Hidden-incision upper and lower blepharoplasty under sedation. Smooth contours and no visible bags.
Facial Plastic Surgeon at 23 Harley Street, London
Natural-Looking Blepharoplasty on Harley Street
Dr Julian De Silva trained as an oculoplastic surgeon, a specialist in the eyelids and the area around the eyes. He refreshes tired, hooded or puffy eyes while keeping the shape and character of your own eyes.
- No general anaesthetic. Twilight sedation, and you go home the same day.
- Scarless lower eyelid surgery through the inside of the lid, where suitable.
- Fat repositioned, not just removed, to avoid a hollow look under the eyes.
- Performed by Dr De Silva himself in his CQC-registered clinic.
★★★★★ 1,077 Patient Reviews
Dr Julian De Silva, MBBS MD
Oculoplastic and Facial Plastic Surgeon
Author of The Comprehensive Guide to Eyelid Surgery
As featured in
20+ yearsWorking only on the face
1,077Five-star reviews
30+Peer-reviewed publications
MoorfieldsOculoplastic trained
Eyelid surgery by an eyelid specialist
Why your eyes can look tired when you're not
With time, the skin of the upper lids loosens and folds over the eyelid. Underneath, the fat that cushions the eye pushes forward into bags, and the area between the lower lid and cheek starts to hollow. People tell you that you look tired, even when you feel fine.
Many surgeons simply remove skin and fat. Dr De Silva looks at the whole eye area first, including your brows and eyelid muscle, and moves fat into the hollows instead of taking it all away. The result looks rested and bright, never hollow or surprised.
- Hooded, heavy upper lids lifted
- Under-eye bags smoothed
- Tear trough hollows softened
- Drooping eyelid muscle (ptosis) checked and treated if needed
Upper blepharoplastyLower blepharoplastyScarless lower lidRevision blepharoplastyMale blepharoplastyAsian double eyelid
Find Out If I'm a Candidate
Your options
Upper, lower or both?
Your consultation will show which part of the eye area is ageing, and what will make the biggest difference.
Upper blepharoplasty
- What it treats
- Hooded lids and loose skin folding over the eyelid
- Where the scar is
- Hidden in the natural crease of the upper lid
- Often combined with
- A brow lift, if the brows have dropped too
Lower blepharoplasty
- What it treats
- Under-eye bags, hollows and shadowing
- Where the scar is
- Often none, as it can be done from inside the lid
- Often combined with
- Fat transfer or laser resurfacing
Upper and lower together
- What it treats
- The whole eye area in one balanced plan
- Where the scar is
- In the upper crease, and often none below
- Often combined with
- A facelift or brow lift for a full refresh
A gentler surgical experience
Planned around an easier recovery
1
Twilight sedation
No general anaesthetic. Most patients are awake within 30 minutes and home about an hour later.
2
Fewer stitches
ARTISS tissue glue replaces most traditional stitches, which makes healing more comfortable.
3
Scarless lower lid
Where suitable, lower eyelid surgery is done from the inside of the lid, so there is no visible scar.
4
Aftercare that helps you heal
PRP and laser treatments can be offered to support healing and improve the skin around the eyes.
Real patient results
Real patients, in their own words
Every face is different. Choose your age group to see real eyelid surgery patients of Dr De Silva.
Hidden-incision lower blepharoplasty, keeping his own fat for a natural look.
Upper blepharoplasty under sedation, shown just 1 week after surgery.
Aged 60. Upper and lower blepharoplasty, fat transfer and laser. Shown at 3 months.
Upper and hidden lower blepharoplasty with fat transfer. No bags or dark circles.
In her early 60s, with lower lid festoons that needed a specialist technique.
"It took me a really long time weighing up getting surgery... All of the nurses and receptionists were incredibly helpful before and after. Money well spent. 100% recommendation."
J. G.Lower blepharoplasty · Google ReviewPhotos shown with patient consent. Individual results vary and will be discussed at your consultation.
