0 00:00:00.000 --> 00:00:02.975 Thank You Plastic Surgery 1 00:00:02.975 --> 00:00:04.074 There can be discomfort, 2 00:00:04.074 --> 00:00:06.624 and can scratch the cornea 3 00:00:09.674 --> 00:00:12.223 Thank You Plastic Surgery 4 00:00:12.223 --> 00:00:14.673 Hello, I'm Dr. Kim Hyung-seok from Thank You Plastic Surgery 5 00:00:14.673 --> 00:00:20.972 [Today's Topic] Removing the double eyelid stitches defining the lines 6 00:00:20.972 --> 00:00:23.522 This patient has undergone two previous surgeries 7 00:00:23.522 --> 00:00:25.872 Through first and second surgery, 8 00:00:25.872 --> 00:00:29.121 it is in a state where the suture is embedded inside the eye 9 00:00:29.121 --> 00:00:30.571 The suture from the first surgery 10 00:00:30.571 --> 00:00:34.120 is expected to be exposed through the mucosa 11 00:00:34.120 --> 00:00:35.470 And the patient believes that the suture 12 00:00:35.470 --> 00:00:38.270 from the second surgery has not been removed completely 13 00:00:38.270 --> 00:00:42.369 The patient visited the optometrist with a discomfort in her eyes 14 00:00:42.369 --> 00:00:46.019 From the optometrist, the patient heard that a suture was visible 15 00:00:46.019 --> 00:00:48.319 and was recommended to seek medical help from a plastic surgeon 16 00:00:48.319 --> 00:00:50.868 and that is why the patient has visited us 17 00:00:50.868 --> 00:00:53.168 The first main focus of this patient 18 00:00:53.168 --> 00:00:55.418 was to resolve the discomfort that is 19 00:00:55.418 --> 00:00:56.468 agitating the eye from the inside 20 00:00:56.468 --> 00:00:57.667 and the second focus was 21 00:00:57.667 --> 00:01:01.117 to keep the double eyelids from staying in their position for as long as possible. 22 00:01:01.117 --> 00:01:04.117 As the exposure of the suture in the mucous membrane 23 00:01:04.117 --> 00:01:07.416 can cause discomfort and damage to the cornea 24 00:01:07.416 --> 00:01:09.816 It is necessary to remove the exposed suture 25 00:01:09.816 --> 00:01:12.415 And if the patient wants their double eyelid to loosen after suture removal 26 00:01:12.415 --> 00:01:14.665 we will remove the suture and the adhesion as much as possible 27 00:01:14.665 --> 00:01:17.965 While in the other hand if they want to keep their double eyelid crease 28 00:01:17.965 --> 00:01:19.814 We will then make sure to maintain the adhesion that is holding the crease 29 00:01:19.814 --> 00:01:23.814 and only remove the exposed or protruding sutures 30 00:01:23.814 --> 00:01:25.164 So the patient 31 00:01:25.164 --> 00:01:26.464 may decide after consulting with the doctor 32 00:01:26.464 --> 00:01:28.963 whether they prefer to keep their double eyelid crease 33 00:01:28.963 --> 00:01:31.263 or to remove them 34 00:01:31.263 --> 00:01:33.913 But first, let's proceed with the surgery 35 00:01:33.913 --> 00:01:36.912 Viewer discretion is advised due to surgical scenes 36 00:01:36.912 --> 00:01:41.612 I actually started to film the suture removal because it was requested by the patients 37 00:01:41.612 --> 00:01:45.211 There are patients who want to make sure the suture was removed 38 00:01:45.211 --> 00:01:48.061 As it is better to remove the suture when performing revision surgeries 39 00:01:48.061 --> 00:01:51.560 So therefore to share this information 40 00:01:51.560 --> 00:01:53.710 we asked for the patient's consent beforehand 41 00:01:53.710 --> 00:01:57.559 This patient also visited us today because there was an exposed suture 42 00:01:57.559 --> 00:01:58.659 inside the mucosa, which the 43 00:01:58.659 --> 00:02:00.309 ophthalmologist advised to remove 44 00:02:00.309 --> 00:02:02.259 Let me show you how I remove the suture 45 00:02:02.259 --> 00:02:04.758 I'll do a little local anesthesia 46 00:02:04.758 --> 00:02:08.408 and will remove the exposed suture, 47 00:02:08.408 --> 00:02:11.558 It already came out like this! 48 00:02:11.558 --> 00:02:13.857 (↑Suture exposed into the mucous membrane) As it was partial incision procedure, 49 00:02:13.857 --> 00:02:16.257 I assume it was proceeded with single knots 50 00:02:16.257 --> 00:02:19.706 And it’s the same way on the other side 51 00:02:19.706 --> 00:02:22.406 It is easily removed by pulling on the suture 52 00:02:22.406 --> 00:02:26.356 I took out all the sutures that could irritate the patient’s eyes 53 00:02:26.356 --> 00:02:28.505 (How to maintain the double eyelid crease after suture removal) When you stretch the eyelid 54 00:02:28.505 --> 00:02:32.005 You will see the adhesion just like this 55 00:02:32.005 --> 00:02:34.904 (↑Adhesion area) Usually, in this state, there are cases where additional holes are made 56 00:02:34.904 --> 00:02:38.054 from the outside to completely remove the suture connected to the outer part 57 00:02:38.054 --> 00:02:41.154 But as we do not want to lose that crease 58 00:02:41.154 --> 00:02:43.153 but just remove the exposed sutures 59 00:02:43.153 --> 00:02:46.303 That is what we have done today 60 00:02:46.303 --> 00:02:48.803 Good job~! 61 00:02:48.803 --> 00:02:56.752 Thank You Plastic Surgery Previous video ★ Subscribe★ Recommended video