Laser eyelid surgery

Specialist Surgeon: Dr. Bernard Hayot

Treatment: Upper eyelid, lower eyelid, eye bags, dark circles, malar pouch, eye shape, hollow eye, anti-aging, facelift, necklift, fat transfer, regenerative medicine

The New Approach to Eyelid Surgery at Epilium & Skin

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

Upper Eyelid Surgery

As we age, there is often a decrease in fatty tissue and our muscles become less taut. Here 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.
Cosmetic surgery performed on the upper eyelid area consists of removing excess skin by cutting the palpebral fold with a laser to avoid any bleeding. During the same procedure, the surgeon is able to remove any possible fat herniation.
In most cases, upper eyelid surgery is performed alongside the Lipostructure or fat transfer 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, there is an initial consultation with the surgeon where he will advise the patient on the most appropriate course of treatment to achieve the desired results.
At the initial consultation, 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.
Lower Eyelid Surgery
During the ageing process, the slackening of the skin combined with the loss of fat can often form notable dark circles and eye bags underneath the eyes.
To remove bags under the eyes, Dr. Hayot makes a very thin incision inside the eyelid (transconjunctival approach) with a CO2 laser. He then removes the fatty deposits under the eyes to avoid bruising. Both techniques help to avoid scarring and the use of stitches.

Please note, this surgery will not change the shape of your eyes moreover, it will naturally enhance your beauty.
If the patient also needs help with regards to visible wrinkles, the surgeon will use the pinch blepharoplasty technique to remove 1 or 2 mm of skin.

With only minimal amounts of skin removed, this technique ensures that the eye shape is not altered to angle downwards, which would create an unnatural-looking result.
We commonly combine this surgery with fat transfer to lift the skin, and restore lost volume and counteract the hollow eye.

Lower Eyelid surgery / Eye Bags Removal

During the ageing process, the slackening of the skin combined with the loss of fat can often form notable dark circles and eye bags underneath the eyes.

To remove bags under the eyes, Dr. Hayot makes a very thin incision inside the eyelid (transconjunctival approach) with a CO2 laser. He then removes the fatty deposits under the eyes to avoid bruising. Both techniques help to avoid scarring and the use of stitches.

Please note, this surgery will not change the shape of your eyes moreover, it will naturally enhance your beauty.
If the patient also needs help with regards to visible wrinkles, the surgeon will use the pinch blepharoplasty technique to remove 1 or 2 mm of skin.

With only minimal amounts of skin removed, this technique ensures that the eye shape is not altered to angle downwards, which would create an unnatural-looking result.
We commonly combine this surgery with fat transfer to lift the skin, and restore lost volume and counteract the hollow eye.

A word from our Medical Director…

With years at the helm of my plastic surgery clinics in Paris, combined with my extensive expertise in oculoplastic microsurgery and blepharoplasty (eyelid surgery), my patients expect the most effective results with the minimum amount of downtime.

—Dr. Bernard Hayot

Treatment of the Malar Pocket

The malar pocket is characterised by the loss of elasticity of the eyelid muscle which begins to loosen and sag as the face ages. The bulge that is created when the muscle relaxes around the cheekbone and below the lower eyelid, is often mistaken for a pocket of fat – this is called the malar pouch.

The malar pocket gives the impression of a double pocket, causing you to look aged and more tired. The only treatment that can reduce the malar pocket is the sub-palpebral lift.
The sub-palpebral lift procedure is generally combined with a lipofillling procedure to help restore lost volume at the cheekbones, or to treat hollow eye or diminish visible bags under the eyes.

This procedure focuses on restoring the lost tension of the orbital muscle. This is a muscle-lifting technique. A cosmetic surgeon who specialises in oculoplastics or eyelid surgery will re-attached the orbital muscle to make the malar pouch disappear and effectively erase the pocket.

LipoStructure or Fat Transfer (Regenerative Medicine)

This procedure is a revolution when it comes to regenerative medicine and has a profound effect on the contours of the face. With age, we lose fat and muscle tension and fat is very important in order to maintain a more youthful looking face.

Our Medical Director, Dr. Hayot learned this technique from leading Surgeon Dr. Sydney Coleman. The procedure consists of extracting some of the patient’s fat from the abdomen or the inner side of the knees by performing a micro-liposuction. The fat is prepared and refined before being re-injected.
This fat transfer technique can be used to treat the eyelids, dark circles, malar pouch, wrinkles, skin texture, neck, hands, hollow eye etc

A word from our Medical Director…
In my opinion, fat transfer and regenerative medicine is the future of anti-aging techniques. We can restore lost volume, treat wrinkles and regenerate the tissue using your own cells. For years we have been using injectables to rejuvenate but now, with advances in stem cell therapy, we can regenerate the tissue- this is a revolutiuon.
—Dr. Bernard Hayot