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Why “Chinplants” Are So Popular

August 21, 2018

Guess which type of implant is sweeping the country by storm?

Whenever plastic surgery is discussed, the first procedures to come to mind are typically breast implants or face lifts. However, according to London based facial cosmetic and plastic surgeon Dr. Julian de Silva, there is a new procedure gaining popularity – the chin implant.

As one of the most skilled and sought after cosmetic surgeons in London, Dr. De Silva has seen the demand for chin plants increase in the last couple of years, the reason being that this is a relatively safe, quick procedure that can produce dramatic results. In addition, today’s social media generation has brought us all closer to celebrities. In the past, we can only admire their features in pictures from magazines or the big screen. However, because we can now zoom in on their features from every angle it makes it possible for a client to describe exactly how they want their surgery to change their own appearance.

At the hands of an expert, a chin implant can improve a client’s overall facial symmetry. Dr. De Silva’s Centre for Advanced Facial, Cosmetic and Plastic Surgery, based in the West London area, caters to both men and women who wish to improve their appearances through chin implants. Heart shaped chins like Scarlet Johansson’s are the most popular among women while Ryan Gosling’s defined jaw is the favorite among men. As a highly trained and accomplished facial plastic surgeon, Dr. De Silva can help you achieve your desired aesthetic results.

What are the benefits of a chin implant?

Women can achieve a softer more feminine look while men can enhance their jawline. For both sexes, a chin implant improves facial symmetry and enhances attractiveness. In men the chin and jaw line is often a defining feature that characterises masculinity, with very handsome men such as Brad Pitt having a very strong and masculing jaw line. In women it is important that a more ‘V-shaped’ chin and jaw line is maintained as this is a more feminine and attractive chin.

What happens during a chin implant procedure?

A chin implant begins with an initial consultation with Dr. De Silva, who walks you through the entire process, in addition to taking high definition pictures of your chin from several angles. He then uses state of the art software to correctly determine the size and position of the implant. Dr. De Silva also uses this software to show clients how they would look once the procedure has been preformed.

Local anesthesia will be used in order to numb the area where small incisions will be made. Dr. De Silva makes the cut unnoticeable by choosing a natural crease in the skin and carefully maneuvering the implant through the incision. Silicone implants are sculped to fit the client’s unique jawline, providing natural results.

What is chin implant recovery like?

Because it is a minimally invasive surgery, there is little downtime required after the procedure. The client may go back to their normal activities the following day. Pain management and other pertinent information you need to know during the post procedure period will be discussed with you by Dr. De Silva and his team. For most patients the recovery and time off work is limited to a week and many patients find they have a fast recovery. For some patients the procedure can be enhanced with neck liposuction and Dr. De Silva has a signature technique that enhances the neck further with specific tightening of the underlying neck muscle.

Clients will have to go back to the Centre for Advanced Facial, Cosmetic and Plastic Surgery after a week to have the stitches removed. An expert medical team composed of experienced and licensed health care professionals support you through the entire process.

The chinplant procedure is taking the world by storm because it is both minimally invasive and effective. Trust only the experts to ensure a safe and worry-free procedure. Book an appointment with expert facial plastic surgeon Dr. de Silva and his team today!

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Common Procedures for Men in their 50’s

January 17, 2018

As recently as 10-20 years ago, plastic surgery for men was typically limited to reconstructive surgery that focused on repairing damage caused by deformities or trauma. Cosmetic surgeries tended to be dominated by women, and the industry reflected that by catering primarily to treatments that were female-centric.

With the advent and popularization of the internet and social media, cultural values have begun to shift towards greater acceptance of these treatments in men. In addition, medical advances in technology have drastically decreased the costs, recovery time, while improving the aesthetics of the end result. So, whereas a cultural taboo may have once been a socially acceptable deterrent at one time, many men, especially those over 50, don’t feel the societal pressure that they once did. Many still wish to keep the rugged male look, but opt for the removal of some lines and a more relaxed look.

