Undoing Double Eyelids: Removing Buried Sutures and Natural Adhesion Stitches

This post covers undoing double eyelids, removing buried sutures, and reversing natural adhesion methods.

First, a quick note on terminology: while often misspelled in searches, the correct terms are ‘double eyelid surgery’ and the ‘buried suture method.’

I would like to expand on my previous posts regarding this topic.

One of the greatest advantages of the buried suture method is that the surgery is simple and can be reversed if the results are not to your liking.

However, the downside is that surgeons with limited experience may find it difficult to actually locate and remove the sutures.

It can truly be like ‘finding a needle in a haystack.’

Please refer to my previous post for more context.

Typically, I create two tiny needle-sized holes to locate the stitches. This requires a high level of technical skill.

As seen in the photo below, I locate the sutures through two small punctures to ensure they are removed without damaging the surrounding tissue.

In cases involving non-incisional ptosis correction, it is sometimes necessary to locate the sutures separately through the conjunctiva.

Finally, to minimize scarring, I only apply a single stitch to the tiny needle-sized openings.

The marks are barely visible.

In this specific case, the patient only wanted the sutures removed and did not wish to create a new double eyelid line.

My previous post featured a case where the sutures were removed and a new line was subsequently created.

The procedure takes approximately 15 minutes. While it can be done easily with the right expertise, it is an incredibly difficult surgery without the proper technique.