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Blepharoplasty is often the first rejuvenation operation practised in cosmetic surgery. It is not uncommon for people to have blepharoplasty from the age of 40, although lifting is generally not considered until after the age of 50. Blepharoplasty makes it possible to rejuvenate the eyes, the first area where ageing takes visible effect on the face.

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Dr Hayot, chirurgien et médecin esthétique à Paris 8

A Word from Doctor Hayot

“I have been practising blepharoplasty and all techniques of eyelid surgery for more than 25 years. At the forefront of innovative techniques and avant-garde solutions, my vision for rejuvenating cosmetic surgery continues to evolve.

In 2015, following the Centrofacial Rejuvenation convention in Belgium, I was able to observe the incredible results of addition blepharoplasty, which is a new revolutionary technique that makes it possible to rejuvenate the eyes by adding volume to the eyelids rather than by removing it from the skin or the fat of my patient’s face.

Since the discovery of this surgical technique, I almost systematically combine addition blepharoplasty with a classic skin or fat resection. I carry out the filling and volume restoration using micro lipofilling : precise injections, with millimetre accuracy, which enable me to restore the volumes using my patient’s own fat.”

Blepharoplasty : made-to-measure surgery

Eyelid surgery for cosmetic purposes makes it possible to treat a drooping upper eyelid (the hat effect), the bags under the eyes which give eyes a tired look (bulging of muscle or fat), or even the sinking of the lower eyelid which ages and dulls a face.

“To each of my patients, I suggest a surgery adapted to their desires and needs, and I offer a made-to-measure procedures according to the specificities of each face. I do not propose the same surgery to all my patients or the “classic blepharoplasty” carried out by most surgeons,” states Doctor Bernard Hayot.

The term blepharoplasty encompasses several surgical procedures:

  • Blepharoplasty of the lower eyelids
  • Blepharoplasty of the upper eyelids
  • Malar pockets
  • Asian blepharoplasty
  • Restorative eyelid surgery

Upper blepharoplasty

Upper blepharoplasty is generally practised on patients aged 40 or above when a hat forms over the eye and makes it particularly difficult for women to apply makeup.

This cosmetic surgery involves removing surplus skin and/or fat found in the upper eyelid. This excess flesh, also known as dermatochalasis , makes the eyelid heavy and droopy, it closes and ages the eyes.
Upper blepharoplasty involves making an incision in the palpebral crease in order to remove the surplus skin and a possible fat hernia. Only this surgery makes it possible to treat the sinking of the upper eyelid and to open the eyes without modifying the expression.

Lower blepharoplasty

Lower blepharoplasty involves treating the signs of ageing that manifest themselves in the form of wrinkles and the appearance of withered skin. Lower eyelid surgery involves the treatment hollowed circles under the eyes or dark circles under the eyes in particular, as well as carrying out the removal of fat masses that form bags under the eyes.

Blepharoplasty eliminates the appearance of heavy eyelids and of dull and tired eyes. The face will regain its radiance and luminosity with the passing of time.
The procedure is quick and painless with no disruption to social interaction when treating bags under the eyes . By contrast, when the cosmetic surgeon is carrying out a skin excision on the external corner of the eye or a fat injection in the circles under the eye, the postoperative process is longer.

Treating malar pockets

Malar pockets are characterised by ptosis of the palpebral muscle which sinks with the ageing of the face. The swelling created by the loosening of muscle, at cheekbone level, beneath the lower eyelid, is often taken to be a fat pocket. However, in reality, it is visible orbicular muscle.

Malar pockets give the impression of a double pocket responsible for tired and old-looking eyes. There is no treatment capable of reducing malar pockets other than the lower palpebral lifting.
Performed in an operating theatre, under neuroleptanalgesia, this cosmetic surgery on the eyes makes it possible to restore the orbicular muscle tension in order to raise the tissue, eradicate malar pockets and rejuvenate the face.

Lower palpebral lifting is generally accompanied by lipofilling to restore the volumes of the cheekbones, the temples or to treat hollowed circles under the eyes.

Asian blepharoplasty

Asian blepharoplasty is a cosmetic eyelid surgery practised on slanting eyes whose palpebral crease is badly positioned or non-existent. This procedure aims to enhance the eyes and to give an almond shape to Asian eyes without “westernising” them.

Several Asian blepharoplasty techniques exist to reposition the palpebral fold of the upper eyelid:

  • Epicanthoplasty

An incision in the epicanthus with a stitch in the inside corner of the upper eyelid to open the eyes and to reveal the eye of the patient.

  • Asian eyelid surgery with incision

This involves making a horizontal incision in the upper eyelid to reposition the palpebral fold according to the desires of each patient. This procedure makes it possible to treat wrinkles and excess skin to rejuvenate the eyes. This cosmetic surgery can be combined with the removal of fat pockets that make the eyelid heavy.

  • Asian eyelid surgery without incision

In certain cases, it is possible to carry out Asian blepharoplasty percutaneously without making an incision and therefore without leaving scars. The technique, also known as the “pearl technique”, involves putting 5 to 6 stitches between the upper eyelid and the palpebral tarsus (eyelid cartilage). This cosmetic eyelid surgery makes it possible to reduce the postoperative process and healing time of the incisions.
Another undeniable advantage is that the technique is reversible and the patient can have their original palpebral crease restored quickly and easily.

Restorative eyelid surgery

Eyelid surgery is not solely cosmetic. It can also be restorative to make it possible to correct the malposition of eyelids and to resolve the problems that this causes. Eyelid anomalies can be unilateral or bilateral, as well as congenital, progressive, from scars to even the ageing of skin.
Palpebral malposition is classified into 3 categories:

Ectropion : the cornea is rendered visible at the level of the lower eyelid because it no longer covers all of the eyeball. It concerns the sinking of the incisal edge which causes eye dryness.
Entropion : in contrast with ectropion, entropion indicates the inversion of the eyelid towards the inside of the eyeball. This lower-eyelid anomaly results in watery eyes, irritation and eye infections.
Ptosis : the most common anomaly, ptosis concerns the dropping of the upper eyelid towards the base of the eye owing to an elevator muscle weakness. The eye thus seems half closed and completely dull.

2 commentaire(s)


Hello Dr.Hayot, I would like to make a blepharoplasty of upper eyelids and malar pockets. Do i need first a consultation? Some analysis? How much would cost consultation and hole surgery? Thank you for your answer!



Dear Aleksandra, Thank you for your trust. Don't hesitate to send me a photograph on my email for a first advice and more details about surgery: info@drhayot.com Best regards.



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