Blepharoplasty Sydney —
Eyelid Surgery with Dr Konrat
Dr Georgina Konrat (MBBS, FACCSM) performs blepharoplasty at her Bondi Junction practice. Upper eyelid, lower eyelid, or combined surgery, planned around your anatomy and what you want the result to look like.
Key Facts
Blepharoplasty is the surgical name for eyelid surgery. It removes excess skin, and where indicated a small amount of fat or muscle, from the upper eyelids, lower eyelids, or both. It can address heavy upper lids, lower-lid bags, and looking tired when you are not. Dr Georgina Konrat performs blepharoplasty at her Bondi Junction practice in Sydney.
Procedure Duration
1–2 Hours
Recovery
2–4 Weeks
Anaesthesia
Simple Sedation or General
Written by Dr Georgina Konrat (MBBS, FACCSM) — Last updated May 2026. AHPRA Registration: MED0001407863.
Eyelid Surgery, Planned Around
Your Anatomy
Blepharoplasty is the medical name for eyelid surgery. It removes excess skin, and where indicated a small amount of fat or muscle, from the upper eyelids, lower eyelids, or both. The incisions are placed inside the natural creases of the eyelid, so any scar usually sits hidden in the fold once the wound has healed.
People consider blepharoplasty for two reasons. Some are concerned about a heavy, hooded, or tired appearance that has developed over the past five or ten years. Others have noticed that the eyelid skin is starting to affect their peripheral vision, especially when reading or driving at night. The surgical plan is different in each case and is discussed at the first of the two consultations Dr Konrat sees every patient for before booking.
Blepharoplasty does not lift sagging brows, remove crow's feet, or change dark circles under the eyes. Those are caused by other tissues that sit outside the eyelid itself. Dr Konrat explains at consultation what blepharoplasty can and can't change, so you can decide on what the procedure actually does rather than what you might be hoping it does.
Gallery
View the Blepharoplasty (Eyelid Surgery) gallery
The gallery contains clinical before and after photographs intended for persons aged 18 years and over.
Further Reading
Related guides for Blepharoplasty (Eyelid Surgery)
Read more about recovery, costs, consultation planning, and procedure-specific considerations relevant to this page.
Risks & Complications
All surgical procedures carry risks. Potential risks and complications of Blepharoplasty (Eyelid Surgery) are outlined below and will also be discussed in detail during consultation.
For broader information about surgical risk, visit the General Risks and Complications page.
Notes from Practice
“Patients arrive at blepharoplasty consultations with one of two presenting issues. The first group describe a heavy or tired appearance that has developed over the past five to ten years, often pointing it out in photographs taken at family events. The second group raise a functional issue first, usually that the upper eyelid skin is starting to brush the lashes or affect peripheral vision when reading or driving at night. The surgical plan differs in each case. At the first of the two required consultations I assess the eyelid skin, the position of the brow, the tone of the lower lid, and whether there is true fat herniation or just laxity. I explain on the day what blepharoplasty can change and what sits outside the operation.”
— Dr Georgina Konrat (MBBS, FACCSM), AHPRA MED0001407863
Reasons Patients Consider
Blepharoplasty (Eyelid Surgery)
Cosmetic Changes
Excess skin and fat around the eyes may create a tired or heavy appearance.
Functional Reasons
Excess skin may obstruct peripheral vision or make eyelids feel heavy.
Age-Related Changes
People aged 30 and above often experience eyelid laxity, but in some cases it occurs earlier.
Good General Health
Ideal candidates are healthy adults without eye disease or untreated medical conditions.
Upper vs. Lower
Blepharoplasty
Upper Eyelid Surgery
Upper eyelid surgery removes excess skin, fat, and or muscle from the upper lids. Incisions are placed within the natural eyelid crease so scars are usually concealed.
Lower Eyelid Surgery
Lower blepharoplasty can be performed if appropriate and may involve removing or repositioning fat pads and tightening skin. Incisions can be placed just beneath the lash line or inside the eyelid depending on the surgical plan.
The Anatomy of
Your Eyelid
Blepharoplasty involves several distinct structures inside the eyelid. Understanding the anatomy helps explain what the procedure can and can't address, and why certain combinations of techniques are sometimes recommended.
