Dr Richter’s philosophy
For Dr Richter, the focus in eyelid surgery is not on achieving the greatest possible change, but on restoring balance. A good result should not look as though it has been surgically altered. It should make the eyes appear fresher, more serene and more natural — without altering the face’s individual character.
His many years of experience in reconstructive surgery, particularly in the treatment of complex eyelid and orbital conditions, also shape his approach to aesthetic eyelid surgery. For, in his view, beauty in the area around the eyes can never be separated from function.
More on the philosophy of eyelid surgery
Upper eyelid correction
Upper eyelid surgery is often equated with the removal of excess skin. In reality, the situation is often more complex. A heavy upper eyelid can be caused by excess skin, a drooping eyebrow, loss of volume or genuine ptosis.
Dr Richter therefore analyses in great detail what is actually causing the tired or heavy-looking eyes. The aim is not to create an eye that looks hollow or artificially wide open, but rather an alert, natural expression whilst preserving eyelid function and a harmonious eyelid crease.
More about upper eyelid surgery
Lower eyelid correction
Lower eyelid surgery is one of the most challenging areas of aesthetic eyelid surgery. Under-eye bags, the tear trough, the eyelid-cheek junction, malar bags, loss of volume and eyelid stability must all be considered together.
In suitable cases, Dr Richter favours tissue-preserving techniques, often via a transconjunctival approach from the inside. The focus here is not on the aggressive removal of fat, but on a structure-preserving approach combining volume management, stability and a natural transition between the lower eyelid and the cheek.
More about lower eyelid correction
Revision surgery of the knee
Revision eyelid surgery is among the most delicate and complex procedures in oculoplastic surgery. Previous operations can result in scarring, skin deficiency, loss of volume, lower eyelid retraction, scleral show, ectropion, incomplete eyelid closure or an unnaturally altered facial expression.
Dr Richter has particular expertise in revision eyelid surgery and in complex functional and aesthetic corrections. The aim is not to achieve maximum correction, but rather the careful restoration of function, stability and natural eye aesthetics.
More on revision eyelid surgery
Ectropion correction
Ectropion is a condition in which the lower eyelid turns outwards away from the eye. As a result, the eye is no longer adequately protected. This often leads to watery eyes, redness, irritation, dryness or a sensation of having a foreign body in the eye.
Treatment always depends on the cause: skin deficiency, laxity of the eyelid, scarring, an unstable lateral eyelid suspension or unfavourable anatomical conditions must all be treated differently. The aim is to ensure that the lower eyelid lies flat against the eye once more and reliably protects the cornea.
More about ectropion correction
Entropium correction
In entropion, the edge of the eyelid turns inwards. The eyelashes and skin then rub against the sensitive surface of the eye. This can lead to a burning sensation, watery eyes, a feeling of a foreign body in the eye, corneal irritation and, in the long term, serious functional problems.
Dr Richter analyses why the eyelid turns inwards: eyelid laxity, muscle displacement, weakened lower eyelid retractors or scarring often play a role. The treatment is not only intended to correct the position of the eyelid, but above all to protect the eye.
Ptosis correction
Ptosis refers to an upper eyelid margin that is positioned too low. The eye appears smaller, more tired or asymmetrical, although this is not always due solely to excess skin. Many patients unconsciously compensate for this by raising their forehead or eyebrows.
Ptosis correction is one of the most precise procedures in eyelid surgery. Key factors include the position of the eyelid margin, the function of the levator muscle, the position of the eyebrows, eyelid closure and natural symmetry. The aim is to achieve a more open, alert gaze — without a stiff or startled expression.
Which eyelid treatment is the right one?
The correct treatment cannot be determined solely on the basis of visible findings. A heavy upper eyelid does not automatically require skin removal. Bags under the eyes do not always mean that fat should be removed. And a lower eyelid problem can often only be properly understood if the midface, eyelid tension and previous treatments are also taken into account.
An individual analysis is always crucial:
How stable is the eyelid?
How well do the eyelids close?
Is there ptosis?
What role do the eyebrows, volume and midface play?
Have there been any previous operations, fillers or energy-based treatments?
And which result will look natural and be functionally safe in the long term?
A consultation with Dr Richter is therefore not about selling a specific technique, but about finding the right strategy for the individual eye area.