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Does suture material and technique really matter? Lessons learned from 800 consecutive blepharoplasties
Arjun S Joshi1, Sasa Janjanin, Neil Tanna
1Division of Otolaryngology-Head and Neck Surgery, The George Washington University, Washington, DC, USA. arjuns.joshi@gmail.com
The Laryngoscope
|June 5, 2007
Summary
This study compared blepharoplasty closure techniques. Running 6-0 fast-absorbing gut sutures resulted in the lowest complication and revision rates, indicating superior outcomes for this method.
Area of Science:
- Oculoplastics
- Plastic Surgery
- Surgical Techniques
Background:
- Blepharoplasty is a common cosmetic procedure.
- Suture selection impacts surgical outcomes and patient satisfaction.
- Minimizing complications like milia, scarring, and deformities is crucial.
Purpose of the Study:
- To evaluate established suture materials and techniques for blepharoplasty closure.
- To compare complication and revision rates among different closure methods.
Main Methods:
- Prospective study of upper blepharoplasty patients over 5 years.
- Four different incision closure techniques were utilized.
- Complications, revisions, and patient satisfaction were assessed post-surgery.
Main Results:
- Running subcuticular polypropylene (Prolene) had 2.5% milia and 5.5% standing cone deformity (SCD).
- Running 6-0 fast-absorbing gut showed the lowest complication rates, with only 2% milia and no scar revisions.
- Statistically significant differences in milia, scarring, and erythema were observed between groups (P < .008).
Conclusions:
- Blepharoplasty is safe and effective with various techniques.
- Closure using two interrupted 6-0 Prolene sutures and running 6-0 fast-absorbing gut yielded the lowest complication and revision rates in this series.
