On day 6 after blepharplasty surgery the sutures were removed. That evening I noticed that the incision on my left upper eyelid had come apart about a third of the way in length and 1/8 inch wide. Surgeon said it would heal with no scar. The incision had already started filling in with "serumy" material and made it look more filled in. Should I be concerned about the opened incision not healing without permanent scaring?
Answer: Blepharoplasty incisional dehiscence Hello and thank you for your question. Although small areas of dehiscence (incision opening up) are not uncommon after upper blepharoplasty, it can definitely be concerning for patients who want to do whatever they can to make sure their incisions heal well. For most cases, the incision need not be sutured closed as this is an area where healing by secondary intention (i.e. doing nothing surgically, just ointment) generally results in cosmetically acceptable results. In some cases, re-suturing the incision may be indicated. I would follow the guidance of your surgeon who has had the opportunity to evaluate you and make a plan based on his/her clinical judgment. I hope that helps.
Helpful
Answer: Blepharoplasty incisional dehiscence Hello and thank you for your question. Although small areas of dehiscence (incision opening up) are not uncommon after upper blepharoplasty, it can definitely be concerning for patients who want to do whatever they can to make sure their incisions heal well. For most cases, the incision need not be sutured closed as this is an area where healing by secondary intention (i.e. doing nothing surgically, just ointment) generally results in cosmetically acceptable results. In some cases, re-suturing the incision may be indicated. I would follow the guidance of your surgeon who has had the opportunity to evaluate you and make a plan based on his/her clinical judgment. I hope that helps.
Helpful
May 8, 2017
Answer: Blepharoplasy This is a fairly minimal wound healing problem that may leave a little wider scar that could be easily corrected with a scar revision. Try to relax and be patient, I think you will have a nice result. Good luck, Jane.
Helpful
May 8, 2017
Answer: Blepharoplasy This is a fairly minimal wound healing problem that may leave a little wider scar that could be easily corrected with a scar revision. Try to relax and be patient, I think you will have a nice result. Good luck, Jane.
Helpful
May 7, 2017
Answer: All blepharoplasties create a scar. The wound dehiscence is a common issue that can develope after blepharoplasty and in and of itself does not reflect on the surgeon. These heal remarkably well and in many years of doing this, I have never seen one that actually required a revisional surgery. It is more that they delay your ultimate healing by a week or two. On the other hand, this blepharoplasty incision should tuck into the upper eyelid crease. You can see that this is not happening in your eyelid. That means that the surgeon has placed the incision at a less than ideal height. The eyelid needs to heal but the result may be less than ideal. That ultimately would have to do with the design of the blepharoplasty rather than the wound dehiscence you are experiencing at the moment.
Helpful
May 7, 2017
Answer: All blepharoplasties create a scar. The wound dehiscence is a common issue that can develope after blepharoplasty and in and of itself does not reflect on the surgeon. These heal remarkably well and in many years of doing this, I have never seen one that actually required a revisional surgery. It is more that they delay your ultimate healing by a week or two. On the other hand, this blepharoplasty incision should tuck into the upper eyelid crease. You can see that this is not happening in your eyelid. That means that the surgeon has placed the incision at a less than ideal height. The eyelid needs to heal but the result may be less than ideal. That ultimately would have to do with the design of the blepharoplasty rather than the wound dehiscence you are experiencing at the moment.
Helpful
May 8, 2017
Answer: Upper Eyelid Incision Separation No, I do not think you need to be concerned. This is actually a fairly common complication, if I would even describe it as a complication. It most likely will heal without needing any surgical intervention. If by chance either side ends up having a slightly wide scar, the revision could easily be done once healed with most likely a much easier recovery. Please try to relax and enjoy your downtime during your recovery. Best of luck!
Helpful
May 8, 2017
Answer: Upper Eyelid Incision Separation No, I do not think you need to be concerned. This is actually a fairly common complication, if I would even describe it as a complication. It most likely will heal without needing any surgical intervention. If by chance either side ends up having a slightly wide scar, the revision could easily be done once healed with most likely a much easier recovery. Please try to relax and enjoy your downtime during your recovery. Best of luck!
Helpful
May 8, 2017
Answer: Keep an eye on it! Thank you for the question. Sorry for the difficulties.
Helpful
May 8, 2017
Answer: Keep an eye on it! Thank you for the question. Sorry for the difficulties.
Helpful
