Can Permanent Stitches Be Used in Revisionary Canthoplasty?

           Permanent sutures can be used.  These would be placed deeply and would not be exposed on the surface.  This may not be the solution in your case.  An exam will be necessary as well as a review of your records.                                                                                                                         Kenneth Hughes, MD                                                                                                           Los Angeles, CA

In 100 % of my canthoplasties I use a permanent suture.  I manage the canthus aggressively in blepharoplasty mosty using a canthoplasty technique.

Dr. ES

You need a comprehensive exam to formulate a plan if you have failed two surgeries already. Permanent cuticular sutures won't work as they will eventually heal under the skin.

Permanent stitches can be used for revision canthoplasty. I use these frequently for support even on primary blepharoplasties. I need to see better pictures to give you a proper answer.

Typically we would use permanent sutures underneath the skin so you would not be able to see them when we do canthoplasties. Yes there are lots of procedures when most of the healthy tissue is gone.

Permanent stitches are commonly used during canthoplasty but are not the rule. Even with permanent stitches, an additional procedure to help further support your eyelid, such as a graft to the back of the eyelid or a cheek lift may be necessary to achieve the best surgical result.

A photo would help better assess your eyelid position and suggest a surgical plan to maximize your result.

A canthopexy can be performed with permanent sutures.  If your canthopexy is not working for you, a canthoplasty may be required.

There are many reasons for needing a canthopexy and many different techniques for performing the procedure.  It is possible that if you have failed the first two times then a new technique may be considered and not just a change of suture material.