Thank You Plastic Surgery
There can be discomfort,
and can scratch the cornea
Thank You Plastic Surgery
Hello, I'm Dr. Kim Hyung-seok from Thank You Plastic Surgery
[Today's Topic] Removing the double eyelid stitches defining the lines
This patient has undergone two previous surgeries
Through first and second surgery,
it is in a state where the suture is embedded inside the eye
The suture from the first surgery
is expected to be exposed through the mucosa
And the patient believes that the suture
from the second surgery has not been removed completely
The patient visited the optometrist with a discomfort in her eyes
From the optometrist, the patient heard that a suture was visible
and was recommended to seek medical help from a plastic surgeon
and that is why the patient has visited us
The first main focus of this patient
was to resolve the discomfort that is
agitating the eye from the inside
and the second focus was
to keep the double eyelids from staying in their position for as long as possible.
As the exposure of the suture in the mucous membrane
can cause discomfort and damage to the cornea
It is necessary to remove the exposed suture
And if the patient wants their double eyelid to loosen after suture removal
we will remove the suture and the adhesion as much as possible
While in the other hand if they want to keep their double eyelid crease
We will then make sure to maintain the adhesion that is holding the crease
and only remove the exposed or protruding sutures
So the patient
may decide after consulting with the doctor
whether they prefer to keep their double eyelid crease
or to remove them
But first, let's proceed with the surgery
Viewer discretion is advised due to surgical scenes
I actually started to film the suture removal because it was requested by the patients
There are patients who want to make sure the suture was removed
As it is better to remove the suture when performing revision surgeries
So therefore to share this information
we asked for the patient's consent beforehand
This patient also visited us today because there was an exposed suture
inside the mucosa, which the
ophthalmologist advised to remove
Let me show you how I remove the suture
I'll do a little local anesthesia
and will remove the exposed suture,
It already came out like this!
(↑Suture exposed into the mucous membrane) As it was partial incision procedure,
I assume it was proceeded with single knots
And it’s the same way on the other side
It is easily removed by pulling on the suture
I took out all the sutures that could irritate the patient’s eyes
(How to maintain the double eyelid crease after suture removal) When you stretch the eyelid
You will see the adhesion just like this
(↑Adhesion area) Usually, in this state, there are cases where additional holes are made
from the outside to completely remove the suture connected to the outer part
But as we do not want to lose that crease
but just remove the exposed sutures
That is what we have done today
Good job~!
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