{"id":8380,"date":"2026-06-02T12:12:31","date_gmt":"2026-06-02T10:12:31","guid":{"rendered":"https:\/\/institut-uniq.com\/service\/lower-eyelid-surgery-lower-blepharoplasty\/"},"modified":"2026-06-17T07:58:49","modified_gmt":"2026-06-17T05:58:49","slug":"lower-eyelid-surgery-lower-blepharoplasty","status":"publish","type":"service","link":"https:\/\/institut-uniq.com\/en\/service\/lower-eyelid-surgery-lower-blepharoplasty\/","title":{"rendered":"Lower eyelid surgery (lower blepharoplasty)"},"content":{"rendered":"<div class=\"\">\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"services-page-img alignright wp-image-8246\" src=\"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Unterlidchirurgie-Unterlidblepharoplastik-1-1-e1780916776338.webp\" alt=\"\" width=\"450\" height=\"450\" srcset=\"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Unterlidchirurgie-Unterlidblepharoplastik-1-1-e1780916776338.webp 702w, https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Unterlidchirurgie-Unterlidblepharoplastik-1-1-e1780916776338-300x300.webp 300w, https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Unterlidchirurgie-Unterlidblepharoplastik-1-1-e1780916776338-150x150.webp 150w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/>This is precisely why Dr Richter does not view modern lower eyelid surgery as a standardised procedure involving the removal of skin or fat.<\/p>\n<div class=\"service-page-para\">\n<p>For him, it is much more about the precise reconstruction of:<\/p>\n<ul>\n<li>Stability<\/li>\n<li>Volume balance<\/li>\n<li>Fabric quality<\/li>\n<li>and smooth transitions between the lower eyelid, cheek and midface.<\/li>\n<\/ul>\n<p>The aim is never to leave the lower eyelid looking as though it has undergone surgery.<br \/>\nThe aim is to achieve a natural, calm and functionally stable eye area.<\/p>\n<\/div>\n<h2>Why changes occur in the lower eyelid<\/h2>\n<div class=\"\">\n<p>Problems with the lower eyelid are rarely caused by a single factor.<br \/>\nOften, several anatomical changes occur simultaneously:<\/p>\n<ul>\n<li>altersbedingte Erschlaffung von Haut und Muskel<\/li>\n<li>Weakness of the ligamentous support structures<\/li>\n<li>Protrusion of fat compartments<\/li>\n<li>Loss of volume with the formation of shadows and tear troughs<\/li>\n<li>Sagging of the midface<\/li>\n<li>individual anatomical characteristics<\/li>\n<li>as well as previous treatments such as fillers or previous operations.<\/li>\n<\/ul>\n<\/div>\n<div id=\"read-more-content-id\" class=\"read-more-content \">\n<div class=\"\">\n<p>The lower eyelid, in particular, is highly sensitive to changes in the balance between volume, tension and bony support.<br \/>\nA prominent eyeball, a negative vector or insufficient bony support, for example, can have a significant impact on stability and the healing process.<br \/>\nThis is why Dr Richter never considers the lower eyelid in isolation.<br \/>\nIn his view, it is always part of a complex periorbital system.<\/p>\n<\/div>\n<h2>The importance of a precise analysis<\/h2>\n<div class=\"\">\n<p>For Dr Richter, successful lower eyelid surgery always begins with a detailed assessment.<br \/>\nAs part of this, he examines, amongst other things:<\/p>\n<ul>\n<li>Eyelid tension and stability<\/li>\n<li>the position of the eye within the bony eye socket<\/li>\n<li>Skin quality and muscle structure<\/li>\n<li>Fat distribution and loss of volume<\/li>\n<li>the junction between the eyelid and the cheek<\/li>\n<li>Possible Malar bags<\/li>\n<li>previous filler treatments<\/li>\n<li>as well as patients\u2019 individual expectations.<\/li>\n<\/ul>\n<p>The key question here is:<br \/>\nIs it primarily a problem of volume, a structural problem \u2013 or a combination of both?<br \/>\nFor this is precisely where one of the greatest challenges of modern lower eyelid surgery lies.