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Why are we commonly dissolving fillers in patients’ noses?

February 10, 2020

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 fillers are gaining in popularity. It seems like you can get fillers easily nowadays in a beauty salon or spa in London. However, how safe are nose fillers? What should you be aware of in order to make an informed decision? More and more patients are coming to see us as a specialist in facial cosmetic surgery to dissolve fillers that have not been completed correctly.

Dr. Julian De Silva is a well respected facial cosmetic and plastic surgeon on Harley Street in London, UK. We frequently dissolve filler of patients who have had inappropriate filler which has made their nose too large. Many people are not aware of the dangers of nose fillers. While nose fillers can provide beautiful, natural results, the chances of a successful treatment greatly improve if the treatment is performed in a professional environment by an experienced specialist, with knowledge of the underlying anatomy and artistic flair.

The dangers of nose fillers

In the last couple of years, people have become more aware of lip fillers that have gone bad. Fillers can be a safe, minimally invasive treatment to add facial volume and enhance your natural beauty. However, they are not without risk. For example, the potential dangers of nose fillers are necrosis (tissue death), permanent scarring, and damage to vision including blindness. You should always look for a highly trained, experienced doctor to get the safe results you are looking for.

How can a nose filler go bad?

To administer injectables and fillers is precision work. It must be done in a clinical environment and with the highest amount of training and experience. When the filler is not administered at the right depth it may be injected into a blood vessel or a muscle, risking blindness and necrosis. The correct knowledge about human anatomy is therefore essential for proper injection and limited risks. This is something that a skilled cosmetic surgeon is trained in, but a beautician in a London beauty salon may not know. Adequate clinician training in the use of fillers is essential for the prevention of adverse events.

How can I get safe nose fillers in London, UK?

Please see a doctor who is skilled in facial cosmetic surgery, experienced in noses, they will be best suited to understand the relevant anatomy, as well as give you a result that lies in proportion to the rest of your face.
There are several ways to safely improve the appearance of your nose. You can choose to have nose surgery, also called rhinoplasty or you can choose a non-surgical nose job with dermal fillers, also called a liquid nose job. To speed up the recovery and reduce the risk of complications, a sterile environment is essential. Dr. Julian De Silva performs both surgical and non-surgical nose jobs in his professional clinic on Harley Street, in London. The dermal fillers are carefully placed to specific points in the nose and last about 12-18 months. For a personal consultation about your specific situation, schedule an appointment at our Harley Street office today.

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5 Reasons to Consider Cosmetic Procedures in Your 20s or 30s

January 27, 2020

People typically experience the first signs of ageing in their late 20s and early 30s. Depending on your genetic background, lifestyle, and how much sun exposure you’ve experienced, you may start to notice fine lines and sunspots. The skin will also become less firm because of the natural decrease in collagen production that we experience as we age.

Dr. Julian de Silva has noticed that the average age for first-time cosmetic surgery is falling in his London practice on Harley Street. Here are 5 Reasons he believes you should consider cosmetic procedures in your 20s or 30s.

1. Beautification & Early Prevention

Most cosmetic procedures are performed on patients between the age of 35 and 60 as this is when the ageing process is most visible. More frequently, non-surgical treatments can be used to rebalance facial characteristics to enhance or beautify your face with the application of the golden ratio and enhancing natural facial characteristics. The best time to start treating wrinkles is when they first appear. Today, the average age for cosmetic treatment is dropping and luckily, there are some effective London treatments that can prevent wrinkles from forming so your skin stays looking youthful. Baby Botox or mini Botox are good examples. Other treatments with dermal fillers are also very suitable cosmetic procedures to undergo in your 20s or 30s.

2. Boost Your Confidence

There are a number of facial cosmetic procedures that people choose to undergo at an early age. Some of the most popular ones include:

Some teens also feel uncomfortable with their appearance from an early age and dream about making a little adjustment to their nose or ears to restore balance in their faces. When they come of age and their bodies are full-grown they may decide to undergo surgery.

3. Enhance Your Collagen Production

Collagen is a protein that is naturally present in your skin. It is one of the main building blocks of skin and tissue and can be described as the glue that holds the skin together. It is what gives our skin its youthful firmness. As we age, the production of collagen decreases. This process typically starts in a person’s 30s. There are various cosmetic procedures that can stimulate a person’s collagen production, most notably, laser resurfacing. In addition to activating collagen production, this procedure can even out discolouration caused by sunspots.

