Our Facilities & Fees
Dr. De Silva’s offices are located in West London and Central London. The West London Centre is a modern designed office with attention to detail, safety, cleanliness and patient comfort. The Centre has the latest advanced medical and surgical equipment, as well as full CQC (Care Quality Commission) hospital grade certification. In addition The Centre is decorated with Dr. De Silva original paintings for the patient’s enjoyment. The Central London office and is on the prestigious and well known Harley Street in the heart of the Medical District. Dr. De Silva provides all patients with bespoke and customised care to their individual needs, we are not able to provide mass market services with instant gratification. Dr. De Silva gives every patient the time they need to ask all the questions they would like and discuss the optimal solutions for you in detail. If you are not able to have an appointment straight away we ask you to have patience as any facial cosmetic surgery should be carefully considered, tailored towards you without rushing.
The cost of surgery is influenced by complexity of surgery, time in the operating room, materials required, state-of-art equipment, after care with the surgeon or nursing staff, as well as experience and personalization of the service you receive and by geographic location.
The cost of surgery consists of:
- Consultation Fee (Comprehensive assessment, examination, computer software imaging & discussion with surgeon)
- Complexity of surgery (Revision surgery results in scarring and changes in the natural anatomy)
- Surgeon’s fee
- Hospital or Facility fee
- Anaesthesia fee
- Cost of equipment, graft material etc (Usually factored into Hospital fee)
- Follow-up appointments
Your initial consultation will consist of a review of your medical history, clinical assessment and a discussion of your expectations and concerns. In some patients the use of computer modelling is used to give a visual representation of the results of cosmetic surgery. The nature of any proposed treatment will be explained in detail including the procedure itself, recovery time and anticipated result along with any potential risks of the operation. If you chose to have cosmetic surgery the consultation fee will be waived. Dr. Julian De Silva is an artist and takes meticulous care to evaluate your facial characteristics, discuss your expectations and customise your surgery to you, this takes time and cannot be rushed. Dr. De Silva is not able to offer free consultations as he personally spends time with every patient discussing your individual and unique needs, your expectations from surgery and how to achieve a fast recovery and the most natural looking results. Dr. De Silva has treated celebrities, actors, actresses, models, professionals from every walk of life and from every continent, all patients are given the time they need to make an informed decision, with discretion and anonymity.
The images below are an example of the latest high-tech 2D/3D computer software imaging from Dr. Julian De Silva’s, every facial procedure is tailored to the individual. Please note not all procedures are able to be demonstrated with computer imaging and all imaging is only 80% accurate.
Every person has unique facial characteristics and we advise all patients considering cosmetic surgery to be seen in person. For patients who have difficulty in visiting London we do offer an Internet Consultation Service.
Please contact our practice manager in the first instance for this service.
You will need to send us a series of high quality digital photographs of your face.
Dr. De Silva will review your photographs and make a careful assessment of your face, he may or may not agree with all your requests depending on facial balance and harmony.
You can then arrange a phone consultation and once you have both agreed on what would be the best plan, you can then contact the office manager for a quotation for surgery. There is a fee for the internet consultation and we recommend that you attend for a consultation in person whenever possible.
Dr. Julian De Silva is a London facial cosmetic surgeon who specialises in the eyes, nose, face and neck areas only. Dr. De Silva does not perform body plastic surgery and is known for natural looking results. All surgery is meticulously planned and conducted as discussed with each of his patients, the surgery cannot be rushed.
Cosmetic surgery is not covered by health insurance or by the NHS. All fees are discussed with you before the surgery and are all inclusive fees, so there are no further costs at a later stage. The fee is a combination of the surgeon’s fee, the anaesthetic fee and the operating facility fee.
Facial surgery of all types can be performed at our facility. The majority of facial plastic surgery procedures which include blepharoplasty (eyelid surgery) rhinoplasty (nose reshaping), facelift, necklift, browlift, neck liposuction, cheek and chin augmentation and reduction, otoplasty (ear pinning) and ear shaping, lip surgery, skin resurfacing, laser surgery and revision surgery may be performed.
