to complete.

Dr. De Silva teaches internationally and has developed his own customised approach to natural facial surgery including the use of regenerative medicine techniques, speeding up recovery, and use of oxygen therapy. He has a formidable track record of accomplishments including the gold medal for research from the Imperial College and an award by the Royal Society of Medicine. In addition he has made a contributions to advanced surgical techniques, laser technology and stitch-less tissue adhesives. He shared his findings in over 30 peer-reviewed journal articles and book chapters.

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American College of Surgeons
American Academy of Cosmetic Surgery
BMA - British Medical Association
American Society of Ophthalmic Plastic Reconstructive Surgery
EAFPS - The European Academy of Facial Plastic Surgery
Investors in People
Care Quality Commission
MPS - Medical Protection Society
General Medical Council

Key Procedures

Key Procedures: Facelift

Facelift

As part of normal ageing, there is a combination of some drooping of the skin of our face and neck with loss of volume and elasticity, resulting in jowls, loss of a smooth jawline as well as laxity of the neck skin.

Common reasons why patients ask Dr. De Silva for help?

  • Look tired, lost sparkle, feel less attractive, less attention
  • Impact relationship & profession
  • Self-conscious about neck and loss of jaw line
  • Hiding your neck e.g. avoiding photos
  • Filler is okay for adding volume only, does not lift & help lose skin, unnatural when overfilled. Non-surgical machines offer minimal improvement
  • Starting to look like your mother or father

Dr. De Silva also recommends

  • Deep plane facelift surgery gives a tremendous improvement in face shape (Less than 3% of surgeons are able to complete deep plane)
  • Natural shaping of jawline (*key importance for a natural look)
  • The signature deep plane facelift has advantages in recovery over traditional facelift surgery (SMAS facelift)
  • Patients with very full neck, need advanced shaping of salivary glands in neck, gives better neck profile than in 20s (Takes extra hour)
  • Artistry, every patient’s face is unique, requires customisation with regenerative medicine, lip lifts, brow lift to give a stunning result
  • With Dr. De Silva sedation anaesthesia, all patients rapid recovery less than 1-hour after the procedure
  • Scars must be positioned discreetly, 99% virtually invisible (meticulous technique, 3 levels stitches, never staples)
  • Speed up recovery, Dr. De Silva has pioneered use of regenerative medicine and oxygen therapy, <10% have bruising
  • Please note absolute results cannot be guaranteed, realistic expectations are important

A facelift and neck lift can rejuvenate your facial appearance by turning the clock back, reversing signs of facial ageing, lifting sagging of facial soft tissues and skin, correcting the loss of a sharply defined neck and lifting deep facial lines that have occurred as a consequence of facial droop.

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Blepharoplasty

Blepharoplasty, more commonly known as eyelid surgery, is the most commonly performed cosmetic operations that Dr De Silva completes for patients. As a combination of aging and genetics, the skin and muscle around the eyelids loosens, this resulting in loose skin, puffiness and dark rings that may give you a tired appearance. In addition, there are often changes in the anatomy that results in puffiness owing to fat protruding into the eyelids forming bags in the lower and upper eyelids. In expert hands eyelid surgery, known as blepharoplasty, rejuvenates your facial appearance, making you fresher and less tired. The eyelid anatomy is intricate, and blepharoplasty involves a combination of reshaping excess skin, muscle and prolapsing fat. Dr De Silva focuses on meticulous technique to ensure a natural looking result.

Common reasons why patients ask Dr. De Silva for help?

  • Tired appearance, feel look older
  • Self-conscious, avoid photos
  • Impact on relationships & profession
  • Difficulty with makeup, concealer to camouflage changes
  • People ask are you tired, lack of sleep
  • Genetic component, starting to look like your mother or father
  • Tried every lotion and potion to improve eyelids, minimal effect
  • Disappointment with non-surgical treatments like Plexa, <10% improvement

Dr. De Silva also recommends

  • Natural result, every person’s eyes are different, bring an old photo from your 20s to your consultation
  • Scars must be positioned discreetly, 99% virtually invisible (meticulous technique, Multiple levels of stitches, no shortcuts)
  • Additional procedures including laser resurfacing and fat transfer are of key importance to give a long last that will last 10 years plus and avoid the need for filler
  • Older techniques in the lower eyelid can result in scars and change in shape in eyelid, only have this surgery with a modern doctor completing on inside of the eye (Trans-Conjunctival blepharoplasty)
  • Modern anaesthesia, termed sedation anaesthesia is far safer and recovery much faster than traditional general anaesthesia
  • With Dr. De Silva sedation anaesthesia, avoid general anaesthesia, all patients rapid recovery less than 30 minutes after procedure
  • Dr De Silva has pioneered use of regenerative medicine to enhance speed of recovery

Click here to learn more.

