Buried eyelid is a miraculous technique that allows people to have double eyelids without cutting, and it has been highly respected since its improvement was introduced! However, because it is done on the eyelids, many people have questions such as how to bury the lines? Can any kind of thread be buried? Do I need to take it out after it is buried? If you do not take it, it will be absorbed by the skin, etc. Do not worry, the answer is below!
1.What kind of thread is used in buried double eyelid?
Since there is no tissue separation or removal during the eyelid surgery, the connection between the upper eyelid dermis and the lid or pre-lid tissue is maintained by suture tension and knots, so the choice of sutures is especially important.
Buried eyelids use a non-absorbable polymer suture, such as nylon thread. It is used for surgical suturing of organs, muscles, and epidermis, and is made of polymer material woven into the thread.
Polymer suture double eyelid is a kind of double eyelid forming method which is more commonly used at present, and the success rate is also improved compared with the traditional buried suture method.
2.What are the sutures used in the buried thread process?
There are many ways of suturing the eyelids, according to whether the sutures are continuous or not, they can be divided into interrupted method and continuous method, both of which have their own advantages and disadvantages.
The interrupted suture method can be divided into 1-point, 2-point, 3-point and multi-point suture methods according to the number of suture points.
In the 1-point method, the upper eyelid dermis is attached to the levator aponeurosis and the lid plate by a single suture in the middle of the upper eyelid, creating a double eyelid line. Compared to the multi-point method, the 1-point method is more minimally invasive and prevents the formation of multiple eyelids due to inaccurate positioning of the multi-point method, and is easier to modify than the multi-point method.
The 2-point method is suitable for those with thick orbicularis oris muscle, where the 1-point method may not result in a proper eyelid line, and an additional stitch is needed to close the upper lid skin to the orbicularis oris muscle without penetrating the lid.
In the 3-point method, sutures are placed inside and outside the eyelid design line and at the golden mean. This procedure creates a more stable eyelid than the 1-point and 2-point methods and results in a more natural-looking eyelid.
The multi-point suture method involves 4 sutures through the superficial layer of the lid through 5 point incisions. Compared to the 3-point method, this procedure creates more points of connection and the strength of the sutures is more evenly distributed. Because the 4 sutures are separate points of attachment, the interrupted sutures are easier to remove intact for revision in the event that a second surgery is required.
In the continuous suture method, the sutures are placed in a continuous pattern along the eyelid design line, with each stitch following the point of exit of the previous stitch, so that the sutures alternate between the upper lid skin and the lid plate and the levator muscle.
In terms of operation, the multi-point interrupted suture method allows for better determination of the depth of suture fixation in the lid plate and easier control of tension at each joint compared to the continuous suture method.
However, it is difficult to avoid the shortcomings of the buried eyelid (blepharoplasty), such as the disappearance of the shallow eyelid (blepharoplasty line) and the exposure of the nodes, regardless of whether the method is interrupted or continuous. Because the incidence of these events varies between the two methods, the surgeon should give optimal advice based on the patient’s actual situation and complaints before performing the specific operation.
Even the smallest surgery is surgery, and the risks are small but not absent. Therefore, when selecting a medical institution and doctor, you should make sure that regularity and safety are the prerequisites, not the amount of price.
References
[1] Zhang Zhilu,Wang Yongqian. Progress in the study of buried wire blepharoplasty [J]. Tissue Engineering and Reconstructive Surgery,2021,17(04):368-372.
[2]Zhao Y,Song W. Corneal injury after blepharoplasty with the buried wire method[J]. World abstract of the latest medical information,2019,19(91):105.