Side Effects of Non-Incisional Ptosis Correction: Cases Where the Suture Method Should Be Avoided

Non-incisional ptosis correction has recently gained significant popularity.

Let’s take a look at its potential side effects and the specific cases where this procedure should be avoided.

There are various terms for the non-incisional method: the suture method, the ‘pinching’ method, the non-incisional technique, the natural adhesion method, and so on.

Ultimately, these all fall under the category of the suture method.

What exactly is the suture method?

It involves passing a thread through the skin toward the conjunctiva to ‘pinch’ or secure the tissue.

However, there are several cases where this method should not be performed:

1. When the skin is thick – The sutures are likely to come undone.

Consequently, the patient above underwent incisional ptosis correction.

2. When there is excessive fat – Again, the sutures are prone to loosening.

Therefore, this patient also opted for incisional ptosis correction.

3. When the eye-opening muscle is weak – Incisional ptosis correction is recommended. This is because tying the tissue excessively using a pinching method can cause significant pain. Generally, an incision allows for uniform anchoring so that the force is distributed; imagine how uncomfortable it would be if the entire weight was pulled by a single point.

For example, when pulling a person, which is more comfortable: pulling the whole body, pulling just the arm, or trying to pull the entire body by a single finger?

4. When there is skin sagging – The results will be barely noticeable. Eventually, the sagging skin covers everything, making the correction invisible.

5. When the actual shape of the eye needs to be changed – Proper ptosis correction combined with skin excision is necessary to achieve the desired shape.

6. When there is severe asymmetry (uneven eyes).

So, what are the ideal cases for the suture method or non-incisional ptosis correction?

1. No skin sagging.

2. Good eye-opening strength with no severe ptosis.

3. Thin skin.

The following is an example of such a case.