Natural Rhinoplasty London – Harley Street Specialist
Dr Julian De Silva – Specialist Nose Surgeon in London




As Featured In
What is Rhinoplasty in London?
Dr Julian De Silva is a renowned facial plastic surgeon specialising in Rhinoplasty London at his Harley Street clinic. Widely regarded as one of the leading rhinoplasty specialists in London and the UK, he combines surgical precision with artistic judgement to deliver natural, balanced results.
Rhinoplasty, often referred to as a nose reshaping procedure, is performed to refine the shape, proportion and function of the nose. Patients travel from across London, the UK and internationally to seek Dr De Silva’s expertise in bespoke rhinoplasty tailored to individual facial harmony.
As a specialist nose surgeon in London, Dr De Silva focuses exclusively on facial procedures. This level of specialisation ensures detailed anatomical understanding of nasal structure, breathing function and aesthetic proportion.
In the Press
Why Choose Dr De Silva for Rhinoplasty in London, UK?
Dr Julian De Silva is a highly respected facial plastic surgeon specialising exclusively in facial procedures. As a leading nose surgeon in London, he is known for delivering refined, natural looking rhinoplasty results with a strong focus on safety and fast recovery.
“We are proud to have over 1000 five-star reviews. My focus has always been on delivering world class facial surgery with meticulous attention to detail and natural outcomes.”
Author of The Rhinoplasty Book and The Patient Guide to Facelift & Neck Lift Surgery, Dr De Silva is committed to patient education and transparent surgical planning.
- Avoid complications by choosing a board-certified facial cosmetic surgeon specialising in rhinoplasty in London and across the UK.
- 20-30% Revision Procedures, of the patients Dr De Silva treats have had previous surgery elsewhere and were unsatisfied with the results from their previous surgeon. There can be many reasons for this, not adequate improvement, remaining hump, asymmetry, irregularities, breathing issues…
- World Travelled Specialist, Dr Julian De Silva spent time working in the very best Specialist Hospitals in the World before setting up his practice over 10years ago, this included London, UCLA Jules Stein Eye Institute in Los Angeles and Montefiore Medical Center, Albert Einstein College of Medicine in New York.
- Dr De Silva uses specialised state-of-the-art technology to improve the natural results or enhance recovery or longevity of the procedure. These include use of graft material from within your nose, ear cartilage, as well as other more complex cartilages based on individual requirements. It is important to make considerations for facial balance including receding jaw line that can benefit from chin implants.
- Dr De Silva is a pioneer of ultrasonic rhinoplasty in London, offering enhanced precision and reduced swelling compared to traditional techniques.
- Closed Vs Open Dr De Silva completes open and closed rhinoplasty procedures based on individual patient needs. Key to World Class Rhinoplasty surgery is virtually invisible scars. There are many important factors to consider including, natural skin position, asymmetry, ethnicity, skin laxity, skin quality and other diagnoses. The skin incision is closed using a combination of interrupted and continuous non-dissolving fine stitches. Non-dissolving stitches are preferred as they avoid scarring and stitch lines. Dissolvable sutures although saves time for surgeons as they dont need to be removed, these can create additional scarring.
Only the Face
By focusing entirely on only facelift & facial cosmetic surgery procedures, Dr De Silva is able to provide the expertise that can only come with specialisation: facelift and neck lift, blepharoplasty, rhinoplasty and chin implants.
Natural Looking Results
Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.
Fast Recovery
World Class Expertise
Dr De Silva also teaches other surgeons internationally and has contributed to the development of advanced surgical techniques, laser technology and stitch-less tissue adhesives.
Bespoke Rhinoplasty in London, UK – Techniques & Procedure
Every rhinoplasty in London performed by Dr De Silva is customised to the individual. No two noses are the same, and each procedure is designed to maintain facial harmony, natural proportion and optimal breathing function.
Tip Definition:
A sculpted and lifted tip of the nose can be achieved by internal stitches, sculpting of cartilages and cartilage grafts.
Cartilage Support Grafts:
In the past, cartilage reshaping could be imprecise, leading to misshapen results. Now, by using pieces of your own cartilage to assess and correct internal contour irregularities,
Dr De Silva can create more symmetrical results.
Breathing:
Although many patients are focused on the appearance of the nose, rhinoplasty often makes your nose smaller, breathing is important! Often a combination of straightening your septum (cartilage in the middle of nose) and graft material is required to ensure good breathing.
