I am scheduled for an upper eyelid( blepharoplasty) procedure in two weeks, on Feb 6th. I just received notice of the post op appointment to remove the sutures. This appointment is 13 days after surgery! I am worried now that this will cause scarring. Should I be concerned? Another Dr I saw removed stitches on the 4th day. Need to decide what to do now. Thank you.
March 11, 2020
Answer: When to remove sutures after eyelid surgery After eyelid surgery, I remove the sutures after 3 days. If the sutures are left longer, very often the skin grows into the suture track and form a fistula and gives the appearance of a "railroad track", which can be difficult to remove. In a number of patients who have more than average amount of swelling, I may postpone the suture removal until 5-6 days, but never longer than that.
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March 11, 2020
Answer: When to remove sutures after eyelid surgery After eyelid surgery, I remove the sutures after 3 days. If the sutures are left longer, very often the skin grows into the suture track and form a fistula and gives the appearance of a "railroad track", which can be difficult to remove. In a number of patients who have more than average amount of swelling, I may postpone the suture removal until 5-6 days, but never longer than that.
Helpful 2 people found this helpful
March 11, 2020
Answer: Likely this surgeon is using absorbable sutures. That means that your surgeon is laboring under the mistaken belief that the absorbable sutures will breakdown on their own. The do but not fast enough. Removing these sutures on day 4 is generally much too early. If your surgeon is using a CO2 laser for the skin incision, the laser injures the skin adjacent to the skin and requires extended healing. Removing sutures before about 10 days can result in a wound dehiscence. That is generally why most serious eyelid surgeons have abandoned the use of the laser as an incisional instrument. I think all details matter. If you surgeon has this wrong, what else do they do that is not idea? You are entitled to answers before having surgery. Do be steam rolled by a bad office. Save yourself from botched surgery.
Helpful 1 person found this helpful
March 11, 2020
Answer: Likely this surgeon is using absorbable sutures. That means that your surgeon is laboring under the mistaken belief that the absorbable sutures will breakdown on their own. The do but not fast enough. Removing these sutures on day 4 is generally much too early. If your surgeon is using a CO2 laser for the skin incision, the laser injures the skin adjacent to the skin and requires extended healing. Removing sutures before about 10 days can result in a wound dehiscence. That is generally why most serious eyelid surgeons have abandoned the use of the laser as an incisional instrument. I think all details matter. If you surgeon has this wrong, what else do they do that is not idea? You are entitled to answers before having surgery. Do be steam rolled by a bad office. Save yourself from botched surgery.
Helpful 1 person found this helpful