CONTINUOUS RUNNING SUTURING VERSUS SUBCUTICULAR SUTURING TECHNIQUES IN UPPER BLEPHAROPLASTY

Ari Hasan Rashid a, Ari Raheem Qader b, Hawree Abdulsattar Hasan c, and Faraydoon Karim Rasul c


a Board Candidate at Kurdistan Board of Medical Specialties, Kurdistan Region, Iraq 
Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 
c DOH, Kurdistan Region, Iraq.

Submitted: 17/9/2019; Accepted: 1/12/2020; Published: 21/12/2020
ABSTRACT


Background 

Upper blepharoplasty is among the most common procedures performed by plastic surgeons. In this procedure upper eyelid excess skin, muscle, and fat are removed and the wound is closed by a variety of methods. 


Objectives 

To evaluate the differences in the complications and the outcomes of the different methods of skin closure following upper eyelid blepharoplasty.


Patients and Methods

Standard upper blepharoplasty has been done for 38 patients which randomly selected into two groups, 20 patients to group A (continuous suturing technique) and 18 patients into group B (subcuticular technique). 


Results

Assessment of the patients done after 5 days, 1 month, and 6 months post-operatively. Besides some minor complications of erythema and edema, there were only two patients, one in each group with moderate edema and ecchymosis. No other significant differences were found in terms of the complications between the two groups. Patient Observer Scar Assessment Scale used at 6 months post-operative. There was also no significant difference, the P-value of the patient scale was 0.23 and of the observer, the scale was 0.64.


Conclusion

In this study, we did not find a significant difference in the complications and the outcome between the aforementioned methods of eyelid wound closur. The selection of the procedure is up to the surgeon to select. We do not recommend the surgeons to change their method of closure. We provide our findings for consideration and further study.


KEYWORDS

Upper Blepharoplasty; Complications; Suture Material.