Stitches after blepharoplasty
Depends on type of stitch used
Most dissolvable stitches in the eyelids are usually completely gone in the first seven to ten days after the surgery.
Some types of other dissolvable stitches may take several months to dissolve which are not typically used in eyelid surgery.
It really depends on the type of stitches used. In our practice we use 6-0 fast-absorbing catgut, which dissipates within six to seven days after the surgery.
For many examples of eyelid surgery results, please see the link below (William Portuese, MD, Seattle Facial Plastic Surgeon)
Stitches from plastic surgery
Doctors use many different kinds of stitches. Each one has a different absorption rate. The fast absorbing sutures of the eyelids are usually fast absorbing gut stitches of 5-0 or 6-0 size.
These will usually dissolve with 5-8 days. If they are still hanging around I tell patients to moisten them with bacitracin ophthalmic ointment. (Steven Wallach, MD, Manhattan Plastic Surgeon)
Fast Absorbable Plain Catgut stitches will disolve within two weeks
If the sutures are 5-0 or 6-0 fast absorbing plain catgut stitches (which I use) They dissolve over 7-14 days. If they are anthing else (Richard Gentile, MD, Youngstown Facial Plastic Surgeon)
Permanent stitches are better and should be removed
Most board certified plastic surgeons will use a permanent suture for the upper eye lid surgery. This suture is removed at day 5-7.
The eye lid skin is very thin, and leaving an absorbable suture will create an inflammatory reaction that could make the scar look thicker. (Hisham Seify, MD, PhD, FACS, Orange County Plastic Surgeon)
Get the stitches removed
I believe most surgeons use Prolene or Nylon for their lid stitches. Dissolvable suture is less common because they don’t dissolve within the 5 days that they need to to prevent stitch marks. Have the sutures removed. (Christopher L. Hess, MD, Fairfax Plastic Surgeon)
Plastic surgery stitches need to be removed
If your stiches are not gone after 7 days you need to ask your doctor to remove them. If stiches stay more than a week, there is a risk of track mark scars. (Kamran Khoobehi, MD, New Orleans Plastic Surgeon)
Upper Eye Blepharoplasty
There are many different types of dissolvable stitches. I don’t know which your doctor used for your eyelids, but If I were to use an absorbable stitch on the upper eyelids.
Fast Absorbing has tensile strenght for 5-7 days and is completely dissolved in 2 to 4 weeks. Other absorable stitches which have more tensile strenght but last longer in the skin include Plain, Chromic, Vicryl and Monocryl.
If your doctor used Fast Absorbing Plain stitches, you should expect the sutures to start falling out over the next week. The actual length of time will vary depending on the type, thickness and location of the suture. Gentle cleansing of the skin will facilitate the process.
Most doctors choose the suture material based on the length of time needed to hold the tissue together, the suture tensile strength, the handling and knot security of the suture and the tissue reactivity (which can influence scarring). (Daniel Reichner, MD, Newport Beach Plastic Surgeon)
Dissolvable stitches in the eyes
The eye area is very sensitive to inflammation and stitches. I am not sure that using a dissolvable stitch is ideal for long term healing. Return to your doctor to check and see that everything is healing well.
It does not sound like stitches in the eyelids should be around for 8 days. (Robert M. Freund, MD, New York Plastic Surgeon)
Leave the stitches alone
Talk to your doctor before doing anything different than they instructed you to do. Please be patient with your eyes – they will heal in time. Your doctor used a specific suture for a specific reason, so please don’t try to hasten the recovery by doing something unplanned. (David Shafer, MD, New York Plastic Surgeon)