4. Desired Results With Less Invasive Treatments

By committing to cosmetic procedures at a younger age, patients can enjoy their desired results without having to go under the knife. A non-surgical facial beautification is especially suitable for patients who wish to beautify their face (use of the golden ratio) or with early signs of facial ageing who have a loss of facial volume but minimal skin laxity. This procedure is:

  • Less invasive than a surgical facelift
  • Gives fast and natural-looking results
  • Requires little to no downtime

5. Early Treatment Saves Time and Money

Patients who opt for a cosmetic procedure in their 20s or 30s can save a lot of time and money. During each initial consultation, Dr De Silva creates a comprehensive plan outlining which procedure is best based on each patient’s individual goals. All cosmetic treatments are planned ahead so the investment made is smaller and recovery time is shorter. The right treatments and surgeries at an early age may rule out the need for corrective, more complicated procedures later in life.

Find a Reputable Cosmetic Doctor in London

Before you undergo any cosmetic procedure, it’s important to do your research. Plastic surgery or non-invasive cosmetic treatments should only be performed by a well-trained specialist that has a track record for providing his patients with excellent results.

Dr De Silva has extensive experience successfully performing cosmetic procedures on patients in their 20s and 30s in his office on Harley Street in Central London. He is a leading facial plastic surgeon that specialises only in surgical and non-surgical facial procedures. To find out more about how he can help you, call his office to book an initial consultation.

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Everything You Need to Know About Non-Surgical Nose Jobs in London

December 27, 2019

Cosmetic procedures are a great way to enhance your appearance quickly while still maintaining natural-looking results. Today, there are dozens of different treatments you can opt for. While some of these require extensive downtime, newly developed dermal fillers and other injectables can also help alter your appearance and improve self-confidence without having to put yourself through invasive surgery and intense discomfort. Non-surgical nose jobs in London are a great example as these procedures can significantly enhance your look in a matter of minutes.

Dr De Silva, a world-renowned plastic surgeon and rhinoplasty specialist, provides non-surgical nose jobs to his patients at his Harley Street practice in London. Thanks to his years of training and numerous certifications, he has earned a reputation as one of the leading cosmetic specialists in London. Dr De Silva focuses on surgical as well as non-surgical procedures to help patients achieve their aesthetic goals. To learn more about Dr De Silva and his non-surgical rhinoplasty, contact his office and book a consultation today.

What is a Non-Surgical Nose Job?

As the name suggests, non-surgical rhinoplasty is a procedure that enhances the appearance of your nose without requiring surgery. This procedure is usually carried out with dermal fillers, which can vary depending on the area being treated, the effect you want to produce, and how long you would like it to last.

It’s important to note that there are key differences between a regular rhinoplasty procedure and a non-surgical nose job. Choosing a non-surgical rhinoplasty on Harley Street can address bumps, small noses, low nasal bridges, and other common issues, but it may not be ideal for all cases. To find the ideal treatment, book a consultation with Dr De Silva so he can help determine which procedure is best for you.

Benefits of Choosing a Non-Surgical Rhinoplasty Procedure

Some of the benefits of choosing a non-surgical rhinoplasty include:

Minimal Recovery Time
Because non-surgical nose jobs rely on dermal fillers and similar substances, these procedures barely have any recovery time. Most patients return to their regular activities the same day of the procedure and it’s not uncommon to get the treatment during your lunch break.

Temporary Results
Unlike conventional rhinoplasty surgery, this non-surgical procedure produces temporary results. This allows you to test out your new nose and even help you decide whether you want to go for the full operation later on.

Visible Improvements of Certain Features
Nasal bumps, low bridges, and other common issues can be addressed through a liquid rhinoplasty. With Dr De Silva’s expertise, injectables can even be used to slightly reshape the tip and give you a more refined look.

