It has been 30 days since upper blepharoplasty surgery & 2nd time that my incision has opened. After 2 weeks- re-sutured and now its continuing to re-open. It is a holiday weekend & surgeon out of town. What can I do at this point? Also concerned with hard nodule lump at distal end of incision?
July 4, 2015
Answer: Incision dehiscence The pictures you've posted are not alarming. Just keep the incision moist and well protected with large sunglasses. Avoid stressing the incision and contact your surgeon on Monday. There is no emergency here. This will likely heal just fine and if necessary, Your surgeon may revise the scar in the future or treat a hypertrophic, hyper pigmented or widened scar with LASER resurfacing. The hard nodules at the end of the incision are expected scar tissue which will begin to organize and contract at 3-6 weeks post-trauma.
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July 4, 2015
Answer: Incision dehiscence The pictures you've posted are not alarming. Just keep the incision moist and well protected with large sunglasses. Avoid stressing the incision and contact your surgeon on Monday. There is no emergency here. This will likely heal just fine and if necessary, Your surgeon may revise the scar in the future or treat a hypertrophic, hyper pigmented or widened scar with LASER resurfacing. The hard nodules at the end of the incision are expected scar tissue which will begin to organize and contract at 3-6 weeks post-trauma.
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July 6, 2015
Answer: Eyelid incision came apart twice and now 30 days after upper blepharoplasty. This isn't very common, but the eyelid wounds can be susceptible to coming apart up to a few weeks after surgery. I always warn my patients to not rub, pick at the wounds after the sutures are out for a few weeks to avoid dehiscence. The hard nodule at the outside corner is not uncommon and will usually flatten and soften over weeks to a few months. I don't know how you sleep, but if you are a face/stomach sleeper you may need to start wearing a mask at night to help protect your healing eyelids. As far as what to do now, you can keep antibiotic ointment on the incision and follow up with your surgeon when back in town. Some small areas will heal fine without further intervention, but some restoring and cleaning up of the wound edges may be needed for the best result. If you get increasing redness, pus, or pain then I would get oral antibiotics prescribed. Try to avoid getting the wound wet and keep the area clean. Best regards.
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July 6, 2015
Answer: Eyelid incision came apart twice and now 30 days after upper blepharoplasty. This isn't very common, but the eyelid wounds can be susceptible to coming apart up to a few weeks after surgery. I always warn my patients to not rub, pick at the wounds after the sutures are out for a few weeks to avoid dehiscence. The hard nodule at the outside corner is not uncommon and will usually flatten and soften over weeks to a few months. I don't know how you sleep, but if you are a face/stomach sleeper you may need to start wearing a mask at night to help protect your healing eyelids. As far as what to do now, you can keep antibiotic ointment on the incision and follow up with your surgeon when back in town. Some small areas will heal fine without further intervention, but some restoring and cleaning up of the wound edges may be needed for the best result. If you get increasing redness, pus, or pain then I would get oral antibiotics prescribed. Try to avoid getting the wound wet and keep the area clean. Best regards.
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