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BEFORE & AFTER GALLERY Eyelid Surgery

Reviews

   4.98 from 592 reviews

By GM Facelift & Neck Lift experience with Dr Julian De Silva on Aug 5, 2017

Approaching 70, I decided to get a neck lift and eyelid surgery, and having explored several non surgical options decided that surgery was the answer. I opted for Julian de Silva because of his experience, training record and excellent results. I was a little nervous but needn't have been. The anesthetist was excellent and was very professional, and have me confidence that I was in safe hands. The operation took about 8 hours overall, and yes, I had bruising and swelling when I woke up, but no pain. After a few weeks the bruising and swelling has subsided and I have discovered a new younger looking me in the mirror! No more ' Turkey neck, hooded eyelids or bags under my eyes for me! All I can say is, if I had to do this all again, I wouldn't hesitate.

By AJG on Aug 4, 2017

I had lower blepharoplasty, fat transfer, laser resurfacing and skin pinch in May. The best thing I ever did. My confidence had hit rock bottom with eye bags,lines,saggy skin until I met Dr Julian. He promised he could make an improvement but not to expect perfection. But he did, I could not have wished for better results. He is very professional and calming as are his whole team, including the aneasthetist. The day of surgery I was so nervous but he put my mind at rest along with the aneasthetist. I had twilight sedation but honestly don't recall anything until I woke up in the recovery room. Within 20 minutes I had left the surgery. I followed all the step by step guides to recovery to the letter and was back at work after 2 weeks. There was never any pain but lots of bruising and swelling but I just hid away for a week and could venture out during the 2nd week as long as I avoided seeing anyone I knew! The after care is fab, Dr Julian or his team are always available for any queries. The surgery is the best thing I have ever done and I would not hesitate in recommending Dr Julian or even using his services again in the future if required. Thank you so much!!

By GB82 experience of Chin Implant, neck liposuction and buccal fat removal with Dr De Silva on Aug 3, 2017

Dr Julian De Silva is simply an outstanding surgeon, a master of his craft and a true artist. His clinic and staff are amazing. Everything from beginning to end was first class. I couldn't have asked for anything more. Julian is lovely and very approachable and sympathetic to his patients concerns and I just knew when I visited his clinic and met him that I had found my surgeon. I had a chin implant with neck liposuction followed by Buccal fat Removal. The results look amazing, so natural. The aftercare is also outstanding. Any future work on my face will be done by Dr De Silva. For me, and I'm sure many others he is the best surgeon in the UK for the face. No doubt a World leader. Thank you to Dr De Silva and all his amazing team for helping me to look and feel better. Dr De Silva cares about his patients and along with his mastery of facial surgery he is just the best. Thank you!

By Vickie, Rhinoplasty experience with Dr De Silva on Jul 23, 2017

I went to Dr De Silva for my rhinoseptoplasty and the entire journey was faultless. Throughout the consultation period he was honest, realistic and provided morphs (which were very accurate!). On the day I was nervous but if I could go back and do it again, I would! The sedation was perfect; I slept through the procedure and woke up very comfortable at the end with literally no pain (no pain throughout whole process). The post-op checkups ran smoothly and he very kindly offered for me to go back in 6-12 months from now if I'd like. The whole team are fantastic and offer an individually tailored service to their patients. I am so happy I chose Dr De Silva and his team and recommend him to anyone looking for facial surgery. Great results, the whole process was easier than getting a filling! Thank you so much Dr De Silva and team!!

By Doctor with both surgical and anaesthetic training/experience" on Jul 13, 2017

I had cheek impants under conscious sedation a year ago: I am a doctor with both surgical and anaesthetic training/experience. The experience was positive and the outcome excellent. Dr DeSilva has sound knowledge, listens carefully, and adopts a good balance between being overly conservative and doing what is needed to obtain realistic results. Although the sedation is 'conscious', the medication used means that you remember very little, if anything, about the procedure. The procedure was painless, though, as for all surgical interventions, there is a period of recovery. Appropriate analgesia was provided to deal with this, and I made a rapid recovery. Importantly, with correctly trained professionals (as Dr DeSilva employs - see 'Sedation Solutions') conscious sedation is as safe as general anaesthesia, and without the after-effects. It is essential that patients are entirely honest about their medical history in order for proper assessment of sedation safety - so the procedure is to some extent a mutual endevour. I have no hesitation in recommending Dr DeSilva and his team.

By Jonesy1977, Eye bags treatment with Dr Julian De Silva on Jul 9, 2017

After having radio frequency at a salon which ruined my face by stripping it of good fat I was left looking old, tired and very depressesed. The bags under my eyes bothered me so checked online for reviews as it's so difficult to trust a surgeon with your face!! Especially after being let down before. Thank god i chose the best. You get what you pay for stuck it on the credit card and went for it. Was in within 3 weeks as the fabulous staff managed to move things around to fit in with my week off work. Found everything easy, sedation was a dream I've had general before and this was much better back to feeling normal after an hour and then home to chill. Followed the after care by the book and am over the moon with my new younger face. Thank you for bringing me back to my confident self. Xxx

By Dr NB Ethnic Rhinoplasty experience with Dr De Silva on Jul 6, 2017

I am very happy and relieved that I had rhinoplasty under sedation with Dr De Silva approximately 2 months ago. I had disliked the shape of my nose for over 20 years. I was particularly unhappy with my side profile due to the nasal hump and how my nose drooped when smiling. This really affected my self-confidence and I was always conscious of my nose when interacting with people and when photos were taken. I wanted my nose to look more feminine and to compliment my other features as well as maintaining a natural shape. I did a lot of research online to seek out the right surgeon for me. I was looking for a surgeon that specialises in the face/rhinoplasty, had carried out many rhinoplasties with excellent feedback/reviews, natural looking results and one who was comfortable evidencing their work online. Dr De Silva fulfilled all of these criteria and so I booked my initial consultation with him. I did not book a consultation with any other surgeons as I was confident and happy with what Dr De Silva and his team had to offer. All of Dr De Silva’s team were lovely and even though I was nervous they helped to re-assure me at each stage of my rhinoplasty experience. They encouraged me to contact them if I felt concerned or worried about anything. Dr De Silva’s calm and professional nature helped to alleviate any anxieties I had. My main concern was what to expect from the final result. I communicated with Dr De Silva a number of times prior to surgery to ensure that we had a mutual understanding of what I wanted and what could be achieved. This was all agreed and understood in good time so on the day of surgery I was relaxed and happy to go ahead with the surgery. I understand that for many people the prospect of having sedation rather general anaesthetic is daunting, worrying and off-putting. Having had rhinoplasty under sedation, I can confidently say that there is no need to worry. Helpful reminders were sent to me prior to surgery to ensure I adhered to the pre-surgical instructions (such as fasting). The anaesthetist was brilliant and explained everything very clearly to me on the day. Once I was given the sedation I went straight to sleep. My surgery was approximately 2.5 hours and I did not wake up once. I did not feel anything during the surgery and I was not aware that I had been operated on. When the surgery was complete and I woke up I couldn’t believe that it was done and I was surprised at how smoothly the whole procedure went. Within half an hour of waking up I was ready to go home. I did not feel nauseous or groggy after the surgery. In light of my positive experience of sedation, I would highly recommend it. I had almost no pain following my surgery and only took one tablet of paracetamol during my first week of recovery. I had bleeding for the first two days as expected and this gradually subsided. I was quite congested and this gradually improved following cast removal. On the day of my cast removal I was very nervous. Would I be happy with the results? As soon as I saw my nose after the cast was removed, I was so happy. I couldn’t stop smiling and kept looking at the shape. I am 2 months post-surgery and I am very happy with the results and my decision to have my surgery with Dr De Silva. I have been encouraged up until now to contact the team if I have any worries or concerns. The service provided by the team from start to finish was exceptional and I would highly recommend Dr De Silva to those contemplating facial cosmetic surgery.

By Kirsty6, Laser Resurfacing and Lip implants experience with Dr De Silva on Jul 3, 2017

Brilliant! Would recommend him to all as he's sympathetic to your needs while still respecting and being realistic about what would work (or not) for you...Great staff and great follow-up. Had conscious sedation and that was a winner. Wish all surgeons would use this this instead of GA.

By Olivia67765 Asian Rhinoplasty & Chin implant experience with Dr De Silva on Jun 23, 2017

I had my nose and chin done about 7month ago .so happy with my results ,he got perfect bedside manner listen to my need ,and from to to bottom there were no pain at all ,I was so worried coz I'm Asian,after only thing I regret is that I didn't do it sooner

By S1lvana21, Ethnic Rhinoplasty experience with Dr De Silva on Jun 19, 2017

The tailored service throughout was exemplary. Dr De Silva and his team were professional, personal and attentive. I am overjoyed with the results and would recommend to anyone seeking a fantastic result!

By Starkemillyr, Rhinoplasty review by Dr De Silva on Jun 16, 2017

Having had no previous surgery I was nervous both for sedation and the results of the surgery. After researching different doctors in London, I was unable to find any negative reviews. I booked my surgery after the consultation, I was shown pictures of how it may look after and was convinced this was the right surgeon for me. For me the biggest concern was the sedation. Having seen previous examples of Dr Julians work I was not worried about the result. On the day of my surgery I arrived a little nervous, I am terrified of needles but the anaesthetise relaxed me. I felt a sharp prick and then felt completely relaxed. When the surgery was finished I woke up, I was hungry, I went home and was eating and had no pain at all. I had a blocked nose but by the third day I was able to breath through my nose. For me personally, the most uncomfortable thing was having the cast removed. It was not painful, but was a weird sensation that made me feel slightly clammy. The nurse was gentle and took her time and when the cast came off I was immediately happy with the results. It has been over six weeks since the surgery now, I am 100% happy with my results, I feel more confident having had the bump removed from my nose and would recommend Dr De Silva to anyone thinking of having a rhinoplasty.

By belabour, Phi-lift non-surgical facelift by Dr De Silva on Jun 9, 2017

Wonderful experience! I had the Phi Lift non invasive procedure and it went very well. I actually needed a little bit more filler in some areas so I went back and Dr De Silva took care of it quickly. The procedure is quick and relatively painless. My nerves got to me more so than any pain, but Dr De Silva was quite calming and it went very well. Highly recommend!

By KirstyGourley on Jun 6, 2017

Felt welcomed and important from the first minute. Dr de Silva is a gem and not out to maximise on your dollar - he was really instructive and empathetic to my needs, and advised against certain surgery and for others. I came out of the consultation feeling I was in great hands and that I was with someone who cared about the 'after' and not making money off me. This was important that he had my 'after-looks' in mind always. SO many nowadays will do all you ask for and often encourage you to do more than you think - not Dr de Silva. He was thorough and explanatory and I felt I couldn't go wrong. The surgery was easy and the

By Career girl, Chin implant experience with Dr Julian De Silva on Jun 5, 2017

My experience with Julian was fantastic. As many people are I guess, I was very nervous about the surgery and finding the right consultant. Julian was immediately friendly and very informative. He talked through the procedure in great detail and encouraged me to ask questions. I decided to go ahead with the chin implant surgery with Julian. Ahead of and on the day of surgery I was very well looked after by Julian and his knowledgeable team. The surgery went smoothly with very little to see by way of bruising. The swelling was fairly minimal and was expected for a few days and weeks afterwards. The aftercare was also excellent with lots of advice and the relevant medication to speed recovery. I would definitely recommend Julian to anyone considering this surgery and I am thrilled with the result.

By Aali67 Rhinoplasty experience with Dr Julian De Silva on Jun 3, 2017

He is truly the best! I wouldn't go to anyone else!! Dr Julian De Silva is very professional. In fact, during my first consultation he had just come out of a surgery but I wouldn't have known if I hadn't actually asked. He is very soft spoken and makes you feel at ease. I knew he was the right surgeon for me for me the moment he walked in the door; I had a gut feeling. I was always conscious of my nose, how it would look from certain angles, in photographs. I always felt people were starring directly at my bulbous tip. I visited a number of different plastic surgeons from Birmingham, London and Manchester but none of them felt right. It was Dr Julian De Silva who stood out for me; his soft-spoken nature, professionalism and genuine care for the patient. Not only is he more than qualified, but he understood exactly what I wanted. I wanted an extremely natural looking results so no one could really tell I had surgery but I still wanted that subtle difference. He understood exactly what I meant and that's what he delivered. On the day of arrival I was very nervous, mainly due to my small fear of needles. I was put under twilight sedation, which was recommended. I do not remember anything from the moment I was given the injection to the moment I woke up but I was told by one of the nurses I was mumbling a little. When I woke up I felt a little light headed and a bit of discomfort but not any pain. I was given some juice to drink by one of the nurses. and mother was called in shortly after. The journey back home was roughly 4 hours and again, I felt very little pain and the same can be said for the following days. I took a few different medications that were recommended by Dr De Silva and rested. I could see the difference straight away. After 2-3 weeks, I came back to London where the cast was taken off, which again wasn't painful although, a little uncomfortable. My nose healed pretty quickly and I had minimum bruising which wasn't too visible. The staff were incredibly nice and make you feel comfortable as soon as you walk through the door. They greet you and make you feel welcomed. The follow up from the staff and Dr Julian De Silva himself is wonderful. It truly makes you feel that they genuinely care about their patients. If I was looking to get plastic surgery in the future, there is nobody else I would go to other than Dr Julian De Silva himself.

