Appearance
Aesthetics around the eye — from an ophthalmic surgeon's hand.
Around the eye, appearance is never only cosmetic. The narrow zone between lash line and lid crease governs the way you look, your expression, lid closure, the tear film and protection of the cornea. That is why every lid lift and laser treatment here is thought through as eye medicine first: for lids that look well, function safely, and keep a natural expression.
The difference
An eyelid lift performed by eye surgeons is not the same as one from plastic surgery, which also operates on lids.
One begins at the eye. The other ends there. The eyelid is not an area of skin but a precision organ: the finest of muscles open and close the eye and protect the cornea.
Sehklinik's oculoplastic tradition comes from Prof. Richard Collin at Moorfields Eye Hospital in London, author of the standard text A Manual of Systematic Eyelid Surgery.
After more than 4'000 lid operations, the same rule applies to every aesthetic treatment: the lid's function — protection, closure, tear film — is the measure against which any improvement in appearance is judged.
Which page answers your question
Before any treatment comes a different question: is this about seeing, or about appearance? The answer decides which consultation is responsible and who carries the bill — and we settle it with a measurement rather than an impression.
If your upper field of vision is obscured, or you catch yourself raising your brow to read, that suggests your concern may be a medical one rather than an aesthetic one. What applies then — the standardised visual field measurement, the photographic documentation and the request for cost approval that your health insurer decides on — is set out on the page Hooded eyelids: when it is about sight. That page belongs to ophthalmology, not to this section.
If it stays a question of appearance, two paths lead on from here. Eyelid surgery sets out why we treat even an aesthetically motivated lid procedure as oculoplastic surgery, and separates the two operations: upper eyelid surgery for excess skin on the upper lid, and lower eyelid surgery for the area beneath the eye. Both are self-pay.
The second path concerns the surface of the skin rather than the structure of the lid. Skin rejuvenation describes what can be treated on the skin around the eye at all; the UltraClear™ laser is the device we use for it — with the limits that come with it.
What Sehklinik offers aesthetically
What we hold ourselves to
Nobody should be able to see that you have had surgery. Everybody should be able to see that you look well.
Many patients hesitate for years — not because they fear the operation, but because they fear the result: the overdone, artificial look you know from photographs. Our aesthetic principle is the opposite. We correct conservatively, to the millimetre, and with respect for your face. The result should look as though tiredness and heaviness had simply withdrawn.
And because honesty applies here too: if an operation will not give you what you are hoping for, we tell you in the consultation — not afterwards.
A clear picture
Aesthetic procedures are self-pay. Where the lid is medically in the way — with a demonstrably restricted field of vision, for instance — it becomes a case for medical eyelid surgery , and basic health insurance pays. The consultation and examination are self-pay too — and are credited against the cost if you go ahead with a procedure. Before you decide you receive a complete, itemised cost breakdown in writing — and enough time to think it over. There are no deposits before a consultation here, no discount offers, and no treatment packages. How we advise, and what treatments cost.
Who operates here
PD Dr med. Andrea von Rückmann
Specialist in ophthalmology and ophthalmic surgery · Clinic Director and owner · over 15'000 cataract operations, over 4'000 lid operations · trained at Moorfields Eye Hospital London
Your treatment follows the same standard: a careful diagnosis, clear explanation, and a recommendation that may well be to do nothing.
View backgroundYour medical team
One medical team, one standard.
So we set out each person's background and focus plainly: not as interchangeable practice profiles, but as a clinical team that holds itself to the same standard of diagnosis, treatment and aftercare.
Frequently asked questions
- Everything in this section is self-pay — the consultation and the examination as much as the procedure itself; if you go ahead with a treatment, the first two are credited against it. You receive the full amount in writing before you decide, VAT included: it is added on purely aesthetic services and not on medically indicated ones. It is different only where a lid demonstrably obstructs sight: the correction is then treatment of an illness and goes through basic health insurance — we submit the findings and photographic documentation before the procedure as an application for cost approval, the decision is made by your insurer and not by us, and in the medical case your deductible and co-payment apply as they would for any other procedure. Which of the two applies we clarify before the cost estimate.
- By an examination, not by an assessment over the phone. The commonest and clearest measure is whether the upper field of vision is restricted. That is measured in a standardised way — once as it is, once with the lid lifted — and documented photographically. If it is restricted, the finding belongs in the ophthalmic consultation, and we submit a request for cost approval before the procedure; your health insurer decides it, not we. Less often a functional finding comes from something else at the lid — lashes lying on the cornea, a chronic skin inflammation in the lid crease, or a true ptosis; we check for those at the same appointment. Where neither is found, the correction remains an aesthetic service. You do not have to answer this question yourself beforehand — that is what the appointment is for.
- It begins with an examination: lid position, lid closure, tear film and skin condition are assessed before any treatment is discussed. After that we go through what is possible, what is not, and what it costs. Please bring your current list of medication, blood thinners expressly included, along with details of any eye conditions and previous operations, and your glasses. We do not expect a decision in the same appointment.
- PD Dr med. Andrea von Rückmann, specialist in ophthalmology and ophthalmic surgery, Clinic Director and owner of Sehklinik. Her oculoplastic training comes from Moorfields Eye Hospital London and the school of Prof. Richard Collin; more than 4'000 lid operations stand behind it. A lid procedure here is therefore an ophthalmic operation even when the reason for it is an aesthetic one.
- Not for an aesthetic consultation — that is self-pay in any case. It can be different if the finding turns out to be functional and is billed through basic insurance: depending on your insurance model — family doctor, HMO or Telmed — your insurer may require a referral for it. If in doubt, check with your insurer before the procedure is scheduled.
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Our team is here for consultations and treatment. Contact us by phone or online. Or start with our free Eye & Lid Check — about 3 minutes, with no obligation.
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