Dr Julian De Silva – Specialist Facial Plastic Surgeon in London
Board-certified and fellowship-trained in the UK, Europe, and the United States, Dr De Silva is regarded as a global authority in facelift and neck lift surgery, blepharoplasty, rhinoplasty, and facial implants, with 15+ years of experience.
Meet Dr De Silva
A London-based facial plastic surgeon specialising exclusively in surgery of the face, eyes, and neck. Based on Harley Street, he is internationally recognised for delivering natural, refined results grounded in surgical precision, safety, and long-term facial balance.
His international training has shaped a practice defined by meticulous technique and a deep understanding of facial anatomy and ageing. The emphasis is always on enhancement without excess, ensuring patients look refreshed while retaining their identity.
What Sets Dr De Silva Apart
Dr De Silva is dedicated exclusively to facial plastic surgery, allowing for focused refinement in procedures where millimetres influence outcomes. Specialising in facelift and neck lift surgery, blepharoplasty, and rhinoplasty, each treatment is planned with careful attention to proportion, restraint, and long-term structural integrity rather than short-term transformation. Patients from London, across the UK, and from over 70 countries travel to the Harley Street clinic seeking this level of expertise, including complex and revision cases that require advanced surgical judgement.
ARTISS tissue adhesive to minimise bruising and eliminate surgical drains
Piezo ultrasonic rhinoplasty for controlled bone sculpting
Custom screw-fixated facial implants for stability
Micro-cannula fat transfer for smooth volume restoration
CO₂ laser resurfacing to refine skin texture and reverse sun damage
Radiofrequency microneedling (Morpheus8) to tighten skin and stimulate collagen
A comprehensive recovery protocol integrates regenerative medicine, PRP, AMP, hyperbaric oxygen therapy, manual lymphatic drainage, and advanced technology to enhance recovery and speed up healing.
Dr De Silva developed and patented a twilight sedation technique (GB2602123) that allows patients to remain comfortably asleep while breathing independently during surgery. This approach reduces the risks associated with general anaesthesia and supports smoother recovery, while maintaining the highest safety standards within a CQC-accredited facility.
The practice is guided by a clear set of core values: integrity, precision, discretion, and long-term responsibility. Every recommendation is grounded in honest assessment and a commitment to patient safety. He believes surgery should respect individuality, avoid excess, and deliver outcomes that remain appropriate not just today, but years from now.
VERIFIED EXPERTISE
Academic & Published Expertise
Dr De Silva is a published author and researcher in facial plastic surgery, contributing to the academic advancement of the specialty.
He has authored multiple books for both patients and surgeons, including:
- The Complete Guide to Facelift & Neck Lift Surgery
- The Complete Guide to Blepharoplasty & Eyelid Surgery
- The Complete Guide to Rhinoplasty & Nose Reshaping
His work and expertise have been featured by Forbes, Sky News, ITV, Reuters, Channel 5, and other major global media outlets, often discussing patient safety, facial aesthetics, and surgical innovation.
Education, Qualification & Leadership
EDUCATION
- Guy's, King's and St Thomas' Medical School (King's College London)
- MBBS, MD
- Board-Certified – American Board of Facial Cosmetic Surgery
- Fellow – American College of Surgeons
- GMC Specialist Register
- Royal College of Surgeons of Edinburgh
- British Oculoplastic Surgery Society
LEADERSHIP & TEACHING
- Course Director for Advanced Facelift Surgery (10 years)
- Examiner for International Surgical Examinations - ABFCS
- International lecturer at major surgical congresses
- Editorial Advisory Board Member – AACS Journal
- Peer reviewer for leading medical journals
AWARDS & RECOGNITION
- Masters with Distinction – Imperial College London
- Gold Medal for Research – Imperial College London
- Voted Best Cosmetic Surgeon in the UK – Tatler
- Selected Clinician – London 2012 Olympic Medical Team
- Safety in Beauty Awards – Best London Clinic
Artistry Backed by Science
Facial surgery requires both technical mastery and artistic judgement. Dr De Silva applies advanced facial analysis techniques to assess proportion, symmetry, and harmony, adapting each surgical plan to the individual rather than following a fixed template.
He often describes facial surgery as:
"50% technical precision, 50% pure artistry."
This philosophy reflects his belief that measurements in millimetres must be balanced with an intuitive understanding of facial harmony. His creative background as an artist further informs this perspective, and his own portrait paintings decorate the walls of the 23 Harley Street clinic.
Philanthropy – The DeSilva Foundation
Giving back has always been central to Dr De Silva's values, with active involvement in supporting underserved communities across Eastern Europe, Asia, Africa, and South America through volunteer work and humanitarian initiatives.
He established the DeSilva Foundation to support education and healthcare initiatives for vulnerable children and communities, with a focus on delivering help directly at ground level, where it can make the greatest impact. The Foundation's guiding principle is to provide meaningful, practical support to those most in need, without intermediaries.
"With the fortune of living in an industrialised country, there are many aspects of life including education, health and family that we take for granted. We are grateful for our ability to help patients every day achieve their expectations, and our aim is to sponsor as many children as possible with education and healthcare in less fortunate parts of the world." — Dr Julian De Silva
Book a Private Consultation
Dr De Silva accepts a limited number of surgical cases each month to maintain the highest standards of care and personal attention.
Patients considering facial surgery are invited to book a private consultation to explore whether treatment is appropriate, guided by a surgeon whose practice is dedicated entirely to the art and science of the face.