Even though there are some potential side-effects involved, the risk of a liquid nose job is much smaller than with conventional rhinoplasty. Some of these risks include mild swelling and bruising that should recede after a day or two. Additionally, side effects like pain and discomfort are much less intense with liquid rhinoplasty than with a conventional nose job. There have been some serious side effects including damage to skin and vision that are avoidable. This is partly due to a lack of regulation and the use of fillers by non-doctors, non-medical personnel who are not knowledgeable in the anatomy and safe techniques, always go to a doctor or surgeon with specialist knowledge in this area to avoid issues and have the best results.

Find Out More About Working with Dr De Silva Today!

In order to choose the best non-surgical nose job specialist, you should always consult with a certified, experienced physician. Dr De Silva has earned an excellent reputation thanks to the quality of his work and the fact that he produces natural-looking results. This, in turn, helps patients achieve their cosmetic, personal, and aesthetic objectives.

Dr De Silva, a highly experienced plastic surgeon and recognised rhinoplasty specialist, provides superb liquid rhinoplasty procedures to his patients at his Harley Street practice in London. Get in touch with his practice and book a consultation today.

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5 Ways Laser Treatments Tighten Your Skin and Boost Your Glow

November 18, 2019

There are various laser treatments that can help tighten your skin and boost your glow. Whether you suffer from facial ageing, sun damage, fine lines and wrinkles or acne scars, or want to achieve a more youthful complexion, there are forms of modern-day laser treatments that can help. Dr Julian De Silva is a plastic surgeon who specializes in both surgical and non-surgical facial cosmetic procedures. He has extensive experience offering natural-looking skin rejuvenating and skin tightening laser treatments to patients at his Harley Street practice in London. Following are 5 top laser treatments that can tighten your skin and improve your complexion:

1. Collagen Boost

Laser therapy, specifically CO2 fractionated technology boosts collagen production. As the body ages, collagen production lessens which leads to an older, more tired complexion with an increase in fine lines and wrinkles. By boosting collagen production, laser treatments can help your skin stay young. An increase in collagen production can:

2. Reduce Fine Lines and Wrinkles

As mentioned above, an increase in collagen production with laser treatment can help keep the skin looking younger. This includes the reduction of fine lines and wrinkles around the eyes, cheeks, mouth, and forehead. Dr De Silva uses CO2 Fraxel technology, which penetrates deep into the skin, thus rejuvenating the skin by softening any fine lines.

3. Fill Areas of Tissue Loss

Tissue loss is a very common issue amongst patients who suffer from scars caused by acne. By increasing the production of collagen, laser treatments help fill areas of tissue loss, reducing scarring in the process. Dr De Silva’s procedure offers natural-looking results, however, unlike other CO2 laser treatments, Dr De Silva’s customized laser treatment does not cause any redness or require any downtime.

4. Sun Damage Treatment

Sun damage to the skin comes in the form of:

Laser therapy uses light energy to target pigmentation in order to regenerate and repair skin cells. Before choosing a laser procedure to treat sun damage and tighten skin, make sure to get a full skin evaluation from a board-certified cosmetic plastic surgeon. If you have superficial sun damage, Dr De Silva can produce significant results in just one session.

5. Improve Complexion

In addition to fine lines, wrinkles, sun damage, and scarring from acne, our complexion becomes uneven over time. Laser resurfacing removes the outer layers of the skin that have experienced the most damage. By doing so, the procedure reveals the secondary, healthier-looking layers. This, in turn, encourages healthy skin cell growth. It’s a simple case of “out with the old and in with the new” that will leave your skin looking radiant and more youthful.

Choosing the Best Doctor for Your Laser Treatment

When deciding which laser treatment is best for your individual needs, it’s important that you visit a board-certified plastic surgeon or dermatologist with years of experience and extensive training in the field. Dr De Silva works closely with each and every one of his patients to design a treatment plan tailored to their individual needs. To find out more about the procedure or to book an initial consultation with Dr De Silva, contact Centre for Advanced Facial Cosmetic and Plastic Surgery, located on the World Famous Harley Street in Central London for an appointment today.

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Everything You Need to Know About PRP Treatment

October 10, 2019

Do you want amazing results from your surgical procedures without excessive downtime and pain? If so, PRP in London can be the right treatment for you. Today, plastic surgeons are using this form of treatment to enhance recovery time, and leading facial plastic surgeon, Dr Julian De Silva is no exception. Read on to find out everything you need to know about PRP treatment in London.

What Is PRP?

