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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)
Eyelid skin is the thinnest in the human body and can be closed after upper eyelid Blepharoplasty in a variety of ways that lead to very acceptable scars. This assumes that meticulous technique is used and the wounds are not closed with excess tension. I personally prefer suturing the incisions with a very fine plastic suture (6-0 prolene). Although use of tissue adhesives such as Dermabond can lead to very acceptable healing, a patient may be at slightly greater risk for wound dehiscence. If a Surgeon promotes a "suture-less Blepharoplasty" as offering a superior result, I would be very dubious.
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.
This varies depending on the approach used - external versus internal as well as if skin is being removed concurrently through an external approach. Also, it depends on the expereince and technique of the surgeon. That being said, the amount of time it takes to do a surgery does not...
There are energy sources (e.g laser) available to treat the skin in the upper eyelids but it will not address the excess fat which I can't see from your beautiful photo. This of course will have less of a change but maybe something you would consider if you can't afford 2 weeks of down time...
I don't know anything about "Dr. Novick". He must really fly through upper eyelid surgery if he can do it in 10 minutes. I take longer, about 30 to 45 minutes. Many patients can have this under local and return to regular activities the same day (although...
Many of my brow-upper lid junction structural fat grafting patients have come to my practice for the correction of hollowness created by the over-zealous removal of fat during an upper blepharoplasty surgery. I am continually amazed at how many cosmetic surgeons practice 1970's-era...
The swelling resting on the cheeks after lower lid blepharoplasty are probably malar bags. In my experience, there is usually some evidence of malar bags before surgery (look at your pre operative photos) and the resultant inflammatory fluid from surgery settles in these unnoticed bags,...
Dark circles can be due to a variety of issues and the treatment really depends on what the underlying cause is. Many times this area can have increased pigmentation (hyperpigmentation). These areas of brown discoloration can typically be addressed with bleaching agents which can be done...