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Internal Stitches Showing Outside of Skin Of Eyelids

I am post bilateral blepharoplasty by 12 days. DR removed external stitches at 8 days. Now I notice on both eyelids stitches that are on the outside of both eyelids. I can see the knots as well. I see at least 2 knots on each eyelid maybe more. He said that there were internal stitches but I did not think I should be able to see them. I find it hard to believe that he missed all of these. Please advise.

Doctor Answers 6

Visible sutures on eyelids

September 23rd, 2011
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There are frequently sutures placed  internally in eyelid surgery but they are not typically  visible under the skin.  Sometimes some chromic gut sutures are placed in fat to rearrange the fat pads.  They should dissolve in the next ten days.  Confer with your board certified plastic surgeon about this.

All the best,

Talmage J. Raine MD FACS

Talmage J. Raine, MD, FACS
September 23rd, 2011

Visible sutures on eyelids

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There are frequently sutures placed  internally in eyelid surgery but they are not typically  visible under the skin.  Sometimes some chromic gut sutures are placed in fat to rearrange the fat pads.  They should dissolve in the next ten days.  Confer with your board certified plastic surgeon about this.

All the best,

Talmage J. Raine MD FACS

Talmage J. Raine, MD, FACS

Internal Stitches Showing Outside of Skin Of Eyelids

September 20th, 2011
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As most of the expert posters have stated, very unusual to have internal sutures in a blepharoplasty. unless you had a ptosis repair. seek opinions. 

Darryl J. Blinski, MD
September 20th, 2011

Internal Stitches Showing Outside of Skin Of Eyelids

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As most of the expert posters have stated, very unusual to have internal sutures in a blepharoplasty. unless you had a ptosis repair. seek opinions. 

Darryl J. Blinski, MD

Go back a see your surgeon.

September 19th, 2011
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There are not a whole lot of sutures needed for blepharoplasty.  Once the external sutures are removed, that should be it.  If you are still seeing suture, it is possible that fragments of suture were left.  This can be exposed as swelling resolve, though a bit unusual.  Your surgeon will get to the bottom of this.

Web reference: http://www.lidlift.com

Kenneth D. Steinsapir, MD

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

September 19th, 2011

Go back a see your surgeon.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There are not a whole lot of sutures needed for blepharoplasty.  Once the external sutures are removed, that should be it.  If you are still seeing suture, it is possible that fragments of suture were left.  This can be exposed as swelling resolve, though a bit unusual.  Your surgeon will get to the bottom of this.

Learn more: http://www.lidlift.com

Kenneth D. Steinsapir, MD

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Sutures after blepharoplasty

September 19th, 2011
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Sutures after upper eyelid rejuvenation can be a dissolving suture, or a 'pullout' suture that is removed after several days. We don't know what kind of internal sutures you might have that are coming through. Best to have your surgeon take a look. What he can see he can remove if necessary.

Best of luck,

peterejohnsonmd

Web reference: http://www.peterejohnsonmd.com/eyelid-surgery

Peter E. Johnson, MD
September 19th, 2011

Sutures after blepharoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Sutures after upper eyelid rejuvenation can be a dissolving suture, or a 'pullout' suture that is removed after several days. We don't know what kind of internal sutures you might have that are coming through. Best to have your surgeon take a look. What he can see he can remove if necessary.

Best of luck,

peterejohnsonmd

Learn more: http://www.peterejohnsonmd.com/eyelid-surgery

Peter E. Johnson, MD

Visible sutures after blepharoplasty

September 19th, 2011
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If these are infact internal sutures, they are likely dyed and the subdermal suture is placed very close to the skin causing the suture's color to show through a thin upper eyelid skin. Although this is highly unusual, it is not detrimental and will not cause any long term problems as internal sutures are usually disolvable. However, if after 4-6 weeks, you are still bothered by the appearance of the sutures, your surgeon can removed them in the office under local anesthesia. Discuss this with your surgeon but I believe patience at this time is the best course of action.

Edwin Ishoo, MD

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon
4.4 out of 5 stars 20 reviews

September 19th, 2011

Visible sutures after blepharoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If these are infact internal sutures, they are likely dyed and the subdermal suture is placed very close to the skin causing the suture's color to show through a thin upper eyelid skin. Although this is highly unusual, it is not detrimental and will not cause any long term problems as internal sutures are usually disolvable. However, if after 4-6 weeks, you are still bothered by the appearance of the sutures, your surgeon can removed them in the office under local anesthesia. Discuss this with your surgeon but I believe patience at this time is the best course of action.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

Unusual to have internal sutures showing after blepharoplasties

September 19th, 2011
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It is unusual to have internal sutures showing after eyelid surgery.  If they are indeed showing, then a simple operation can be done to remove them so that they do not show anymore.  That might be a procedure that your plastic surgeon can do under local anesthesia in his office.

James Tang, MD
September 19th, 2011

Unusual to have internal sutures showing after blepharoplasties

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is unusual to have internal sutures showing after eyelid surgery.  If they are indeed showing, then a simple operation can be done to remove them so that they do not show anymore.  That might be a procedure that your plastic surgeon can do under local anesthesia in his office.

James Tang, MD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.