Sutures Protruding After Incision Double Eyelid Surgery—Is It Okay? (Including Front Canthoplasty Restoration)

Sutures Protruding After Incision Double Eyelid Surgery (feat. Sutures Protruding After Front Canthoplasty Restoration)

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I'm writing this post because some patients occasionally seem to misunderstand the protrusion of sutures during incision double eyelid surgery.

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Double eyelid surgery naturally involves the use of sutures.

With the buried suture method, naturally long buried suture threads are used, and patients go home with long sutures.

With the incision method, there are also sutures inside to create the double eyelid crease.

However, sometimes the sutures used to fix the double eyelid crease inside occasionally protrude.

Particularly in revision surgery cases, they may be fine initially but protrude later.

First, let me state the conclusion: "It's okay." Some patients occasionally misunderstand silicone protruding after rhinoplasty as a problem or medical malpractice.

You might think that since you're keeping something inside, it shouldn't protrude.

However, removing them does not cause problems, nor is it an emergency.

Silicone protruding after rhinoplasty is a different issue because it changes the shape of the nose.

However, removing sutures after incision double eyelid surgery does not cause the fold to loosen, so it is safe to remove them.

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You might wonder: after incision surgery, why doesn't the double eyelid loosen when the suture is removed? Shouldn't it loosen?

However, the tissue has already adhered and fused together internally, so it's fine.

Usually after about one month, the internal tissue can be considered fully fused.

Think of it this way: when you remove the sutures used to close the skin, the skin remains attached. Right?

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If sutures are protruding, it's best to inform your surgeon and have them removed.

You might ask, what happens if I just leave it? If left untreated, it can become irritated from external factors, and bacteria can enter through the suture, potentially causing pimples and inflammation.

If this occurs, removing the suture and expressing the pimples will improve it. You don't need to worry about this either. Most cases improve without any symptoms.

Sometimes pimples can occur around the incision line.

In such cases, you can remove just the pimples, but if there are sutures fixed nearby internally, it's best to remove those as well.

This is because bacteria can attach to the suture and repeatedly cause pimples.

Even with simple removal, it typically heals well without major issues. Don't worry and visit your surgeon.

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So why do sutures protrude after incision surgery? There can be several causes.

First, when someone who previously had the buried suture method undergoes incision surgery, some of the buried sutures may be partially cut and then gradually work their way through the tissue and protrude.

Second, the suture used to fix the incision can penetrate thin tissue and protrude. This is especially possible in revision cases where the tissue itself has become thinner and the scar tissue is thin.

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In any case, it's best to trust your surgeon and follow their guidance.

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Breaking through the pervasive distrust in this community....!!!!!!!!

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Frequently Asked Questions

Is it dangerous if sutures protrude after incision double eyelid surgery?

No, it is not an emergency. While internal fixation sutures occasionally protrude between scar tissue, this is not medical malpractice and removing them causes no problems. However, if left untreated, there is risk of irritation or inflammation, so it's best to consult your surgeon.

Won't the double eyelid loosen if the suture is removed?

No, it will not loosen. Usually after about one month post-surgery, the internal tissue has fully adhered and fused, so removing the fixation suture will not affect the double eyelid line. This is the same principle as skin remaining attached even after skin sutures are removed.

What causes sutures to protrude after incision double eyelid surgery?

There are two main causes. First, if someone who previously had the buried suture method undergoes incision surgery, the buried sutures can penetrate and protrude through the tissue. Second, in revision cases and similar situations, incision fixation sutures may be exposed where scar tissue has become thin.

What should I do if pimples form around the incision line?

You can remove just the pimples, but if there are sutures fixed nearby, it's best to remove them together. Bacteria can attach to the suture and repeatedly cause pimples. After removal, most cases heal well without major issues.

What happens if I just leave protruding sutures untreated?

If left untreated, external irritation can occur and bacteria can penetrate through the exposed suture, potentially causing pimples or inflammation. However, even if inflammation develops, removing the suture and expressing the pimples typically results in recovery without symptoms, so excessive worry is unnecessary.

Is this the same as silicone protruding after rhinoplasty?

No, this is a different issue. Silicone protrusion after rhinoplasty can change the nose shape and requires separate treatment, but removing internal fixation sutures in incision double eyelid surgery does not affect the eyelid shape.