Uploaded June 2026 | Updated September 2026, 1 week ago

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In this video, renowned facial cosmetic and plastic surgeon Dr Julian De Silva tells us all about his groundbreaking sedation technique, how -- and when it's needed -- to bring harmony to facial features, and other things about anaesthesia and facial plastic surgery that patients may not know.

00:00 You've patented your own anaesthesia technique — what is twilight sedation and why did you develop it?
03:11 What is the Golden Ratio, and how do you use it to plan facial surgery?
05:00 How do you decide what a patient actually needs — and when do you say no to surgery?
08:14 What makes a face beautiful — and can that really be measured scientifically?
10:18 Is general anaesthesia necessary for facelift surgery, and what are the risks that patients don't know about?
14:51 What technology do you use to speed up recovery after surgery?

To book with Dr De Silva, visit his Top Doctors profile:
topdoctors.co.uk/doctor/julian-de-silva

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