Skin and orbicularis muscle
The outermost layer of the eyelid is skin, sitting over a thin sheet of muscle called the orbicularis oculi. The orbicularis is the muscle responsible for closing the eyelid. In upper blepharoplasty, a small strip of orbicularis is sometimes trimmed alongside excess skin to help redefine the eyelid crease.
Orbital septum and fat pads
Behind the orbicularis is a thin fibrous layer called the orbital septum. It holds back the orbital fat that surrounds the eyeball itself. With age, the septum can weaken and the fat pads can bulge forward — particularly in the lower eyelid, where this creates the appearance of under-eye bags. Lower blepharoplasty may involve removing some of this fat or repositioning it to smooth the lid–cheek junction.
Levator muscle
Below the orbicularis on the upper lid is the levator palpebrae superioris — the muscle that lifts the eyelid open. A drooping upper lid that is caused by weakening of the levator (not by excess skin) is called ptosis, and is corrected by a different procedure called ptosis repair rather than standard upper blepharoplasty. Assessing whether a patient needs blepharoplasty, ptosis repair, or both is a routine part of consultation.
Canthal tendons
The lateral canthal tendon anchors the outer corner of the eyelid to the orbital rim. In lower blepharoplasty, the canthal tendon's tone matters — if it is loose, lower-lid surgery without supporting the tendon (a procedure called canthopexy) can pull the lid down and create a sad or rounded appearance over time.
Transconjunctival, Canthopexy,
and Ptosis Repair
Several named techniques may be used during eyelid surgery depending on what is being addressed. They are often combined rather than used in isolation.
Transconjunctival lower blepharoplasty
A lower blepharoplasty performed through the inside of the eyelid (the conjunctiva) rather than through an external skin incision. There is no visible skin scar. Suitable when the main issue is bulging fat pads with relatively good skin tone — common in younger patients. Skin laxity that needs trimming usually requires a transcutaneous (external) approach instead, or an addition to the transconjunctival method.
Canthopexy and canthoplasty
A canthopexy tightens the lateral canthal tendon without detaching it, supporting the outer corner of the lower lid. A canthoplasty fully detaches and repositions the tendon — a more substantial intervention. Either may be added to a lower blepharoplasty when canthal laxity is present, to prevent lower-lid malposition during healing.
Ptosis repair
Ptosis repair tightens or repositions the levator muscle to lift a drooping upper eyelid. Where ptosis is contributing to a tired or heavy upper-lid appearance alongside excess skin, ptosis repair is sometimes combined with upper blepharoplasty in a single operation. The decision is made at consultation based on examination of the levator function. For a more detailed comparison see the blepharoplasty vs ptosis repair guide.
Specific Risks of
Blepharoplasty
Beyond the general risks of surgery (bleeding, infection, scarring, anaesthesia reaction), blepharoplasty has specific complications that are worth understanding before deciding to proceed.
Lagophthalmos
Lagophthalmos is incomplete eyelid closure — the lid doesn't fully meet the lower lid when blinking or at rest. It can occur if too much upper-eyelid skin is removed. Mild lagophthalmos in the first weeks is normal and resolves as swelling settles. Persistent lagophthalmos is uncommon but is one of the main reasons conservative skin removal matters.
Ectropion
Ectropion is outward eversion of the lower eyelid — the lid pulls away from the eyeball. It is a specific complication of lower blepharoplasty, more likely when canthal tendon laxity isn't addressed at the same operation. Assessing canthal tone preoperatively is part of why the consultation involves examination and not just discussion.
Chemosis
Chemosis is swelling of the conjunctiva (the clear membrane covering the white of the eye), causing a jelly-like appearance around the eye. It is uncommon and usually settles with lubricating drops and time. Persistent chemosis is rare.
Dry eyes
Some degree of dry eye is common in the first weeks after blepharoplasty. Patients with pre-existing dry-eye disease are at higher risk and should mention this at consultation so the surgical plan and post-operative drops can be adjusted.
Asymmetry and scarring
Subtle differences between the two sides are common after any bilateral facial surgery. Most asymmetry settles as swelling resolves. Visible scarring is rare with upper blepharoplasty because incisions sit in the natural lid crease, but scar appearance depends on individual healing and genetics.
All risks specific to each patient are discussed at consultation. The list above is illustrative — see the general risks and complications page for the broader picture.
Consultation &
Informed Consent
Dr Konrat's philosophy is to educate and empower patients. Key points to know before booking:
- A referral from a general practitioner (GP) is required.
