Lower eyelid lift Frankfurt: Say goodbye to bags and dark circles!
When we meet other people, the first thing they look at is our eyes. Pronounced bags and dark circles under the eyes can easily give the impression that we are tired or exhausted, perhaps even that we have stayed awake at night or hardly slept at all, although this is not the case. Sometimes they also make the face look falsely sad or older than we actually are.
Understandably, many sufferers decide to have their lower eyelids tightened and the annoying bags under their eyes permanently removed. This minor, low-pain procedure is one of the most frequently requested operations at our specialist practice in Frankfurt and is ideal for visibly rejuvenating your appearance, opening up your eyes and restoring their youthful freshness. Arrange a non-binding consultation with Dr. Nichlos now!
Reviewed by the author
Dr. Emmanouil Nichlos is a specialist in plastic and aesthetic surgery and hand surgery with over 16 years of clinical experience. After working as a senior physician and head of a surgical department at Markus Hospital in Frankfurt, he founded his own practice in Frankfurt in 2025.
The content on this page has been personally reviewed by Dr. Nichlos. It is based on his many years of medical experience and is in line with current specialist standards.
The lower eyelid lift:
At a glance
Financing
Table of contents
Introduction
What is a lower eyelid lift?
A lower eyelid lift (medically known as a lower eyelid blepharoplasty) is used to remove excess skin and fat in the lower eyelid area, which is responsible for dark circles or bags under the eyes that are perceived as aesthetically unpleasant. The aim is to make the face look younger, fresher and more vital again.
The main reason for the sagging of the tissue is the loss of elasticity and resilience of the skin due to the ageing process. External influences such as stress, an unhealthy lifestyle, lack of sleep or a genetic predisposition can also promote the development of dark circles and bags under the eyes.
Who is a lower eyelid lift suitable for?
A lower eyelid lift is generally suitable for all patients who suffer from more or less pronounced bags under the eyes, dark circles under the eyes or visibly sagging skin under the eyes and would like to have these permanently removed. Bags under the eyes and skin folds in the eyelid area are generally normal side effects of the ageing process that can be easily corrected with lower eyelid surgery.
During treatment, Dr. Nichlos removes sagging skin and excess fatty tissue, restoring a fresh and vital expression to the face. In rare cases, bags under the eyes and shadows under the eyes can also be caused by diseases, particularly of the kidneys and heart. Allergies can also cause swollen lower eyelids that look like excess skin. It is therefore important to clarify other possible causes before undergoing a lower eyelid lift. Dr. Nichlos will be happy to advise you on this in his practice in Frankfurt.
What happens before the lower eyelid lift in Frankfurt?
If you are bothered by bags under your eyes and/or dark circles and would like a permanent solution with a lower eyelid lift, we invite you to a no-obligation consultation. In a relaxed atmosphere, after a brief examination of your eye area, Dr. Nichlos will explain to you exactly how he removes the annoying bags under your eyes, which methods he uses and how the operation can change your appearance for the better.
Each lift is individually planned and precisely tailored to the shape of your face and eyes so that the result looks very harmonious and natural. So you don’t have to worry about your characteristic facial expression being altered by the operation.
At the end of the preliminary consultation, Dr. Nichlos will inform you about possible risks and how you should prepare for the appointment. This includes discontinuing blood-thinning medication (2 weeks before the operation, in consultation with your doctor) and avoiding alcohol and nicotine to prevent wound healing problems.
Procedure
Lower eyelid lift Frankfurt: How does the procedure work?
On the day of your operation, you will come to us at the Berger Klinik. Here, Dr. Nichlos and his team will welcome you in a state-of-the-art operating room equipped with all the technical refinements of plastic and aesthetic medicine to ensure the highest possible quality of treatment.
You should allow 1.5 to 2 hours for the lower eyelid lift. As a rule, Dr. Nichlos performs eyelid surgery under local anaesthetic, which is very gentle for you and does not require a longer stay. As soon as the area under the eyes has been anaesthetized and Dr. Nichlos has marked the bags under the eyes or excess skin to be removed, he makes a short incision along the contour of the eyelid with a scalpel (external approach). Alternatively, an approach from the inside via the conjunctiva is also possible (transconjunctival approach), which has the advantage of leaving hardly any visible scars.
In pure skin tightening, excess skin is first removed and then the remaining tissue is tightened. When correcting bags under the eyes, protruding fatty tissue is also reduced or redistributed.
The plastic and aesthetic surgeon then sutures the surgical wounds with fine stitches and closes the treated area with a plaster bandage. You can then leave the clinic immediately. However, we recommend that you do not drive yourself, but bring someone with you, as swelling caused by the operation may restrict your field of vision.
Aftercare
What happens after the lower eyelid lift in Frankfurt?
You should allow yourself plenty of rest in the first few days and sleep with your upper body elevated if possible. Please take care not to touch or rub the area around your eyes. Initially, the area below the eyelashes will be swollen as a result of the operation and bruising may occur. You can effectively counteract this by cooling the area.
You can return to work just a few days after lower eyelid surgery. You will be fully socially acceptable after about 10 days. You should refrain from sports and other strenuous activities for at least 2 weeks after lower eyelid surgery. The same applies to the application of make-up, as the fine particles can easily penetrate the wounds and cause irritation.
Approximately 5 to 7 days after the treatment, you will come to our practice for suture removal and the first follow-up check. Here, Dr. Nichlos will take a look at the healing process and give you tips on how you can optimally care for the area in the coming months and thus support the healing process.
Reviews
Testimonials from our patients
Risks
What are the risks associated with a lower eyelid lift in Frankfurt?
The removal of bags under the eyes and excess skin on the lower eyelid is one of the most frequently performed procedures in plastic and aesthetic surgery and is associated with low risks when performed professionally by an experienced specialist such as Dr. Nichlos.