By Lookingtired41 Eyelid surgery experience with Dr De Silva on May 29, 2017

My experience with Dr De Silva was absolutely fantastic in every way. I had quite a lot of concerns going into the surgery and had a lot of questions. I was quite nervous as I wanted to make sure we were on the same page as regards the result I wanted. Dr De Silva was very patient with me, answered all my questions in great detail and was adamant that we not move ahead with the surgery until I was totally comfortable with everything and he totally set my mind at ease. I picked Dr De Silva as from my research I believed he was the absolute best the UK had to offer and I 100% believe i made the right choice. The surgery went really smoothly, and his staff and the anaesthetist were extremely professional and friendly and made me feel completely at ease. Dr De Silva made himself very available following the surgery to make sure I was recovering well, and responded to my emails very quickly when I had any questions. All in all it was a fantastic experience and I would recommend Dr De Silva to anybody.

By Upper and Lower blepharoplasty experience with Dr De Silva on May 27, 2017

Dr De Silva has now performed both upper and lower blepharoplasty surgery for me in the last 18 months so I'm able to reflect on both the short and long term effects. His skill, mastery of his craft and empathetic manner are all unparalleled. I am thrilled with the results and once again recognise myself when I look in the mirror. There was very little swelling initially and I looked so much better as soon as the bruises had faded. Over subsequent months the laser resurfacing continued to have a beneficial effect and I consider the surgery to have been supremely successful. Thank you so much to Dr De Silva and his team.

By Motemple Facelift experience with Dr Julian De Silva on May 26, 2017

Truely delighted with my results. Excellent and life changing Julian is the most approachable and knowledgable surgeon, having spent two years meeting many His team are dedicated and there for you every step of the way . The team are easily accessible for any questions and reassurances throughout Overall rating 5 out of 5 stars

By HappyBasil posted this story about their Rhinoplasty with Dr De Silva on May 25, 2017

I couldn't praise Dr De Silva, his skill, his manners & his ethos more highly! This percolates down right through to his entire team too. He literally takes the "plastic" out of plastic surgery, giving me extremely natural results which are subtle yet have created a huge positive impact on my life. He performed my rhinoplasty under twilight sedation & I never thought in my life that the whole procedure would be as pain free & fear free as it was under Dr De Silva's masterful hands! Without hesitation, he is THE ONE to trust!

By Winner2015 Lower Blepharoplasty experience with Dr De Silva on May 23, 2017

38 Year Old Male - Lower Blepharoplasty - Hammersmith, GB I highly recommend Dr De Silva! After consultations with several other doctors - I did not feel could perform the lower blepharoplasty surgery to the high standard I desired (both in terms of safety and aesthetics), I was highly recommended Dr De Silva by a leading U.S. surgeon. I found Dr De Silva to be level headed, calm, confident in his ability and non-pressurising in his approach - the perfect combination for the consultations and operation with him. I decided to go ahead with the lower blepharoplasty (that included fat transfer and laser resurfacing), in March 2017. I knew I was in great hands, with the team at the Hammersmith Clinic making me feel at ease before the operation and explaining everything clearly. The operation was seamless - I had twilight sedation, felt no pain and slept during the operation. I am much happier with my visual appearance now - as before the eyebags were removed, I was conscious of them and felt aged. I would highly recommend Dr De Silva to anyone considering this type of cosmetic surgery!

By nthotmail Rhinoplasty experience with Dr Julian De Silva on May 22, 2017

Excellent experience with dr de silva from start to finish- professional and reassuring putting my fears to bed with particular regard to using sedation over general anaesthetic, which I would highly recommend given my quick recovery from the procedure. I never felt dismissed or rushed when discussing any of my concerns and would certainly recommend dr de silva for anyone considering a rhinoplasty in the future

By Darling1234, Chin implant experience with Dr De Silva on May 19, 2017

So I realised in the past few months that I had quite a receding chin. For many years I couldn't put my finger on what it was - an overbite perhaps?! SO I fixed the overbite but STILL... something was off. All I knew is that something was ruining the aesthetic of my face. Eventually..... I figured it out... and decided I wanted to do something about it. I guess I felt like anything you can change which makes you happy you should - why not?! I'm asymmetrical after all! I began my research cautiously and read a lot of reviews and decided on Dr De Silva as he had a lot of outstanding reviews - plus I live close to his office so even better. Before the consultation I was nervous and almost expecting all the reviews written about Dr De Silva to be false! I looked around his office like a detective, almost searching for something wrong. Nope. Everything seemed normal enough. The staff were nice - it was calm and peaceful a lovely place to be really. Even so, I still felt cautious. When I met Dr De Silva I was thinking no-one can be this nice! But seriously he is! He's just a nice guy! Calm, articulate and warm. From the whole experience and since the surgery I feel that Dr De Silva is a meticulous, sincere, and realistic doctor with only the best intentions for you. I really believe that he cares about you as a patient and what your expectations of the surgery is. Theres no doubt about it - Dr De Silva is the man to go to if you want NATURAL results. Subtle improvements that make you feel 10x better but subtle enough that people you know won't drop their jaws in shock at the difference! Dr De Silva is simply not THAT kind of Doctor. Plenty of those kind of Drs in Beverly Hills if thats the look you're going for. Dr De Silva has a very classy approach to surgery I believe, and it is about making you look as natural as possible. Its a very personalised treatment - what suits YOUR face, and what will make YOU look your best. Don't expect a "Kylie Jenner" type transformation. I really believe that Dr De Silva is much too cautious and is all about ensuring you look like the best version of "you." Regarding the surgery, all went very smoothly - I was well informed from beginning to end. I never once felt like a duck out of water. A truly considerate team who are kind and considerate and professional. Just what you want and need! Its been around three weeks since the surgery and I feel very pleased. I knew perfection wasn't possible given the shape and structure of my face. Dr De Silva ensured that I knew what was achievable. I feel it is over a 50% improvement, probably much more, which I am more than happy with. Thank you so much!!

By Margaret R, Rhinoplasty experience with Dr De Silva on May 13, 2017

DR DE Silva. Was very understanding of what my problem I had with my nose and what I was hoping to achieve he knew and explained to me indetail what to expect &'was very honest l have found the whole procedure with my nose was amazing from beginning to end . My first consultation and second and all throughout pre op and, after care the total care was brilliant . I could not ask for more kind caring professional team. I went for sedation Anaesthesia it was just like going to sleep when l woke up it was all over with in 20 minutes I was ready to go home l had no pain & almost no bruising in fact I had no pain at all only Little twinch now & then aim very happy with my result and don't think about my nose any more . What I found helpful was Dr de silva animation video it give me that extra reassurance once I made the decision to go ahead with revision Rhinoplaesty it's been almost 3 months now I my nose keeps improving I could see straight away the difference after the operation . So I would like to say a Big thank you to Dr de silva , kind caring Anaesthesia , Kate reception , & kind nurse and the whole team fantastic Thank you Margaret R

By Fh1993, Rhinoplasty and otoplasty experience with Dr De Silva on May 12, 2017

I had a revision rhinoplasty and otoplasty with Julian late last year, the whole process went very smoothly and I'm happy with the result, I'm told it will take at least another year before all the swelling has completely dissipated. I found the sedation preferable to general aesthetic that I had with my previous operation with another surgeon. I was awake and feeling fine in about half an hour, unlike with general aesthetic where you feel groggy for a lot longer. Julian & the team were very helpful and reassuring during the recovery period, I phoned in a couple of times during the weeks following the surgery with questions and they were happy to help.

By Yelena, Lower Blepharoplasty, Laser skin resurfacing, and fat transfer on May 7, 2017

I have been troubled by the bags under my eyes since I was quite young. I remember first researching the remedies about 10 years ago. At that time, the only available option was blepharoplasty with visible incisions, which looked too scary and risky, so I gave up on the idea for a while. Throughout the years, the problem was becoming more apparent and I was often finding myself looking away, being shy or even ashamed to go out on the worst days. It was very difficult at times. I was looking at myself in the mirror or on photos and all I was seeing were my eye bags. Every time anyone would tell me that I look tired, I would immediately think about them and get upset. I was trying to mask it with makeup and tried many creams to make it better, but I knew that it wasn't the way to solve the problem; it was only a way of dealing with consequences. Last summer something clicked and I was very fed up with being so fixated on the problem and after looking at myself one unfortunate morning after a long night flight (when things were at their worst) I decided I really want to do something about it. I started researching the available procedures (there are even non-surgical ones available for mild problems) and clinics. After learning about Transconjunctival blepharoplasty I became less scared of the surgery and it looked like a much safer alternative to the traditional approach and the fact that there aren't any visible incisions made it much more appealing. Especially after I read a few horror stories about people's eye shape being affected. Then there was a period of deciding between the clinics and after reading probably a total of a hundred reviews and looking at websites, I picked Dr De Silva's clinic. It was my only choice from the beginning, because it seemed the best one in London. The reviews were very positive too, so I decided to book the initial consultation. During the consultation I spoke to the lady, who is looking after all the patients, and Dr De Silva himself. Being a reserved person, I didn't ask everything I wanted and with some questions I wasn't specific enough, so be sure to have a list with you and make sure you are persistent. Other than that, the experience was very positive and the staff is very nice, Dr De Silva is very calm and not at all pushy and he won't try to sell you the procedure, which I think is a good thing. You have to be ready for these kinds of things yourself and not be convinced by someone else. I decided to go ahead with the surgery and phoned up to book it in the next couple of days. You will need to see Dr De Silva about a month before the surgery and bring blood test results with you. These can be obtained from your GP or from a private lab. I had a few questions about these and some other paperwork and was emailing clinic and I noticed is that questions in the emails are not always answered in full and if you ask multiple things, some of them can be missed. Not sure if it was only my experience, but it happened more than once, so be prepared to ask some things twice. At the pre-op appointment I had a long session with Dr De Silva going through the operation details, including the most worrying part about possible complications. What I really liked is when I said that the list of complications looks scary, Dr De Silva just calmly said "let's go through it then" and he did, explaining every point on the list. He knew what he was talking about and that really helped me be less worried. Up until the day of my surgery I did have moments when I was nervous thinking about it, but in general I felt like I was in the right hands. When I arrived for my surgery, I had to sign a few papers and take a few measurements. Then the anesthesiologist arrived, who was also very calm and explained what will be happening in terms of sedation. They use IV sedation, which is much gentler than the traditional general anesthesia and is in a way similar to a very deep sleep. As soon as I was in the operating room, the sedation started and I fell asleep almost immediately. When I woke up I was still at the operating room and still extremely sleepy; it was close to impossible to open my eyes. I was asked how I felt and the only thing I could feel at that moment was cold:) so they put a blanket over me and took me to the recovery room. After about 15 minutes they took my mom down to see me. I felt like I was woken up in the middle of the night and felt that everything around my eyes was swollen and uncomfortable. My vision was ok, but it took effort to see properly. I was given a smoothie to top up my energy a little bit, which was very helpful, since you are not allowed to eat on the day of your surgery. In just over half an hour after the surgery I was able to go home. At home I had some food, nothing that's too hard to chew, because chewing is very uncomfortable, and went to sleep. You have to sleep on your back at a slightly elevated position, which is not very convenient but ah well, no one said it would be easy. Next two days were quite difficult in a way that the eyes felt very swollen, it was hard to look at anything for a long period of time (but my vision wasn't affected), and I was getting tired very quickly. You are also not supposed to bend too much to avoid blood rushing to your face, which was a bit of a challenge since I'm usually very active. On the night of day 3 I couldn't sleep because the area under my eyes was extremely itchy due to the skin peeling off after laser resurfacing. I used a cotton swab to clean the under-eye area, which made it much better. I was worried that my skin can have a strong reaction to resurfacing, because it is very thin and sensitive, but it was completely fine, maybe just a bit red. After day 3 swelling started to noticeably go down, but the special plasters that covered cheeks on both sides (to reduce swelling) became harder to tolerate, because the sensitivity was coming back and I could feel them stuck to my face all the time. It's not a complaint, just an observation. Also, I had to be very careful not to squint or frown too much, because that action was pulling on the canthopexy stitches and it is very painful. The most stressful part of the experience was on day 5. I was peacefully sitting at the table when I felt something like a teardrop going across my eye. I looked in the mirror and to my utter horror, it was a drop of blood. Seeing blood in my eye was one of the scariest thing ever, so I phoned the clinic and asked if I should do anything. They told me that it's probably nothing to worry about, but I should send the email with a picture just in case and Dr De Silva will get back to me as soon as he can. He replied a few hours later saying that I shouldn't be worried and it is quite normal. It hasn't happened again, but I think it will be helpful to have a bit more information on this in the post-operative instructions, as I felt that it wasn't covered enough. The other big worry I had is that my right eye looked like it has been pulled up because of the canthopexy stitch. I knew the stitch was dissolvable and the eye shape should not be altered, but I was still freaking out a bit. By day 7 I was feeling almost completely normal and was looking forward a lot to my post-op appointment, because I could feel the plasters on my skin even more and I really wanted to get them removed:) Dr De Silva took off the plasters and I finally was able to see the results. I was still a bit swollen and with a little bit of bruising (mostly yellow), but nothing catastrophic. I was very happy to say the least, even though my happiness wasn't complete by that point since the right eye was still of a weird shape. Dr De Silva reassured me that the stitch will dissolve and the eye will go back to its original position, but I have to be honest I was still worried until it actually happened on day 12. But when my eyes were symmetrical again I was completely delighted. There was some numbness under the left eye, which was gone completely after about 2 weeks. Also expect to have a lot of pills and eye drops in the first week and then eye drops only for another week. It's not a problem, but first week is pretty intense. You have to take everything at the right time, but you will be given a sheet with a table to tick off medicines as you take them, which is very helpful. I took a total of 7 days off work and went to work on day 11 after the operation, so the recovery period is very fast. Timeline: I called on the 16th of August, consultation was booked for the 12th of September, surgery was booked in for 10th of November. Conclusion: The surgery was definitely worth it and it's a great feeling finally not having to worry about something that has been troubling me for a very long time. The discomfort after surgery is nothing terrible and recovery period is fast, which I think is also down to Dr De Silva being a very skilled and experienced surgeon. I would recommend Dr De Silva to anyone considering this procedure. Good luck!