Platelet-rich plasma therapy, also referred to as PRP, is a form of treatment that encourages healing and reduces inflammation. Platelets promote blood clotting and help wounds heal. During the PRP treatment, your surgeon will take a small blood sample and put it in a centrifuge to separate the platelets from other components in the blood. The platelet concentration is then injected into the treatment area. The body heals more quickly thanks to the increase in platelet concentration. Platelet Rich Plasma has been widely used by professional athletes to enhance recovery after injury, reduce downtime by a natural means. (e.g. Tiger Woods to speed up recovery after golfing injury). The technology utilises your body’s own natural reparative growth factors triggering enhances natural healing. Dr. De Silva provides his patients with the latest high-technology treatments to achieve natural looking results and fast recovery.

Are all PRP therapies the same?

Most available PRP systems utilise a simple lab centrifuge, although fast these and readily available these produce a lower poor quality of PRP that has inferior results. Dr. De Silva utilises a state-of-the-art-German machine that produces high quality PRP (Concentration of >1.5million platelets/uL), the machine takes approximately 60-minutes to deliver the PRP for use after which Dr. De Silva has customized the use of clinical use.
Dr. De Silva uses PRP is used in conjunction with surgical treatments to enhance recovery with the use of natural growth factors. By using your own body’s natural healing mechanisms, healing is promoted in a natural way, there is no risk of allergies or reactions to your own body.

PRP Treatment in London

PRP treatment has many functions. While some athletes receive this form of therapy to speed up their healing process, Dr De Silva uses it as a standalone cosmetic treatment option. He has created his own regime of PRP components specifically designed to improve facial tissue quality, thus allowing patients to achieve a more youthful complexion. His innovative techniques not only improve skin quality, but also help treat challenging conditions such as dark circles under the eyes. PRP rejuvenates facial skin including:

  • In the US the term ‘Vampire facelift has been used
  • ’Skin texture and pores
  • Fine line and wrinkles
  • Crow’s feet & Glabellar frown lines
  • Lip lines and corners of mouth

Combining PRP With Other Procedures

PRP treatment on Harley Street in London can be used during various procedures. It can be combined with other surgical and cosmetic procedures to enhance healing and recovery. By using the body’s natural repair mechanism, PRP can trigger a faster recovery process while also enhancing the results of the procedure itself. This means that in addition to reduced downtime, you may come out of your procedure with better results than you expected. By investing in the best equipment available, Dr De Silva delivers the highest quality PRP to his patients.

The Benefits of PRP

In addition to enhancing results and minimizing downtime, PRP therapy on Harley Street is:

  • Safe as it is produced from the patient’s own blood
  • Proven to improve skin quality in many patients
  • Able to further enhance the results of graft uptake

It’s worth mentioning, however, that while PRP treatment can improve skin quality, it does not help with all signs of facial ageing. The therapy affects everyone differently and does not cure soft tissue damage or help with volume loss.

Dr De Silva’s Approach to PRP Therapy

Dr De Silva is committed to providing his patients with the most natural-looking, long-lasting results. This is why he has dedicated himself to using the best quality tools and the most innovative techniques when offering PRP therapy as a standalone treatment or to enhance recovery after a surgical procedure. To find out more about PRP treatment in London and how Dr De silva can help you, contact London Facial Plastic Surgery today.

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How to Futureproof Your Face with These Top 4 Treatments

September 29, 2019

Today, there are many different facial rejuvenation treatments to choose from. Most treatments have different approaches, but they all aim to give your face a natural, youthful appearance. Instead of choosing the first one you come across, it’s important to learn about the different options you have to futureproof your face. What’s more, you should find out what type of results you can expect and if certain treatments can be combined. Dr Julian De Silva, expert plastic surgeon and medical director of London Facial Plastic Surgery at 23 Harley Street, shares some insights on the top 4 treatments to help you avoid signs of ageing in the face.

Understanding the Skin’s Ageing Process

As we age, many changes take place in the different layers of the skin and they manifest as ageing signs on the surface.

  • Epidermal Layer: The first sign of ageing occurs in the epidermal layers when the skin starts losing hyaluronic acid. This results in a rough, dry texture.
  • Dermal Layer: In the dermal layers, collagen production starts declining in our late 20s, which is around the time our first wrinkles begin appearing.
  • Subdermal Layer: Finally, the cells that store lipids in our subdermal layers start shrinking, which produces sagging and loss of volume.

