what type of dissolvable stiches are used in upper blepharoscopy

Lemon

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05-02-2025

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Dissolvable Stitches in Upper Blepharoplasty: A Comprehensive Guide

Upper blepharoplasty, or eyelid surgery, often utilizes dissolvable stitches to minimize the need for suture removal. Understanding the types of stitches used is crucial for both patients and surgeons. This guide delves into the specifics of these absorbable sutures, discussing their material, properties, and application in upper eyelid surgery.

Types of Dissolvable Sutures Used:

Several types of absorbable sutures are commonly employed in upper blepharoplasty, each with its unique characteristics:

1. Polyglactin 910 (Vicryl):**

• Material: A synthetic copolymer of glycolic acid and lactic acid.
• Properties: Vicryl offers excellent tensile strength and a predictable absorption rate. It's relatively easy to handle and knot, making it a popular choice among surgeons. It's slowly absorbed by the body through hydrolysis, typically completely dissolving within 60-90 days.
• Application in Blepharoplasty: Frequently used for closing skin incisions in upper blepharoplasty due to its strength and reliable absorption. The slower absorption rate helps maintain good wound approximation during the initial healing phase.

2. Polydioxanone (PDS):**

• Material: A synthetic polyester.
• Properties: PDS offers a longer absorption time than Vicryl, typically taking 6-8 months to completely dissolve. It possesses high tensile strength, making it suitable for situations requiring prolonged support. It's less likely to cause inflammation compared to some other absorbable sutures.
• Application in Blepharoplasty: May be used in specific situations where longer-lasting support is desired, although Vicryl is more commonly preferred. PDS might be selected for deeper tissue layers or when a longer period of wound support is considered necessary by the surgeon.

3. Polyglyconate (Maxon):**

• Material: A synthetic polymer.
• Properties: Similar to PDS in terms of longevity, with absorption typically taking 6-8 months. Maxon is known for its strength and minimal tissue reaction.
• Application in Blepharoplasty: Less frequently used than Vicryl or even PDS in upper blepharoplasty, but might be considered by some surgeons based on specific patient factors or surgical techniques.

Factors Influencing Suture Choice:

The surgeon's choice of suture depends on several factors, including:

• Patient-Specific Factors: Factors such as age, skin type, and overall health may influence the surgeon's decision.
• Surgical Technique: The specific surgical technique employed can dictate the type of suture most appropriate for optimal wound healing.
• Desired Wound Support: The surgeon will consider the required strength and duration of support needed for the incision to heal properly.

Post-Operative Care and Healing:

While dissolvable stitches eliminate the need for suture removal, proper post-operative care is still essential for optimal healing. This includes:

• Following the surgeon’s instructions carefully: This includes specific guidelines for cleaning the incision site and managing swelling.
• Avoiding excessive rubbing or touching of the eyelids: This prevents irritation and potential infection.
• Keeping the incision site clean and dry: Preventing infection is critical for proper healing.

Conclusion:

The choice of dissolvable sutures in upper blepharoplasty is a critical aspect of the procedure, aimed at achieving optimal aesthetic results and minimizing complications. While Vicryl remains a widely used option, the surgeon may select other absorbable sutures such as PDS or Maxon based on individual patient needs and surgical preferences. Always consult with your surgeon to fully understand the type of suture used in your specific procedure and the expected healing process. This information should not be considered medical advice; always consult with a qualified medical professional.