Accreditation & Operating Facility
Our surgical facility in West London has attained the Care Quality Commission (National organisation to certify office facilities and hospitals). The Centre in West London is a surgical outpatient facility built to the highest standards. Our facility not only meets all building and fire department requirements but also exceeds standards specified by the Care Quality Commission (CQC). Dr. De Silva invests in the very latest state-of-art equipment, all equipment is purchased new including investigative digital imaging, micro-burr and US manufactured laser equipment. All medical staff members are certified in Cardiac Life Support.
Dr. De Silva also operates in the Welbeck Hospital, a Central London Hospital Surgery that specializes in only cosmetic surgery. The Welbeck Hospital provides patients with complete anonymity and enables patients the choice of a both relaxed and convenient recovery in the hospital facility overnight. The Welbeck has full Care Quality Commission (CQC) accreditation and has experienced cosmetic surgeons, anaesthesiologists, nursing staff and medical support. The philosophy and purpose of the Hospital is the pursuit of excellence in the provision of elective cosmetic surgery procedures and has consistently invested in the latest equipment and technology for safety, cleanliness and patient comfort.
All practice procedures are compliant with the very highest levels of Professional Standards for Cosmetic Practice as set out by the Royal College of Surgeons Guidelines. These stringent guidelines include the provision of information, communication, informed consent, appropriate education and training of surgeons and team members, use of medical equipment and premises documentation and audit.
The state-of-the art operating room is a substantial cost to build, maintain, and staff. The operating facility fee is charged to our patients for the use of the accredited facility/ private hospital and is based on the duration of the procedure.
The philosophy of our practice is to provide our patients with the highest quality of safety, privacy and experience. All facility equipment and processing is in accordance with the full hospital accreditation and standards set by the Care Quality Commission.
Anaesthesia Fee & Staffing
Our facility only employs fully accredited physicians who specialise in anaesthesia with years of experience.
We do not employ nurse anesthetists to give anaesthesia.
We only employ certified health care professionals with both experience and full accreditation.
Operating room and recovery room nurses are Registered Nurses (with the National regulatory board, The Nursing and Midwifery Council) specializing in plastic surgery with years of experience in hospitals and ambulatory facilities.
The Centre invests in the latest equipment and technology to give patients the safety, effective and comfortable surgery. This includes state-of-the-art digital x-ray machine, a high definition endoscopic 3-D imaging system, latest liposuction model and state-of-the-art USA-made laser skin resurfacing machine. Oxygen is available in both the operating room and recovery room and a central large capacity suction system also supplies suction to operating room and recovery rooms. Both operating rooms and recovery rooms have a central built-in light system in addition to a fiberoptic xenon headlight system for extra safety. Special flooring system in the operating room is designed for maximal cleanliness. An industrial strength hospital sterilizer is used, which has a special built in printer to print temperature readings which is then logged into a book daily to show that the temperature necessary for sterility was reached. All of our equipment is brand-new and not reconditioned, recovery room chairs, light sources, imaging, computer systems and all other equipment are all purchased new. We also routinely use warming blankets for safety and comfort.
The images below are an example of the investment in latest high-tech equipment, this combined CO2 and Erbium laser was specially imported from the USA and to our knowledge was the first combined CO2-Erbium laser to be used in the UK.
Dr. De Silva continues to see his patients for 12-months after surgery and sees all patients personally.
Some cosmetic surgery providers and organisations use treatment coordinators to follow-up patients, Dr. De Silva sees all his patients for follow-up consultations.
For some procedures Dr. De Silva will use anti-inflammatory medications to speed up resolution of swelling and speed up recovery, the cost of these treatments is included in the overall fee, there are no additional fees.
We offer a number of payment options including cash and all major credit cards.
Our knowledgeable staff is always ready to guide you through the financing process.
Talk through your concerns with a facial cosmetic surgery expert, Contact us today.