Eyes

Sutures in eyelid surgery: which is the best choice?

In the pursuit of facial rejuvenation, blepharoplasty – also known as eyelid plastic surgery – has been one of the top choices among Brazilians. But did you know that the sutures placed during the procedure play a fundamental role in achieving satisfactory aesthetic and functional results? An essential component of blepharoplasty, sutures are responsible…

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In the pursuit of facial rejuvenation, blepharoplasty – also known as eyelid plastic surgery – has been one of the top choices among Brazilians. But did you know that the sutures placed during the procedure play a fundamental role in achieving satisfactory aesthetic and functional results?

An essential component of blepharoplasty, sutures are responsible for joining and securing the skin tissues after the removal of excess skin and fat bags from the eyelids. Each type of suture has its own characteristics and challenges, and the appropriate choice depends on the thickness of the patient's dermis and the surgeon's preference.

Because this is an extremely delicate area of the face, there are three types of suture that can be used during blepharoplasty: simple stitch sutures, whipstitch sutures – that is, the continuous suture – and the intradermal suture.

Simple stitches: simple stitches are a suture technique in which the surgeon uses nylon suture threads or another suitable material to sew the incision directly. This means that the thread is passed through the skin and tissue on both sides of the incision and then tied to keep the incision closed. These stitches are called “simple” because they involve only one pass of the thread from one side of the incision to the other.

Whipstitch suture: in this technique, a single suture thread is used to sew the incision continuously, just as in a standard continuous suture. However, along the incision, instead of a single straight line, the surgeon makes small stitches or loops with the continuous thread, creating a stitching pattern that resembles a “whipstitch.” Here, it is worth quoting the popular saying: whoever sews, whipstitches!

Intradermal suture: the intradermal suture is the most refined and sophisticated option. It is especially suitable for patients with thick dermis, but it can be performed in all cases. This technique involves suturing the tissues beneath the skin, providing a more delicate and discreet result. After all, the stitches remain hidden within the skin, which pleases most patients. However, it is important to note that the thinner the dermis, the greater the degree of difficulty for the surgeon. The intradermal suture requires a high level of skill and experience, but it can result in practically invisible scars.

For the choice of suture to be made appropriately, it is essential that the surgeon carefully assess the patient and discuss their expectations. The thickness of the dermis, the elasticity of the skin and the desired result are factors that directly influence the decision.

Are you thinking about having a blepharoplasty? Then keep in mind that sutures play a vital role in this type of surgery and in achieving satisfactory aesthetic results. Each technique has its advantages and challenges, and the right choice depends on each patient's individual characteristics. Therefore, it is essential to rely on an experienced, qualified surgeon to ensure that the chosen suture is the most appropriate for achieving the best results.

Want to know more? Get in touch with our team and book your consultation.

This content is for informational purposes only and does not replace a consultation. Whether any procedure is indicated depends on an in-person assessment, case by case. CRM SP 90.116 | RQE 11.350.

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