As with any surgery, post-operative bleeding, infections or wound healing disorders can occur during lower eyelid skin tightening. However, by adhering to strict hygiene and quality standards, the risk of these complications can be reduced to a minimum.
What cannot be prevented due to the nature of the treatment is temporary swelling and bruising under the eyes. In some cases, sensitivity disorders, slight dryness of the eyes or increased lacrimation may also occur. However, side effects of this kind usually subside on their own within a few days to weeks.
Before and after
Can I see before and after pictures of lower eyelid lifts?
Due to § 11 of the German Drug Advertising Act (HWG), we are unfortunately not allowed to present you with comparative before and after pictures of lower eyelid lifts on our website. However, as part of a personal consultation, we will be happy to show you documented results of previous operations with photos so that you can get an idea of the procedure and the possible result.
Consultation appointment
Lower eyelid lift with Dr. med. Nichlos, specialist in plastic and aesthetic surgery
Do you want a fresher and more vital look without bags and dark circles under the eyes? As a plastic and aesthetic surgeon, Dr. Nichlos is a specialist in tightening the upper and lower eyelids and can use his expertise to help you visibly rejuvenate your eye area and give you a fresher and more rested appearance overall. Make an appointment now for a no-obligation consultation!
Practice location & directions – Frankfurt Westend
You can easily plan your route to our practice at Grüneburgweg 95, 60323 Frankfurt am Main using the integrated Google Maps map. If you are arriving by car, we recommend the Palmengarten parking garage in the immediate vicinity.
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Frequently asked questions
for lower eyelid lifting:
- At what age does a lower eyelid lift make sense?
A lower eyelid lift is useful if bags under the eyes, excess skin or wrinkles in the lower eye area are perceived as bothersome – regardless of age. In many cases, patients opt for the procedure from the age of 40. However, correction may also be advisable at an earlier age, depending on the extent of the problem.
- Is a lower eyelid lift associated with pain?
No, the lower eyelid lift is a very painless procedure. You may only feel the injection of the local anesthetic for a few seconds. During the operation, you may notice a feeling of pressure or a slight pulling sensation. After the procedure, the effect of the local anesthetic will last for about 2 to 3 hours. If pain occurs afterwards, you can relieve it with mild painkillers such as paracetamol.
- Can bags under the eyes be permanently removed with a lower eyelid lift?
Yes, even pronounced bags and dark circles under the eyes can be removed with a lower eyelid lift, making the eye area look fresher, younger and healthier again.
- Are visible scars to be expected after a lower eyelid lift?
Scars cannot always be completely avoided during lower eyelid surgery. However, Dr. Nichlos can reduce the visibility by making a precise incision directly on the lash line. Or, if possible, he chooses the transconjunctival approach from the inside via the conjunctiva, which leaves no visible scars.
With good scar care, the lower eyelid correction scars will continue to fade over the following months so that they are barely visible at some point. During your consultation, Dr. Nichlos will explain to you what you need to consider when caring for your scars in order to achieve the best possible result.
- Is a local anesthetic sufficient or is anesthesia necessary?
In most cases, local anesthesia is sufficient for a lower eyelid lift. For more complex findings or on request, the procedure can also be performed under twilight sleep or general anesthesia. The individually suitable form of anesthesia is determined together in a personal consultation.
- When will the final result of the lower eyelid lift be visible?
Swelling and hematomas may occur on the lower eyelid after the operation. However, experience shows that these will subside within 4 to 5 days, so that you will already have a first impression of the eyelid lift. However, it will take around two to three months for the scars to heal completely and the final swelling to subside. By then at the latest, you will be able to see the final result of your lower eyelid correction in the mirror.
- How long do the results of a lower eyelid lift in Frankfurt last?
The results of a lower eyelid lift in Frankfurt are permanent, as the excess skin and fatty tissue under the eyes are completely removed. However, as the skin ages, the skin around the eyes may become loose again, causing bags under the eyes to reappear. If desired, these can be removed with a further lower eyelid blepharoplasty. You can help to maintain the result yourself by protecting your eyes from UV radiation, eating a healthy diet, avoiding smoking and keeping your skin well moisturized.
- When will I be socially acceptable again after a lower eyelid lift?
As a rule, you will be socially acceptable again after around 7 to 10 days. Slight swelling or bruising may be visible at first, but this usually subsides quickly. Dr. Emmanouil Nichlos will give you individual advice on when you will be able to take part in social life again without restrictions.
- What are the risks of a lower eyelid lift?
As with any surgical procedure, there are certain risks associated with a lower eyelid lift. These include temporary swelling, hematomas or slight asymmetries. In rare cases, there may be a feeling of dryness, irritation or wound healing disorders. Dr. Emmanouil Nichlos will inform you in detail about possible complications during your personal consultation.
- Can the lower eyelid lift be combined with other procedures?
Yes, even very well. In our practice, we combine a lower eyelid lift with an upper eyelid lift or facelift to achieve an all-round harmonious result. A combination with autologous fat transfer and nanofat (stem cell) treatment is also possible. Feel free to talk to Dr. Nichlos about the possibilities during your consultation.
- Can I wear contact lenses or glasses again after the procedure without any problems?
After a lower eyelid lift, you should refrain from wearing contact lenses for a few days so as not to impair the healing of the eye area. Glasses can usually be worn again more quickly as long as they do not exert any direct pressure on the treated area. Your specialist will advise you individually on this.
- How much does a lower eyelid lift cost in Frankfurt?
The cost of a lower eyelid lift starts at 3,000 euros. Depending on the type of anesthesia and clinic, additional fees may apply. You will receive an individual quote during your personal consultation.