Lower lid tightening

    In youth, the skin around the eyes is flawlessly smooth. The transition from the lower eyelid to the cheek follows a harmonious S-curve in the semi-profile. Eye wrinkles form when the skin’s elasticity decreases. When the soft tissues of the face drop and lose volume, rings under the eyes, tear ducts or bags under the eyes form. Anti-wrinkle creams cannot stop this development. Wrinkles under the eyes make us look older than we feel. Shadows below the eyes make us look tired. The following changes can affect the radiance of the eyes:

    Rings under the Eyes:

    Rings of the eye develop at the border between two different fat pads: the fat pad behind the eye ring muscle and the fat pad of the eye socket. Between these fat pads lies a band that connects the skin with the lower edge of the eye socket. The superficial fat pads of the face shift downwards with age according to gravity. In the area of the ligament an arch-shaped retraction develops, which is called an eye ring. A swelling of the tissue can increase the appearance of rings under the eyes.


    Lacrimal glands develop similarly to rings under the eyes. The depression runs below the inner corner of the eye between the eye ring muscle, the lifter of the upper lip and the nostril and the lifter of the upper lip. Tear channels are called “nasojugal groove” or “tear trough deformity”. As with rings around the eyes, the treatment is carried out by loosening a band at the lower edge of the eye socket. In addition, a tear groove is corrected by loosening the above-mentioned muscle attachments and a free transplantation of a fatty body.

    Lachrymal sacs:

    Lachrymal sacs are caused by a loss of volume of the deep fat pads of the face and the sinking of the fat pad behind the eye ring muscle. The skin is firmly connected to the cheekbone by a ligament. The fat pad above lies over the ligament and leads to a bag-shaped bulge. The English term for bags under the eyes is “festoons” or “malar bags”.

    In the initial stage, these changes only become visible through fluid shifts in the evening or in the morning. Sleep, rest, healthy nutrition, sport and good skin care are important. A correction of the lower eyelid can alleviate or eliminate this sign of aging or family predisposition.

    1 Formation of drooping eyelids 2 Formation of lower eyelid wrinkles due to loss of skin elasticity 3 Formation of lachrymal sacs above the bone margin due to slackening of the connective tissue wall of the eye socket (“eyelid bags”) 4 Formation of eye circles below the bone edge due to slackening of the skin and loss of fatty tissue (“tear trough”) Supporting ligament: Ligamentum orbitomalare (“orbicularis retaining ligament”, “orbitomalar ligament”, “arcus marginalis”) 5 Formation of a swelling above the zygomatic bone due to water retention and slackening of the supporting ligaments (“festoons”, “malar mounds”, “malar bags”)

    What is a lower eyelid lift?

    An eyelid lift removes excess skin and muscle. During lower eyelid correction, excess fatty tissue can be removed. To soften the shadows of tear lines and correct the contours of bags under the eyes, the fat pads are moved over the lower bone edge of the eye socket. The scar is partially covered by the lower eyelashes and can be hidden at the outer eyelid angle in the laugh lines. If there are no eye wrinkles, the correction is performed on the inside of the lower eyelid (transconjunctival). There is no scar visible from the outside.

    How is a lower eyelid correction performed?

    1 eyebrow 2 Fat pad of the eye socket 3 Blood vessel supplying the eye 4 Eye ring muscle 5 Eyelid cartilage (eyelid plate, tarsus palpebrae) 6 Optic nerve 7 Connective tissue sheath of the eye (Fascia capsulopalpebralis) 8 Connective tissue wall of the orbit (septum orbitale) 9 Fat pad of the eye socket 10 Lower oblique eye muscle (Musculus obliquus inferior oculi) 11 Bony rim of the orbit (zygomatic bone) 12 Fat pad behind the eye ring muscle 13 Supporting ligament: Orbicularis oculi ligament (zygomaticocutaneous ligament) 14 Superficial cheek fat 15 Mouth angle elevator (Musculus zygomaticus major)

    Immediately before the eyelid lift, the surgeon will discuss all important topics and the procedure with you. The entire surgical team checks several times whether all requirements for the surgical removal of the deep wrinkles under the eyes are met. This serves the highest patient safety. Only when all specialists, the surgeon, the anaesthetist and the operating theatre staff give the go-ahead, will the wrinkle treatment method be started.

