Dr Hayot is an ophthalmologist. He came to the eyelid through the eye, and to the gaze through the eyelid.
Ophthalmology teaches one to look at an eye very closely, and to measure what an eyelid protects or hinders. Oculoplastic surgery extends that training to the tissues surrounding the eye: skin, muscle, fat, bone. Dr Hayot has devoted most of his practice to it, first in hospital as a resident and then as Chief of Clinic in ophthalmology, and afterwards in his own practice.
His practice has shifted over the years. It began with removal, the surgery that takes away excess skin or a pocket of fat. It opened up to restoration, which puts volume back where it has melted away, after his training in lipostructure with Dr Sydney Coleman in New York. Addition blepharoplasty and nanolipofilling, which he was among the first in France to perform, come from that shift.
“My credo is the natural. I work like an art restorer: I reveal what was already there, without ever leaving a trace of my hand.” That sentence states the limit he sets himself: the truest result is the one nobody notices.
How he examines
An examination begins with vision, not with appearance. The ocular surface, the closure of the eyelids, their position, the symmetry of the gaze, the distribution of volumes: each of these can explain a discomfort the person puts down to tiredness. The ophthalmological history, current treatments, allergies and previous procedures are recorded before any proposal is made.
Then comes the request itself: what motivates it, and above all what the person does not want to see changed. A consultation may end in abstention, in monitoring or in an ophthalmological treatment. When a project goes beyond the periorbital region, it is carried out four-handed with a surgeon qualified for those procedures.