If so, what do you recommend?Had upper bleph 2 years ago which resulted in bad scarring (raised & lumpy) especially on right side. Surgery was performed v quickly & the suturing looked slapdash even to my untrained eye. I believe my bad scarring was caused by lack of meticulous suturing, wrong type of stitch & possibly suture material (5/0 prolene), rather than my own healing ability. Revision surgeon says it's the technique rather than type of suture which affects scarring. Is there a consensus among oculoplastic surgeons?
November 3, 2016
Answer: Suture for upper blepharoplasty Surgeons vary in their preference and most results are good regardless of the suture. Technique of course is important no matter what suture is used. We have used interrupted permanent sutures as well as those that are absorbed. Both can leave suture marks and tracks. We began years ago to use a subcuticular suture that is placed beneath the skin surface and removed at one week. We have used 6-0 prolene ( a permanent suture) and been quite pleased with results and lack of complications.
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November 3, 2016
Answer: Suture for upper blepharoplasty Surgeons vary in their preference and most results are good regardless of the suture. Technique of course is important no matter what suture is used. We have used interrupted permanent sutures as well as those that are absorbed. Both can leave suture marks and tracks. We began years ago to use a subcuticular suture that is placed beneath the skin surface and removed at one week. We have used 6-0 prolene ( a permanent suture) and been quite pleased with results and lack of complications.
Helpful
July 1, 2020
Answer: Post op scarring after blepharoplasty Scarring after any surgery is related to a number of factors and thus doesn't have a simple explanation. Scars occur differently in different people based on hereditary factors/genetics and such; scars can be disguised in natural creases (in the case of upper eyelids) so the design of where the scar will be is important in planning an upper blepharoplasty, and then the technique, detail, and specific type of suture used also aids in the final overall result as well as the post operative care. I hope this helps clarify that scar formation is not a simple thing.
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July 1, 2020
Answer: Post op scarring after blepharoplasty Scarring after any surgery is related to a number of factors and thus doesn't have a simple explanation. Scars occur differently in different people based on hereditary factors/genetics and such; scars can be disguised in natural creases (in the case of upper eyelids) so the design of where the scar will be is important in planning an upper blepharoplasty, and then the technique, detail, and specific type of suture used also aids in the final overall result as well as the post operative care. I hope this helps clarify that scar formation is not a simple thing.
Helpful