Key Procedures: Blepharoplasty
Key Procedures: Rhinoplasty

Rhinoplasty

Dr. De Silva has found that sculpting his patient’s nose to harmonize their face can make a huge difference to making his patient’s look and feel better about themself. Nose reshaping, termed rhinoplasty is an operation of finesse and millimeters make the difference between a natural looking result and one that has the trademarks of surgery. “I focus my attention on utilizing specialized techniques through open or closed (hidden incision, also known as endo-nasal) surgery to improve the nasal aesthetics. I consider the key to natural looking nose reshaping is delicacy and subtlety, less is usually more when it comes to the nose”.

Common reasons why patients ask Dr. De Silva for help?

  • Self-conscious for many years, avoid photos
  • Impact on relationships & profession
  • Use concealer to camouflage changes
  • Fear of looking too different
  • Additional factors including breathing symptoms & trauma
  • Disappointment with non-surgical treatments, multiple top-ups or nose too large from filler

Dr. De Silva also recommends

  • Natural result, every person’s face is different, everyone’s idea of beauty is different, please bring photos that you like and don’t like
  • With Dr. De Silva sedation anaesthesia, avoid general anaesthesia, all patients rapid recovery less than 30 minutes after the procedure
  • Rhinoplasty is the most challenging plastic surgery procedure, key is realistic expectations of improvement
  • Breathing is of key importance with rhinoplasty, must consider septoplasty at the same time
  • Artistry is of key importance in rhinoplasty, only 50% of surgery is technical surgery
  • Additional procedures including a chin implant of key importance for facial balance
  • Dr De Silva has pioneered use of regenerative medicine to enhance recovery, only 10-20% have bruising

Click here to learn more.

Dr. De Silva in the Media

Watch Video - ITV Lorraine Show Featured patient of Dr. Julian De Silva, underwent Natural Face and Neck lifting
ITV Lorraine Show Featured patient of Dr. Julian De Silva, underwent Natural Face and Neck lifting
Watch Video - Sky News interviews Dr. Julian De Silva about Patient Safety in Cosmetic Surgery
Sky News Interviews Dr. Julian De Silva About Patient Safety in Cosmetic Surgery
Watch Video - How The Rich & Famous Stay Beautiful, Ch. 5 interview Dr Julian De Silva.
Channel 5, Ruth Langsford & Eamonn Holmes interview Dr. Julian De Silva about facial beauty
Watch Video - Reuters News interviews Dr. Julian De Silva about Facial Beauty and customized facial mapping…
Reuters News interviews Dr. Julian De Silva and customized facial mapping techniques on celebrities.
Dr. Julian De Silva Publication: theguardian
Dr. Julian De Silva Publication: the Times
Dr. Julian De Silva Publication: itv
Dr. Julian De Silva Publication: allure
Dr. Julian De Silva Publication: OK!
Dr. Julian De Silva Publication: TATLERMAN
Dr. Julian De Silva Publication: Marieclaire
Dr. Julian De Silva Publication: COSMOPOLITAN
Dr. Julian De Silva Publication: TATLER
Dr. Julian De Silva Publication: EVOKE.ie

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Your face is by far your most distinctive feature and the part of your body that others see the most. It’s normal to establish routines and follow practices that help you maintain your appearance and non-surgical facial rejuvenation has been one of the latest trends. Unlike conventional surgery, these procedures can help restore and maintain […]

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March 15th, 2020

What is facial mapping? Can science help make me more beautiful?

Is it possible to define beauty? Why do we find one person more attractive than the other? Is it possible to enhance our face in a non-surgical way to meet objective beauty standards? These same questions led Dr Julian De Silva, world-renowned facial cosmetic and plastic surgeon, to a pioneering study and utilisation of the […]

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February 10th, 2020

Why are we commonly dissolving fillers in patients’ noses?

Many of our patients’ are unhappy with their noses and are looking for an easy way to enhance their appearance. With Valentine’s day coming up, it’s common for patients’ come to see us, to want to improve their appearance for this special occasion. Rhinoplasty is one of the most performed cosmetic treatments and non-invasive nose […]

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