Above vs under eyelid stitches for upper Blepharoplasty?

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7 answers to “Above vs under eyelid stitches for...”

A: Incisions for upper blepharoplasty

By William Portuese, MD - Seattle Facial Plastic Surgeon

With regards to an upper blepharoplasty, the incision is made in the upper eyelid crease, and the stitches are dissolvable. They fall off in approximately five to seven days. To remove upper blepharoplasty skin, an incision on the outside has to be made.

A: Upper Eyelid Stitches above or under

By Tanveer Janjua, MD - Bedminster Facial Plastic Surgeon

Both stitches above the skin (running cutaneous stitch in medical terms) or under the skin (subcuticular in medical terms) are equally good. The main thing is the technique of the plastic surgeon. I personally use above the skin (running 6-0 prolene) with great results. Regards

A: Upper blepharoplasty incisions

By Frank P. Fechner, MD - Worcester Facial Plastic Surgeon

For upper blepharoplasty, the incision is placed within the natural lid crease. These fine scar lines heal very well and often become barely visible - even to the plastic surgeon. Personally, I use a subcuticular (under the skin surface) suturing technique. When regular skin sutures are placed in a meticulous... more

A: Upper eyelid surgery and sutures

By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

The upper eyelid has a very thin dermis and thus does not heal with noticeable scarring. The decision to perform subcuticular or interupted sutures makes little difference in long term outcome and is dependent on surgeon preference.

A: Both should heal just fine

By S. Randolph Waldman, MD - Lexington Facial Plastic Surgeon

Whether sutures are placed internally ie a sub-cuticular closure or externally does not really affect the outcome in my experience. The upper lid incisions heal very well if small enough sutures are used. We use an external approach and a 7'0 silk suture which is a very fine and delicate suture... more

A: Not entirely clear what you are referring to

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

Dear Time Saver Upper eyelid surgery is not a one size fits all procedure. Precisely what needs to be done vary much depends on what is going on. One of the problems of trying to be an informed consumer is that it can be very confusing sorting through all the information out there on the internet. Standard... more

A: Upper blepharoplasty

By William J. Binder, MD - Beverly Hills Facial Plastic Surgeon

The upper blepharoplasty, by definition, is the excision of the excess upper eyelid skin. Therefore, the incision must be placed over the outside part of the upper eyelid. When correctly performed, the incision is placed within the natural eyelid crease which leaves an undetectable scar.