By rhinoplastygirl101, Rhinoplasty experience with Dr De Silva on May 6, 2017

I have wanted rhinoplasty ever since I was a teenager and finally decided I would go for it. I was very nervous and met with a lot of plastic surgeons but after meeting Dr De Silva I was confident he understood what I wanted and would do a good job. I didn't want general anaesthic so was very pleased he uses IV sedation, before the procedure I remember lying down and in no time I was waking up and everything was finished. All the nurses and staff there are so lovely and make you feel very welcome. I am very happy with my new nose and it fits so well with the rest of my face. After seeing my results some friends have also gone to him for their rhinoplasty. Overall, I would highly recommend Dr De Silva.

By Lower eyelid experience with Dr. Julian De-Silva on May 5, 2017

I would like to thank Dr. Julian De-Silva for his Amazing skills that has made such a difference to how I look after he had removed the circles under my eyes, and I am so happy now with the results of his wonderful surgery, He was Kindness itself. His Staff are all so caring, and helpful too, and made my visit to the Clinic very pleasant indeed. I would recommend Dr. Julian De-Silva to anyone that needs help in the field he is so qualified to deal with ! They will not regret it !

By llarman facelift experience with Dr De Silva on Apr 27, 2017

One of the nicest doctors I have ever met! And I am so pleased with the work he did on my face - cannot recommend him highly enough and all of his staff. Excellent all round. And I loved the Twilight Anaesthetic.

By xxvessyxx, Rhinoplasty and chin implant experience with Dr De Silva on Apr 23, 2017

I had Rhinoplasty, Septoplasty and a chin implant in January. Dr De Silva was amazing, he explained everything thoroughly and answered all my questions. I was nervous about the sedation as I had never had any other operations. I had watched all the videos online and researched quite a lot before making the decision. On the day, the anasthesist was very professional and made me feel very well looked after. It was a very quick procedure and before I knew it I was asleep. It was a very easy and pain free experience, it wasn't worth worrying for so many months. The sedations itself had a very calming and pleasant effect on me. When I woke up, I felt refreshed and as though I had just had a nap. I was able to get up in 10-20 minutes and then go home. Recovery was pain free as well. I had no bruising. The only discomfort was sleeping the first night on my back. I am very happy with my results and feel they have improved my life as I was always worried about people looking at my side profile as well as taking photos. Now I feel much more confident and I would like to say a massive THANK YOU to Dr De Silva and his team!

By Lea7, Eyelid surgery experience with Dr De Silva on Apr 22, 2017

I have had a great experience with Dr De Silva and all his team. I was worried and nervous about my surgery but his calm approach, knowledge of every detail and assurance helped me decide and go forward with my surgery. I am very pleased with the results and the whole experience. I would recommend Dr De Silva and his team any day. They are professional and very caring.

By Freddy, Rhinoplasty after multiple traumas to nose with Dr De Silva on Apr 17, 2017

I had an excellent experience with Dr De Silva, the consultation was great, he really took notice of exactly what I wanted. I had Rhinoplasty and a laser peel, the whole procedure was done while I was under sedation, I was up and about 20 minutes after I came round. 3 days after the procedures, apart from a cast on my nose, you wouldn't have been able to tell I'd had anything done, the cast in fact came off after 5 days because the swelling was that low that it practically fell off. I have not had any problems since the procedures and I'm very happy with the results, I would recommend Dr De Silva and his staff to anyone.

By Pennetta, fantastic experience with rhino- and otoplasty with Dr De Silva on Apr 16, 2017

Fantastic experience with Dr De Silva I had rhino- and otoplasty with Dr De Silva. From start to finish, to aftercare and the result, everything has been what I hoped for. I researched beforehand and found him very high regarded. I can see why, he is a highest-quality professional with a very professional facilities and staff.

By mjune, Blepharoplasty experience with Dr De Silva on Apr 11, 2017

Couldn't have wished for a better outcome My eyelids have been bothering me for years but I never thought I would go through with surgery as I'm an awful patient. I'd done my research and been for one consultation with another Surgeon before my consultation with Dr De Silva. From the beginning of the whole process I felt totally listened to. I explained what I wanted and Dr Dr Silva and I both agreed on what would be the best procedure for me. I went for a Blepharoplasty with laser skin resurfacing. I was in the theatre at 7.30 and back home by 11am. I opted for sedation and can honestly say I don't remember a thing. I had no pain or discomfort on the day or in days to come. I took a week off work and totally rested up and took the medication that had been advised. I would highly recommended Dr Dr Silva and his team.

By Orchard123, Ethnic rhinoplasty experience, Highly recommended for Rhinoplasty (Feb 17) on Apr 9, 2017

I’m one of those people who reviews everything that I use but never leaves a review myself...but I am so happy with my experience with Dr De Silva and his team that it would be a shame not to share it. I’m a 40 year female of Indian origin whose wanted a nose reduction all my life but been too scared for two reasons; looking like someone whose had a nose job and/or not looking like myself. I have several friends and family who have had a rhinoplasty and although they may now have a ‘perfect nose’...it doesn’t look like them or they looked much better with their ‘not so perfect nose’. However, for the past couple of years now, my nose had really been bugging me...I had a large nose with an even larger bulbous tip and down the middle of my nose I had a line which was becoming more and more evident as I was getting older. I did my research and booked three consultations of which Dr De Silva was one of them. I went to my first consultation and left there thinking that I don’t want to go ahead as the consultant was talking about extensive work and also on leaving, I wasn’t too impressed with his patient in the waiting room which had very obvious signs of a nose job!! I was contemplating whether to go ahead with the other consultations and then decided to go to one more that was with Dr De Silva. The consultation was great and just what I wanted to hear... I like the fact that he’s honest on what can be achieved and believes in a ‘conservative’ look which is natural and still you. I was so happy that I booked the next available date for the operation. I had a follow up pre-op consultation for any further questions and I was given all the information. I met Stephanie whose also great...never met someone who stays so patient and smiley when bombarded with question after question...thanks Stephanie. My rhinoplasty was booked for a Monday morning in February. I had to get there for 7am... I was so nervous. I had never been to hospital for anything let alone an operation. Stephanie took me into her room and did some final checks and then gave me a garment to wear over my clothes, shoe boots and a something to cover my hair. Then about 10 mines later, the anaesthetist came into the room...another super lovely person. He talked me through everything, what he was going to do, what it would feel like etc. He really did put me at ease. This process didn’t hurt at all, the needle feels like having a blood test. I was walked into the operating theatre that just felt like another consultation room...laid down on the bed. They asked me to move up a bit and then I don’t remember anything after that. I forgot to mention that another thing that I was anxious of was the conscious sedation and I think no one can really explain it to you until you’ve experienced it. I recall during the operation that I kept lifting my legs up and asking if it was over but I wasn’t aware of anything else around me or that I was in an operating theatre or the doctor working on my nose etc...in a weird way it’s such a good experience. When you come around, you feel like you’ve had the best nap ever!! It was great, so for anyone worried about it...it’s fine, actually it’s brilliant and I would recommend it. Within 10 mins of waking up, I felt normal...I didn’t feel drowsy, disorientated...nothing, just ready to go home. And also, you’re in no pain at all. The first few days are the hardest and not because you’re in pain (unbelievably there is no pain) but the stuffiness. Sleeping is difficult and I think on top of it, I was just scared that I might bump my nose while I slept. Also, your tongue gets so dry...it’s horrible!! I took it easy for these few days and then slowly started doing things around the house. I would say by Day 3, you’re back to normal. It was so nice having the week off as you’re not ill or in pain...just get to put your feet up and chill. I had my caste taken off on Day 7...I had a read a review that this hurt so was a little nervous, however it’s a similar feeling to taking a plaster off your finger. Dr De Silva puts an injection into the tip of your nose that again I was scared off. It doesn’t hurt but it still that horrible feeling like when you have an injection but it’s over in seconds. I wasn’t too sure what I thought when the cast came off...it was a little swollen and I also had a yellowish tinge which subsided over the next couple of days. The tip of my nose also looked really upturned but I was told that this is normal and it will drop over the weeks. So...I liked my nose in the week after the cast came off but I didn’t like looking at myself. I had days where I was really upset and thinking why did I do this. I went back to work two weeks after the rhinoplasty and no-one including family noticed that I had had my nose job except one person which was good. Over the weeks, my nose just got better and better...I didn’t tape my nose for that long as I didn’t see the benefit but I’ve heard that some people swear by it. I would say that I was happy by week 3. At this point I was liking my nose more than not. Every week is an improvement. The upturned tip I mentioned above also dropped over the weeks. I had my 6-week appointment...I went ahead with the injections that I wasn’t going to have as I was scared of the pain but decided to go ahead. The improvement since these has been amazing...so definitely have them. I’m at week 8 now and wouldn’t change a thing...I love my nose and I am so thankful to Dr De Silva. He has made the smallest changes which overall has given me a natural look but still my nose and it’s still me. I’ll also add that you can’t tell what any of his patients have had done which has got to be a good thing, right?? I would sit in the reception area whilst waiting for my appointment and trying to work out what the patients going in and out have had done I would say though that the only pain of having a rhinoplasty is the emotional side especially the first few weeks...you have to be patient because it definitely gets there. But the weeks do seem like months. There is so much more detail I could go into but my review would go on forever. Definitely have a consultation with Dr De Silva...I’m 100% sure you will agree with what I’ve said above. I read many reviews prior to my operation and they all said the same but you don’t believe it until you actually experience it...all the good reviews on Dr De Silva are true...honestly. Good luck to everyone who goes ahead and thanks to all the team at the London Centre (the lovely Laura’s on Reception are great too)

By Pal, Chin Implant and Male Rhinoplasty experience with Dr De Silva on Apr 4, 2017

“Top treatment from first consultation to last check up. Dr De Silva and the whole team are simply first rate. Made me feel calm and reassured from first meeting to final check up. I had the general feeling I was in very capable hands throughout the whole experience. I wasn’t especially nervous as everything was explained carefully. The consious sedation method (instead of aesthetic) wasn’t a big deal for me. I was asleep for the whole time and didn’t feel a thing. Wasn’t that groggy after procedure so it worked! The follow up to the procedure was pitch perfect and the written notes were very clear and helpful, with every question answered. Stephanie was a bit of a star...a wonderful reassuring manner and very practical and understanding when I had supplementary questions. I would have no hesitation in recommending Dr De Silva and his team. He is clearly a man at the top of his game and isn’t that’s what you want when you undergo a procedure that has such psychological element to it.

By Bass49 Facelift experience with Dr.JulianDeSilva on Apr 4, 2017

Last year I had a face and brow lift performed by Dr De Silva, who kept me informed from start to finish exactly what would happen. Dr De Silva has a very calming bedside manner which puts you at ease and I am very glad I chose him to be my surgeon and would highly recommend him.

By Sophie experience of face and neck lift surgery with Dr Julian De Silva on Apr 1, 2017

An amazing experience and fantastic outcome. Dr De Silva is an outstanding surgeon and I am delighted with the results of the procedure he carried out on me a year ago. He gave me highly professional and appropriate advice at our initial consultation and the whole journey from then on was stress free. He has a wonderful team at The Centre and I could not have felt that I was in better hands. I cannot recommend Dr De Silva more highly and would be pleased to speak on the phone to anyone considering having the same procedure.

By jessiecat123 Experience of laser skin resurfacing, lip lift, Upper eyelid surgery with Dr De Silva on Mar 30, 2017

Excellent! Recently I had upper blepharoplasty, a lip lift and full face laser skin resurfacing. I was nervous beforehand having all three done at the same time but Dr Julian & his team are so lovely I felt at ease for the whole experience and trusted their judgement 100%. I knew I was in safe hands at all times & Dr Julian is a true artist and a genius I'm really happy with the results I wish I had it done a long time ago!

By Lucywattley79, Rhinoplasty experience with Julian De Silva on Mar 29, 2017

Dr de Silva is the best!!!! Dr De Silva is amazing. As well as his team. I thought about rhinoplasty for 20 years and am do glad he finally did the deed! Lovely natural results- he is an artist for sure. His team are all so helpful & they make you feel so at ease. The most amazing part was NO PAIN - thats right- i did not gave to take 1 painkiller after surgery...amazing!!!! You have to remember the healing takes time but i was back to myself so quickly! If you are thinking of doing it- do it...you wont regret it. Best decision i ever made. Dr de Silva is the best...my sister got hers done after me & was just as thrilled!!!!

By Craig’s experience with brow lift, upper and lower blepharoplasty with Dr Julian De Silva on Mar 26, 2017

Natural Results from a Facial Specialist I am a 46 year old male who had upper and lower blepharoplasty (eye lid surgery), brow lift and laser resurfacing. I wanted to address some mild occlusion of the upper eye lids and also big bags under the eyes which meant people were constantly asking if I was tired, even when I was not. It was very important to me to have a natural looking outcome, particularly with the brow lift. Julian uses advanced techniques with are minimally invasive - for example lower eye lid work is done from the inside rather than through incisions, and brow lift was done with 4 minor incisions above the hairline rather than a lateral incision across - and he was very subtle with his adjustments. I'm extremely happy with the result. The look is natural (not obvious) yet fully addressed what I sought. Julian and his staff were thoroughly professional throughout and always available with no hidden extra charges.

