Is It Ethical for a Tech to Suture Eyelids After Surgery?
- Asked by SaltLifeGull in Panama City, FL
- 2 years ago
I thought only MDs, PAs, or ARNPs were qualified to suture eyelids after surgery. Is it considered malpractice for a surgeon to allow a tech to suture after eyelid surgery?
Techs to close bleph?
I don't kow if it reaches the standard of criminal act or even malpractice, but I do know I would not be happy if I found out after the fact, especially if it was disclosed by someone other than the surgeon. the final part of any Plastic surgery is the closing.
Surgery techs and assistant suturing incisions
The use of nurses, surgical techs and assistants to close part of the incisions does occur in plastic and cosmetic surgery. In my practice, I've always felt that my patients paid me to do the surgery, including the closure and I don't pass that off to my scrub techs. If you were told that a tech would close part of the incision, that's one thing. If however, you were not, it would bother me but I'm not sure it's unethical. It's up to the surgeon to make those decisions.
Web reference: http://www.drfpalmer.com
Ethical for Techs to Suture Eyelids?
I know that this is done in Florida (especially for Medicare and Insurance related Upper Eyelid Blepharoplasty); when and if it is done, it should always be disclosed to the patient. However, in my practice, I suture all incisions because I feel that the overall result will be much better for the patient. In Facial Plastic Surgery, patient satisfaction (which is partly derived from the lack of visibility of scars) is what determines the success of a practice. When patients bring this topic up, it is generally not a scenario that is considered desirable. Obviously, the patient generally wants the Surgeon to close the incision.
Recent Eyelid Surgery Reviews
Eyelid Surgery Photos
Yes it is ethical.
State laws do vary regarding what surgical technicians are permitted to do by law. This will also vary by hospital which determine what privileges are granted for the operating room. I personally as a surgeon regard the closure of the eyelid a very important aspect of the surgery. This is because, closing the upper eyelid requires operative judgement regarding what tissues and under what tension should be placed on these tissues. In my opinion this is the job of the surgeon. However, not everyone does such a technical eyelid surgery. I think that there is room for differences of opinion on this. Yes surgical technicians do suturing and this can include the closure of the upper eyelid, just not in my operating room. It would be ethical for your surgeon to disclose to you before hand that his or her surgical technician will do the closure.
Web reference: http://www.lidlift.com
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.