Futureproof Your Face with These 4 Innovative Treatments

Effective skin rejuvenation treatments give your face a young, natural appearance. Here are 4 highly effective treatments available at London Facial Plastic Surgery in London that can help you futureproof your face:

1. Dermal Fillers
Dermal fillers can help sculpt your face, eliminate wrinkles, increase volume, and reduce other signs of ageing. Fillers can also be applied to different areas like the chin, lips, jaw, nose, and cheeks. Furthermore, depending on the filler you choose, results can last months or even years. It’s also possible to achieve permanent results with certain fillers.

2. PRP Therapy
Platelet-rich plasma treatment, referred to as PRP therapy, is a microneedling technique that uses a patient’s own blood to rejuvenate his or her skin. Platelet cells, which are found in your bloodstream, have a key role in healing and contain many growth factors. Advanced machines can spin your blood multiple times to concentrate PRP and this can then be activated and applied to your face to enhance the quality of your skin. Dr. De Silva has also applied this technology to facial surgeries to enhance natural looking results and recovery.

3. LED Skin Therapy
LED skin therapy is a type of light treatment. It uses a range of light energy with varying wavelengths to stimulate cells, promoting faster regeneration that results in a radiant, natural looking appearance without the need for any medication.

4. Laser Skin Resurfacing
Laser skin treatments have been around for some time. However, thanks to the development of fractionated CO2 equipment, you can now opt for laser skin resurfacing that results in younger-looking skin. This new technology means reduced recovery time and minimal side-effects, making it a great anti-ageing treatment choice, especially for people that have a busy schedule.

Find the Best Plastic Surgeon in London Today

Although some patients already know exactly which treatment is best for them, others aren’t as sure. This is why it is essential to work with an experienced, board-certified plastic surgeon, such as Dr De Silva, who will give you the best treatment recommendation for your aesthetic goals. Understanding the ageing process is necessary to find the ideal treatment for your skin, but you should also consider the procedures listed above to help improve your complexion. To learn more about Dr De Silva’s work, contact London Facial Plastic Surgery today to book an appointment and a member of our team will be glad to help. Our clinic is a custom built facility for facial aesthetic procedures in the World famous Harley Street, London.

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The Most Popular Cosmetic Treatments in London Right Now

August 22, 2019

In the past few years we have seen a shift in the cosmetic medicine community. More patients have come to us seeking an emphasis on achieving a “natural” look through sophisticated and scientifically developed cosmetic procedures. Dr De Silva from the Centre for Advanced Facial Cosmetic and Plastic Surgery is proud to offer his London patients the very latest in cosmetic enhancements while maintaining a natural aesthetic look. Following are several of the most popular cosmetic treatments in London:

Signature Phi-Lift — the Non-Surgical Facelift

Heavy-handed non-surgical treatments utilizing too much dermal filler that leave individuals with puffed out facial appearances should be avoided with modern treatments. Following the trends of the time, patients have demanded a more subtle approach to facial rejuvenation. Dr De Silva and his highly trained Harley Street practice team have created their very own signature Phi-Lift. This state-of-the-art procedure depends on the mathematical “golden ratio”, a specific aesthetically beautiful shape and structure of the face that can be achieved through subtle dermal filler injections in strategic locations. Along with dermal fillers, our patented Phi-Lift applicator accentuates the natural curves of the face.

After local anaesthetics are applied, pain and discomfort are virtually non-existent with this minimally invasive procedure. Due to the fact that our Phi-Lift requires no incisions, the procedure can be done in under an hour and patients are able to return to their normal lives after leaving our Harley Street office. Bruising may occur for the first five days to a week, but further side effects are not typically seen. The result of the Phi-Lift is a naturally beautiful face without scarring, pain, or downtime.