<br \/>\nNot every lower eyelid requires the same treatment.<br \/>\nAnd not every visible problem is caused by excess tissue.<br \/>\nVery often, the actual cause lies instead in volume loss, mid-face sagging or a lack of structural stability.<\/p>\n<\/div>\n<h2>The transconjunctival approach \u2013 gentle on the tissue and precise<\/h2>\n<div class=\"\">\n<p>In most cases, Dr Richter prefers the transconjunctival approach.<br \/>\nThis involves performing the operation from the inside, via the conjunctival side of the lower eyelid.<br \/>\nFor him, the key advantage lies not merely in the absence of a visible scar.<br \/>\nFar more important is the protection of sensitive structures.<br \/>\nThe internal approach allows:<\/p>\n<ul>\n<li>Gentle on the skin and muscles<\/li>\n<li>spare one&#8217;s feelings<\/li>\n<li>and the functional integrity of the lower eyelid is better preserved.<\/li>\n<\/ul>\n<p>Dr Richter works directly where the actual problem arises \u2013 on the fat and the deeper structures of the lower eyelid.<br \/>\nHowever, it is precisely this technique that requires a great deal of experience.<br \/>\nThe incisions are small, and the anatomy is extremely dense and delicate.<br \/>\nHere, Dr Richter benefits particularly from his decades of experience in orbital surgery and the treatment of endocrine orbitopathy.<\/p>\n<\/div>\n<h2>Fat and volume management \u2013 a fundamental shift<\/h2>\n<div class=\"\">\n<p>A key change in modern lower eyelid surgery concerns the management of fat.<br \/>\nIn the past, fat was often removed as a matter of routine.<br \/>\nToday, Dr Richter places greater emphasis on preserving and strategically redistributing volume.<br \/>\nThis is because excessive fat removal is one of the most common causes of lower eyelids that look unnatural.<br \/>\nThe consequences can include:<\/p>\n<ul>\n<li>sunken eyes<\/li>\n<li>abrupt transitions<\/li>\n<li>reinforced tear ducts<\/li>\n<li>and a tired or post-operative expression.<\/li>\n<\/ul>\n<p>That is why Dr Richter aims to preserve volume as harmoniously as possible or to redistribute it in a targeted manner.<br \/>\nThe aim is to achieve a smooth, natural transition between the lower eyelid and the cheek.<br \/>\nHe very often combines lower eyelid surgery with autologous fat grafting.<br \/>\nThis is because the actual problem is often not too much volume, but too little.<\/p>\n<\/div>\n<h2>The stability of the lower eyelid \u2013 the importance of canthopexy<\/h2>\n<div class=\"\">\n<p>Another crucial aspect of modern lower eyelid surgery is the structural stability of the lower eyelid.<br \/>\nMany patients already exhibit a degree of eyelid laxity prior to surgery.<br \/>\nThis instability is often underestimated.<br \/>\nThis is precisely why Dr Richter performs a canthopexy \u2013 that is, a procedure to stabilise the lateral canthus \u2013 as part of a large proportion of his lower eyelid corrections.<br \/>\nThis serves to:<\/p>\n<ul>\n<li>to maintain eyelid tone in the long term<\/li>\n<li>to reduce the risk of post-operative malalignment<\/li>\n<li>and to preserve the natural shape of the lower eyelid.<\/li>\n<\/ul>\n<p>For Dr Richter, however, cantopexy is not a standardised procedure.<br \/>\nIt is always tailored to the individual patient\u2019s anatomy, eyelid shape and stability.<br \/>\nThe real challenge lies in<\/p>\n<ul>\n<li>to ensure sufficient stability<\/li>\n<li>without altering the natural shape of the eye.<\/li>\n<\/ul>\n<p>In his view, a successful canthopexy should not be visible \u2013 but should simply serve a functional purpose.<\/p>\n<\/div>\n<h2>The lower eyelid as part of a functional unit<\/h2>\n<div class=\"\">\n<p>Dr Richter never treats the lower eyelid in isolation.<br \/>\nFor him, the following are always included:<\/p>\n<ul>\n<li>Upper eyelid<\/li>\n<li>Midface<\/li>\n<li>Volume structure<\/li>\n<li>eyelid-cheek junction<\/li>\n<li>and the overall periorbital balance as part of the treatment plan.