There are a number of specialist facial treatments available that enhance and rejuvenate the male face some of the more popular procedures available to men who are over 50 are discussed below:


Blepharoplasty (Eyelid surgery) is a corrective surgery that adds or removes excess skin and fatty tissue from the eyelids. As we age, our skin loses elasticity, and gravity causes the eyelids to sag downwards. In addition, fat stores can accumulate in the eyelid, increasing a baggy look, and potentially hindering vision. Typically, this involves reshaping and rejuvenation both upper and lower eyelids.
Male blepharoplasty is more challenging than female blepharoplasty as it is key to be conservative to provide a natural looking result. Often male celebrities (e.g. Tom Jones, Mickey Rourke) who look very different to when they were younger have had upper blepharoplasty that has opened up their eyelids changing their appearance, key is conservative surgery and attention to fine detail to achieve a natural looking result (e.g. George Clooney).

Recovery following surgery, may include minor bruising and swelling that can last one to two weeks, and any scars that form slowly fade over subsequent weeks. Dr. De Silva utilises state-of-the art modern technology including bio-technology to enhance recovery and speed up healing. The overall result is a more rested and youthful look.

Neck and Chin Lift

Neck and chin lifts typically involve an incision under the chin and/or behind the ears in order to deal directly with sagging skin or a weakened platysma muscle that becomes increasingly more likely as we age. This typically falls under cervicoplasty (for sagging skin) or platysmaplasty (to strengthen the neck). Dr. De Silva utilises state-of-the art modern technology including bio-technology and sedation anaesthesia to enhance recovery and speed up healing.

Recovery time generally lasts for 3-weeks depending on the surgery involved, but patients should expect to return to their normal day-to-day activities within two weeks. Swelling and bruising, given the nature of the treatment are the most common side effects of the procedure. Results are often dramatic in nature, and patients should expect a much more streamlined throat, a more youthful look over the long-term.

Chin Implants

Chin deficiency is usually apparent on looking at a person’s side profile, where the chin should align with a vertical line drawn through the philtrum (junction between nose and upper lip). In a man the chin is one of the features of sexual dimorphism and makes a male face more masculine and attractive. Chin augmentation is a surgery designed to address a weak chin. Different techniques can be employed, including chin implants. Although Chin surgery, traditionally involved making cuts into the jaw (mentoplasty) and resetting of the position of the jaw. This involved substantial surgery with realignment of the jaw there was a longer recovery time; Chin implants provided a very safe way of avoiding mentoplasty, while restoring natural proportions to the face.

Why the Centre for Advanced Facial Cosmetic & Plastic Surgery?

Dr. Julian De Silva is a certified plastic surgeon with multiple board certifications in both the US and UK, specializing in cosmetic procedures in the greater London area. Call us to schedule a consultation today, and we can discuss in further detail what your options are!

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Cheek Implants or Fillers

August 20, 2015


Just like many other parts of human body, the cheeks also begin to sag as we grow old. This happens because the skin on our cheeks loses volume and elasticity over time. External factors like smoking and prolong exposure to sunlight can also contribute to saggy and sunken cheeks. If you are someone who is suffering from this, then there is good news for you. Today, with the help of cheek implants and cheek fillers, surgeons can bring back the “fullness” of your cheeks and restore your youthful appearance.


Below, you will find some advantages and disadvantages of cheek implants as well as learn how they are inserted.

Surgical: A disadvantage of cheek implants is that they require surgery. Incisions are either made on the natural folds of the lower eyelids or inside the mouth to minimize visible scars.

Procedure: Before the implants are placed, you will be put under with sedation anesthesia. Then, incisions are made and implant is inserted through the opening. In most cases, the surgery can be performed in less than an hour and the results can be seen right away.

Recovery: Like many other plastic surgeries, cheek implants also leave swelling on the face and numbness can be felt by the patient for few days afterwards. Normal recovery can take up to six weeks although the very final result is after 6-months.

