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 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 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

For Dr. Hayot, addition blepharoplasty (with lipofilling) is the most advanced and natural procedure, because it takes into account all the signs of eyelid ageing: proven skin excess, but also the loss of fat volume inherent in the ageing process.

Lipofilling

Hollow circles form a valley that begins at the inner corner of the eye and descends vertically towards the cheekbones. They give a sad, tired look and are often a social embarrassment. They may be present early in life for constitutional and genetic reasons, but the hollowing generally marks with advancing age and fat melting. Lipofilling (micro-lipofilling) is undoubtedly the most appropriate and long-lasting response to the problem of 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 ring

Hollow circles form a cavity under the eyes that extends to the cheekbones. They are caused by the disappearance of fat between the eyelid skin and the orbital bone. In this case, lipofilling or micro-lipofilling is the only effective solution. This involves the transfer of autologous fat (from the patient himself). The fat is extracted from the abdomen or the back of the knees, then defibroised, cleaned and injected into the lower eyelids. This technique ensures definitive results and naturally restores eyelid volume.

Black and dark circles treatment: nano-lipofilling

Asian eye

Hollow eye

Not to be confused with hollow circles, hollow eyes appear when the eye socket seems too large for the eye, making it appear sunken. The appearance of hollow eyes can be caused by a number of factors: the melting of fatty volumes associated with skin aging, or an aggressive blepharoplasty. A genetic component also plays an important role. The most effective treatment is micro-lipofilling. Fat is injected into the eyelids to fill any cavities and restore volume.

Results of eye surgery

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 definitive, even if no one can stop the effects of time on the face. The bags under the eyes or the cap on the upper eyelid never reappear! No further eyelid surgery will be necessary for the next 15 years.

Anatomy of the eye and eyelids

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.