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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.
While upper eyelid surgery is not a lengthy procedure, it is not a foot race either. The conjunctival mullerectomy ptosis surgery is a relatively brief procedure. An anterior levator aponeurosis resections requires additional intraoperative time. So the exact time of surgery...
Thank you nklimovi for your question. Typically puffy upper lids can only be addressed with surgery because we need to remove the fat pocket and potentially extra skin. There typically isn't much down time with the procedure and sutures are removed within 5-7 days. Make a consult with a bo...
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...
Without a physical examination, it is hard to fully answer your question. However, if there is any suspicion that excessive eyelid skin was removed at the time of your upper eyelid surgery, I would strongly discourage a brow lift. The only indication for further upper eyelid surgery...
Malar swelling 4 weeks after routine lower eyelid surgery is a bit unusual. However, sometimes surgeons add a bit of a midface lift with the lower eyelid surgery and this could account for a more persistent swelling. At this point, your only real option to to allow the lower eyelid...
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...
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