“Now, I believe tissue adhesives should be used for patients who are carefully selected for the procedure,” Dr. LiVecchi said. “I currently use the tissue adhesive for stab and small incisions and in patients who are afraid of or allergic to sutures.”
An important factor in this decision was the eyelids are constantly moving, unlike other areas where tissue adhesives are used, he noted.
“This fact became a drawback to my idea of eliminating sutures entirely from blepharoplasties,” Dr. LiVecchi said. “To that end, I continue to use tissue adhesives on areas that are static for the most part.
“I still use tissue adhesives with carefully selected patients undergoing a blepharoplasty when it is indicated for the patients’ benefit,” he said. “For me, while there still is a place for tissue glue in blepharoplasty, it cannot entirely replace sutures.”
John T. LiVecchi, MD, FACS, FSEE
E: [email protected]
This article was adapted from Dr. LiVecchi’s presentation at the American Academy of Ophthalmology. Dr. LiVecchi is editor of the Ophthalmology Times “Plastic Pearls” column and a member of its editorial advisory board. He has no proprietary interest in the subject matter.