    During a twilight sleep, you will be given medication that will take away your fear and reduce your sensation of pain. Before this, the surgeon marks the planned skin incisions and checks the planning of the operation again. The local anaesthetic contains adrenaline to prevent bruising (tumescence technique). The injection takes place into the nearer eye area and the lower lid. Within five to ten minutes the surgical area is numb. If you are not already sleeping deeply, you may feel something happening in your eyes. The surgeon wears magnifying glasses in order to be able to work with maximum precision. If there is excess skin on the lower eyelid, access is made parallel to the edge of the eyelid up to the laugh lines. The underlying fat pads are redistributed if necessary. If the lower lid is flaccid, the eyelid band is fixed to the periosteum of the lateral eye socket. The excess skin is gently removed. Rings of the eye without excess skin are corrected via an access on the inside of the lower eyelid. Finally, the wound edges are sutured and a small bandage is applied. The anaesthesia continues beyond the operation. The operation of both lower eyelids takes about 90 minutes.

    You can find out how to proceed immediately after the eyelid lift and which aftercare measures are recommended in consultation with the surgeon. You can also gather information about this in advance on our Eyelid Correction FAQ page.

    Lower eyelid correction without surgery

    Of course, patients usually want to be informed about all non-surgical measures first before they decide to have a surgical lower eyelid lift. In the following, the individual types of treatment are briefly presented and the advantages and disadvantages compared to lower eyelid lifting / lacrimal sac surgery are discussed. Further information can be found on the link to the treatment’s own page, if we offer it.

    Fractionated CO2 laser treatment

    A laser treatment reduces wrinkles and the smallest eye wrinkles. The effect of a laser treatment is limited to the skin surface. The skin is smoothed for about two years. Laser therapy is not suitable for bags under the eyes, rings under the eyes and tear ducts. We are happy to recommend specialists for laser therapies to you.

    Injecting under eye circles

    Depressions under the eyes can be concealed with a wrinkle injection with hyaluronic acid. The skin around the eyes is the finest on the whole body. Therefore, there is a risk that palpable and visible irregularities of the skin remain after the minimally invasive treatment in the form of a subcutaneous injection. The body builds hyaluronic acid over time. The effect of fillers also fades after twelve to eighteen months. So your fresh look is temporary with this treatment method.

    Treatment with autologous processed blood against eye wrinkles

    An Treatment with the patient’s own blood, also known as vampire lifting in modern times, leads to an increase and renewal of the cells of the epidermis, especially in combination with microneedling. Different types of collagen and elastin are essential building blocks of connective tissue. The proportions of the different collagens of the skin are improved and the content of elastin is increased. The blood supply to the skin also increases. We recommend plasma treatment and microneedling for young patients, for mild tear troughs or gentle dark circles under the eyes, and for small wrinkles in the skin.

    Neuromodulator substances for wrinkles around the eyes

    Treatment with the help of neuromodulator substance reduces dynamic wrinkles. Treatment with the active ingredient is particularly effective against crow’s feet, as they are mimic wrinkles. Eye circles, tear troughs or natural eyelid wrinkles cannot be meaningfully corrected with this active ingredient

    How can you prepare for a lower eyelid lift in Saarbrücken?

    • All your questions about possible complications and alternative treatments should be answered before the operation. The topics will be dealt with in detail in the consultation meetings. In advance, you can take a look at the information collected on the Eyelid Correction FAQ page.

    What do you have to consider after a lower eyelid lift in Saarbrücken?

    • After a lower eyelid lift, it is important to follow the instructions of the practice. The treating specialist surgeon will inform you about all precautionary measures and the entire aftercare. Nevertheless, you can find collected information on this topic on the Eyelid Correction FAQ page.

    Who is a lower eyelid lift suitable for?

    We focus on the expression of your eyes. Your appearance will be fresher and more rested with a lower eyelid lift. However, you do not become another person. A good result means that your fellow human beings notice that you look better without any sign of an operation.

    After the age of forty, the first signs of aging usually begin to appear on the eye. In exceptional cases, such changes may occur earlier due to genetic influences. People then try to cache these wrinkles with makeup.

    Unfavourable conditions for a lower eyelid correction are dry eyes, thyroid diseases and the intake of blood-thinning medication. Therefore, each case must be examined individually to determine whether you are suitable for appropriate treatment.

    What can you expect during a consultation on a lower eyelid lift?

