The suture technique uses a specially designed surgical stitch, which if inserted properly results in the most natural appearance. The stitch is a very durable fiber, and does not absorb or dissolve into the skin’s underlying structure. The method involves the pinching, or invagination, of the eyelid skin into a visible crease above the eyelid. The suture holds and secures the invaginated hood through a certain number of passes along the eyelid skin and underlying eyelid tissues.
In the past, this technique was fraught with complications in the interactions among the eye elevating muscle, skin, and suture; these complications often caused a loosening of the suture, leading to loss of the actual fold in many patients. Because of this, it has been known to produce successful results for only a select number of patients, or those with relatively thin layers of fat and skin on their eyelids. This is because thinner skin would be simpler to secure with a suture, lowering any possibility of a loosening fold. It was also recommended for those with powerful eye elevating muscles to withstand the extra load produced by the new crease.
Despite these initial precautions and drawbacks in the suture technique, valuable headway has been made to accommodate all types of patients with unique eyelid structures. Dr. Kim has practiced extensively with these new advanced techniques to deliver beautiful and long-lasting results that complement each patient’s face. He customizes each operation by incorporating various eye enlargement techniques, such as ptosis repair, epicanthoplasty, lateral canthoplasty, etc., to his specialized suture technique.
The surgery takes place under local anesthesia, with or without oral sedatives. The duration of the surgery is approximately 30 minutes. The skin stitches will be removed 4-6 days after the surgery at our office.