Stitches Came off 2 Days After Blepharoplasty

I had Blepharoplasty 4 days ago, and my stitches came out on the second day. Is that bad? Everything looks sealed tight, but I wanted to make sure nothing is wrong.

Doctor Answers 20

You should be fine

It is important for you to let your surgeon know that the sutures came out. However, if everything looks okay, then you should be fine. We often take our sutures out after three days for blepharoplasty patients anyway - so, I would not be worried. Enjoy your new eyes!

David Shafer, MD

New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Early stitch removal usually good

Some surgeons don't use stitches but use a topical glue. Some have stitches under the skin holding tissues in place. But usually stitches placed through the skin that need to be removed are best removed earlier rather than later especially if there is little intrinsic tension on the wound that should be the case in most blepharoplasty surgeries. The body forms its own "glue" that keeps "tensionless" incisions closed and the longer you leave stitches in the skin, the more like you are to have the "railroad track" type of stitch markings. I often take stitches out by day 1-3. Bottom line is, if it hasn't fallen apart by now, don't worry, you have the best of both worlds: adequate healing and miminal stitch marks.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

Bleph suture techniques

Thanks for the question. As always these are great questions to ask your surgeon. There is no one who will understand more about the details of the procedure you received than the surgeon who did it.

Timing of suture removal can be important in terms of healing and minimizing scar formation. In my San Francisco area practice I use a combination of a "running subcuticular" suture that tends to minimize scarring instead of the more familiar "running stitch". And even with this technique I still usually remove my sutures at day 4.

Ask your surgeon - but sounds like you're on your way to a great result.

I hope this helps.

Steven Williams, MD

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 50 reviews

Eyelid Suture Removal

A variety of suture techniques are utilized to close blepharoplasty incisions. Depending upon the method utilized, suture removal varies from patient to patient. In most cases, sutures are removed four to seven days after surgery.

Occasionally when absorbable sutures are utilized, they prematurely detach from the wound edges. This only represents a problem, if wound separation subsequently occurs.

In your case, your wound margins haven't separated. Under these circumstances, you should have normal wound healing and minimal scarring.

If you continue to be concerned about the potential for scarring, it's appropriate to consult your surgeon. Your surgeon should be able to reassure you and alleviate your anxiety.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Let your surgeon know

It is a little early that they’ve come out already, and just in case you should let your surgeon know if they weren’t removed by him/her. If the incisions don’t look like they’ve opened up or are bleeding, you should be fine.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Premature Loose Sutures

Thank you for sharing the question. It is not uncommon for sutures to become loose or broken following blepharoplasty. As long as the wound remains closed, it will not compromise the results and in some cases can actually make the scar look better. If the wound opens, the surgeon must be notified. I hope this helps other patients with similar concerns.

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 145 reviews

Talk to your surgeon

That's quite early for the stitches to come out. It's best to talk to your surgeon about this, just to make sure that it's okay. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Let your surgeon know

If it looks like it's healed over and sealed well, then there should be no problem. However, just in case you should let your surgeon know.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Stitches Came off 2 Days After Blepharoplasty

This should not be a problem unless undue stress is placed on the wound and it opens up.  Some surgeons use fast dissolving sutures and some use topical adhesive. Just me sure to inform your surgeon.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 110 reviews

Sutures out two days after blepharoplasty

I normally remove eyelid sutures two to three days post operatively. The eyelids heal very quickly and delaying suture removal can affect the scar. Early suture detachment should not be a problem but, as with anything in your postop course, you should inform your plastic surgeon.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 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.