Understanding the contour beneath your eyes
A lower eyelid lift can correct excess skin and protruding fat pads beneath the eyes. For me, contour and eyelid function go hand in hand. In Berlin, I examine whether your concern relates to persistent bulges, fluctuating swelling or dark circles.
The findings and extent of treatment determine your individual treatment journey.
Treatment at a glance
Key information about lower eyelid lift surgery. These details put duration, recovery and costs into context for your individual planning.
Excess skin and protruding fat are distinguished from dark skin and fluctuating swelling.
The findings determine whether the approach is through the skin or transconjunctival, through the conjunctiva.
Removing as much fat as possible is not the default approach.
The extent of surgery, combined procedures and your individual circumstances determine the anaesthesia.
Visible signs may last longer; physical work requires separate planning.
For the external approach, this depends on the sutures and wound condition; having stitches removed does not yet mean you can resume all activities.
Swelling and scars continue to change; follow-up checks also monitor eyelid position.
Lower eyelid correction · depending on the extent of surgery. The starting price applies to the planned lower eyelid correction. Upper eyelid, brow or other facial procedures are priced separately if needed.
Timeframes are a guide. An individual examination will clarify what applies to you.
Understanding what changes
Depending on the findings, excess skin is adjusted, fat pads are redistributed or removed in limited amounts, and the supporting structures of the lower eyelid are stabilised. The aim is a smoother transition to the cheek while the eyelid continues to sit properly against the eye.
Distinguish persistent fat protrusion from fluctuating symptoms and pigmentation.
Tailor the correction to eyelid stability and the transition to the cheek.
Assess eyelid closure, dryness and eyelid position over time.
With under-eye bags, existing fat can protrude from behind weakening supporting structures. A bulge therefore does not automatically mean that new fat has formed. I also look at adjacent hollows, as simply removing fat can make an already hollow area more pronounced.
An external incision below the lash line allows targeted skin correction. The internal, transconjunctival approach goes through the conjunctiva and can reach fat pads in suitable cases, but does not itself remove excess outer skin. The fact that an approach is discreet from the outside is not a reason to choose it regardless of the findings.
The tension and position of the lower eyelid are checked before surgery. If it is unstable, additional fixation may be appropriate. Dry eyes, previous eyelid surgery or incomplete eyelid closure affect the planning; an ophthalmological examination is important if you have related symptoms.
The aim is a more rested appearance around the eyes. How smooth the transition becomes depends on the skin, fat distribution and eyelid stability. Fine lines, natural differences or pigmentation may remain.
Dark skin, blood vessels showing through and a shadow in a deep tear trough can look similar. Surgery does not automatically lighten pigmentation. Filler injections are not a universal answer to dark circles either, and may be unsuitable if you are prone to swelling.
Removing too much skin or weakening supporting structures can contribute to an abnormal eyelid position. An eyelid that sits away from the eye or has dropped needs to be checked. Please do not try to correct its position by massaging it yourself.
Is this right for me?
Your wishes are the starting point. I assess whether the findings, your health and the expected benefit are in alignment.
Persistent bulges or excess skin are your specific concern.
Fluctuating swelling and new symptoms need to be investigated first.
Different causes need different solutions. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesExcess skin above the eyes requires a separate examination.
Explore the optionsA lowered brow mainly affects the frame of the upper eye area.
Explore the optionsConsider skin, facial movement, volume and tissue position together.
Explore the optionsWhere excess tissue is persistent, lower eyelid correction can change the contour. Fluctuating swelling caused by fluid, however, first requires investigation of the cause. Skincare, massage, lasers or fillers do not reliably remove protruding fat. An appropriate decision therefore begins with an examination.
Understand this concern in more detailNot every wrinkle beneath the eye needs filler. Thin, dry or sun-damaged skin, muscle movement and excess tissue require different approaches. For fine lower eyelid lines, skin quality and skincare may be the priority; adding volume is only an option where a separate, appropriate indication is present.
Understand this concern in more detailYour treatment journey
We assess the skin, protrusion, transition to the cheek and eyelid tension. Symptoms and medication are taken into account.
The agreed correction is performed through the skin or conjunctiva. Tissue redistribution and any stabilisation are carried out in a targeted way.
Aftercare covers the wounds, eyelid position and eye surface. Any concerning symptoms are checked promptly.
Before you are discharged, we will agree on a direct contact route for your aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Swelling, bruising and tightness may be visible and noticeable.
Any stitch removal and your return to light work depend on the findings. Only use make-up once you have been given the go-ahead.
Exercise can often be resumed no earlier than around three weeks, and only once you have been given the go-ahead. Residual swelling and scar maturation may continue for months.
These timeframes are a guide, not a firm promise. Your individual recovery may differ.
Speaking openly about risks
Surgery changes tissue and carries risks. I discuss your individual circumstances, possible complications and aftercare before you make your decision.
Visual disturbances, sudden severe swelling or increasing pain require immediate medical assessment. If you experience visual disturbances, seek emergency ophthalmological care or attend an emergency department immediately; do not wait for your next follow-up appointment.
Understand the costs and take your time to decide
Lower eyelid lift in Berlin: from €4,000. The starting price applies to the planned lower eyelid correction. Upper eyelid, brow or other facial procedures are priced separately if needed.
Starting price
from €4,000
Lower eyelid correction · depending on the extent of surgery
The starting price applies to the planned lower eyelid correction. Upper eyelid, brow or other facial procedures are priced separately if needed.
Skin correction, fat redistribution and supporting structures affect the extent of surgery.
Anaesthesia and clinical monitoring are planned to suit the procedure.
A previously operated eyelid or additional procedures require a separate cost calculation.
Your individual quotation will specify which services are included in the total amount.
Additional procedures, medical aids, further stays or later corrections may incur separate costs. Your individual quotation sets out which services are included. Insurance reimbursement is not automatic; you should clarify any potential cover and subsequent costs before surgery.
An examination and shared planning help you understand the costs. You will receive your individual cost plan before deciding whether to proceed with treatment.
Your specialist, personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
A website can offer guidance. We will discuss your personal situation during a medical consultation.
Ask your questionOften not, when the bulges are persistent. Fat can protrude as the supporting structures weaken. Fluctuating swelling is a separate issue and does not automatically call for surgery.
Not automatically. Pigmentation, thin skin and blood vessels showing through are different causes from protruding fat. Changes in contour can affect shadows, but do not resolve every dark circle.
No. It may be suitable for certain protruding fat pads where there is no significant excess outer skin. If skin needs to be removed or the eyelid stabilised, another approach may be more appropriate.
No. Fat can be preserved and redistributed. Removing too much tissue can make the eye area look more hollow.
Around 14 days is a guide for planning. Swelling and bruising may remain visible for longer. I recommend allowing extra time before important occasions.
Costs start from €4,000. Pricing basis: lower eyelid correction · depending on the extent of surgery. The starting price applies to the planned lower eyelid correction. Upper eyelid, brow or other facial procedures are priced separately if needed. You will receive your individual cost plan before making your decision.
Further specialist information on the procedures described, their limitations and risks.
Patient information from the German specialist society on upper and lower eyelid correction, limitations, risks and recovery.
A dermatological overview of pigmentation, thin skin, swelling and the tear trough. The appropriate treatment depends on the underlying cause.
Contact & Directions
My team will be happy to help with questions about your appointment and how to get here.
Let’s begin with a conversation
Tell me what matters to you.
I will take the time to answer your questions.