Laser Resurfacing and PRP

Despite advancements made in dermal filler technology and application, many are weary of these temporary treatments that often leave patients with an unnatural, stiffened look. Laser resurfacing has become an increasingly popular option for those looking to get rid of fine lines and wrinkles. Laser resurfacing targets multiple layers of the skin through the use of CO2 and Erbium technology. State-of-the-art Laser resurfacing lifts and tightens skin tissue, reduces fine lines and enlarged pores reverses pigmentation caused by sun damage, all without the need for dermal filler injections. Dr De Silva and his London based team have developed their own techniques to enhance recovery after laser resurfacing using your own growth factors to accelerate recovery and enhance skin rejuvenation.

Non-Surgical Rhinoplasty

The nose is one of the key features of the face. The shape, size, and structure of the nose can drastically change an individual’s appearance. A non-surgical rhinoplasty at our Harley Street, straightened through the use of specially targeted injections. The clear benefits over a traditional nose job include minimal downtime, a reduced risk of complications and side effects, a natural looking nose, and virtually no discomfort. For the right patient this can be an incredible treatment as it has minimal downtime, at The Centre we also offer surgical solutions and are able to offer you Natural and Specialised non-surgical or surgical treatments based on your specific needs.

Schedule a Consultation

If you are interested in any of these advanced cosmetic procedures or would like to learn more about expert facial plastic surgeon Dr De Silva and his London based practice, contact us or fill out the form below.

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Most Popular Cosmetic Treatments for Men

July 15, 2019

The majority of men have looked at themselves in the mirror and noticed certain facial features or imperfections that they are not happy with. While some view these imperfections as small nuisances, more and more men are choosing to undergo cosmetic treatments to fix them. This is because surgical and non-surgical procedures are more effective and widely available than ever before.

Dr. Julian De Silva now offers a selection of cosmetic treatments at his practice on Harley Street in Central London to men of all ages. With the help of his highly trained staff, he works with each patient to design a personalised treatment plan that will help them achieve the aesthetic results they are looking for.

Nose Job in Central London

Also known as rhinoplasty, the nose job is among the most sought after cosmetic treatments in London for men. Today, there are thousands of nose jobs being performed each year for a variety of reasons. While some men simply don’t like the shape of their noses, others get rhinoplasty to correct a break from an accident or sports-related injury.

Chin and Jawline Enhancement

A small chin combined with a jawline that isn’t prominent can make men feel like they have a weaker appearance. This is one of the key reasons why men are opting for filler enhancement. These fillers provide patients with more facial harmony and balance. Moreover, they allow men to achieve a more youthful and masculine complexion.

Unlike with women, Dr. De Silva puts less focus on the Phi Golden ratio lines of the cheek and more attention on the lines of the chin and jaw. He uses a combination of treatments to offer men in Central London the best results possible while also minimizing the amount of discomfort they feel during the procedure.

Eyelid Surgery

Eyelid surgery, also referred to as blepharoplasty, is one of the most popular forms of cosmetic treatments in London as it can offer men a more attractive gaze while also making them look more youthful. The key is to work with an expert plastic surgeon, such as Dr. De Silva, who has documented key differences between male and female eyelid surgery that are essential to a natural rejuvenation. Typically, men look require less eyelid show and have naturally more prominent brows, this is of key importance to respect with upper blepharoplasty to give a natural appearance. One example of a good natural upper blepharoplasty result is Geoge Clooney. Dr. De Silva has previously treated many male patients with techniques to preserve a natural result. Ear Pinning
A big concern among men is that their ears stick out too much. This is a key reason why otoplasty, or ear pinning, has become one of the most popular cosmetic treatments in the Harley Street area today. Large ears is a concern among men as many don’t have long enough hair to cover their ears. As a result, their ears are more prominent and lead to increased insecurities.

However, while some men believe that their ears stick out too much, others simply don’t like the shape of their ears. They may have also suffered an injury that affected the aesthetic appeal of their ears. Often, patients who had an enlarged ear piercing in the past or who tore their earlobe also opt for an earlobe repair at the same time.

Why Choose Dr. De Silva for Your Cosmetic Treatment in London

If you are interested in one or more of the above cosmetic treatments in London, it is important that you choose a surgeon that can tailor your procedure to your individual aesthetic goals. Dr. Julian De Silva is a leading facial plastic surgeon with extensive experience. He offers all of the treatment options listed above at his Harley Street practice and favours natural results with fast recovery techniques.

