How Does the Eyelid Properly Heal Without Stitches?

asked 9 months ago by anon
Latest answer by Tom J. Pousti, MD
Question viewed 166 times
Tags: eyelids, alternative, healing, incision, options, outcome, recovery, results

Is stitchless blepharoplasty a viable procedure? What special precautions should be taken during the healing process?

5 answers to How Does the Eyelid Properly Heal Without Stitches?

Stitchless Blepharoplasty?

Thank you for the question. Most surgeons including myself use sutures on blepharoplasty incision lines to achieve predictable fine line scars. I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Not a big issue with transconjunctival lower blepharoplasty.

However it is not feasible to perform sutureless upper eyelid surgery. The forces on the upper eyelid would result in gapping of the skin and this would significantly compromise healing. Dermabond glue is an option but this could also lead to a depressed upper eyelid scar. Ultimately, sutures are not such a bad thing.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Eyelid Surgery

The eyelid skin is very thin and if the edges are well approximated then the wound will heal well. The lower eyelids will heal easier than the upper without sutures. As there is swelling after the surgery, if the upper eyelids are not closed with sutures the edges may break apart.

Stephen A. Chidyllo, MD
Red Bank Plastic Surgeon

Stitchless blepharoplasty?

A lower blepharoplasty with the incision made through the conjunctiva (inside the eye) is often left to heal without stitches. For any outside skin incision, sutures are always used to close the skin edges together so that the scar heals in a fine line. Sometimes they are running just underneath the skin so it may appear "stitchless". It's hard to know what your surgeon is planning! (Best advice is to ask him or her - if it doesn't... more

Michelle Spring, MD
Marina Del Rey Plastic Surgeon

Blepharoplasty Without Sutures?

Eyelid skin is the thinnest in the human body and can be closed after upper eyelid Blepharoplasty in a variety of ways that lead to very acceptable scars. This assumes that meticulous technique is used and the wounds are not closed with excess tension. I personally prefer suturing the incisions with a very fine plastic suture (6-0 prolene). Although use of tissue adhesives such as Dermabond can lead to very acceptable healing, a patient may be at slightly greater risk for... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

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