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February 1991

Suture Removal After Blepharoplasty-Reply

Author Affiliations

Knoxville, Tenn
Chicago, Ill

Arch Ophthalmol. 1991;109(2):175. doi:10.1001/archopht.1991.01080020021011

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In Reply.  —We prefer silk to polypropylene (Prolene) for cutaneous wound closure because of its superior handling properties. Discomfort during removal of silk sutures has generally been a problem only after blepharoplasty and not after a vast array of other oculoplastic procedures. We can think of two reasons for this difference between our patients who have undergone blepharoplasty and the rest of our patients. First, it is our impression that many patients who have undergone blepharoplasty have very low pain thresholds compared with other patients. Second, one of us (A.M.P.) removes sutures 4 days after blepharoplasty, compared with 5 to 7 days after most other procedures. Patients may be a little more tender at this earlier time.

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