Several surgical procedures can be carried out to correct the eyes and erase the signs of ageing caused by skin ageing.
Blepharoplasty is an aesthetic eyelid operation designed to remove the pockets of fat under the eyelids, as well as excess skin. As the skin ages, volume diminishes. Lipofilling reshapes certain areas of the face by transferring fat to them (temples, cheekbones, around the eyes). Aesthetic surgery uses lasers to remove bags under the eyes. The technique is meticulous, removing fat or excess skin without hollowing the eye. Aesthetic surgery of dark circles restores facial dynamism and a more youthful gaze in a discreet, natural way. Malar bags, which sit under the dark circles, are made up of lymph. A sub-palpebral lift combined with lipostructure corrects the double-bag appearance and rejuvenates the gaze. The Asian eye is marked by the absence of a palpebral crease, the fold above the eyelid; an abnormality of the muscles is the cause, and an Asian blepharoplasty can remedy it. The hollow eye gives the impression of an eye sunken into the orbital cavity because the orbit is too large; micro-lipofilling is an effective solution. The eyelids are complementary areas of the eye and can present defects and anomalies that aesthetic surgery can resolve.
The different types of look
Doe eye
The palpebral fissure is stretched upwards and outwards.
In theory, this is the easiest eye to operate on. The scar on the upper eyelid should stretch upwards and outwards, and is easily camouflaged in one of the crow's feet wrinkles. Above all, the scar should not be short (which would make the eye smaller), and certainly not downward-tending, which would give the impression of a smaller eye.
The hollow eye
The eye seems to be sunken in its socket.
Since the eye socket appears too large for the eye, it should not be deepened further by removing a lot of skin and orbicularis muscle from the upper eyelid. Pockets in the lower eyelid should also be avoided.
As the hollow eye ages, the upper eyelid lengthens, the already high palpebral crease rises and the hollow becomes more pronounced.
The more hollow the eye, the greater the risk of senile ptosis: to avoid weakening the eyelid lift muscle, aggressive surgery should be avoided.
The bulging eye
The eye appears too large for the orbital frame.
For this type of eye, it's imperative not to remove too much skin from the upper eyelid or too much fat from the lower eyelid, to avoid accentuating the appearance of a bulging eye.
Given that the lower eyelids are often distended in this morphological type, "classic" surgery (cutting the skin of the lower eyelid) gives poor results, with a very high risk of round eyes or even ectropion.
The cocker spaniel's eye
The palpebral slit slopes downwards and outwards, and this type of eye is often accompanied by drooping eyebrows.
In this eye shape, too much skin should not be removed from the upper eyelid, to avoid creating disharmony or highlighting the drooping eyebrow tail, which aggravates the sad-eye appearance. "Conventional" lower eyelid surgery may result in a round eye and sagging of the soft tissues.
The round eye
A white space is visible between the cornea and the lower eyelid. The round eye is also called a "scleral show".
It may be the result of poorly performed eyelid surgery, but can also be genetic.
In a rejuvenation operation for this type of look, it is essential not to aggravate the round eye by cutting the skin of the lower eyelid.
Eye surgery techniques
Eye surgery is one of the most popular aesthetic procedures in France and around the world. This popularity is due to the relative speed of the operation and the often light after-effects, as much as to the quality of the result:
well-performed eyelid surgery refreshes, rejuvenates and beautifies the eyes, while absolutely respecting their shape and expression.
Eye surgery removes puffiness, fills dark circles, masks their coloring, smoothes wrinkled eyelids, removes excess skin, compensates for loss of volume, smoothes wrinkles around the eyes, straightens drooping eyebrow tails… It also corrects imperfections and disgraces such as cocker's eye, round eyes or bulging eyes.
It can involve the upper eyelids, the lower eyelids or all four eyelids simultaneously, and involves a number of surgical procedures that Dr Hayot adapts to the indications of each patient.
Eye surgery techniques
Eye surgery is one of the most popular aesthetic procedures in France and around the world. This popularity is due to the relative speed of the operation and the often light after-effects, as much as to the quality of the result:
well-performed eyelid surgery refreshes, rejuvenates and beautifies the eyes, while absolutely respecting their shape and expression.
Eye surgery removes puffiness, fills dark circles, masks their coloring, smoothes wrinkled eyelids, removes excess skin, compensates for loss of volume, smoothes wrinkles around the eyes, straightens drooping eyebrow tails… It also corrects imperfections and disgraces such as cocker's eye, round eyes or bulging eyes.
