How Does the Eyelid Properly Heal Without Stitches?

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.

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.

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 make sense, beware)