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Stitches Came off 2 Days After Blepharoplasty

Early loss of a stitch or two after blepharoplasty usually isn't a problem. Eyelid skin is thin, and the sutures used there are fine-gauge, so it's common for a knot to slip or a suture to work its way out before the surgeon planned to remove it. What matters is whether the incision edges are still holding together. If the wound looks like it's gaping or separating, that's worth a call to your surgeon the same day. If the skin edges look approximated and there's no bleeding, it typically just means healing is progressing and the sutures did their job early.

I use a running subcuticular technique for eyelid closures because it tends to minimize scarring, and I still remove sutures within the first week. Techniques vary by surgeon, though, so the timeline your surgeon planned matters more than a general rule. Send them a photo or have them take a look in person to confirm everything is on track.

Clinical Context

Eyelid incisions heal quickly, but stitches provide only part of the support—the skin itself is also knitting back together in the first week. A suture loosening early doesn't mean the wound has failed; it just means the surgeon will check healing sooner than planned. The main thing to watch is whether the incision edges stay together and whether there's any bleeding or gapping, since that's what signals whether healing is on track.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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