<\/li>\n<\/ul>\n<p>It is often the case that a natural look is not achieved through a single procedure, but through the harmonious combination of small, precisely coordinated measures.<br \/>\nThat is why he often combines lower eyelid surgery with:<\/p>\n<ul>\n<li>Midface stabilisation<\/li>\n<li>Autologous fat transfer<\/li>\n<li>renewable processes<\/li>\n<li>or additional eyelid and eyebrow surgery.<\/li>\n<\/ul>\n<p>It is not radical change that creates harmony.<br \/>\nHarmony arises from balance.<\/p>\n<\/div>\n<h2>Results and risks<\/h2>\n<div class=\"\">\n<p>In Dr Richter\u2019s view, a successful outcome is evident from:<\/p>\n<ul>\n<li>a smooth lower eyelid contour<\/li>\n<li>Stable lip position<\/li>\n<li>smooth transition to the cheek<\/li>\n<li>complete and secure closure of the eyelids<\/li>\n<li>and a natural balance between the lower eyelid, the eye and the midface.<\/li>\n<\/ul>\n<p>However, like any surgical procedure, lower eyelid surgery also carries risks.<br \/>\nThese include:<\/p>\n<ul>\n<li>Swelling<\/li>\n<li>Bruises<\/li>\n<li>Irregularities in the outline<\/li>\n<li>as well as, in rare cases, functional abnormalities such as ectropion or retraction.<\/li>\n<\/ul>\n<p>This is precisely why careful planning, anatomical expertise and, where necessary, additional stabilisation of the lower eyelid are crucial.<\/p>\n<\/div>\n<h2>Why experience is crucial<\/h2>\n<div class=\"\">\n<p>In Dr Richter\u2019s view, lower eyelid surgery is one of the most complex procedures in aesthetic surgery.<br \/>\nIt requires:<\/p>\n<ul>\n<li>fundierte Kenntnisse der Anatomie<\/li>\n<li>surgical precision<\/li>\n<li>practical experience<\/li>\n<li>and a keen sense of balance.<\/li>\n<\/ul>\n<p>Precisely because the changes often appear subtle, the complexity of this procedure is frequently underestimated.<br \/>\nYet it is often a matter of millimetres that makes all the difference:<\/p>\n<ul>\n<li>naturalness<\/li>\n<li>printout<\/li>\n<li>Function<\/li>\n<li>and long-term stability.<\/li>\n<\/ul>\n<p>Choosing a specialist surgeon for the initial procedure significantly reduces the risk of subsequent corrective surgery \u2013 even though risks can never be completely ruled out.<\/p>\n<\/div>\n<h2>His personal approach<\/h2>\n<div class=\"\">\n<p>Dr Richter does not view modern lower eyelid surgery as a race to achieve the most dramatic change.<br \/>\nHis aim is:<\/p>\n<ul>\n<li>Gentle care rather than unnecessary trauma<\/li>\n<li>Volume preservation rather than aggressive resection<\/li>\n<li>Stability where it is needed<\/li>\n<li>and a lower eyelid that looks calm, natural and structurally stable.<\/li>\n<\/ul>\n<p>He does not wish to alter the lower eyelid.<br \/>\nHe wishes to restore it to a natural, harmonious balance.<br \/>\nIt is precisely in this that he sees the true art of modern lower eyelid surgery.<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>This is precisely why Dr Richter does not view modern lower eyelid surgery as a standardised procedure involving the removal of skin or fat. For him, it is much more about the precise reconstruction of: Stability Volume balance Fabric quality and smooth transitions between the lower eyelid, cheek and midface. The aim is never to [&hellip;]<\/p>\n","protected":false},"featured_media":8052,"menu_order":0,"template":"","categories":[58,35],"tags":[],"class_list":["post-8380","service","type-service","status-publish","has-post-thumbnail","hentry","category-eyelids","category-surgery-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Lower eyelid surgery (lower blepharoplasty) - Institut Uniq<\/title>\n<meta name=\"description\" content=\"Lower eyelid surgery (lower blepharoplasty) for a fresh, natural appearance. 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