What can be done for eyelids that keep splitting open after eyelid surgery? (Photo)

It looks so very angry right now.  However, you would be amazed how well these can heal.  Generally an eyelid that looks like this should not be restutured.  I would put you on antibiotics, and antibiotic ointment and the the area heal on its own.  Generally with time the raw areas come together and seldom need revisional surgery.  I would generally wait 6 months before even considering revisional surgery.  Please consider reposting and updating us about how you are doing.

I am very sorry that you have had this unusual problem.  At this point, I would be inclined to let this area heal and perform a  scar revision with non reactive prolene sutures at a later date. The dehiscence is most likely related to wound tension at the time of the initial procedure.

It is unusual to have it come apart so many days after the surgery.  The dissolvable sutures will usually dissolve after anywhere from 5-12 days depending on what type were used.  That normally allows enough time for the wound to heal.  If there was an excessive amount of skin taken out, this can create tension and help to pull the wound apart.  But that does not appear to be the case here.  You do have a significant amount of inflammation at the wound, so you may have a sensitivity or allergy to the dissolvable sutures.  At this point I would usually remove the sutures that are still present and let everything just heal in.  With the thin upper eyelid skin, it often will heal very well and you won't see a scar.  If you do it can be removed at about 6 months and closed with a different type of suture.     

I might recommend using retention sutures to allow wound healing. Bery unusual issue is presented here.....

Upper eyelid incision usually heal well. This can be due to either infection( recommend cultures to check for MRSA) or allergic reaction(very unlikely).

At this point, the best thing to do is follow your surgeon's postoperative instructions and let your incisions heal. In time you can reassess your scar with your surgeon to determine if any revision is warranted.

It is very rare to have incisional dehiscence of eyelid incisions, especially so long after surgery.  I find that sutures can be removed at 4-6 days after surgery with no dehiscence problems.  The fact that you seem to be having these problems seems to point towards the fact that the incisions are probably under tension.  Therefore, as the sutures dissolves, the incision opens up.Other factors include...1.  Use of steroids2.  Low thyroid3.  Poor nutrition4.  Smoking5.  DiabetesAll of these factors can decrease wound healing

Dear Treecee,I'm so sorry that you have had this complication following your upper blepharoplasty. Thank you for your question and photo. The cause of your incisional dehiscence could be due to too much tension on the incision (skin too tight), infection, severe inflammation secondary to suture materials, or poor wound healing secondary to an underlying medical condition that is just now showing up. Now that both wounds have opened it is probably most appropriate to treat the incisions with ointment (make sure it is prescribed ophthalmic ointment) and let the incisions close on their own. It is likely that you will need a scar revision after the incisions close. Be sure to discuss this situation with your plastic surgeon AND your primary care physician to make sure that you are healthy and that a medical condition is not causing this. Good luck. I hope this helps.

Wounds may open for multiple reasons. Poor nutrition, excess tension, infection, are a few examples for wounds to separate. If any one of these issues are contributing to your wounds post operative appearance, then addressing these factors may help to heal your incisions. Thank you for sharing your concerns and photo. Best wishes.