Is 11 days too long to wait for suture removal on the upper and lower eyelid surgery?
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Suture removal after upper eyelid surgery
Every surgeon has a different operative technique and protocol for when they prefer to remove sutures after eyelid surgery. Typically sutures can usually be removed between 5-7 days after surgery. If the sutures are removed too early, the healing incision is weak and can easily open up. While 11 days is on the longer side for for suture removal, eyelid skin is very thin and incisions typically heal very well in most patients.
Eyelid Surgery - Correct Number Of Days To Remove Sutures
Your RealSelf team of expert plastic surgeons all agree each surgeon has his or her own protocol for suture removal.
That being said, if you have a choice, I would recommend you have them removed earlier. In my practice, all eyelid sutures are out in 3 days. It has been my experience, due to the rapid healing in eyelid tissue, epithelized tunnels are created when sutures are left in too long. These tunnels must be surgically removed and eye makeup and other debris can fill these tunnels appearing like microscopic blackheads.
in my practice are removed between 3 and 5 days, primarily to avoid the development of small whitehead (milia) or scars from the sutures themselves. But its done at the risk of the wound separating but it has never been a problem for me.
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Three days is a little too early.
Four to 6 days is more common. However, if your surgeon used a laser to make your blepharoplasty incision, the sutures need to be left in place for a longer period of time. Generally this time frame is at least 10 days but longer may be necessary. The reason for this is that the laser thermally injures the skin adjacent to the wound. The laser injured skin does not knit together as fast as scalpel cut skin. This is the principle reason that I do not recommend laser surgery. People assume that anything done with a laser is great but it is not true. This thermal skin injury means that the sutures must be left in place much longer than is ideal and this can increase the prominence of the scars from eyelid surgery. On the other hand, if a laser was not used to make the incision, then your surgeon really has no excuse. That does not mean that you will be harmed by this but it is better to get the sutures out at the earliest feasible date. Too early and the wound will separate and that is not good either.
It depends on surgical technique
Eyelid suture removal
I remove blepharoplasty sutures between 3-5 days postoperatively. I agree that every surgeon has his own protocol but 11 days is excessive and poses risks in terms of scarring.
11 days should not be too long for the sutures to stay in.
Eyelid suture removal
Most surgeons use permanent sutures which are typically removed between four and seven days after eyelid surgery.
Sutures remaining after blepharoplasty
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