Above Vs Under Eyelid Stitches for Upper Blepharoplasty?

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.

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

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 fashion, the line should heal very well, too. It often is surgeon preference...

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.

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. This allows us to avoid little skin cysts called milia which can be a problem with eyelid sutures.

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 upper eyelid cosmetic eyelid surgery is also referred to as upper blepharoplasty. This is done through an incision made at the height of the eyelid crease. Skin and muscle are usually... more

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.