Overview of the surgery:
Non-Incisional Suturing technique is a minimally-invasive method that employs two sutures on each upper eyelid that are tied in three places and twisted around each other four or five times at the central tie. The threads can be tightened and the drooping upper lid can be elevated to a better position in more secure and therefore longer lasting results with no dissection of eyelid tissues is required.
Duration of the Operation:
The procedure can be done quickly, usually 15-30 minutes.
Post operative care:
You should rest preferably in bed on two pillows or in a recliner. A bandage over the eyes is not needed. In the evening, you may take a bath. Avoid straining or bending over. Watching television is acceptable. Apply clean (not sterile) cold compresses to the eyelids to prevent swelling. Pain after surgery is usually mild. You will be given pain medication.
It is normal for the eyelids to become red, swollen, and bruised for a few days and will gradually subside. A small amount of bloody fluid draining from the wound is normal for a few days. If you were given an antibiotic drop or ointment, gently apply a small amount to any stitches before going to bed, and then twice a day thereafter.
Possible risk and complications:
Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection, bleeding (rare), uneven skin scars, asymmetry in healing, tissue injury, crease loss is common. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.
General anesthesia or local with sedation
Non-Incisional Suturing Technique can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.
Preparation before Surgery:
- Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
- Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
- You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
- Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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