By LuoKe, Facelift & neck lift experience with chin implant and blepharoplasty with Dr Julian De Silva on Mar 20, 2017

Impeccable if I had to sum it all up in a single word. I went "macro" - blepharoplasty, chin implant and face/neck lifts - deciding to correct one or two things that I'd been unhappy with all my life and some unwelcome souvenirs of late middle age. If I have a regret now that it's all over, it would be not getting it done sooner. My experience throughout was first class. Dr Julian combines the highest level of professional expertise with a delightful manner and genuine concern for your well-being. What was striking was that Julian gave me both ownership of the entire patient journey and informed but unobtrusive counselling throughout. Come the day of surgery, I felt as if my portrait was to be painted by a renowned artist or a banquet to be prepared by a Michelin-starred chef. A bond of trust had been established that made me entirely relaxed and happy to leave execution and detail in the hands of a consummate professional. If you are reading this and are thinking of cosmetic surgery for yourself, I would commend you to ask the question "am I doing this for me?" If you are, then I'd say that there are few greater gifts you can give yourself. Long after a holiday suntan has faded or the thrill of your first drive in a new car has passed, you can look in the mirror and think "yes!". Just one small tip - be kind to yourself and if, like me, you have a big surgery, give yourself a couple of weeks' downtime afterwards. It's not elegant going to work with drainage tubes on display and the rest helps the bruising and swelling subside much quicker.

By Zoe -Experience one year after rhinoplasty with Dr De Silva on Mar 18, 2017

It's been almost a year since my rhinoplasty. I feel that now is a good time to look back on my experience and share it with everyone. Reviews really played a huge part in helping me to make my decision. So I feel I owe it to everyone out there to pay it back and write my story, so I can help you too. Ever since secondary school I hated my nose. I got called names and people made comments. I knew everyone talked about it behind my back. As I got older my nose became crooked and felt like it was getting worse, but I just wasn't in a position to be able to afford a rhinoplasty. So out of depression I began to save up the money over a few years. I also studied my nose and figured out exactly what I didn't like about it and what I wanted to change. Whilst researching surgeons and trying to choose someone to go to, I was very anxious about the whole process, and the outcome. What if it goes wrong? What if I don't like it? What if I choose the wrong person? It can be quite a daunting process. I browsed surgeons on this site numerous times. I read all the reviews and looked at their websites. I also looked at the clinic locations and where they perform their surgeries. Some use hospitals and some don't. After all of this research I was drawn to one particular surgeon. To be honest I just went with my gut instinct. I didn't rush anything or put pressure on choosing one. I then made an enquiry via email, and booked a consultation with Dr Julian de Silva. I was drawn to him due to his really good reviews, and the fact that he specialises in facial surgery. Some surgeons work on the whole body, and I felt that someone that specialises in the face would be more skilled and would better understand exactly what I wanted. Everyone has different noses, you can't just choose one from a magazine and have it made. I think this is an important point to understand before you go into this. You have to work with what you have, and fix the problems on YOUR nose. They can only really make slight changes, but ones that will improve the appearance of your nose. So the day of my first consultation came with Dr Julian de Silva. His practice is a short, few minutes walk from Hammersmith tube station. Easy to get to and not located in busy central London. Which to me was a bonus. His clinic is small, but welcoming. It has two floors, one for consultations, and downstairs for surgery and procedures. Everything is done under one roof. Dr de Silva is a very warm, friendly man. He is very calm, placid and attentive. He listens to everything you have to say and really cares about you as a person and what you want. He also really wants you to have a pleasant experience. At the first consultation he discussed what I was looking for and I explained exactly what I didn't like about my nose using photographs. There was a lot I didn't like and wanted to fix, but he took all my points on board and drew out a plan of what he could do to help. He described to me what he could change against images of my nose on his computer. He then went on to explain what would happen during the surgery. He explained that he used sedation in the majority of cases and not general anaesthetic. This was the only worry for me, and made me anxious, but I was still keen to go ahead. I received a cost for the surgery, and information pack and details to request blood tests from my doctor if I was to go ahead. You also have to do a pregnancy test. I took about a week to make my decision, and I also did some research on sedation. I then went ahead and booked my surgery and paid for it. I waited around a month or two, and that gave me time to complete the tests required. Before I knew it I was back at the clinic, but this time for the surgery. I wasn't overly nervous when I arrived, but I was anxious about the sedation. I had watched YouTube videos about conscious sedation and didn't really know what to think. I had also been given the direct contact details of the Doctor that administers the sedation, so if I had any worries or questions I was able to ask, but I didn't. I went downstairs dressed in loose, comfortable and warm clothing and I was shown to a small room with a large chair in. Dr de silva came in and went through everything again and I signed some papers. Another doctor then put a cannula in my arm with a line to a drip to begin the sedation. I was nervous and felt sick, but the sedation made me feel really calm and relaxed. I then walked into the theatre next door where there were a few other nurses/doctors helping and I led down on the bed. The sedation doctor was right next to me the whole time monitoring me and adjusting the rate accordingly. I don't remember much after that. It was just like falling into a deep sleep. You are aware that time is passing if that makes sense, sometimes you can hear people talking like when you fall asleep with the tv on in the background, but then you drift straight back to sleep. At no point could I feel anything. There were a few times I was so relaxed I forgot to breathe, but I heard the doctors telling me to breathe and reminding me and I kept on taking deep breathes. Before I knew it I was being washed and woken up with lots of reassurance from the doctors and I was encourages to gently wake when I was ready. I then walked back to the first room where I was taken off the sedation and had my cannula taken out. I then had a sip of water, and within 15minutes or so I was ready to leave and my parents drove me home. I felt fine. It was literally just like a deep afternoon nap. I felt great when I woke up, no heavy head or drowsiness, no sickness or vomiting, and no pain. I'd say the hardest part of the whole experience is the recovery the week after. You have quite a gruelling regime of painkillers, antibiotics, arnica, vitamin c and cleaning to do. You really have to take all the right tablets at the right times and clean the stitches and underneath the nose. You also change the dressing underneath regularly. The healing process is hard, mainly because you have to sit at home and avoid everyone seeing your face. I did have quite a lot of bruising but it didn't hurt at all, it's more uncomfortable and strange. Sleeping upright was also hard but you do get used to it. You go back into his clinic a week later to have the cast taken off. It's quite sticky so it does take a while but dr de silva was really patient and caring whilst doing this. He also gives you an injection to help reduce the swelling. When I first saw my nose it was very strange. I knew it was swollen and that was not going to be the final result, but I was happy with it instantly. It was nice and straight and I could feel where some of the bone had been taken away. I felt really glad. It instantly felt more comfortable than it was before so I knew it was a good result. I then realised that the hard part was all over with and now I just had to wait for the swelling to go down. I was instructed to tape my nose each night to encourage the shape and to reduce swelling. This method really worked for me. Even now if it feels a bit swollen I will tape it before bed, and it will always feel more defined by the morning. About a month later I was still getting a runny nose and a funny smell. Although there were no immediate signs of infection, dr de silva saw me anyway and wrote me a prescription for a course of antibiotics and nasal drops. After this treatment my nose was fine and it really worked to clear everything out. I had two more check ups after that and each time everything was fine and healing well. I found the whole thing a very positive experience. I think dr de silva 's warm, welcoming and friendly approach made it all very pleasant. He really is a very calming person, and his energy has a great affect on people, and everyone at his practice. Everyone there seemed very nice and friendly, and always willing to help. I would definitely recommend Dr De Silva. I am over the moon with my nose, and I realise even more when I look back at old photos just how far I have come and how much it has changed my happiness in all aspects of life. I am certainly a lot more bubbly, happy and confident now, and it now feels so much more comfortable. It really has changed my life for the better and I'm very thankful for his help. I'm sure all his other patients feel the same. I don't think I can fault any of it. I really have had a very happy experience and I am very glad I chose him.

By Laura251 Rhinoplasty Experience with Dr De Silva on Mar 12, 2017

Best decision ever! I've wanted to get My nose fixed since I was 14, 10 years later I made up my mind and started my research. Dr de Silva had fantastic reviews , so I booked a Skype consultation as I do not live in the UK. He explained everything in detail, was very informative, our first consultation took about an hour. I had a lot of questions about the procedure itself and of course the sedation. I still had some questions and fears about the sedation but decided to go ahead with the procedure. Sedation was the best decision ever, some people say you hear the doctors talk during the procedure, in my case I remember laying on the operating table, looking at doctors around me and falling asleep in 5seconds. I woke up and was fully responsive, went home afterwards and Watched tv all day, didn't feel sleepy at all. The only uncomfortable thing during the recovery time was breathing through your mouth. I had no bruising, no pain at all, no swelling. I would highly recommend dr de Silva, he is a true professional, very innovative, caring and listens to the patient's needs.

By CO 6months after upper blepharoplasty with Dr De Silva on Mar 11, 2017

I chose Dr De Silva to perform an upper blepharoplasty 6 months ago after extensively researching cosmetic surgeons in London. Dr de Silva's medical credentials and customer satisfaction rates are outstanding. I chose the W6 clinic as it was close to my house, and the clinic atmosphere felt intimate, professional and not too "clinic-like". From the first appointment, I felt I was in good hands. Dr De Silva listened to my needs carefully, and quickly drew a personal plan I was happy with. I was anxious the procedure would change the shape of my eyes but Dr De Silva reassured me he would not allow this to happen. I was provided with many useful documents about the procedure and I felt the whole staff was there to support me and answer my queries. On the day of the procedure, the anaesthetist performed a sedation, where you are sleeping (and not feeling the surgery) but the procedure is "lighter" than a general anaesthetics and you don't come out of surgery feeling groggy and unwell. I followed the after-care recommendations to the letter and after a few uncomfortable days (nothing major), I recovered quickly. Nearly 6 months on, I am delighted with Dr De Silva's work. I still look the same but a little younger and definitely more "peppy". My friends and family have all commented positively on my new eyes. Putting make-up on is now a pleasure and I look much better on photographs. I would recommend Dr De Silva 100%. He's a fantastic doctor and a lovely person. I felt valued and looked after the whole time.

By Manutd11 Rhinoplasty & Blepharoplasty experience with Dr Julian De Silva on Mar 10, 2017

I came across Dr De Silva by chance, I was about to have the hump removed from my nose with another surgeon but pulled out after seeing some celebrity noses this surgeon had done. From the moment you meet Dr De Silva it's so obvious that he is so confident in what he does and knows with his calm manner, if anything he was more conservative than other surgeons I had met which again proves that he knows what suits people's faces and isn't afraid to tell you what you need to hear. My whole operation with nose and blephoplasty was a walk in the park but mainly because of the guidance you are given by dr Silva and his team, it has changed my life and I cannot recommend him highly enough.

By LS Lower Blepharoplasty With Dr De Silva on Mar 7, 2017

Choosing Dr De Silva for my lower blepharoplasty was the best decision I could have made! He is a lovely gentlemen, easy to talk to and very patient. In addition to being the best at what he does. The procedure itself was a very relaxed and easy experience, mainly because of the comfortable environment provided and my confidence in Dr Julian as a surgeon. The recovery was extremely quick and way better than I expected! I was good for public outings within 5-7 days. For anyone thats nervous or worried and considering blepharoplasty, I would recommend you just go for it as in actuality its such a minor procedure, and no where as scary as your probably think.

By Manutd11, Rhinoplasty & Blepharoplasty experience with Dr Julian De Silva. on Mar 1, 2017

I came across Dr De Silva by chance, I was about to have the hump removed from my nose with another surgeon but pulled out after seeing some celebrity noses this surgeon had done. From the moment you meet Dr De Silva it's so obvious that he is so confident in what he does and knows with his calm manner, if anything he was more conservative than other surgeons I had met which again proves that he knows what suits people's faces and isn't afraid to tell you what you need to hear. My whole operation with nose and blephoplasty was a walk in the park but mainly because of the guidance you are given by dr Silva and his team, it has changed my life and I cannot recommend him highly enough

By iwtd999 Ethnic rhinoplasty experience with Dr Julian De Silva on Feb 27, 2017

I underwent rhinoplasty and septoplasty a couple of months ago and the results are improved, natural and realistic. I am definitely pleased with the results and would highly recommend Dr Julian De Silva! During the consultation and pre-op appointments; I was informed of the procedure, we reached a mutual understanding and I was provided information about sedation and things to do before and after surgery for healing and self-care. During the operation; the nurse helped to clarify any concerns and demonstrated a warm and friendly approach. The sedationist is super cool, well experienced and is present during the operation to make sure that the sedation is well maintained. Even though I was sedated for the whole operation, it felt like I was only asleep for 10 seconds and before I knew it, the operation was over (brilliant experience!). Dr Julian De Silva and his team are understanding, patient, supportive and caring. They are there to answer any queries/issues that may arise prior to surgery, during recovery and take pride in their care for their clients. Thank you everyone that was involved!