    For an aesthetic and natural result, we first ask you about your wishes for change. Skin wrinkles, rings under the eyes, tear ducts and bags under the eyes can give a tired and tired impression. Dr. Santos Stahl will ask for information on the following topics in order to identify and prevent any risks in good time:

    • vision defects (correction through glasses or contact lenses)
    • pre-existing conditions (high blood pressure, diabetes, clotting disorders, thyroid disorders, glaucoma)
    • Pre-operations, in particular eye operations
    • allergies and
    • Medication intake.

    Please let us know if you smoke or take dietary supplements. These factors have an important influence on your operation.

    The skin, the fissure of the eyelid, the symmetry, the position of the eyebrown, the position of the eye and the elasticity of the eyelid are carefully examined. The power of the eyelid lifters is measured. The elasticity of the lower eyelid and the function of the eye muscles are checked. Your surgeon will discuss the possibilities and limitations of the treatment with you. The surgeon will show you various treatment alternatives and the associated risks and limitations. Eye circles, crow’s feet, frown lines, wrinkles between the ala of the nose and the corner of the mouth (nasolabial folds) or bulging fatty tissue affect the appearance. For a harmonious overall result, every change should be treated specifically. During the interview you will receive all the information you need to decide which treatment is right for you. It is very important to discuss your expectations openly with your surgeon. Often a poorly informed patient or surgeon is the cause of an unsatisfactory result, even if there are no complications during the operation.

    Dr. Santos Stahl will discuss all the details of the procedure with you, including the type of anaesthesia used, follow-up insurance, preparation and post-operative behaviour. She will explain to you in a transparent and comprehensible way how the costs of labia reduction are made up.

    If you are unsure or do not feel fully informed, do not hesitate to ask your doctor questions. It is not uncommon for questions to come in the aftermath. At the end of the first consultation we will gladly offer you a second consultation. It is very important to us that all your questions have been answered before the operation.

    If you suffer from dry eyes, we recommend that you have a so-called Schirmer test carried out by an ophthalmologist.

    What are the advantages of a lower eyelid lift?

    The eyes have a decisive influence on the facial expression. The removal of rings under the eyes, bags under the eyes or tear ducts makes you look fresher and younger. The removal of eyelid wrinkles rejuvenates the entire facial expression. The correction of bags under the eyes helps to achieve a harmonious transition from the lower lid to the cheek.

    What are the risks of a lower eyelid lift?

    On our Eyelid Correction FAQ page you will find everything you need to know about the risks of a lower eyelid lift.

    How much does a lower eyelid lift cost in Saarbrücken?

    If you would like to find out the costs of a lower eyelid lift quickly and easily, use our price calculator now. We will also be happy to advise you on financing options without obligation.

    Before, after pictures of an eye wrinkle surgery.

    According to § 1 paragraph 1 no. 2 of the Heilmittelwerbegesetz, the comparative illustration of the success of treatment by before/after photographs may not be published on the Internet. Nevertheless, before/after images can be used to inform patients. We will be happy to show you before/after images as part of a personal consultation in order to show you the possibilities and limitations of cosmetic surgery. It goes without saying that we comply with all legal provisions on data protection.

    Why a lower eyelid lift in Saarbrücken?

    There are many good reasons to choose CenterPlast, a specialized group practice, for a lower eyelid lift. The Eyelid Correction FAQ page explains in detail why you are in good hands with the practice.

    Reports of a lower lid tightening in the CenterPlast Saarbrücken.

    On our website you will find numerous reviews, testimonials and patient testimonies on treatments performed. You can find them bundled on the testimonials page.

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    The author

    Dr. Adelana Santos Stahl

    “Our goal is to provide the best, most discreet and precise treatment based on our extensive expertise in plastic surgery. „

    Dr. Adelana Santos Stahl is distinguished by a unique international perspective with a feminine view of plastic surgery. Her personalized and detailed approach is key to the beautiful and natural results she achieves. Having trained in Brazil, one of the largest and most well-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.She completed her medical studies and her training as a specialist for plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the medical state examination. Two years later, in 2011 she received the German and in 2012 the EU specialist recognition (EBOPRAS) for plastic surgery.From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.A VDÄPC Fellowship (continuing fellowship for graduate students) in Switzerland, France and the USA has further enriched her professional experience.Dr. Santos Stahl is active in several prestigious professional societies. Besides the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.

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