Upper Eyelid Surgery

Specialist Surgeon: Dr. Bernard Hayot

The New Approach to Eyelid Surgery at Epilium & Skin

Laser eyelid surgery candidate with treatment area drawn on by surgeon

After many years of practice, and following his training with fat transfer pioneer, Dr. Sydney ColemanDr. Hayot realised that ageing was not necessarily the result of excess skin but is mainly caused by a decrease in the volume of fat in certain key areas of the face.

He learned that by restoring volume which has been lost over time through fat transfer, you could create a more youthful appearance in the most natural way.

Seeing results first hand, Dr. Hayot now prefers to harvest the fat of his patients to use it to restore lost volume to parts of the face that have lost their youthfulness over time.

His main premise, in relation to eyelid surgery (blepharoplasty), is never to cut away too much skin. To just cut a little and restore lost volume to the eyelids by injecting fat creates a more subtle result.

By sculpting with fat, the face can be given a more refreshed and youthful  appearance. This advanced cosmetic technique can also be used to help correct problems such as hollowness and dark circles around the eyes and to remedy the loss of volume at the temples.

We call this additional blepharoplasty.

A word from our Medical Director…

A personalised approach to eyelid surgery increases the chance of a positive outcome. Through an in-depth consultation, I am able to determine each of my patients’ needs and expectations in order to provide targeted blepharoplasty solutions based on the needs of each unique patient.

—Dr. Bernard Hayot

As we age, there is often a decrease in fatty tissue and our muscles become less taut. This is when we can start to see an excess of skin.

In this case the eyelid will appear heavy and may even start to droop resulting in a more tired and often aged appearance. The Upper Eyelid surgery (or upper blepharoplasty) is generally performed on patients aged 40 or plus when it is become difficult for women to apply make-up on the eyelids or for men to see properly due to the surplus of skin and/or fat over the eye. This excess skin, also known as dermatochalasis.

This blepharoplasty performed on the upper eyelid area consists of removing excess skin by cutting the palpebral fold with a laser. Dr Hayot uses the CO2 laser which allow him to have a greater precision in the incision and minimise the bleeding while operating for a better view of the area treated. During the same procedure, the surgeon is able to remove any possible fat herniation. It is important to note that only the upper blepharoplasty is able to improve the sinking of the upper eyelid and to open the eyes without changing their expression.

In most cases, upper eyelid surgery is performed alongside the Micro- fat transfer (or Micro-lipostructure) technique to help restore lost volume. As we age, there is also an apparent loss of fat at the temples causing them to look hollow. In turn, this leads the tail end of the eyebrows to droop. Eye Surgeon, Dr. Hayot recommends that the temple area, eyelids and wrinkles are filled with fat to result in a natural lifting effect on the eye area.

It is important to remember that each patient’s needs are different, and each case may require a different approach when it comes to the procedure. Before any surgery, an initial consultation is made with Dr. Hayot. A full physical assessment will be required in order to gather the information the surgeon needs to develop a thorough treatment strategy. You will also discuss your personal goals and concerns and Dr Hayot will ask to see a photograph of the patient aged 25 so he can use it as a guide to recreate the youthful appearance of the eyes.

With all of this in mind, Dr Hayot will determine which surgical technique and approach should be used in order to guarantee the best outcome with the least amount of risk.


  • A greater precision with the CO2 laser treatment and the use of a microscope during the surgery.
  • The incision is made in the upper eyelid fold which results in an invisible scar
  • Less hematoma and bruising.


We usually advise to take 6 days off any activity. Stitches are removed on 6th day.
The healing process after a laser eyelid surgery will take few weeks but patient will be able to see the first improvement of the operation after 7 to 10 days. The final results are seen after 3 months after the surgery.


Before and after laser eyelid surgery on older man with wrinkles