By CoolCat1234, Chin Implant experience with Dr Julian De Silva on Feb 25, 2017

I had my chin implant in October 2016, so it's been around four months now and I'm very happy with my results. It was my first surgery with Dr De Silva but not my first cosmetic surgery, so I went in knowing what to expect and had done quite a bit of research before booking a consultation. My chin was very small from the side and kind of joined into my neck with no definition and so I thought a chin implant would balance my profile out more. Dr De Silva was very calm and friendly during the consultation, kept asking me if I had any questions and explaining in detail what the procedure would involve and what the recovery would be like after. He took plenty of pictures of my chin from different angles, showed me what was achievable on his computer and then told me I would benefit from either a small or a medium implant and that he would alter the implant to fit my face. I also liked that the consultation cost was deducted from the surgery cost which wasn't the case with my last surgeon. I can't remember much of the surgery day but staff were very nice and comforting. There was a small incision under my chin which was visible at first as swelling had pushed it forward but now the scar sits underneath my chin and is smooth and barely visible. For the first two weeks, I was very worried that how my chin looked was my final result and I started to panic. My mom, who I hadn't told about the procedure, took one look at me and asked me what had I done to my face. She couldn't even see the incision but just by looking at me she said I'd done something to my mouth area and that I looked really scary, which made me think I'd made a huge mistake because I hadn't thought anyone would notice. From the front, my chin looked long and and square like and for some reason, the implant made my lips look really thin and tiny. Thankfully, the swelling started to subside pretty quickly and after two weeks, my chin went back to normal as the majority of swelling died down. Now, my chin pretty much looks the same as it did before surgery from the front, which I'm so happy about because I didn't want my face to change from the front at all. Dr De Silva told me that he went with a medium implant but cut and changed the implant to fit me so only ended up using a bit of the implant. I'm also happy with the implant from the side and there is a difference from before, but it is only a slight, subtle change. I think if I could go back, I probably would have asked for a large implant to give me even more projection but I'm happy with it the way it is and I'm glad I decided to go with Dr De Silva.

By Amy, Septo-Rhinoplasty with Dr De Silva on Feb 21, 2017

Having Septorhinoplasty with Dr De Silva has changed my life. I had thought about having surgery for about 10 years from the age of 14 however I seriously started looking at the age of 20 and booked surgery at 24 years old. Dr De Silva and his team were extremely professional and very understanding. He listened to everything I had to say and how I felt about having the surgery and how it affected my confidence. I cannot recommend Dr De Silva and his team enough. Stephanie and the receptionists were lovely.

By Nick M. Rhinoplasty & Septoplasty experience with Dr De Silva on Feb 9, 2017

A class act Three months ago I underwent septorhinoplasty with Dr De Silva. The whole experience was excellent. Before the operation he was thoroughly reassuring, explaining each step in plenty of detail and carefully answering my various questions. The operation went exactly as planned: I wasn't aware of anything and certainly don't think I experienced any pain; it all took a couple of hours and I was back home straight afterwards. Dr De Silva is a persuasive advocate for the use of sedation rather than general anaesthesia where possible, and based on my experience I can see why he favours it. In the days that followed my nose felt numb and tender, but again I wasn't in any pain. The operation was on a Tuesday, so I took the rest of the week off, worked from home the following week, got my cast off (also very straightforward) and was back in the office after that. The recovery process has been surprisingly easy, and the initial swelling was almost all gone after a few weeks. The result by now is a distinct improvement, at least as much as I'd hoped for, and I would highly recommend Dr De Silva to anyone considering a similar operation.

By BeBeCa Rhinoplasty & Septoplasty Experience with Dr De Silva on Jan 29, 2017

Dr De Silva was highly recommended by friends and I decided to go ahead with the operation. My experience was excellent; Dr De Silva spent a lot of time to address my questions, calm any fears I had, present me with pictures of how I would look after the operation, explained the whole procedure in detail. The procedure itself was nothing to fear about. With sedation (which Dr De Silva uses) I was in and out in a couple of hours and went home an hour after the operation was completed. The healing process was as had been described by Dr De Silva; I knew exactly what to expect in terms of bruising (which was minimal) and swelling and I knew already what I had to do in order to treat it. With a deviated septum and the shape of my nose that was not to my satisfaction, I decided to have a rhinoplasty - septoplasty operation in London. My experience was excellent. The procedure itself was nothing to fear about. With sedation I was in and out in a couple of hours and went home an hour after the operation was completed. The healing process was very smooth and relatively quick. Six months post-operation, I am very happy to have done it and... I just love the new me!!

By A Review of blepharoplasty, laser skin resurfacing, Phi-Lift (Non-Surgical facelift) by Dr Julian De Silva on Jan 22, 2017

I had quite a number of facial procedures at the same time for my treatment (eye bag removal, laser skin resurfacing, fat transfer, Phi Lift) so that I could get it all out of the way in one go! I was quite nervous before the procedures, mostly about whether something would go wrong and I’d be walking around for the rest of my life with scars or something else equally horrible. But I had done my research beforehand and decided that I could trust Dr De Silva as much as I could trust anyone, so I went for it. On the day of the procedures all the staff were very professional friendly and reassuring with me and the surgery facilities were smart and clean. After I woke up from sedation I was quite tired, my face felt like someone had applied a blow torch to it and my eyes were very swollen. To be honest I felt really uncomfortable for 3 or 4 days after the surgery and definitely needed someone there to help me with all the medication and help me with the children. The first few days were worse than I expected. Within a week though I felt absolutely fine although I did have swelling and bruising on my cheeks, I assume from the eye bag removal. It took between 2 and 3 weeks before I could totally cover this up with makeup. But I probably am to blame for this as I did not take arnica or apply ice packs following the procedure, as instructed by Dr De Silva . Now that it is all behind me I am say that I am 100% satisfied with my results. The dark circles and eye bags have now totally disappeared and I have received lots of compliments about my appearance which I wasn't really expecting. What is really good as well is that the results are so subtle that there's no sign at all that I had any procedures. Overall, my facial appearance is younger, fresher, more relaxed and less tired whilst still looking natural, which is exactly what I wanted to achieve.

By m00467 Rhinoplasty Review & natural experience with Dr De Silva on Jan 16, 2017

Great experience I was initially very apprehensive about the procedure, however as soon as I met Dr De Silva, I was immediately at ease. He answered all of my questions and by the end of the first consultation, I was eager to proceed. Dr De Silva and his team were all very compassionate and put my worries aside at all times. It only took a few weeks until I saw the results come through and I began to love the new slimmer shape my nose had. My nose finally looked in proportion to the rest of my face and it enhanced my other features. It's been over 6 months since my procedure now and I am a lot more confident and comfortable with my image and I am still noticing small improvements as the swelling continues to lessen. Although I can notice a huge difference in my appearance, the results are natural enough for no one else who didn't know about the procedure in advance to have noticed. I would highly recommend him as a surgeon if you are looking to achieve natural looking results.

By Tracy, Chin Implant experience with Dr De Silva on Jan 15, 2017

Very happy with the treatments and the end result.I had a great experience. Dr De Silva was kind and attentive and very careful to ensure I fully understood what the procedure would and wouldn't give me so I had realistic expectations. He wouldn't proceed until he was happy I would be pleased with the end result and he explained carefully potential complications and the precautions he takes to avoid them, the clinic was smart but relaxed and I felt well taken care of by the nurses there.

By KD Rhinoplasty experience with Dr De Silva on Jan 9, 2017

Its taken me 20 years to actually go and have rhinoplasty surgery. Reason why its taken so long is that I didn't have much confidence in the surgeons. But after meeting Dr Julian De Silva who I found to be very understanding on how I felt about having my nose surgery and he explained to me what to expect. His knowledge about nose reshaping is amazing and his advise on what would suit my features was very reassuring. Dr Julian De Silva staff were so caring and who knew I was very nervous with sedation and aesthetic helped me through all the way and didn't leave my side - even when I woke up they made sure I was comfortable . The recovery was quick and the aftercare is really fabulous . Overall my experience was amazing thank you Dr Julian De Silva and his team for my new nose. People think I've had a face lift :)

By Birose, Facelift & Neck Lift with Chin Implant experience with Dr De Silva on Dec 30, 2016

Fantastic Plastic Surgeon.I had my first consultation with Dr De Silva in 2014, but it took me another two years to pluck up the courage and have the procedure. I had originally only wanted a face and neck lift, but eventually had in addition a chin implant. I was internally very nervous, as I constantly questioned myself - was this right for me, was it worth it, can I go through the procedure itself, how painful was it going to be, how quickly would I recover, and how safe was I. Up to the last day I was apprehensive, but was determined to go ahead. All my fears were self inflicted and had nothing to do with Dr De Silva and him team, who I trusted whole heartedly. All his team, including the anaesthetist, were extremely caring and professional. Although the first two weeks were hard, as there is a lot of discomfort, the recovery time overall was quick and the end results were fantastic. I now have a chin, which I never really had, a perfect neck and a facelift that looks so natural that no one even notice I had such any form of procedure. Dr De Silva is greatly talented surgeon and I would highly reckon him to anyone who is considering having any form of facial plastic surgery as the end result will be worth it.

By Amber Eaton on Dec 26, 2016

I had a Cheek Augmentation and a Mini Face Lift with Dr Julian De Silva's innovative treatments to accelerate the healing process. I am so happy with the results he is simply an amazing surgeon. The procedures has given me back the volume that I had lost and taken away the saggy skin and my face looks perfectly natural. After much research and appointments with various surgeons I was lucky enough to find Dr Julian De Silva and I am delighted I did. Not only is his consultations so honest in what he can achieve, he is so talented with creating fabulous results with minimal scaring. He accomplishes all this without the use of a General Anesthetic, which may seem a little scary at first but I have had several adverse reactions to General Anesthetic in the past so I welcomed this with open arms. And let me tell you...... You would not know the difference.... The experience for the patient is just the same BUT with no after affects. I slept through the whole procedure and was gently brought back to conciseness when his work was complete. Believe me.... you will not feel a thing and recovery is so much better without having to deal with the grogginess of the General Anesthetic. I will not grow old gracefully and I am just so happy that I have found a surgeon who is innovative in his methods that I will only ever use him in the future.

By Lip lift experience with Dr De Silva on Dec 23, 2016

Great results and Excellent experience. I had my first surgery with Dr De Silva in September. He is professional yet friendly and very calm and knows exactly what he is talking about. He doesn’t just operate a surgery because you want him to do so but he examines your face, considering your ethnicity and facial features what best suits your face. He is well established and from the several appointments I have had with him I can see that he cares about his reputation and does his best to deliver the best results. He is expensive in comparison to other surgeons but worth it if you are to have a facial surgery. I am so pleased with my results. I had searched intensively about Dr De Silva and I believe he operates on celebrities as well (he never mentioned but he also operates in LA and I have seen his interviews on the internet). Having a lip lift has been on mind for some time yet finding the right surgeon wasn’t’ easy as there are numerous places and surgeons that offer the procedure with competitive prices. Cost wasn’t an issue for me and being in London, experience also not an issue as all the top surgeons operate in London- hence many options. Lip Lift is relatively a simple surgery and although simple it is imperative to get it right because it is on the centre of the face- risks can include loss of symmetry. I was nervous and hence wanted the best surgeon as I did not want any risks with my face. I searched the internet and came across Dr Julian De Silva’s profile. He stood out from the rest; what captured my attention was Dr De Silva’s facial-surgery expertise, the mode of procedure he operates under (i.e. conscious sedation) and how he focuses on reducing scars using the advanced technology and treatments (again having a facial surgery and particularly a lip-lift I would not want obvious scars on a centre of my face). In fact, I did not want anybody to know I had a facial surgery. So that was it, he ticked all the boxes. The fact that Dr De Silva is solely a facial surgeon reassured me as most plastic surgeons operate on the entire body and I didn’t want a generalist surgeon to operate on my facet but an expert facial surgeon. The promise of scar reduction was a certainly wining factor for me to choose Dr De Silva.....and I have not regretted it. I have had the surgery in September and the results are exactly what I had hoped and asked for even though results cannot be guaranteed with any surgery in general. I am so pleased. A big bonus with the surgery was the conscious sedation I was operated under. No other clinics seemed to offer this procedure and I didn’t know much about it. Dr De Silva was the most expensive of all surgeons in my search for this surgery (and worth it of course), though the conscious sedation procedure made a difference to the overall costs as I did not need an overnight hospital stay. Plus, it is not necessary to undergo general anaesthetics for such a simple, short procedure. The conscious sedation was a very pleasant experience and I would do it again. I was consulted with a lovely and friendly anaesthetist just before the surgery who explained how the procedure works so I knew what to expect. I was accompanied to the operating theatre with the Anaesthetic doctor and the very friendly practice manager. They helped me to get comfortable as Dr De Silva was preparing and music was on. The last thing I remember was taking with the dr and then I fell into a deep euphoric, relaxation phase where I was not fully asleep and could hear the music and everyone speaking yet no feeling of any pain or any sensation whatsoever. Soon after the completion of the surgery I was almost fully conscious yet didn’t want to get up as I was extremely relaxed. Within a few minutes I was dressed and was out of the door of the clinic. I experienced no pain no bruising and no other complication whatsoever- which was too good to be true for someone who had a surgery! I had seen pictures of people who have had this procedure who’s faces are bruised all over. Dr De Silva had prescribed me some medication and topical creams and I was back at work the week after. My friends and colleagues look me in an intrigued manner and say I look different (better of course) yet no one knows about surgery. It is worth to mention that my overall experience was pleasant; right from the consultation to the end and with every single member of Dr De Silva’s team being professional helpful and friendly. The whole process was so organised and smooth; on-time, organised regular pre-procedure and follow up appointments and great communication by everyone overall. I highly recommend Dr De Silva and his team.

By Graham, Brow lift and blepharoplasty experience with Dr De Silva on Dec 22, 2016

I had a brow lift and upper and lower blepharoplasty at the beginning of October. This was because I looked constantly tired. Being a man I was nervous that the effect would look too drastic but I have nothing but positive comments about my experience from start to finish. Dr De Silva was the perfect choice for me - he knew exactly what I needed to get the most effective and most natural looking results from my surgery. He and his whole team were consummately professional both before and after the procedure and three months on everything is perfect. I was actually taken aback at how quickly I recovered and how good the results were. I would highly recommend him.

