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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Key Procedures

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

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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.

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April 24th, 2020

Non-Surgical Facial Rejuvenation: Is it worth all the Hype?

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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