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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.
Asked 38 months ago by
luls7 in Toronto, Canada
+2
You should be fine
It is important for you to let your surgeon know that the sutures came out. However, if everything looks okay, then you should be fine. We often take our sutures out after three days for blepharoplasty patients anyway - so, I would not be worried. Enjoy your new eyes!
David Shafer, MD
Manhattan
+2
Early stitch removal usually good
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...
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+2
Bleph suture techniques
Thanks for the question. As always these are great questions to ask your surgeon. There is no one who will understand more about the details of the procedure you received than the surgeon who did it.
Timing of suture removal can be important in terms of healing and minimizing scar formation. In my San Francisco area practice I use a combination of a "running subcuticular" suture that tends to minimize scarring instead of the more familiar "running stitch". And even...
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+1
Sutures out two days after blepharoplasty
I normally remove eyelid sutures two to three days post operatively. The eyelids heal very quickly and delaying suture removal can affect the scar. Early suture detachment should not be a problem but, as with anything in your postop course, you should inform your plastic surgeon.
+1
Depends on where the stitches are
How long eyelid stitches should remain depend on location of the stitches. I generally remove upper eyelid sutures in three to five days and lower eyelid sutures in five to seven days. If the stitches are in the upper eyelid and they came out after one or two days, generally that is not a problem. It sounds like that you have had no problems with the stitches coming out after two days. I would not worry about it.
+1
Stitches out after two days
As long as the incision is closed you should be fine. Eyelid incision wounds heal amazingly well.
Washington DC Oculoplastic Surgeon
+1
Check with your surgeon and don't rub your eyes
As long as the incision line is intact you are fine. But it is fragile and you could rub it apart accidentally so be sure to leave the area absolutely alone and go have your doctor check you.
+1
Take care and get re-evaluated
It sounds like you had a running subcuticular suture and you accidently pulled it out. You must be very careful not to fully separate your incision. The skin of the eyelids is quite thin and since there is litte tension on it you may be okay. Avoid rubbing your eyes until you can be seen...
+1
Eyes Wide Shut?
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...
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+1
Sealed and done
If your stitches came out two days ago and everything still looks closed, then you are probably fine. Many surgeons remove their stitches at the 2-3 day mark to minimize the cross hatching that can occur from them. See your surgeon and he/she will be able to allay your fears. Good luck!
+1
Something does not sound right.
The stitches that hold your eyelids together should be durable enough to stay intact. In order the pull them out, some trauma would be required and that would injure the eyelids as well. Most likely, there is some extra suture material that was stuck to your skin and fell off after two days. Check with your doctor anyway.
Robert Freund, MD, FACS
+1
Early suture removal after blepharoplasty
Do you mean that the sutures came out on their own? Or the surgeon removed them at 2 days. I usually remove skin sutures from a bleph on day 4 or 5. If I have used a pull-out suture that is subcuticular( or deep to the skin surface) I may leave it in for 7 days. Quite frankly there are some surgeons that remove eyelid sutures at 2-3 days. If they should have fallen out ontheir own, you may want to check with your surgeon to see if everything is OK.
Steven Wallach, MD
+1
See your surgeon
Though it sounds like things are fine, I would definitely ask your surgeon if things are still ok. For the most part upper eyelids heal very quickly and in some cases surgeons will place stitches below the skin which will hold it in place without much of a problem. Overall it is best though to ask your surgeon so that he/she can determine if more stitches need to be placed.
Dallas Facial Plastic Surgeon
+1
You'll be fine
Most surgeons remove sutures 5 or 6 days after a blepharoplasty (later if a laser is used for the surgery). The good news is that eyelid skin heals very well because it is very thin and the eyelids have a good blood supply. If think look like they are doing well, then most likely everything will be fine. I would be very gentle with your eyelids for a few weeks (no rubbing) and I would discuss this with your cosmetic surgeon as well.
Philadelphia Oculoplastic Surgeon
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