In addition to his formidable track record and accomplishments, he performs every one of his procedures using the latest technology in order to provide his patients the most natural looking results with minimal downtime. To find out more about how Dr. Julian de Silva can help you with your treatment, contact the Centre for Advanced Facial Cosmetic and Plastic Surgery today.

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Tips to Avoid Looking Older After Cosmetic Treatments

July 1, 2019

The goal of any plastic surgery is to improve your appearance and in many cases it does just that. Everyone has imperfections that they wish they could change. Plastic surgery has become a common avenue to try and address these concerns. However, some plastic surgery gives patients an irreversible, fake, stiff, puffy, or unnatural look. Whether it be in the media, on TV, or a close friend, we have all seen someone that has taken plastic surgery too far, ironically adding years to their appearance instead of enhancing the way they look. Hopefully, these tips from Dr. Julian De Silva and his London based practice can give you a better understanding and help you avoid the common mistakes in plastic surgery today.

Avoid Overuse of Dermal Fillers

The use of dermal fillers in plastic surgery has become a popular and effective tool to help tighten, lift, and fill sagging or droopy skin. When used properly, dermal fillers can transform a person’s appearance, eliminating wrinkles to rejuvenate the skin. Unfortunately, some patients inject too much filler in a given area causing extreme swelling and puffiness, making them look years older than they actually are.

It is important to keep the face looking proportional when considering plastic surgery. If cheeks or lips are injected with too much filler, the face will look unsymmetrical and noticeably fake. When considering how much filler to use, keep in mind that less is more. The goal at our Central London practice is always to minimize the evidence of plastic surgery and maintain a natural, revitalized look. More dermal filler can always be added if a patient is dissatisfied with the changes, but it is very difficult to regain a natural, subtle look of the face after too much filler is injected.

Bigger Is Not Always Better

While a fuller face might be well suited for a sizeable lip augmentation, a narrow or slender face might be better suited for a more subtle lip enhancement. This also holds true when considering other parts of the body as well. When it comes to bodily features, it is important to have a realistic and natural vision of your intended results. For example, extremely large breasts do not always work with a slim and sleek physique. In any case, it is important to keep a realistic and organic proportionality to your appearance to avoid an overdone and older look.

Always Consult a Specialist

When choosing between doctors for any procedure, it is vital to understand the strengths and weaknesses of every practice. Dr. De Silva, for example, is a face and neck cosmetic specialist. His Central London team of experts have been specifically trained to advise patients on areas such as the nose, cheeks, lips, forehead, eyebrows, and eyelids, among other facial features. We understand the best techniques to accent the natural aesthetic of the face without creating an irregular looking face.

Schedule Your Consultation

If you want to see for yourself the beautiful work Dr. De Silva has done and what options are available for you, contact us at our London office or fill out the form below.

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Wedding Ready Skin – The Best Procedures for a Bride-to-Be

May 29, 2019

Many women would agree that their wedding day is one of the most important days of their lives. However, getting yourself into top shape for your wedding is about more than losing some extra pounds through a devoted fitness and diet regime. Now, you can do everything from plumping up your lips to brightening up your skin with the help of an expert facial cosmetic and plastic surgeon.

Cosmetic surgeon Dr Julian De Silva, located in Central London, has helped dozens of women achieve wedding ready skin for their big day. Here are four procedures that the Centre for Advanced Facial Cosmetic and Plastic Surgery highly recommends for brides-to-be:

Skin Resurfacing

For a youthful look on your wedding day, skin resurfacing is the way to go. At the Centre for Advanced Facial Cosmetic and Plastic Surgery, Dr Julian De Silva uses a state-of-the-art laser imported from the United States to tighten his patients’ skin on two separate levels. This treatment combined with Bio-Therapy offers natural looking results and speeds up your recovery time.

Signature Phi-Lift

For a unique approach to skin rejuvenation, you may also want to consider a Signature Phi-Lift. This non-surgical procedure uses HA-fillers to enhance the natural lines that favour the shape and beauty of your face. Through this procedure, you will achieve a rejuvenated and more youthful appearance. Moreover, the procedure offers fast recovery and natural looking results.

Cheek Filler Enhancement

With age, our cheeks flatten and our natural curvature appears lower. If you would like wedding ready skin in Central London, cheek filler enhancement may be just what you need. With the use of advanced dermal fillers, Dr. Julian De Silva can restore the volume of your cheeks, thus building up the cheekbones. This procedure helps create a contoured appearance that enhances your natural glow.