By HB, Wonderful, caring doctor, Chin implant and rhinoplasty experience with Dr De Silva on Dec 17, 2016

Wonderful, caring doctor. This year I had a rhinoplasty and chin implant with Dr De Silva under local anesthetic with sedation. Dr De Silva really cares about ensuring his patients have a relaxed and comfortable experience. From the first time I met him I knew I was in good hands as he spent a lot of time with me and didn't try to rush me, as other surgeons had done. He was very patient with all my questions and requests. The surgery itself and recovery was very comfortable. Pain was maximum 3/10 and I have headaches and period pains frequently which are much worse. Within one week I had my cast off and was out to dinner- I had no bruising left and you couldn't tell I had surgery. The results are natural and Dr De Silva takes care to give you results that will last a lifetime. He has been very responsive with the aftercare and always willing to see me at short notice and answer any of my questions. The months after your rhinoplasty are a difficult time as your nose changes shape, and so it is very important to choose a surgeon you can trust. Also I would mention that I was very worried about the anesthetic but I can assure anyone else who is worried that it is absolutely fine- the whole thing was so minimal I wouldn't hesitate to do it again tomorrow if I needed. In fact I'm planning on going back to Dr De Silva next year for some more work!

By Phi-Lift Non-Surgical facelift by Dr De Silva on Dec 14, 2016

Natural looking, amazing results. I am in my early 40's and was looking for an overall improvement to my facial contours including tightening of the neck area. I wasn't prepared to undergo a procedure such as lifting or minilift and was concerned about achieving a natural look. After meeting Dr De Silva and obtaining his assessment and recommendation regarding the Phi-lift, I decided to go ahead with the procedure. I must say I am both delighted and nicely surprised with the results. The laxity issue on my neck has been significantly improved (I would say a 90% improvement) and the overall result is natural looking, enhancing the natural angles and shape of my face. Without any doubt I would recommend the Phi-Lift to anyone who is not yet prepared for a more invasive procedure yet would like to achieve fantastic results. Thank you Dr De Silva for a nicely done job.

By Anonymous12300 Blepharoplasty experience with Dr De Silva on Dec 12, 2016

Amazing experience. I had upper eyelid surgery. From the first meeting with DR De Silva I felt that I had chosen the right doctor, he put me at ease straight away. I didn't feel any pain afterwards just a little discomfort, the aftercare was amazing. The overall experience was great, the results are outstanding. Dr De Silva and his team are amazing, I am so happy that I found him. If your thinking about having upper eyelid surgery I would say go for it because it will make such a big difference to your appearance.

By CH Revision Rhinoplasty with Julian De Silva on Dec 6, 2016

Just over a year ago I had a revision rhinoplasty with Julian de Silva.. actually it was a second revision surgery.. My first surgery over 15 years ago didn't really achieve any if the changes I was hoping for in my nose and so the same surgeon agreed to do a revision for me.. In my opinion this second surgery made things worse as scar tissue had formed and I think I ended up with a larger more bulbous nose than I had started out with. Part of me just wanted to accept my new nose and learn to live with it.. but 15 years later I decided to do some research on finding the best rhinoplasty revision surgeons who could help me. Also someone that understands thicker skin in patients and the extra special procedures that this requires.. Having had previous surgery on other areas of my face with Julian de Silva.. I was naturally drawn to him. All his reviews and patient testimonials were so encouraging.. especially with the huge number of revision patients that he is able to help. Well I think I made the best choice ever. De Silva has such a good eye and expertise in achieving the best possible results in rhinoplasty. He listened to all my concern but also guided me in helping me to express the changes that I wanted to see through my revision surgery. For example something that I didn't realise was that my nostrils were a bit wide and the type of refinement I wanted to achieve were not achievable unless my nostrils were brought in a little bit. I was so grateful to Julian for pointing this out to me. As for the actual surgery.. it was completely pain free. The surgery was a bit complicated as Julian said I had quite tough scar tissue that had built up and he needed special tools to remove and mold it. But from my perspective it was a breeze. No pain during or after surgery. The only downside in revision rhinoplasty is the longer healing time and prolonged swelling. It takes a while for things to settle but all the helpful advice from Julian and his team really helped me and gradually I can see everything getting to exactly how I wanted my nose to look like. But it does take time. I would highly recommend anyone seeking the best surgeon for any sort of revision surgery.. especially rhinoplasty.. to go with Julian De Silva. He has a great eye for what is aesthetically pleasing. A huge amount of experience in all types of noses. . ethnic.. thick skinned.. previously damaged.. and the results he achieves are so natural. Anyone that chooses to have surgery with Julian De Silva and his team is definitely in good hands. He really turned this daunting and quite nerve wracking experience of revision surgery into a complete success for me !!!!!!!!!!

By Sky Maiden Facelift experience with Dr Julian De Silva on Dec 5, 2016

The one to go with. So you are having an operation on your face. The part of you that you present to life on a daily basis, the primary defining element. Of course you are nervous! But you are not happy. Haven't been for some time. Try to ignore it but it won't go away, lingers in the background like a pressing errand you know you should be fulfilling. You have become either obsessed with the elements that no longer align themselves with your self-image, try to find the best light to disguise them, fool yourself, even though you know. Or avoid mirrors altogether, as they have become a source of disappointment and pain. Spoil your day. Your outside does not match your inside any more. And so much of your energy is dedicated to overcoming these shortcomings with inner confidence, even when you don't feel it. When it used to be effortless. And it has become a self-defeating loop. The more stress you feel about the issue the more the stress ages you and makes it worse. A vicious circle. You need to lose this weight that you drag along for the ride. Well know this. You have made the best decision possible. Come to the right place. Aligned with the stars and the planets to find the best surgeon/artist in the business. One who specialises solely in faces, a sculptor of clay and flesh. And one who unlike others I won't mention, treats you holistically from the moment you meet, wants to know you, your story, to connect with the person not just the face. His warmth and empathy, appropriately accompanied by sparkling eyes and smile that connects and a soft gentle voice that would be perfect for reading bedtime stories and lulling children into a deep and relaxed slumber, makes you feel instantly at ease and confirms your choice as the right one. You just know it. Just like the impressive and beautiful portrait art he paints and adorns his clinic with this wonderful man, passionate about his work, will treat your face as art, will listen to your every word and translate it into the best possible result. And whilst using the very latest, least intrusive, scar-optimising, cutting edge techniques. As a bit of a health freak I was personally concerned about taking any form of pharmaceutical during the 'twilight state' induction which accompanies the procedure. I chatted at length with the anesthetist who couldn't have been more friendly and approachable, phoning me and making himself available for long question filled chats whilst actually on holiday! I ended up having the absolute minimum possible and least ever in terms of drugs and pain killers to accompany the local anesthetic and yet the operation was wonderfully painless and not a trauma in the slightest. I drifted into a relaxed state and stayed there until before I could blink it was all done and I was coming to and having it dressed. Far more preferable and superior to the risk and recovery time associated with general anesthesia. I can honestly say the only real pain and discomfort I felt was the first 24 hours when everything wore off a few hours after the op. It was difficult to get comfortable enough to sleep and there was a fairly intense ache. But then I took no pain killers at all. By the second evening it was just sore and numb and was sore for a few weeks after but definitely manageable and no longer a distraction. The numbness took a few months to wear off completely, little by little and is still there subtly after 6 months. My guess is that between 9 and 12 months it will have gone completely judging by the rate at which it has faded. The advice I have been given confirms this. And the result. Amazing. Everything I had hoped for. But always natural looking with Julian, even when asked to push to the maximum he still knows the balancing point, the fine line between just enough and too much. A master of his craft. A true artist. I have myself back. And all of his staff are just as friendly and competent, genuinely caring and empathetic so you end up as one of the family not just a paying customer. There are plenty of follow ups at every stage and it almost feels like you should pop in on a regular basis just to say hello you become that close. Well not almost even. So okay yes there is always a risk. Every reward includes one. But when there is more chance of being run over crossing the road to the clinic, when you know you are in the safest, most competent hands, when most problems whilst rare if they should occur are recoverable, then you cannot help come to the conclusion: The reward outweighs the risk a thousandfold. Take a deep breath. And just do it!

By AMLondon Chin Implant with Dr De Silva on Dec 1, 2016

I had a chin augmentation revision and new implant with Dr De Silva and found it an easy experience. The results are exactly what I was looking for and I found him to be a well-informed and thoughtful clinician.

By Mrsarmtrough My Facelift, upper eyelid, fat transfer and laser experience with Dr De Silva on Nov 30, 2016

I was very nervous about having the upper eyelid surgery because it is such a delicate and visible part of ones face and my skin tends to scar quite badly. However the results are really good - after 9 months there are no visible scars at all and Dr De Silva paid particular attention to my request for the change to be subtle and natural looking. I wanted to look refreshed and youthful but not dramatically different and the procedure has given me exactly the result I was looking for. The other procedures he recommended were a face and neck lift, fat augmentation, and laser skin resurfacing, all of which have worked really well for me. The operation itself was done under 'twilight' sedation rather than a full anaesthetic, though it felt like I was unconscious throughout. The aftercare, which included staying the night in a comfortable hotel in Kensington under the care of a very kind and competent nurse, followed by a visit the next day by Dr De Silva, could not have been better. Over the next few weeks and months as my face recovered I had numerous follow-up visits, plus emails and phone calls from dr De Silva's fantastic team of nurses and assistants all of whom were friendly and helpful, always doing their best to answer questions and follow up on any requests. Having face, neck and eyelid surgery as I did is not something to take lightly - the immediate afteraffects are alarming and though I was able to go back to work after a week, as advised, the swelling and lumpiness under my chin, though barely visible, did bother me and has taken several months to settle down. However, 9 months on the final results are remarkable - I look younger and fresher, my skin tone is fantastic and and throughout it all I felt completely supported by Dr De Silva and his team. Dr Julian De Silva has a very calm and reassuring manner. He really listens and took all my concerns seriously, explaining the procedures in detail, including the options for anaesthesia. The procedures included a face and neck lift, upper belpharoplasty, fat augmentation, and laser skin resurfacing all of which were described clearly to me beforehand. I had the sense that Dr De Silva saw me as a whole person, an individual and understood my desire not to dramatically change the way I looked, but to rejuvenate and subtly improve my looks. He has achieved this with the skill of a real artist - in spite of my anxiety about scarring there are no obvious signs that I have had any work done at all. I am very glad I chose Dr De Silva and would highly recommend him to anyone looking for a surgeon with skill, sensitivity and a real appreciation and understanding of human beauty.

By cv2283 Rhinoplasty experience with Julian De Silva on Nov 29, 2016

I highly recommend Julian De Silva. I have had a very positive experience with a good natural looking result with him doing my rhinoplasty. The whole procedure and recovery was so much quicker and straight forward than what I was expecting. His after care service is also second to none.

By Casinoroyale Chin Implant experience with Dr De Silva on Nov 28, 2016

I had a chin implant at Dr Dr Silva's clinic. I was apprehensive at the beginning but his professionalism and highly trained staff soon put me at ease. I went through the surgery with absolutely minimal discomfort and have to say one month on, I am very satisfied with the results. If you are ever thinking of having a chin implant, it's probably the most natural enhancement you can have and so far, no one except me has noticed it. I am glad that Dr De Silva have his honest opinion and dissuade me from choosing a larger implant that would have made it disproportional to the rest of my face. I am also considering a revised rhinoplasty surgery and facelift in the future and I wouldn't hesitate to go back to Dr De Silva when the time comes.

By Rhinoplasty experience with Julian De Silva on Nov 27, 2016

I highly recommend Julian De Silva. I have had a very positive experience with a good natural looking result with him doing my rhinoplasty. His after care service is also second to none.

By Bowen, Phi-Lift non-surgical facelift, laser resurfacing and eyelid surgery on Nov 22, 2016

Awesome result I'm so happy. I felt so nervous and wasn't sure I was doing too much at once but I listened to Dr.Silva and my mother and I really do look 10 years younger but with no bags!! The surgery went well I was really nervous and a bit shocked after that I went through with it and a bit shocked but all the staff really helped me relax. It was uncomfortable and a bit painful but so worth it. I went straight home the same day to the comfort of my own home to recover and repair and put on the box sets 'S*x and The City!! I will be back to see Dr.Julian but hopefully not for another few years for filler! It really does look so natural...

By Facelift experience with Dr De Silva, Sheena on Nov 21, 2016

Dr De Silva was so informative and supportive at the consultation. The experience I had from start to finish was exemplary. I could not believe the procedure under sedation, was so easy. To be truthful I was so wary as I had been through this procedure before and had to spend time in hospital. I am a nurse and was aware how sedation worked but was a bit sceptical about sedation for such a procedure. The experience I had was amazing. The results are phenomenal. Dr De Silvas expertise is second to none, his attention to detail is exceptional and I cannot thank him enough. No one knows I have had this procedure, everyone says I look fresher, what have I done with my hair, have I been on holiday? Dr De Silva is an exceptional surgeon. His attention to detail is second to none. His care and attention with stitching and removal of stitches is so caring and detailed he is a true professional.

