Upper blepharoplasty, healing of sutures. Was the suture pulled too tight? (Photo)

Question

Five days post upper eye blethoplasty. All looks well, with the exception of one small area. The skin is raised, and almost has the appearance of a skin tag. Was the suture pulled too tight? Or not tight enough? This is my first cosmetic surgery ever and I'm a bit concerned. Should I be? Thanks in advance.

Stephen H. Fink, DO, FAOCO · Answer

Thank you for the photos and your question. As this is your first surgery, it is not surprising that you may have doubts about what to expect. According to the photos, it appears to be  healing well. Eyelid skin is very thin.  As long as the edges are approximated, it heals very well. There may be some swelling  between the sutures but the sutures do not look too tight. If there any any new changes of concern, you should check with your surgeon.  I am sure they also  want you to get the best result possible.

Nagi T. Ayoub, MD, FACS · Answer

Thank you for the pictures and the question.Congratulation on your first cosmetic procedure.  Your blepheroplasty incision is healing normally for only five days out.  Give it some time and listen to your surgeon's recommendations in the next few weeks to come.  It is normal to feel and think the way you do now.  Recovery from surgery is a stressful situation.Goof luck and best regardsNagi T Ayoub MD, FACS

Adam Scheiner, MD · Answer

Your photos appear to show normal healing at 5 days after surgery. The body does a great job at healing itself. You should be patient with your body and give it time to heal. It does take initially a few weeks to stabilize and then further months for the swelling and wound healing to complete itself. I hope this was helpful. If you still have concerns, discuss them with your surgeon.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Your pictures are really appreciate it. It's hard to determine exactly what's going on therefore a physical examination is mandatory.

Edward H. Bedrossian, Jr., MD · Answer

The eyelids have remarkable ability to heal after cosmetic eyelid surgery. It is difficult to tell from the picture if the suture is too tight or too loose, but  It may take time ( 3 to 6 months) before healing stabilizes. Often initial irregularities resolve within that period of time.   Patience is important and frequent contact with your surgeon is advised.

Aric K. Park, MD · Answer

Thank you for the photos.  It can be normal for there to be slight asymmetry with the incisions after surgery.  There is nothing like a good physical exam to determine what is occurring.  I would follow up with your surgeon and discuss your concerns.

Edwin Ishoo, MD · Answer

Its only been 5 days since your surgery. It will take weeks if not months to get your final results. Its not a good idea to start second guessing your surgeon as soon as you are off the table. You trusted your surgeon to perform your procedure, trust your surgeon to manage your recovery.

Upper blepharoplasty, healing of sutures. Was the suture pulled too tight? (Photo)

Answers (7)

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