Non-Incisional Ptosis Correction Suture Removal (feat. Multi-Knot Method)

Non-Incisional Ptosis Correction Suture Removal

It has been about five months since my last post. I have been incredibly busy with international conference presentations and preparations, so I haven’t been able to manage the blog at all.

I plan to gradually upload the many cases I have experienced during that time. I have a mountain of work ahead of me: writing papers, preparing for conference presentations, and participating as a co-author for a textbook on aesthetic plastic surgery.

Today’s topic is ‘Non-Incisional Ptosis Correction Suture Removal’.

A patient recently visited who had undergone non-incisional ptosis correction. They complained that their eyes felt harder to open after the surgery, possibly due to a ‘catching’ sensation.

This is the pre-operative appearance. You can see a small bump on the patient’s left eye (left side of the photo). They visited due to a pulling sensation following a non-incisional ptosis correction performed at an ophthalmology clinic elsewhere.

I initially explained that removal is typically straightforward for the single-knot method. The patient also believed it was the single-knot method, so we proceeded with the surgery. However, once we began, it turned out to be the multi-knot method!

(Blood has been self-censored ^^;;)

Can you see the suture? It is indicated by the arrow above.

There was another section further inside with a new knot. This is the suture held by the forceps.

Finding these sutures is like looking for a needle in a haystack, but it is made possible through extensive experience and know-how... ^^;;

The question patients ask most frequently is this:

‘If the sutures are removed, will the double eyelid fold disappear? -> Honestly, theoretically, there is a chance it might stay, but in my experience, they have almost always unfolded.’

‘Will sutures from several years ago also cause the fold to disappear? -> That seems to be the case.’

As I accumulate more cases, it appears that most folds eventually disappear. Some disappear immediately upon suture removal, and most seem to fade within a month.

This is the appearance 2 days after surgery. The patient says it is much more comfortable to open their eyes. The line is expected to disappear with more time.

However, for those who underwent the multi-knot method, only the original surgeon knows exactly how many sutures were placed, so there is a possibility that some suture material may remain. In that case, the fold will not disappear. It is very helpful if you can at least find out the total number of sutures used.

Since this surgery was performed only two days ago, long-term progress remains to be seen. However, I have a video of a previous patient’s case available.