An Ultrasonic Rhinoplasty:
Your surgeon can now cut through bone with extreme precision. This advanced osteotomy technique is highly successful.
It prevents damage to the surrounding blood vessels and tissue while cutting bone, and it may lead to less swelling and bruising. Not necessary for all patients.
Cartilage Suturing:
Previously, lower nose cartilage was trimmed to correct bulbous features. Now, we know that the nose must be properly approached with a combination of trimming and specialised suturing. This dual technique creates better proportions and a more uniform appearance.
Faster healing:
Healing can be enhanced with the use of anti-inflammatory medicine after surgery, this can be particularly important for revision rhinoplasty, ethnic rhinoplasty and patients with thicker skin.
Rhinoplasty Before & Afters
These rhinoplasty London before and after results demonstrate natural refinement, structural balance and long term harmony.
* Results may vary
Patient Experiences
Patients seeking rhinoplasty in the UK often review patient experience videos before booking consultation to better understand recovery and results.
All these patients underwent Rhinoplasty with Dr De Silva. We encourage patients to watch one or two videos of patient experiences to have a good understanding of healing and the recovery period. Dr. De Silva and his team will provide support and reassurance during your recovery, we believe that being a well-informed patient is helpful to most patients undergoing Rhinoplasty.
TESTIMONIAL
What our satisfied clients are saying
“From the moment I first met Dr Julian De Silva I knew I had chosen the right surgeon for me! I was apprehensive as it had taken me years to pluck up the courage to have rhinoplasty and at 69 it was a big decision! Dr De Silva has the most calming disposition, both in his manner and his speaking voice and he immediately made me feel at ease, answering my questions and explaining the procedure clearly. The day of my surgery arrived and again I really felt confident that I was in very good hands!”
Madeleine
Rhinoplasty London – Frequently Asked Questions
I Live Abroad, How Can I Have Surgery?
You would need to say in the UK for approximately 10days, prior to covid, many patients would fly internationally to London to undergo rhinoplasty before returning to their home country.
We are able to utilise the latest technology to enhance your recovery including oxygen therapy, medications, lymphatic drainage and advance medicine.
At What Age Should You Get Rhinoplasty?
Most patients who look to undergo nose reshaping have felt self-conscious about their nose for many years before attending the consultation.
A nose that is out of balance with your face often becomes apparent in teenage years, though many patients take years to look into changing their nose.
Rhinoplasty is most commonly completed in patients aged twenty to forty-five, and Dr De Silva has completed surgery for some teenagers and patients in their 80s. Dr De Silva has had patients travel long distances and internationally for opinions on their nose, sometimes they have been refused surgery by local surgeons.
Often there may be additional factors to consider with increasing age, these can include breathing issues, drooping tip (termed ptosis) and increase irregularity, and these may require additional treatments at the same time to ensure a successful result.
Am I Too Young to Have Rhinoplasty?
Dr De Silva sees many younger patients for nose shaping in their teenage years. Many of these patients have disliked the appearance of their nose for many years before attending a consultation, and some have associated breathing issues and have been teased about their appearance.
Of key importance before considering rhinoplasty is the patient understands the implications of surgery, recovery, and expectations.
Utilising modern surgical techniques are important to ensure a long-lasting natural result. Dr De Silva completes nose reshaping on younger patients only when it is in their best interest and some patients travel long distances to London.
Do I Need to Go to Hospital?
Rhinoplasty is commonly completed in a general hospital with other surgical procedures in a general private hospital. Patients often are concerned about issues with general hospitals such as MRSA and hospital-acquired infection. Dr De Silva has built a custom state of the art facility including a private operating theatre to enable complete specialisation for every patient.
How Much Does Rhinoplasty in London Cost?
When looking for the best rhinoplasty results in London then costs should not be a consideration, but rather focus on the facility, qualification, experience, and technique of your surgeon. Given these considerations, expect to pay anywhere between £5,000 to £15,000 for a nose job in London, UK.
Can Rhinoplasty Be Combined With Other Techniques?
Dr De Silva frequently combines rhinoplasty with other facial procedures to give a natural-looking result and avoid the use of scars associated with conventional techniques:
How much does a nose job in London cost?
What is the recovery time for a nose job?
Call: +442087482860
Email: info@drjuliandesilva.co.uk
Address:
23 Harley Street
London, W1G 9QN, UK
Dr Julian De Silva
5 stars based on 458 reviews
Renowned expert in Facelift/Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results