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Preventing traction suture skin indentation in oculofacial surgery
Giacomo Visioli1, Evan Afshin2, Ebby Elahi3
1Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, NY, USA; Department of Sense Organs, Sapienza University of Rome, Rome, Italy.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|February 16, 2025
Summary
A novel surgical technique uses soft dissector foam packaging to cushion traction sutures, reducing skin marks and improving patient satisfaction in oculofacial surgery. This simple, cost-effective method enhances postoperative aesthetics without increasing operative time.
Area of Science:
- Oculofacial Surgery
- Surgical Techniques
- Patient Outcomes
Background:
- Traction sutures in oculofacial surgery can cause temporary skin indentations and erythema.
- These adverse effects negatively impact patient satisfaction and postoperative aesthetics.
Purpose of the Study:
- To present a simple, cost-effective technique to mitigate skin complications from traction sutures.
- To enhance patient satisfaction and postoperative aesthetics in oculofacial procedures.
Main Methods:
- Repurposing adhesive foam packaging from soft dissectors as a cushioning platform.
- Applying the foam to the patient's forehead to distribute suture pressure.
- Integrating the technique into surgical workflows without increasing operative time.
Main Results:
- Effective reduction in skin indentations and erythema caused by traction sutures.
- Enhanced postoperative aesthetic outcomes for patients.
- Demonstrated cost-effectiveness and seamless integration into surgical procedures.
Conclusions:
- Repurposed foam packaging offers a simple and effective solution for managing traction suture-related skin issues.
- This technique improves patient satisfaction and surgical aesthetics.
- The method is versatile and applicable to various surgical settings beyond oculofacial procedures.

