You book only after the surgeon has assessed your case and confirmed the price.
You send a coordinator a few photos, and then you discuss everything online. The first consultation is free and without obligation, and you decide on surgery only afterwards.
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You and the surgeon choose together at the consultation, after your lids are examined. The operation may involve the upper lids, the lower lids, or both in one go, and the incision is placed differently depending on the approach.
Upper blepharoplasty
Incision in the natural eyelid crease
Price at consultation
Main goal
Remove excess skin of the upper lids
Best suited when
Lids feel heavy, or skin folds rest on the lashes
Approach
Scar is hidden in the crease when the eye is open
Lower blepharoplasty
Incision below the lash line or inside the lid
Price at consultation
Main goal
Treat under-eye bags and loose lower-lid skin
Best suited when
There is puffiness, or loose skin under the eyes
Approach
Inside-the-lid approach has no skin incision, for fat
What is written here about the methods is general. Extent of surgery and recovery are individual, and after examining you the surgeon confirms both for your case.
Each step is explained by the surgeon, who builds a plan for your case at the consultation.
You are told about each stage in advance, which means you know what comes next and who can answer your questions.
1
Online consultation and plan
You send photos and talk with the surgeon online. Together you discuss what you want, and the surgeon outlines a plan for the upper lids, lower lids, or both.
2
Choosing and booking the date
Once you have the confirmed plan and price, you decide on a date that fits you. Whatever the hour, a coordinator can answer questions and help with arrangements.
3
Pre-operative preparation and tests
The surgeon reviews your medical history and medicines, and an eye assessment, photographs and standard tests are done. Blood-thinning medicines and supplements are stopped only on the surgeon's instructions, and smoking should be stopped as advised.
4
The operation
Surgery is done under local anaesthesia with sedation or under general anaesthesia, chosen by the surgeon and anaesthetist. The surgeon removes excess skin and, where needed, repositions or removes small amounts of fat.
5
The first hours and days
Some swelling and bruising around the eyes is normal. Help comes from cold compresses and sleeping with the head raised, while an overnight stay depends on the individual.
6
Recovery and follow-up
Over the first couple of weeks the swelling settles, and stitches that do not dissolve are usually taken out within the first week. Follow-up checks are scheduled by the surgeon, and the final contour settles over several months.
How the operation goes in your case is something the surgeon explains at the consultation.
Write to a coordinator on Telegram or WhatsApp and attach a few photos. The first consultation is free and carries no obligation; the surgeon reviews your case and outlines a plan online.
Where needed, the surgeon repositions or removes small amounts of fat as well as removing excess skin, and sometimes tightens muscle. The choice between local anaesthesia with sedation and general anaesthesia rests with the surgeon and anaesthetist.
Over the first couple of weeks, swelling and bruising settle, and both are normal. Desk work is often resumed after one to two weeks. You are advised to avoid contact lenses, eye make-up, strenuous exercise and heavy lifting, and recovery differs from person to person.
When the upper lids are treated, the incision lies in the natural eyelid crease and the scar is hidden with the eye open. When the lower lids are treated, it lies just below the lash line or inside the lid, without a skin incision.
Before you have surgery, the surgeon explains what can go wrong: temporary dryness or irritation of the eyes, bruising, asymmetry, infection and scarring. Rarely, vision changes or the eyes cannot be fully closed without difficulty.
A number of situations can make surgery unsuitable or call for clearing first. They are uncontrolled high blood pressure or diabetes, clotting disorders, severe dry-eye disease, active infection, unstable thyroid eye disease, serious heart or lung disease, pregnancy and age under 18.
Several months pass before the final contour settles. You can expect a long-lasting result, though you will go on ageing naturally. Lifting the eyebrows or cheeks, removing pigmentation dark circles and erasing fine wrinkles are not what the operation does.
Extent of surgery, meaning upper, lower or both lids, and the chosen anaesthesia are what it depends on. The surgeon's assessment comes first, then the price is confirmed, and only after that do you book.
Who considers blepharoplasty? Usually people whose upper lids look heavy or droop, whose lower lids show puffiness, or whose lower-lid skin has loosened. If you are in Cologne and one of these describes you, the surgeon can explain what the operation can change. It is eyelid surgery only, and the plan is made individually.
The online consultation is where the plan takes shape. Patients in Cologne describe what bothers them, the surgeon looks at the photos and explains what eyelid surgery can and cannot do. Anaesthesia and any overnight stay are decided individually. Afterwards, sunglasses and sun protection are part of normal recovery, and the scar in the upper-lid crease fades.
Starting is simple: send a message on Telegram or WhatsApp and a coordinator will reply, day or night. If you are in Cologne, the first online consultation costs nothing. The price is never fixed in advance; it is confirmed after the surgeon's assessment and before you book.