Lip Augmentation

Having beautiful, plump lips for the most special kiss of your life is important. Unfortunately, over time, our lips lose their natural volume. This leads to more fine lines around the lips. However, with lip fillers, you can achieve volumised lips that enhance your natural beauty and attractiveness. At the Centre for Advanced Facial, Cosmetic and Plastic Surgery, results show after just 5 days. Moreover, these results last anywhere between 18 and 24 months, depending on the patient.

Why Choose Dr Julian De Silva M.B.B.S, MD. for Your Procedure

Achieving wedding ready skin in Central London doesn’t have to take a long time. Although working with a personal trainer before your big day will help you fit into your perfect dress, our treatments will enhance the natural beauty of your face. Thanks to these procedures, you’ll have a brighter, more youthful appearance on your wedding day.

To find out more about how Dr Julian De Silva can help you, contact the Centre for Advanced Facial Cosmetic and Plastic Surgery today to schedule an appointment.

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5 Ways to Rejuvenate Tired, Dull Winter Skin for Spring

April 17, 2019

Winter skin is about as dull as watching snow melt. Now that spring is just around the corner, it’s time to get your skin out of that rut! The Centre for Advanced Facial Cosmetic and Plastic Surgery on the World Famous Harley Street in London, offers 5 skin rejuvenating treatments that will make your skin look younger and more luminous. With a state-of-the-art office in Central London, certified cosmetic and reconstructive surgeon Dr. Julian De Silva has helped numerous clients rejuvenate their tired skin in the winter.

Skin Rejuvenation with Dr. Julian de Silva

Laser resurfacing/fractional CO2 technology in Central London is a game changer when it comes to eliminating wrinkles, fine lines, and sun spots. The dramatic changes after a single treatment have made this procedure a favourite among Dr. De Silva’s clients. It uses the latest Fractional CO2 technology to penetrate the deep layers of the skin and stimulate collagen production, improving the skin’s texture and tightness. This treatment also addresses a common issue that makes the skin look older – sun damage!

For clients who are looking for a non-surgical solution to ageing skin, Dr. De Silva’s signature phi-lift is another great option. This procedure was developed by Dr. De Silva himself in order to tackle key areas of the “golden ratio of beauty” to uplift the skin and give it a more youthful appearance. He uses HA-fillers to restore volume in the cheekbone and jaw, two areas that lose shape due to gravity and ageing. The signature phi-lift is dubbed as a “lunch-time procedure” since it is minimally invasive, requires no downtime and produces noticeable results with just one quick treatment.

Additionally, a non-surgical rhinoplasty is also a popular way to refresh your look. Known as a liquid rhinoplasty, this procedure can be used to correct nasal deformities and improve symmetry. Dr. De Silva’s eye for aesthetics is what makes this procedure so popular among his clients in Central London. He carefully assesses each client’s unique facial features and uses fillers to naturally enhance their look. It’s the perfect procedure to start the spring season with a refreshed look!

For those who want to stimulate collagen production to achieve smoother, softer skin, the PRP skin rejuvenation treatment does just that while bringing blood flow to key areas of the skin. Platelet rich plasma (PRP) technology is actually used by athletes such as Tiger Woods to help speed up the body’s natural healing capabilities. Dr. De Silva adapted this technology for his clients who want to reduce the appearance of fine lines and wrinkles, acne scars, and sagging skin.

Furthermore, achieving a brighter glow in the winter is possible with signature laser resurfacing treatment. This procedure has been perfected by Dr. De Silva and uses Erbium Laser technology to tighten the appearance of the skin.

Skin Rejuvenation in Central London

Dr. Julian De Silva can use any of these techniques or combine them with other skin rejuvenating procedures to provide you with natural looking skin enhancement results that suit your aesthetic goals. Now that we are nearing the end of this long winter, it’s time to book an appointment with skin care expert Dr. Julian De Silva at the Centre for Advanced Facial Cosmetic and Plastic Surgery at 23 Harley Street, London to get your skin ready for spring!

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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!

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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.

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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.

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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.

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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:

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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:

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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.

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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!


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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.

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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.

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