To the Editor.
—In the April 1990 issue of the Archives, Glatt et al1 reported on discomfort during suture removal after blepharoplasty. They described the removal of a running of 6-0 silk suture 4 days after blepharoplasty. I found it interesting that their patients were experiencing so much discomfort that they felt compelled to try to minimize this with proparacaine hydrochloride. When I perform blepharoplasty surgery, I use a 6-0 polypropylene (Prolene) suture and knot it on itself and either end so that at the time of removal one need only cut in the middle of the running suture and then pull on the two loops that are formed on either end. This avoids the need to find the knot that would be buried in the skin if it had not been looped on itself.Most patients tell me they are amazed that they do not feel any pain
Neigel JM. Suture Removal After Blepharoplasty. Arch Ophthalmol. 1991;109(2):175. doi:10.1001/archopht.1991.01080020021010