By S Fisher on Nov 17, 2016

Dear Dr De Silva and your brilliant team, I just want to say a really big warm thank you to you and everyone at the Centre for making my rhinoplasty experience such a positive one. From my pre op and post op appointments, and the actual surgery itself, everything was first class and I'm eternally grateful for everyone's hard work and professionalism. I prepared myself for the worse knowing that I’m going to be under the knife but that surgery experience and recovery process was painless. Most of my swelling and bruising have gone and I’m enjoying life with a very confident appearance. I cant ascertain how mesmerise I am with the natural looking result, you did more than I was expected, I was just expecting an improvement but what you’ve done is perfection – and my nose tip is flawless. I still can’t get over what you’ve done. For those that didn’t know I’ve undertaken surgery – no one has noticed any change but to those that knew about my surgery – they are speechless. Without any doubt I’ve certainly made the right choice of surgeon, so Thank You Dr De Silva and everyone else (Stefanie, Dr Andre, Jenifer, Laura, Joanna) Thank You!!!

By KB Male Upper and Lower blepharoplasty experience with Dr De Silva on Nov 7, 2016

Having had an upper and lower blepharoplasty with Dr De Silva back in February this year I'm delighted with the natural looking result. Basically my eyes ten years ago. Be prepared to wait several months for the finished result, but I was out and about within a few weeks from surgery which was quick and painless. The notes that I was provided were extremely useful and a comfort to read whilst I was healing in those first few weeks. A very professional surgeon that put me at rest throughout the process from the initial consultation, operation, and through to post-operative consultation.

By Liz P Upper and Lower Blepharoplasty experience with Dr Julian De Silva on Oct 28, 2016

I turned 60 last September, and generally felt good about myself. I practice yoga regularly, eat well and live a very happy life. I did notice that my eyes looked droopy to me. I often thought I looked tired even when I was well-rested, and often felt that my upper eyelids were sitting on my lash line and that I had to raise my eyebrows to 'lift' the skin. After some research, I decided to investigate whether I could benefit from an upper and lower blepharoplasty. After more research, (including RealSelf), I decided to see Dr Julian De Silva. I had another surgeon I would have visited had I not been comfortable with Dr De Silva. I never went to see the other surgeon, because from the first visit, I knew I had selected someone who was competent, attentive and focused on the type of surgery I wanted. I honestly never felt nervous, and in fact, grew more confident as I went through the steps leading up to the procedure. All of the staff members I interacted with were well-informed and exuded both compassion and confidence. Everything was explained in advance, and everything went as expected, including my post-op recovery. I'm now more than six months post surgery, and am so very glad I did it! To me, I look better, not different. I look and feel more refreshed and less tired. When people tell me that I look well-rested or ask if I've just had a holiday, I know that they're seeing the results of this procedure.

By h_money Teenage Ethnic Rhinoplasty experience on Oct 11, 2016

Since the days of my youth, i have been rather dissatisfied with the visual aspect of my olfactory organ (nose) and furthermore, a deviated septum meant that breathing via my left nostril was particularly troublesome. After extensive research, i came to the conclusion that Dr De Silva was most suitable for my surgery. He was extremely assuasive, and at points of discombobulation, he would promptly respond to my emails. Additionally, he ensured that i was made cognizant of the risks associated with the procedure. Towards the end of April, early in the morning, i ventured to Dr De Silva's clinic in London, the sun was rising above the horizon, the frigidness of the cold England air pieced my skin as i journeyed from my mothers' car to The London Centre in Hammersmith. Admittedly, prior to my surgery i was frightfully nervous, the fear of damaging my appearance, or perhaps even dying almost overcame me. "Should i risk everything so that my self infatuation can develop even further?", "Should i turn around and go home?" Nay. I had come this far, and i had full confidence in the expertise of Dr De Silva. The surgery was excellent, and i was satisfied with the entire procedure, in which i felt no pain or discomfort. Wearing a nose cast for the week following the surgery was difficult, however i experienced little bleeding and no pain. Once the cast had been removed, my life was back to normal, and even though there was a great amount of swelling, i could already see that the shape of my nose had improved and i found that breathing was far easier through my left nostril. I would recommend Dr De Silva to anyone who is interested in having Rhinoplasty surgery, and if i had another nose i would go back to him.

By Amy, my experience of a Neck Lift with Dr Julian De Silva on Oct 8, 2016

Amy Neck Lift First off, I'll begin by saying I had wanted this since I knew it was possible. I remember something Dr De Silva's staff member Jennifer told me when I first visited for my initial consultation: "It must have taken you a long time to make this decision to come in here; this is a big step". Which is so true! After years of mulling it, it took seeing myself in a widely-shared work video that made me cringe, and go to the next level of considering surgery. Despite the fact that Dr De Silva and his team were FANTASTIC, I had a complete freak out and seriously considered pulling out (and losing my deposit) a couple of weeks before. This nervousness continued to a few days before (I was uncertain up until then - in fact, I was not 100% certain when I went in for surgery). I can only describe what happened to me as a complete attack of the nerves, combined with fear/guilt over not telling my mother I was going to have it done. Once I did tell her, however -- a few days before -- she was fine with it, and I relaxed. But I was still consumed by thoughts that I was risking having my face mutilated, and that what I was doing was silly and self-involved. In fact, with several back-and-forth emails to the staff at Dr. Silva's office, and a few phone conversations, I felt I was driving them a bit mad with my doubting. But the staff were great - they were extremely professional, and told me if I didn't really want it, I shouldn't go ahead with it. Ironically, this made me realise that of course I wanted it. Also - the fact that they didn't pressure me or go out of their way to try convince me - which I assumed the would do - made me realise that they are in the business of making people happier with their informed decisions, and not just out to make money. The staff were just great. Before, during and after the operation. Seriously. I'm so glad I did it -- I didn't regret it for one second afterwards. Not even during the post-op pain! I was just delighted I'd gone through it - it felt like a tremendous weight had lifted from my shoulders.

By Ethnic Rhinoplasty & Facial surgery experience with Dr Julian De Silva on Sep 28, 2016

Dr De Silva is an extremely professional surgeon. I consulted three others before him and he was by far and away the most professional and knowledgeable. Talked through the process, didn't try to sell and a very calm approach personal to the patient. Post care procedure was painstaking. My procedures were for face and nose.

By Diana's Facelift experience with Dr De Silva on Sep 28, 2016

My surgery was only 2 months ago and although there is still some swelling, I can see the change in my face and I'm absolutely delighted. From the minute I walked into the clinic for my initial consultation, through the day of surgery and the after care, I felt I was in very capable and professional hands. I had sedation and I cannot recommend it highly enough - I woke up after the operation and felt completely alert and fresh with no sluggishness that you get from a general anaesthetic. I couldn't recommend Dr de Silva more highly.

By Fantastic Experience! overwhelmed with my results. Rhinoplasty Experience with Dr Julian De Silva on Sep 25, 2016

Fantastic Experience! overwhelmed with my results. I had Rhinoplasty and Septoplasty with Dr De Silva on the 25/06/2016 and I cannot express how thrilled and overwhelmed I am with the results. The whole experience has been truly life changing and nothing but positive. Why did I decide to undergo rhinoplasty? I decided to have the procedure due to a large hook shape on my nose. This made me feel very uncomfortable and really effected my confidence, as it really didn’t suit my face. It also became apparent to me how much I struggled being assertive with other people or looking people in the eye while studying at university. With many reasons I decided it was something I needed, I was so fed up of feeling sad about my nose. Why Dr De Silva? I have wanted Rhinoplasty since I was 17 years old (5-years ago), because it’s such a technical procedure I spent three years searching for the right surgeon. After coming across Dr De Silva I was certain he was the Doctor for me as he specialises only in the face. I was so overjoyed when I read about his experience and fantastic customer reviews. With this decision I was committed to finishing my studies and then having my surgery. So after wanting to meet Dr De Silva for two years, the day finally came! And it exceeded my expectations, he was very professional, very reassuring and very calming. He answered all of my questions and completely made me feel at ease about the whole procedure. I must say the whole team are incredibly lovely and make you feel very comfortable and safe. After a great consultation and being overwhelmed with Dr De Silva I booked a day for my surgery. Surgery So on the day of my surgery I was overcome with nerves. I have the biggest needle phobia and the thought of the procedure made me so scared. However, after walking into the clinic I was made so calm and relaxed. The staff are incredible, I cannot express how grateful I am for the care and patience’s I received. The anaesthetist was also fantastic. Then I woke up. I can honestly say I just loved it! I’ve never had surgery before but I was so relaxed and came around so happy. I just remember waking up and being like it’s done and its pain free?? I decided to have sedation and I cannot express how amazing it was. I left surgery half an hour after my procedure and just felt incredible and completely normal, I was so surprised how quickly the effects of sedation wore off. I was very anxious about sedation as I thought I would hear/see stuff going on, I didn’t at all I can’t believe how much I enjoyed the experience. My experience I noticed a difference as soon as the cast came off, but I must say the 6-8week healing period I seen results virtually every week, I am still noticing smaller refinements now! I still cannot believe how virtually pain free my whole experience was, when I say pain free I mean I didn’t even take a paracetamol. I am so happy with my experience with Dr De Silva, from the very first consultation to the aftercare I have received. To look in the mirror every day and see my nose completely fitting with my other facial features is something I have dreamed about for years, and now that dream is a reality. It is exactly what I wanted. I am so happy Dr de Silva was my surgeon he is a credit to his field. Truly an artist! I would highly recommend Dr De Silva to anyone! He has made such a positive impact to my life. I will forever be thankful to him and his team.

By Eye Bags Treatment Experience with Dr Julian De Silva on Sep 21, 2016

Outstanding results. In March 2016 I underwent transconjunctual blepharoplasty, fat transfer and laser resurfacing to address the large bags, loose skin and wrinkles under my eyes. These had developed and grown steadily worse through my forties, making me look tired and dour (and which no amount of eye cream or smiling could counter!). Throughout this period, I deliberated about surgery and consulted a number of leading surgeons in the UK and US, before finally meeting Dr De Silva (which is where I should have started). His professionalism, quite confidence, relaxed manner, and (importantly) willingness to listen, allied to his evident results (specializing only in facial cosmetics) and reviews, made the ultimate decision to proceed relatively easy. The procedure itself and recovery/review lasted around 2.5 hours and was smooth, relaxed and pain free, from beginning to end (the conscious sedation working exactly as described). The healing process was also very straightforward, with only mild bruising under the lower eye lids (which passed within a few days) and peeling (which was, of course, expected and passed within 7-10 days). There was no discomfort. And as for the results, simply stunning. At least an 80% reduction in my bags (which was the objective, though I confess to having been skeptical of this at the outset), a firming of the skin and a marked reduction in my winkles, but moreover, no tightness and completely natural in appearance. After 2 weeks, I felt confident enough to go out without dark glasses and after 3 weeks, confident enough to return to work - indeed, I could probably have ventured out sooner, but being male and working in a public capacity, I doubtless erred on the side of caution! From 4 weeks the swelling had almost gone and now, 6 months on, it really feels as if I never had bags, and never had surgery. It really does seem as if the clock has been turned back; I look fresher, more alert and undoubtedly more confident (which is not something I had dwelled on before). I have had a number of comments about how well and relaxed I look, but no one seems in the slightest bit suspicious. I would certainly not hesitate to recommend Dr De Silva (who seemed to take as much pleasure in the outcome as I did). I should also give credit to his support staff, who were equally reassuring, quick to answer questions or refer and to return calls. The paperwork and care instructions were clear and easy to follow (if not a little daunting at first) and the follow-up appointments scheduled at the outset. This is an excellent practice. Well done and thank you.

By Blepharoplasty/ Eyelid surgery experience with Dr Julian De Silva on Sep 18, 2016

I did approach another clinic prior to meeting Dr De Silva. The procedure offered by this other clinic was noticeably cheaper but I was not convinced at all by the consultant or the before and after photographs shown to me. From the moment I met Dr De Silva I was thoroughly impressed by his calm professionalism and his caring, experienced approach. He listened closely to my requirements and my concerns and quickly put me at my ease. The whole procedure from sedation through recovery was, in my case, pain-free and I was astounded at how soon I felt confident and comfortable enough to go out in public. I attended a party only 10 days after the surgery which was beyond my wildest expectations. I am delighted with the results and would not hesitate to recommend Dr De Silva and his entire team.

By Rhinoplasty experience and review of Dr De Silva on Sep 16, 2016

Made me able to move on in my mind when I was obsessing over my first op that was a disaster. My revision Rhinoplasty by DR Julian de Silva was amazing. Best thing I have done. Such a lovely surgeon.

By Blepharoplasty experience with Dr De Silva on Sep 3, 2016

I'm a 54 year old lady, who for the last 3/4 years kept moaning about the way my eyelids drooped and also having excessive loose skin more so on my right eyelid,and as if that wasn't bad enough both eyes in the corners of my eyes had developed fatty puffiness which looked absolutely awful, whatever eye makeup I would wear did not improve the look. So enough was enough and at this point knew there was one thing to do, and that was surgery. After researching several plastic surgeons and 3 consultations later I finally met Dr Julian De Silva and was instantly connected by his gentle,professional manner, he was very honest about my expectations and what I would achieve from having upper blepharoplasty. As I left the Harley street clinic I felt optimistic and excited finally I was doing something about it, and in many ways I had delayed going ahead with the surgery as I knew finding the right surgeon was going to be an ordeal and trusting that person. But after meeting Julian de silva I just knew he was the right surgeon for me. As soon as I got home and thought things through I had booked a day to go ahead with the surgery. Day of the surgery I was absolutely petrified so nervous and anxious but I have to say from the moment I arrived at Hammersmith clinic to end of surgery went all so very well could not have had a better team of professional ,wonderful attentive clinicians the anesatis, nurses and of course the surgeon who were brilliant. After the surgery I was not in any pain had no swelling just a little dried blood on the eyelids only to be expected, I went home with my husband on the train the same day wearing sunglasses and I took 10 days holiday from work and did exactly as I was told and nursed myself it was actually nice having that time off work and just doing nothing for a change, and Dr De SIlva rang me at home the same evening to see how I was feeling and also got a call from the lovely nurse the next day to see how I was. I can honestly say I had no pain whatsoever, I did have a little swelling in the coming days but nothing like I imagined, but the bruising took the longest to clear which appeared under my eyes, but as time has gone on my eyes have looked better and better. I am absolutely thrilled to bits with the results here I am 5 months later writing this review and just want to thank Julian and all his wonderful staff that dealt with me I have never looked back since having this procedure done and in a few years if and when I feel I need another facial procedure doing I would not even hesitate to see Dr De Silva again a big thankyou to you all Antonia

By Consultation for rhinoplasty on Sep 1, 2016

Amazing MD actually advised me before any surgery & refused as he felt the changes would not be best for me, unfortunatly I didnt listen and had surgery else where where I was not listened to & the Dr Hesham Saleh made unnecessary scars & changes inside my nose I never asked for & completey over looked my requests. Choosing the right DR is very important. Ill be going back to Dr De Silva for help. I believe he will advise me the best.

