Does Hot Compressing Affect the Longevity of Double Eyelid Surgery?

Double eyelid surgery

Hello Dr.
Chou, due to my dry eye syndrome, I need to apply warm compresses to my eyes daily.
I would like to ask if having undergone double eyelid surgery a year ago would affect the longevity of the sutures due to prolonged warm compressing.
My main concern is that the surgery relies on adhesion to create the crease, and I am worried that the warm compresses might reduce the effectiveness of the adhesion.
Thank you, doctor.

Cherry, 30~39 year old female. Ask Date: 2021/09/23

Dr. Zhou Hongzhang reply Plastic Surgery

1.
Yes, repeatedly rubbing or massaging the eyelids, frequently blinking, laughing, or crying can easily cause the sutures from double eyelid surgery to loosen at the adhesion points.

2.
For dry eye syndrome, it is important to see an ophthalmologist for eye drops or artificial tears.

3.
Thank you.

Reply Date: 2021/09/23

More Info

Hot compresses are commonly used for various eye conditions, including dry eye syndrome, as they can help to relieve discomfort and improve the function of the meibomian glands, which produce the oily layer of tears. However, when it comes to the longevity of double eyelid surgery, particularly the sutured type, there are several factors to consider.

Double eyelid surgery, or blepharoplasty, involves creating a fold in the eyelid, which is often achieved through sutures that cause the skin to adhere to the underlying tissue. This adhesion is crucial for maintaining the appearance of the double eyelid. The concern with using hot compresses post-surgery is that excessive heat may potentially affect the integrity of the sutures and the adhesion created during the procedure.

While there is no definitive evidence that hot compresses directly reduce the longevity of double eyelid sutures, it is important to consider the mechanics of healing. Heat can increase blood flow to the area, which might lead to swelling or inflammation if applied excessively. In the initial healing phase, this could potentially disrupt the delicate balance of healing tissues and the sutures. However, after a significant period, such as one year post-surgery, the tissues have likely healed sufficiently, and the risk of hot compresses affecting the sutures is considerably lower.

Moreover, the primary concern with prolonged use of hot compresses is not necessarily the sutures themselves but rather the overall health of the eyelid and surrounding tissues. If the hot compresses are causing discomfort or leading to excessive swelling, it may be worth reassessing their use. It is also essential to ensure that the compresses are not too hot, as this could lead to burns or further irritation of the skin.

In the context of dry eye syndrome, which you mentioned, it is crucial to manage this condition effectively. Dry eyes can lead to discomfort and may even affect the appearance of the eyelids. Using artificial tears or other prescribed treatments can help alleviate symptoms. If hot compresses provide relief for your dry eyes, it may be beneficial to continue using them, but with caution regarding the temperature and duration of application.

If you have concerns about the impact of hot compresses on your double eyelid surgery, it would be advisable to consult with your ophthalmologist or the surgeon who performed the procedure. They can provide personalized advice based on your specific situation and the healing status of your eyelids.

In summary, while hot compresses can be beneficial for managing dry eyes, their impact on the longevity of double eyelid sutures is likely minimal after a year of healing. However, it is essential to monitor how your eyelids respond to the heat and adjust your care routine accordingly. Always prioritize comfort and consult with a medical professional if you have any concerns about your post-surgical care.

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