Follow one patient from the first consultation through surgery and cast removal to the final result.
Facial Plastic Surgeon at 23 Harley Street, London
Natural-Looking Rhinoplasty on Harley Street
Dr Julian De Silva operates only on the face and has performed more than 1,000 rhinoplasties. He shapes your nose to suit the rest of your face, so the result looks like it was always yours.
- No general anaesthetic. Twilight sedation, and you go home the same day.
- No nasal packing, so you can breathe more comfortably after surgery.
- Ultrasonic (Piezo) bone shaping for precise, controlled refinement.
- Performed by Dr De Silva himself in his CQC-registered clinic.
★★★★★ 1,077 Patient Reviews
Dr Julian De Silva, MBBS MD
Facial Plastic Surgeon, Harley Street
Author of The Complete Guide to Rhinoplasty
As featured in
1,000+Rhinoplasties performed
20+ yearsWorking only on the face
1,077Five-star reviews
30+Published papers and book chapters
Results that look like you
A nose that fits your face
The noses people notice are the ones that look operated on. Too small, too pinched, or simply not right for the face they sit on. Most patients tell us that is their biggest worry.
Dr De Silva looks at your whole face before he plans your nose, using the proportions of the Golden Ratio and 3D imaging where it helps. He removes only what is needed and keeps as much of your natural structure as possible, so you still look like yourself.
- Bumps and humps smoothed on the bridge
- Drooping, wide or bulbous tips refined
- Breathing improved at the same time if needed
Primary rhinoplastyRevision rhinoplastyPreservation rhinoplastyMale rhinoplastyEthnic rhinoplastySeptoplasty
Find Out If I'm a Candidate
A gentler surgical experience
Planned around an easier recovery
1
Twilight sedation
No general anaesthetic and no breathing tube. Most patients are awake within 30 minutes and home within one to two hours.
2
No nasal packing
Nothing is packed inside your nose after surgery, which makes the first few days far more comfortable.
3
Ultrasonic shaping
Piezo instruments reshape bone with fine control, so Dr De Silva can make small, precise changes to the shape of your nose.
4
Shape and breathing
If your septum is causing breathing problems, it can be corrected in the same operation as the cosmetic changes.
Real patient results
Real patients, in their own words
Every nose is different, and so is every story. See what rhinoplasty with Dr De Silva looks like, from the first consultation to the final result.
She wanted a smaller profile with no hump. A softer, balanced result.
A high bridge and wide nostrils brought into balance with the face.
"My nose has always been a source of insecurity and now I really like my nose. Although the change is significant, it still looks like my nose, and no one has noticed I've had surgery. I experienced no pain and recovered quickly. 12 days post-op I was able to attend my sister's graduation."
VictoriaRhinoplasty and septoplasty · Google ReviewPhotos shown with patient consent. Individual results vary and will be discussed at your consultation.
