Is stitchless blepharoplasty a viable procedure? What special precautions should be taken during the healing process?
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.
