How Long Are Stitches Needed After an Asian Eyelid Surgery Without Incisions?

Doctor Answers 6

Non incision technique requires permanent suture

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its Ironic that an incision technique requires stitches  but they are  removed after a week. The "incissionless" surgery has no incission to close but requires  a stitch that  remains permanently. Both are excellent techniques each  with there pros and cons.

Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 113 reviews

Asian blepharoplasty without incisions and need for suture removal

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Doing asian blepharoplasty without incisions can be done in different ways. Some actually do still require small incisions. In general, the sutures are usually left in to hold the crease permanently. This is not to worry. This has been done for many years without issues with the suture. If external sutures are used they are typically removed 6-7 days later.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Asian Eyelid - Suture Method

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Asian Eyelid Surgery using an incision-less method requires permanent sutures to withhold the eyelid crease.  The procedure actually is not quite incision-less in that small incisions are still made to place the sutures.  However, if the suture loosens or breaks, the procedure will have to be redone.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

The need for stitches with suture method Asian eyelid surgery

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The sutures are permanent and probably needed for the duration of effect. The more modern techniques for suture surgery (such as DST - Double suture with twist) involve interlocking sutures which are then weaved into the cartilage structure of the eyelid. The published results (meaning the data were reviewed and accepted by eyelid experts) is a average span of 8 years. 

In practical terms the duration of effect appears to be about 5-7 years.

Charles S. Lee, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 79 reviews

Basically forever.

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So-called non-incisional asian eyelid surgery actually utilize small skin incisions for the purpose of buying the suture that is placed into the eyelid for the purposes of forming the crease.  Theoretically scar tissue that is formed when the suture is placed hold the crease long term.  Practically, this is more dream than reality.  Once the suture is removed or eventually break, loosen, or dissolve, it is often just a matter of time before the crease begins to fail.  It is for this reason that leading surgeons rely on open eyelid methods to make more long lasting double folds.  

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

Asian eyelid surgery without incisions

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Typically the sutures placed in a no-incision double eyelid procedure (a suture technique) are never removed.

The suture technique is a commonly used procedure to either improve or create an eyelid crease.  Now, there are two schools of though on the sutures that are placed to create the crease.  Most surgeons will use a suture that is permanent and it stays in your eyelid well beneath the skin.  They are not visible nor can you feel them.  Some surgeons prefer to use dissolvable sutures but I feel that allows for a disappearance of the crease over time especially if you wear contacts.  The repeated pulling of the upper lids can slowly pull the crease out.  The permanent sutures are usually some either made of silk or a material called prolene.  Neither react with the tissue.  


Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 76 reviews

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.