- AHPRA guidelines require two separate consultations, one of which must be in person.
- After the second consultation, there is a mandatory seven-day cooling-off period before surgery can be booked.
- You should seek a second opinion from a suitably qualified practitioner before proceeding.
- There are no rebates for cosmetic surgery procedures; fees will be discussed openly.
- Dr Konrat encourages realistic expectations and complete honesty, even advising against surgery if it is not in your interest.
Why Choose
Dr Georgina Konrat?
Dr Georgina Konrat is a medical practitioner with more than two decades of experience in surgery, obstetrics/gynaecology and cosmetic medicine. She is a Surgical Fellow of the Australasian College of Cosmetic Surgery and Medicine (FACCSM). Her training and unique background in general surgery and obstetrics have shaped a gentle, patient-centred approach. She continues to undertake professional development and trains other doctors pursuing cosmetic-surgery fellowships. At her Sydney clinic she performs a select range of procedures, including upper eyelid blepharoplasty, ear surgery, labiaplasty and nipple-related surgery.
Your Blepharoplasty (Eyelid Surgery)
Process
Consultation & Referral
A GP referral is required. Two consultations (at least one in person) are needed before surgery. Mandatory 7-day cooling-off period applies.
Pre-Operative Preparation
Dr Konrat will evaluate your health, discuss your goals, and advise whether blepharoplasty is suitable for you. Pre-operative instructions will be provided.
The Day of Surgery
Performed under simple sedation with long-acting local anaesthetic in many cases, or under general anaesthesia where appropriate. The procedure usually takes between 1 and 2 hours depending on whether the upper lids, lower lids, or both are treated.
Recovery & Follow-Up
Swelling and bruising are common. Most people feel comfortable going out after 10–14 days. Stitches are usually removed after about a week.
What to Expect
After Surgery
Swelling and bruising around the eyes are common following blepharoplasty. Initial recovery takes roughly two weeks to one month, while complete scar maturation and settling continue over several months.
Rest & Initial Healing
Keep incision sites clean and dry. Avoid rubbing your eyes, reading for long periods, computer use, contact lenses, and activities that dry the eyes. Cold compresses, prescribed ointment, and head elevation may help minimise swelling.
Stitches Removed
Stitches (if used) are usually removed around day 7 to 9. Avoid strenuous activities, bending forward, heavy lifting, and excessive blinking in the first two weeks.
Gradual Return to Activities
Many patients return to work after about a week and resume mild exercise after two weeks. Bruising and swelling continue to resolve, and some residual swelling may still be visible for up to 6 weeks.
Healing & Scar Fading
You should expect to wait at least 8 to 12 weeks to get a clearer picture of the result, and complete healing may take up to 6 months as scars fade to thin white lines.
Important: Contact the clinic immediately if you experience excessive bleeding, severe pain, or signs of infection. Detailed aftercare instructions will be provided before and after your procedure.
Preparing for Your Consultation
- Bring your GP referral letter
- Prepare a list of medications, supplements, or medical conditions
- Write down any questions you would like to ask Dr Konrat
- Wear comfortable clothing to your appointment
How Much Does Blepharoplasty (Eyelid Surgery)
Cost?
Costs depend on the type of procedure (upper, lower, or combined), anaesthesia, and facility fees. A personalised fee estimate will be provided after your consultation with Dr Konrat.
Dr Georgina Konrat is a cosmetic doctor and no Medicare rebates are applicable through her practice. All fees will be discussed openly during consultation so there are no unexpected costs.
Ready to discuss your options?
Personalised fee estimate after consultation
Have questions? Contact our clinic or call 02 9188 1949.
Before & After
Gallery
View before and after photographs from Dr Konrat's practice. All photographs are shared with patient consent and are intended for educational purposes only.
Photographs are intended for persons aged 18 years and over. Individual results vary. All surgical procedures carry risks. AHPRA: MED0001407863.
Frequently Asked Questions
The information on this page is general in nature and does not replace medical advice. All surgical procedures carry risks, and outcomes vary between individuals. A consultation with Dr Georgina Konrat is required to determine whether this procedure is appropriate for you.
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Ready to Book a Consultation?
The first step is a confidential consultation where Dr Konrat will discuss your concerns, explain the procedure in detail, and answer any questions you may have.
A GP referral is required for surgical procedures. Please note the mandatory 7-day cooling off period applies to all cosmetic surgery consultations.