Undoing Non-Incisional Double Eyelid Surgery: Suture Removal and Reversing Natural Adhesion

Undoing Non-Incisional Double Eyelid Surgery: Suture Removal and Reversing Natural Adhesion

A major advantage of the non-incisional (buried suture) method is the faster recovery time compared to the incisional method. However, good results can only be achieved when the procedure is applied to patients who are suitable candidates.

The following types of patients may experience poor results with the non-incisional method:

1. Significant skin sagging

– Especially in elderly patients or those with severe skin laxity.

2. Presence of ptosis

– Non-incisional ptosis correction has its limits for eyes that appear sleepy.

3. Thick skin

– The fold may unravel quickly or look unnatural.

4. Excessive fat

– The fold tends to loosen easily and leaves a heavy, puffy appearance.

I am posting a case of a patient who previously had surgery at another clinic.

The patient mentioned that their right eye was originally slightly smaller. When the line is forced too high on someone with skin sagging, it results in an unnatural look.

The patient stated that their eyes felt heavy and didn’t open fully immediately after the surgery.

The plan was to remove the existing sutures and perform the non-incisional method again at an appropriate height. (I actually recommended the incisional method, but the patient decided to proceed with that at a later date.)

The sutures are carefully located as shown below.

This is the view just before removing the sutures.

This shows the suture removal on the opposite side.

This is the 4th day after suture removal and re-performing the non-incisional method.

The appearance is much more natural than before. The shape is expected to improve significantly once the swelling subsides.

Finding buried sutures requires a lot of experience; otherwise, it’s like ‘finding a needle in a haystack.’

Additionally, this reversal is primarily feasible for the single-knot continuous method.