How easy or difficult is it to accidentally move the wrong way and rupture internal stitches?

Thank you for your question.  Immediately after your surgery and while you are healing, you certainly could move enough to rupture a suture.  However, this would have a large movement which would probably be painful at that point.  Once you are fully healed after your surgery (typically in 4 weeks), you should be able to resume your normal activities without having to worry about rupturing a suture.  It is important to follow your surgeon's post-operative instructions just as they were given to you.  Be sure to consult with a board certified facial plastic surgeon or plastic surgeon who specializes in facial rejuvenation procedures.  I hope that this helps!-David Gilpin

Dear greystones,
Thank you for your question. I instruct my patients to avoid straining, strenuous activity, and heavy lifting over 10 pounds for 2 weeks to maximize healing. As long as you follow the activity restriction guidelines of your surgeon, it should be unlikely for a suture to rupture or an area to be undone with movement. If you are concerned that a suture as popped or an area of tissue has loosened, you should consider contacting your surgeon right away.