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Related Experiment Video

Updated: Jun 5, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Optimizing closure materials for upper lid blepharoplasty: a randomized, controlled trial.

David J Kouba1, Emily Tierney, Bassel H Mahmoud

  • 1Department of Dermatology, Henry Ford Health System, Detroit, Michigan, USA. dkouba1@hfhs.org

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|January 5, 2011
PubMed
Summary

Ethylcyanoacrylate (ECA) tissue adhesive showed superior cosmetic outcomes for upper eyelid blepharoplasty scars compared to fast-absorbing gut sutures at both 1 and 3 months. ECA also demonstrated marginally better results than polypropylene sutures.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Dermatology

Background:

  • Upper eyelid blepharoplasty is a common cosmetic procedure.
  • Surgical closure techniques significantly impact cosmetic results.
  • Commonly used materials include sutures (polypropylene, nylon, gut) and tissue adhesives.

Purpose of the Study:

  • To compare the cosmetic outcomes of upper eyelid blepharoplasty scars closed with ethylcyanoacrylate (ECA) tissue adhesive versus 6-0 polypropylene or 6-0 fast-absorbing gut sutures.
  • To evaluate the short- (1 month) and intermediate-term (3 months) efficacy of different closure materials.

Main Methods:

  • A randomized, split-eyelid, single-blind, prospective study.
  • 36 consecutive upper eyelid blepharoplasties were included.

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Last Updated: Jun 5, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

  • Cosmetic outcomes were assessed by participants and a blinded physician evaluator at 1 and 3 months post-procedure.

    • Main Results:

    • At 1 month, ECA was significantly superior to fast-absorbing gut (p=.03) and marginally better than polypropylene (p=.25).
    • Polypropylene showed equivalent outcomes to fast-absorbing gut at 1 month (p=.46).
    • At 3 months, ECA maintained superiority over fast-absorbing gut (p=.03).

    Conclusions:

    • Both sutured epidermal closure and tissue adhesive are highly effective for upper eyelid blepharoplasty.
    • Physicians and participants perceived superior cosmetic outcomes with ECA compared to fast-absorbing gut.
    • ECA represents a viable and cosmetically favorable option for eyelid closure.