I am 46 years old and researching doctors and procedures for droopy eye lids. I had a "first opinion" and was told that my lids are affecting my vision and a bleph is needed. For the procedure, the doctor stated that the muscles will be tightened and stitches which will be removed 11 days later. That concerns me since Im reading 5-7 is normal? Ive checked out everything on the doctor and its all good but should I seek a 2nd opinion?
Answer: Day 11 is late and it is not ideal to rely on stitches to dissolve on their own. Neither approach is ideal. Sutures should be removed at 5 to 7 days after surgery. If a laser was used to make the incision, then the stitches need to be left in about 5 to 7 days longer-a good reason not to use a laser in my opinion. Yes there are sutures that breakdown on their own. However, they do not reliably do so and for that reason, even these need to be removed by the surgeon. Ideally you would have the ptosis surgery and blepharoplasty done together. The only reason it is getting unbundled is that insurance companies do not pay doctors for both procedures at the same time. If you were self-paying for surgery, the ptosis and the blepharoplasty would be done together.
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Answer: Day 11 is late and it is not ideal to rely on stitches to dissolve on their own. Neither approach is ideal. Sutures should be removed at 5 to 7 days after surgery. If a laser was used to make the incision, then the stitches need to be left in about 5 to 7 days longer-a good reason not to use a laser in my opinion. Yes there are sutures that breakdown on their own. However, they do not reliably do so and for that reason, even these need to be removed by the surgeon. Ideally you would have the ptosis surgery and blepharoplasty done together. The only reason it is getting unbundled is that insurance companies do not pay doctors for both procedures at the same time. If you were self-paying for surgery, the ptosis and the blepharoplasty would be done together.
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May 7, 2016
Answer: Upper eyelid surgery for decreased visual fields Often removing the excess skin can improve one's field of vision if the skin is close to or resting on the eyelash margins. There are various techniques to be used and some use sutures under the skin that are removed anywhere from 7 to 14 days and others like myself use dissolvable sutures. It is often surgeon preference. If the muscles need to be tightened that might also signal the need for a ptosis repair which is when the eyelid itself is hanging at or over the pupil. A second opinion is patient preference and it depends on how comfortable you are with your surgeon. Good luck in your area.
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May 7, 2016
Answer: Upper eyelid surgery for decreased visual fields Often removing the excess skin can improve one's field of vision if the skin is close to or resting on the eyelash margins. There are various techniques to be used and some use sutures under the skin that are removed anywhere from 7 to 14 days and others like myself use dissolvable sutures. It is often surgeon preference. If the muscles need to be tightened that might also signal the need for a ptosis repair which is when the eyelid itself is hanging at or over the pupil. A second opinion is patient preference and it depends on how comfortable you are with your surgeon. Good luck in your area.
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May 5, 2016
Answer: Suture removal There can be quite a bit of variation on when to remove sutures. Most people would do this at about a week. When you take out sutures too early you risk the possibility of the wound opening. Most sutures can be safely left in for at least 10 days without creating any problems. If the surgery is done with a laser it often takes the wound a little longer to heal and the sutures are left in longer.
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May 5, 2016
Answer: Suture removal There can be quite a bit of variation on when to remove sutures. Most people would do this at about a week. When you take out sutures too early you risk the possibility of the wound opening. Most sutures can be safely left in for at least 10 days without creating any problems. If the surgery is done with a laser it often takes the wound a little longer to heal and the sutures are left in longer.
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May 5, 2016
Answer: Sutures were upper eyelid surgery There are many variables to the healing process, but in our practice we use dissolvable sutures that fall out at about day 7-8 after the surgical procedure. For more information and many examples, please see the link and the video below
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May 5, 2016
Answer: Sutures were upper eyelid surgery There are many variables to the healing process, but in our practice we use dissolvable sutures that fall out at about day 7-8 after the surgical procedure. For more information and many examples, please see the link and the video below
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May 5, 2016
Answer: Suture Removal Time Frame Thank you for your question llippai,I understand your confusion. Typically when a patient has general stitches put in, such as in a cut on an arm, 7-10 days post status is standard. However, we schedule our patients to come in for removal of upper lid bleph sutures on or about 14 days after surgery. Sometimes, only dissolvable sutures are used. If this is the case, you will not need removal. Both dissolvable and removable (black or blue) sutures can be used, in which case you will have removal of the black / blue sutures. Rest assured, your surgical outcome will benefit either way. You will most likely know if you need removal after the surgery, though. I hope this information helps!
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May 5, 2016
Answer: Suture Removal Time Frame Thank you for your question llippai,I understand your confusion. Typically when a patient has general stitches put in, such as in a cut on an arm, 7-10 days post status is standard. However, we schedule our patients to come in for removal of upper lid bleph sutures on or about 14 days after surgery. Sometimes, only dissolvable sutures are used. If this is the case, you will not need removal. Both dissolvable and removable (black or blue) sutures can be used, in which case you will have removal of the black / blue sutures. Rest assured, your surgical outcome will benefit either way. You will most likely know if you need removal after the surgery, though. I hope this information helps!
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