It can involve the upper eyelids, the lower eyelids or all four eyelids simultaneously, and involves a number of surgical procedures that Dr Hayot adapts to the indications of each patient.
Blepharoplasty
Blepharoplasty requires a thorough understanding of eyelid dynamics. Aging produces a sagging of the tissues, which most cosmetic surgeons treat by removing skin tissue to restore tension to the eyelid, neglecting an essential factor: the loss of fat volume. The risk is to hollow the eye socket, pulling and freezing the eyes… without rejuvenating them.
For Dr. Hayot,
addition blepharoplasty (with lipofilling) is the most advanced and the most natural procedure, because it takes into account all the signs of eyelid ageing: proven excess skin, but also the loss of fat volume inherent in ageing.
Lipofilling
Hollow dark circles form a valley that begins at the inner corner of the eye and runs down towards the cheekbone. They give a sad, tired look and are often a source of social embarrassment. They may be present early in life for constitutional and genetic reasons, but the hollowing generally deepens with age as the fat melts away. Lipofilling (micro-lipofilling) is undoubtedly the most appropriate and longest-lasting answer to hollow dark circles.
Nano-lipofilling
Nano-lipofilling involves extracting stem cells and growth factors from the patient's own fat. These cells are then reinjected into the eyelids to stimulate collagen production and improve vascularization. The eyelids then regenerate themselves, restoring the health and thickness of the skin.
Microlipostructure of the hollow dark circle
Hollow dark circles form a cavity under the eyes that extends to the cheekbone. They are caused by the disappearance of the fat between the eyelid skin and the orbital bone. In this case, lipofilling or micro-lipofilling is one of the effective solutions. It involves transferring autologous fat, taken from the patient. The fat is harvested from the abdomen or the back of the knees, then defibrosed, cleaned and injected into the lower eyelids. This technique gives a long-lasting result and restores eyelid volume naturally.
Black and dark circles treatment: nano-lipofilling
Dark circles are linked to the transparency of the skin. When the skin is too thin, bluish microveins show through. The phenomenon is therefore linked to a loss of volume and to a poor blood supply to the eyelids. It is made worse by lack of sleep and poor lifestyle habits. Nano-lipofilling is one of the effective treatments for dark circles, because it thickens the skin and improves vascularisation. The dark circles can then gradually fade.
Asian eye
The Asian eye is characterized by the absence of a palpebral crease, often linked to a defect in the muscle that lifts the eyelid. Asian blepharoplasty makes it possible to recreate or reposition this eyelid crease, in order to rejuvenate and beautify the eyes. The procedure involves a horizontal incision along the eyelid to create a crease. There is also a percutaneous technique, which requires no incision. Known as the "pearl technique", this involves the placement of 5 to 6 sutures between the upper eyelid and the eyelid cartilage.
Hollow eye
Not to be confused with hollow dark circles, hollow eyes appear when the socket seems too large for the eye, making it look sunken. Several factors can cause them: the melting of the fat volumes associated with skin ageing, or an aggressive blepharoplasty. A genetic component also plays an important part. The most effective treatment is micro-lipofilling: fat is injected into the eyelids to fill the cavities and restore volume.
Results of eye surgery
Results are not always immediately visible. There's no need to worry if your eyes become puffy or edematous, or if you notice a slight asymmetry in the days or weeks that follow: this is perfectly normal!
Before-and-after photos highlight the rejuvenation of the eyes and the whole face. Puffiness has disappeared, the skin is smooth and clear, and wrinkles have been erased. In the case of lipofilling, lost volumes are recreated: dark circles are filled in, and the eyelid regains its youthful fullness.
The result of eye surgery is lasting, even if no one can stop the effects of time on the face. The bags under the eyes or the hooding of the upper eyelid never reappear! No further eyelid surgery will be necessary for the next 15 years.
Anatomy of the eye and eyelids
The eyelids are one of the eye's ancillary structures, whose function is to protect the eyes. Each eye has an upper and lower eyelid which, when brought together, completely cover the eyeball, moisturizing it and preventing irritation.
The skin of the eyelids is extremely thin (less than 0.5 millimeters). It is one of the first areas affected by skin sagging. Various eyelid abnormalities, such as ectropion, entropion or ptosis, may warrant surgery.
Ptosis, or "palpebral ptosis", is a drooping of the upper eyelid, caused by a malfunction of the muscle responsible for its movement. The visual field is affected. Various causes can be identified, such as skin aging or muscle trauma. A genetic component is also a determining factor.
