Thank You Plastic Surgery
We incise the very spot
from the previous surgery area
to remove them
Thank You Plastic Surgery
Hello, I'm Dr. Kim Hyung-seok from Thank You Plastic Surgery
Today we'll talk about eye revision surgery
while watching an example
This is a female patient born in 1983
who got a non-incisional procedure 10 years ago
And again incisional procedure a year ago
then another non-incisional 6 months ago
So the patient had a total of three procedures
But during all three procedures
the patient remembers never
removing the stitches
The main reason the patient came to us
was not just only because of the shape or size of her eyelid
But a tissue called granuloma in the eyelid
that caused this bumpy skin texture
caused discomfort
The clinic the patient got the procedure done
mentioned that the incisional option was the only way to remove the granuloma
However!
If you can know the cause
Even without making an incision
it is possible to fix the problem
So that is what we'll look into today
(Removing stitches on a revision eye surgery) In my past videos, there was one video
where I was removing the stitches
And because it connects with the question on
"Why stitches are needed to be removed on a revision surgery"
I will also answer that question as well
(What cause granuloma?) Here, we have lashes and brows
Commonly, double eyelid procedure is done
by creating holes like this for the non-incisional method
Even though there are various ways
but most procedures are performed where non-absorbable sutures
is buried under the skin like this
With one operation
there are no problem when a thin layer of
non-absorbable sutures are in the eyes
But for example, if it's double suture technique
and double stitches are used
or without removing the previous stitches
adding another suture
Or creating additional knots
by proceeding with an incisional method
The body could regard it as a foreign substance
and create granuloma around the knots
So with these bumpy spots
they could be made of sebums
or due to large knots
a membrane encasing the knot could be made
and causing something like granuloma
So, if we look here, we can see granuloma surrounding a knot
and just some bumpy areas
Looking her right side of eye, you can see there are various granuloma
at inside, middle, outside of eye
If you don't remove these lumps inside
it is aesthetically unpleasing and it may also
cause some side effects later like swelling
due to inflammation
So it is recommended to remove them
For clearer understanding, here is the operating scene
Some may find the scene disturbing
So please watch with caution!
Following granulomas made by the previous suture near the double eyelid crease
I made both incisions to remove the stitches
and to remove the big granulomas
The patient also wanted her double eyelid crease a litter higher
So I created about 6 holes
to operate to lift her double eyelid crease
In case of this patient's left eye
you can even see previous stitches like this
and it can removed by pulling it
But the importance is not about removing that single suture
Even if that single suture is removed
we do not know how many sutures
were used previously
So I need to explore and check inside the eyelid
during operation
This is the process of removing the additional sutures
and there were more than I expected
So it too longer to remove them all
So, I'm not sure if you could see it
but this footage shows an area where all the suture have been removed
and then I removed these white granulomas inside
one by one
By removing these white fibrous membranes
we could improve the lumps underneath the skin
So this is how we remove them
and the advantage of this method instead of making an incision is that
we proceed with the procedure in the previous operated area
so there's no additional scar
and compared to incision method
recovery period is short
Now the footage shows the way I removed fibrous membranes
(Removed granuloma) likewise I removed granulomas in opposite eye
and removed all them on both eyes
A thin suture expected to have been used 10 years ago
And long sutures expected to have been used a year and 6 months ago
All used in partial incision and non-incision double eyelid procedures
Are shown to be completely removed
(Before surgery/7 days after surgery) This is a photo of her a week after
Granuloma masses that existed before have been completely removed
We can observe a more pleasant state
Surgery was performed by slightly elevating the double eyelid crease
Since it is a revision surgery, there was some swelling
But due to the nice line flow, and the fact that she is showing fast recovery
Good prognosis is expected
Like such, following non-incision double eyelid surgery
Or incision double eyelid surgery
it may cause problems when additional surgeries are performed
without removing the accumulated sutures
So it is recommended to remove previous sutures before additional surgeries
And if you have any more questions regarding this matter
Leave a comment
And we will answer them
I’ll wrap up this video for today
Thank you!
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