By Chin Implant & Lip Reduction Experience with Dr De Silva on Aug 15, 2016

I had lip reduction and a chin implant done with Dr De Silva. Overall, I was very happy with my treatment and also with the results. I went to have the procedure done very early in the morning and it was over very, very quickly. The recovery was quick and the pain was very minor. It was difficult to eat for about a week or so afterwards but Dr De Silva gave me good advice about the sort of foods to consume and stock up on. I received phone calls after the surgery to check up on me and was very well looked after. In terms of the result, the lip has reduced in size so that it is more proportional with my face. I hope that it will still reduce further, as it can take up to a year to see the full result. The scar on my bottom lip is minimal and I am not aware of it at all. The chin implant has also brought more balance to my face and I am very happy with that. Overall, I would recommend Dr De Silva to anyone thinking about cosmetic surgery. I searched around for appropriate doctors prior to the surgery and felt the most comfortable with Dr De Silva due to his sensitivity and knowledge. I never felt that I was taking a risk due to the reassurance I felt when meeting him. I cannot fault the result and treatment I received so would have no hesitation in going to him again.

By mijngrootmoeder6, Blepharoplasty/ eyelid lift review and experience. on Aug 13, 2016

My upper eyelid was dropping down and it was difficult to put my make up on. After the procedure I am now looking refreshed, younger and I can put my make up on again. Safety is paramount with this and Dr De Silva took every precaution before and after the procedure. Antibiotics, antiviral, eye drops/creams . I needed to have an ECG done and blood tests . This is not included in the £5,000 . Recovery time was very quick some bruising and swelling but all gone after 1 week. No pain at all not during procedure and not after. I can definitely recommend Dr De Silva, not the cheapest option but well worth it.

By Lower eyelid surgery review of experience and team on Aug 10, 2016

Hi everyone Just dropping in for two quick things. Firstly if it's not too much trouble or time could you email me over my before and after photos so I can share them on realself and also just stare in amazement at them myself. Secondly I basically just wanted to say a big warm thank you to everyone of you for making my experience a positive one. From day one at the consultation, to my pre op and post op appointments, and the actual surgery itself, everything was first class and I'm eternally grateful for everyone's hard work and professionalism. From the bubbly, delightful, Jennifer dealing with the majority of my early emails and always putting a smile on my face since meeting at the consultation, to the really cool and very thorough Stephanie, putting me at ease from the off with the before and aftercare advice and also that laid back Aussie style (the people in New Zealand were wrong, you're not all bad I suppose). To the lovely Laura on reception, always a welcoming and friendly face to put me at ease, to the Filipino nurse - whose name I unfortunately can't remember, Patawad - for the care and conversation during surgery. And last but not least Dr De Silva for everything, the results are exactly as I hoped for and then some, you're a wizard in your field and you're a gent at the same time, and my god you have the most calming voice ever, I honestly could sleep in a bed made of your voice. So yeah basically kudos to all of you for making such a great team and also making a massive mark on my life. Take Care & signing off Eamon

By Ethnic Rhinoplasty experience and recovery on Aug 6, 2016

Dear Dr De Silva Thank you so much for looking after me. The recovery and bruising/swelling was minimal and so far I am very happy with the natural results you have given me...I still look like me but with a nicer nose :) which is exactly what I wanted. I know I still have a long way to go but I see an improvement already and so far I am very happy. Your team are amazing (Jennifer, Stephanie and Laura who I think is the receptionist there today) they all looked after me from the start, so please say thank you to them as well. I am glad I did my surgery with you :) Kindest Regards Rina

By Facelift & Neck Lift experience with Dr Julian De Silva on Aug 3, 2016

When, after much research, I chose Dr De Silva for my face and neck lift, I certainly made the right choice. I like that he has given me a natural, fresh and youthful look – so much so that I am determined to maintain it for as long as possible with a good skin care regime. My experience with him and his excellent team was wonderful from start to finish. Dr De Silva is a charming man, patient and reassuring, with a gentle touch. He was generous with his time pre- and post-procedure. He answered all my questions with great care. All in all I cannot fault him or his team. So, thank you Dr De Silva and thank you, everyone at The Centre. 5 out of 5 stars Overall rating 5 out of 5 stars Doctor's bedside manner 5 out of 5 stars Answered my questions 5 out of 5 stars After care follow-up 5 out of 5 stars Time spent with me 5 out of 5 stars Phone or email responsiveness 5 out of 5 stars Staff professionalism & courtesy 5 out of 5 stars Payment process 5 out of 5 stars Wait times

By Nose Job experience with Dr Julian De Silva on Jul 31, 2016

I had rhinoplasty and septoplasty with Dr Julian De Silva. The whole experience of having surgery with Dr De Silva was honestly faultless and enjoyable. As I have never had surgery before, I was particularly nervous and anxious to get this surgery done, however, Dr De Silva and his team made me feel so incredibly relaxed and completely at ease in the lead up and morning of the surgery itself. Dr De Silva talked me through the whole procedure and it went exactly as he said. The day of the surgery, the whole team made me feel very calm and were very patient as I was expectantly feeling very nervous. There was significantly minimal - if any - pain associated with having the surgery, which was also something I was worried about. Dr De Silva was also very patient and took on board how I wanted my nose to look like in terms of its shape, and I could not be any happier with the results. Further to this, Dr De Silva answered all the questions I had about having the surgery done and reassured me. After the surgery, his team made sure I was recovering ok by calling and checking up on me regularly which was lovely and again answered any questions I had in terms of recovering. The recovery itself was so quick and after a week, once I had my cast removed, no one could tell I had surgery the week before! I would recommend Dr De Silva to anyone as the whole experience of having surgery for the first time could truthfully not have gone any better.

By Neck lift experience with Chin Implant, review of Dr De Silva on Jul 17, 2016

Dr De silva is A excellent doctor i had A neck lift and a chin implant. I was a bit nervous about not having the procedure done in a hospital, but I need of NOT worry, the staff were excellent at reassuring me that everything would be okay, Dr De Silva did an excellent job, my chin looks very so natural I couldn't be more happier.

By Rhinoplasty experience and review of Dr De Silva on Jul 16, 2016

Since the days of my youth, i have been rather dissatisfied with the visual aspect of my olfactory organ (nose) and furthermore, a deviated septum meant that breathing via my left nostril was particularly troublesome. After extensive research, i came to the conclusion that Dr De Silva was most suitable for my surgery. He was extremely assuasive, and at points of discombobulation, he would promptly respond to my emails. Additionally, he ensured that i was made cognizant of the risks associated with the procedure. Towards the end of April, early in the morning, i ventured to Dr De Silva's clinic in London, the sun was rising above the horizon, the frigidness of the cold England air pieced my skin as i journeyed from my mothers' car to The London Centre in Hammersmith. Admittedly, prior to my surgery i was frightfully nervous, the fear of damaging my appearance, or perhaps even dying almost overcame me. "Should i risk everything so that my self infatuation can develop even further?", "Should i turn around and go home?" Nay. I had come this far, and i had full confidence in the expertise of Dr De Silva. The surgery was excellent, and i was satisfied with the entire procedure, in which i felt no pain or discomfort. Wearing a nose cast for the week following the surgery was difficult, however i experienced little bleeding and no pain. Once the cast had been removed, my life was back to normal, and even though there was a great amount of swelling, i could already see that the shape of my nose had improved and i found that breathing was far easier through my left nostril. I would recommend Dr De Silva to anyone who is interested in having Rhinoplasty surgery, and if i had another nose i would go back to him. p.s. The most emotionally damaging part of the procedure was when a young boy looked through the window of my car as we were driving back home, post operation. He noticed that i had a cast and tape on my nose. It was at this point that he giggled and then shouted "Look it's voldemort." This was unnecessary, degrading and emotionally draining. I debated on whether or not i should exit my vehicle so that i could assault this child for his unthoughtful comment, however due to the fact that i had just undergone surgery and was still under the influence of the medication used, i did not think that i would win. p.p.s the nurses were also extremely professional and kind during the whole procedure.

By Ms Demetri Rhinoplasty & sepotplasty experience with Dr Julian De Silva on Jul 12, 2016

I had rhinoplasty and septoplasty with Dr Julian De Silva. The whole experience of having surgery with Dr De Silva was honestly faultless and enjoyable. As I have never had surgery before, I was particularly nervous and anxious to get this surgery done, however, Dr De Silva and his team made me feel so incredibly relaxed and completely at ease in the lead up and morning of the surgery itself. Dr De Silva talked me through the whole procedure and it went exactly as he said. The day of the surgery, the whole team made me feel very calm and were very patient as I was expectantly feeling very nervous. There was significantly minimal - if any - pain associated with having the surgery, which was also something I was worried about. Dr De Silva was also very patient and took on board how I wanted my nose to look like in terms of its shape, and I could not be any happier with the results. Further to this, Dr De Silva answered all the questions I had about having the surgery done and reassured me. After the surgery, his team made sure I was recovering ok by calling and checking up on me regularly which was lovely and again answered any questions I had in terms of recovering. The recovery itself was so quick and after a week, once I had my cast removed, no one could tell I had surgery the week before! I would recommend Dr De Silva to anyone as the whole experience of having surgery for the first time could truthfully not have gone any better.

By Waited 20 years because of Keloid scarring....Review of Dr De Silva's lower eyelid surgery on Jul 10, 2016

I waited 20 years for the scar-less technique which Dr De Silva employs perfectly for the removal of eye bags. So 8 weeks ago at the age of 72 , I underwent a lower blepharoplasty. The procedure went smoothly and was painless. The result is fabulous. The change to my face is so natural that no one suspected what has made me look" so well". This is a testament to Dr De Silva's skill and artistic flair. He is also supported by a good team.

By NZDave, Lower Blepharoplasty in 20s, experience with Julian De Silva on Jun 29, 2016

I was going through hell for years with the site of the bags under my eyes, they would be ok if was 59, not 29. They got me down all the time and it started to become an obsession, afraid to look people in the eye always keeping my head down, wearing sunglasses even on cloudy days and countless other things that made me realise it was completely taking over my life. I researched like crazy for years and always flirted with the idea of Blepharoplasty and often found myself imagining "what if"? What if I could make them go away and what if it makes me look and feel happier again - because they didn't just make me look tired, they made me look like I was sad as well - but I also wondered and worried "what if" it goes wrong, what if I come out looking worse, what if I destroy my face with one of those botched jobs and what if I look like some celebrities you see who have had plastic surgery and look stupid. Well it got to the stage where I could take no more and didn't care, the pros outweighed the cons and I went ahead with the man who's name kept coming up, Dr De Silva and well frankly, everthing was easier than I could have hoped for, pretty much all my bruising and swelling had gone by day 11 so much so that friends and family were not able to tell. Also in that time I had absolutely no pain or discomfort and most importantly I'm delighted with the results. I look and feel so much fresher and healthier and definitely wouldn't hesitate to consider further treatment from him in the future if need be. Overall the whole experience was a positive one and because of the massive difference it's made to my life, it was definitely a great decision and money well spent and would recommend anyone who's reading this and going through the same mental merry-go-round I was, to not waste anymore time and go and change your life for the better. You won't regret it. I don't.

By sher321 Ethnic Rhinoplasty experience with Julian De Silva on Jun 26, 2016

I have always kind of disliked my nose and felt it was a bit too big for my face. I wasn't too keen on my side profile and thought the tip was slightly bulbous so I one day randomly and spontaneously decided to book a consultation with Dr De Silva. I didn't want anything drastic, just a subtle change. Upon meeting, we had discussed what I wanted and he told me his opinion and what would realistically be the outcome... He was very clear, concise and understanding of what I wanted. Anyway long story short it was the best thing I've ever done. He did such a good job and it was literally PAINLESS.. As in I didn't feel a second of pain throughout the whole experience (maybe I was just incredibly fortunate). Honestly I cannot stress enough how easy this procedure is, I have had more discomfort going to the dentist. I had twilight anaesthesia and it just felt like I had had the best nap in the world and when I woke up, it was all done. If you're planning on doing this please do not worry or stress about the procedure there is nothing to worry about I promise you! Also, just a side note.. If you dislike something about yourself to the point that it starts to make you insecure and dominates your thoughts and you just cannot accept it, change it. Life is too short to overthink and let something silly ruin your standard of living. Looks are not everything and I understand that but I couldn't help the way I felt and now I have no regrets. I feel so much better and at peace with myself :)

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