Results: Because cheek implants are permanent, they can stay in place forever and do not require you to spend money to have them replaced. Dr. De Silva will chose an implant that best suits your individual needs this includes your expectations from surgery, your facial shape and size, your age and the natural shape of your underling cheek bones. Cheek implants produce better results than fillers if you want to have more prominent and sculpted cheekbones.


Now, let’s examine how cheek fillers work and what are some positive and negative qualities of them.

Non-Surgical: One of the biggest advantages of fillers over implants is that fillers do not require surgery. Instead of using incisions, the surgeon will only use syringes to inject fillers in the cheek. Moreover, since there is no surgery, this means there are very little complications in performing this procedure.

Procedure: Your surgeon will measure the contours of your face before injecting the fillers in order to make sure the desired results are achieved. The patient will not be sedated and will be fully awake throughout the 30-minute procedure.

Recovery: Because of the use of syringes, some small bruises can be seen after the procedure. However, they are almost unnoticeable. Total recovery time for fillers can be anywhere from three days to ten days.

Results: One major downside of injectable fillers is that the results are not permanent. Thus, they need to re-injected every six to twelve months in order to maintain the plumpness of the cheeks. In the long run, this can be expensive.

Generally, someone who has a lack of proper structure of the cheekbones would be an ideal patient for cheek implants as they are superior when it comes to improving cheekbones’ appearance. On the other hand, a person looking for very minor changes to the cheek area should consider getting cheek fillers.

Whether you need implants or fillers, it is recommended that you consult your doctor before making a decision. You are welcomed to schedule an appointment with Dr. Julian De Silva to go over your needs.

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The Perfect Jaw

August 5, 2015

The jawline is one of the most distinguishing characteristics of the face, and having a proportionate jawline can be one of the biggest contributors to overall facial harmony. Though the jawline can be often overlooked when considering cosmetic changes, slight modifications to the chin and jawline can have a great impact in correcting any facial imbalances.

As with other facial features, there are different characteristics of an ideal jawline for men and women. The ideal jaw for a man is strong, with more prominent angles and a pronounced chin. The latest trend has been stronger, squarer jawlines than those of the past, and some men even choose a chin augmentation to balance out their naturally strong noses in lieu of a rhinoplasty. For women, the ideal jaw has softer, more feminine characteristics, though of course each patient will have a different definition of “ideal,” depending on their personal facial characteristics.

A well-defined, proportional jawline and chin are characteristics of youth and attractiveness, and these factors can even improve your performance in the workplace. There are now many options, both surgical and non-surgical, to provide the desired facial changes. A great non-surgical option is a chin augmentation using fillers such as Radiesse and Voluma. A filler chin augmentation is not a permanent option, as the fillers will naturally be broken down and absorbed by the body within 6-12 months, but it is a great option for those who are not yet ready for surgery but would like to see what the changes would look like.

For patients desiring a permanent solution, there is the option of a surgical chin augmentation, using a medical grade silicone chin implant. Dr. De Silva tailors the implant to each individual, and offers great flexibility in both size and shape when determining what changes would best fit their face.  Men and women need different sculpting of the implant to give the best natural looking result, men a stronger more square jawline and for women a more ‘heart-shaped’ jaw line.

To achieve their desired results, some patients may even benefit from a jaw advancement surgery in conjunction with their chin augmentation. Though this surgery is more invasive, it can help correct a recessed chin or jawline and bring it into more prominence. With time everything has a tendency to sag as a result of laxity of soft tissue, gravity and general ageing, Dr. De Silva ensures that the chin implant stays in its ideal position long-term by securing the implant with two tiny titanium screws, these ensure that no movement can occur with time.

For those who already have a great underlying structure, but whose chin and jawlines have become less defined over the years due to the aging process, face and neck lifts can help improve skin laxity.  By addressing the sagging skin, the youthful contours are once more revealed, and can be a great way to look and feel younger and rejuvenated.

If you are interested in learning more about improving your facial balance by addressing the jawline, please contact Dr. Julian De Silva for a consultation. Dr. De Silva is experienced with chin augmentations and can help determine the best solution for you.

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