Does Suture Material and Technique Really Matter? Lessons Learned From 800 Consecutive Blepharoplasties

Joshi, Arjun S.; Janjanin, Sasa; Tanna, Neil; Geist, Craig E.; Lindsey, C.

doi:10.1097/mlg.0b013e31804f54bd

Cited by 29 publications

(25 citation statements)

References 10 publications

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“…Joshi et al reported in a 3-step grading system a series of procedures with 72% of 568 patients highly satisfied with their results, 21% satisfied, and 5% were unsatisfied. 10 Kim used a 4-step grading system. Of 681 patients, 70% graded their aesthetic result as excellent, 19.4% graded as good, no change in 1.2%, and 9.4% showed a poor result.…”

Section: Discussion Of the Results Of The Standardized Questionnairementioning

confidence: 99%

Photo-Assisted Analysis of Blepharoplasty Results

Raschke¹,

Bader²,

Rieger³

et al. 2011

Annals of Plastic Surgery

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Currently, postoperative evaluation of aesthetic results of blepharoplasties mainly consists of subjective assessment by patients, surgeons, or others. We present an objective photo-assisted evaluation for preoperative planning and postoperative evaluation of blepharoplasties. Thirty-one female patients underwent aesthetic blepharoplasty. All types of blepharoplasties were included. An analysis of standardized pre- and postoperative photographs included measurements of eye fissure height, eye fissure width, lid sulcus height, upper lid height, upper iris coverage, scleral show, position of cornea to palpebra inferior, canthal tilt, an analysis of the architecture, and correction of wrinkles of the upper eyelid. Patients' satisfaction was investigated by a standardized questionnaire. All measured data showed postoperative changes to standard values. Upper eyelid wrinkles showed a significant decrease postoperatively. Most patients were highly satisfied with their results. The methods described in the present study help to evaluate the pre- and postoperative situation in blepharoplasty surgery.

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Section: Discussion Of the Results Of The Standardized Questionnairementioning

confidence: 99%

Photo-Assisted Analysis of Blepharoplasty Results

Raschke¹,

Bader²,

Rieger³

et al. 2011

Annals of Plastic Surgery

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“…[41] They found significant differences between suture materials and techniques and concluded that a fast-absorbing gut suture along with two interrupted Prolene sutures had the lowest rates of complications and the best cosmetic results [Table 7]. [41]…”

Section: Discussionmentioning

confidence: 99%

Cutaneous wound closure materials: An overview and update

Al-Mubarak

Al-Haddab

2013

J Cutan Aesthet Surg

131

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Introduction:On a daily basis, dermasurgeons are faced with different kinds of wounds that have to be closed. With a plethora of skin closure materials currently available, choosing a solution that combines excellent and rapid cosmetic results with practicality and cost-effectiveness can be difficult, if not tricky.Objectives:We aimed to review the available skin closure materials over the past 20 years and the scientific claims behind their effectiveness in repairing various kinds of wounds.Materials and Methods:The two authors independently searched and scrutinised the literature. The search was performed electronically using Pub Med, the Cochrane Database, Google Scholar and Ovid as search engines to find articles concerning skin closure materials written since 1990.Conclusion:Many factors are involved in the choice of skin closure material, including the type and place of the wound, available materials, physician expertise and preferences, and patient age and health. Evidence-based main uses of different skin closure materials are provided to help surgeons choose the appropriate material for different wounds.

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“…As there are many methods for blepharoplasty incision closure and many different suture materials [2], in our study we are trying a new method of wound closure strips with deep dermal absorbable sutures and discuss about its advantages and disadvantages. One similar study done earlier showed that that the wound closure strips (Steri-Strip™) brand of co-aptive method (film) was an appropriate option to sutures without rate of wound contamination, dehiscence or skin irritation [13].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the procedure could have further complications like, keratopathy, lagophthalmos, xerophthalmia, chemosis, ptosis as well as ectropion. Collectively, the commonest complications following blepharoplasty could involve scarring, lagophthalmos and ptosis of the eyelid [2].…”

Section: Introduction and Literature Reviewmentioning

confidence: 99%

Upper blepharoplasty: A comparative study between wound closure strips and subcuticular closure

Sheriff

Qader

Ameen

2019

KJAR

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The objective is to compare the results of patients having their upper blepharoplasty incision closed by subcuticular suturing versus the usage of wound closure strips (Omnistrips®). Also evaluating the time required for incision closure, any complication, and the aesthetic outcome of each technique. In this study a total of 54 upper blepharoplasty had been performed on 27 patients. Retrospective study done on 16 patients, whom incision closure done by continuous subcuticular non-absorbable suture using 6-0 polypropylene (prolene), and another 11 patients prospectively studied for using omnistrips for their blepharoplasty incision closure. The intraoperative time which was required to finish the closure was one of the most important parameter of the study. The other parameters were the incidence of milia occurrence, presence of pain postoperatively at time of stitch and omnistrips removal, infection rate and suture acceptance. The result of this study indicated that mean time of closure was 12.36 minutes with usage of steristrips and (16.88) minutes with subcuticular suturing (P<0.01). The incidence of milia was significantly reduced by using the omnistrips (P 0.004), and there was no pain encountered at time of omnistrips removal in all patients, while all other patients whom subcuticular suturing done for them complained of pain at the time of stitch removal. The study showed no infection associated with closure of the incision in either groups. In conclusion the closure of the incision in upper lid blepharoplasty using omnistrips is a safe, effective, faster, painless and with less complication rate than that using subcuticular suturing technique.

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Does Suture Material and Technique Really Matter? Lessons Learned From 800 Consecutive Blepharoplasties

Abstract: Blepharoplasty is a safe and effective procedure that can be performed successfully with several established techniques. In our experience, closure with two interrupted 6-0 Prolene sutures and a running 6-0 fast-absorbing gut resulted in the lowest rates of complications and revisions.

Cited by 29 publications

References 10 publications

Photo-Assisted Analysis of Blepharoplasty Results

Photo-Assisted Analysis of Blepharoplasty Results

Cutaneous wound closure materials: An overview and update

Upper blepharoplasty: A comparative study between wound closure strips and subcuticular closure

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