Early stitch removal usually good

Robin T.W. Yuan, MD answers: Stitches came off 2 days after Blepharoplasty

I had Blepharoplasty 4 days ago, and my stitches came out on the second day. Is that bad? Everything looks sealed tight, but I wanted to make sure nothing is wrong.

Robin T.W. Yuan, MD
15 months ago

Some surgeons don't use stitches but use a topical glue. Some have stitches under the skin holding tissues in place. But usually stitches placed through the skin that need to be removed are best removed earlier rather than later especially if there is little intrinsic tension on the wound that should be the case in most blepharoplasty surgeries. The body forms its own "glue" that keeps "tensionless" incisions closed and the longer you leave stitches in the skin, the more like you are to have the "railroad track" type of stitch markings. I often take stitches out by day 1-3. Bottom line is, if it hasn't fallen apart by now, don't worry, you have the best of both worlds: adequate healing and miminal stitch marks.

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A: Eyes Wide Shut?

Athleo Louis Cambre, MD
15 months ago

Blepharoplasty is a delicate surgical procedure, and the incisions are closed with delicate sutures. Most commonly, the ends of the sutures are held down to the skin at the nasal bridge and at the corner of the eyes with Steri-Strips or paper tape, until the stitches are removed by the surgeon in 5 days or so.

If the sutures come out prematurely, nothing needs to be done as long as the suture line of the incision stays closed. Take care not to rub or wash the eyelids forcefully for a few weeks. If the incision opens up, you may require re-suturing, or application of a tissue glue to hold the skin closure during the initial healing phase.

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