On the other hand if too little is removed the patent will feel unhappy with the result. One method used if the patient is awake is to ask them to look up and open their mouth at the same time. This puts the ski of the lower eyelid on stretch so the surgeon avoids removing too much. The skin is then repaired with delicate stitches most commonly these are single or interrupted stitches. In both the upper and lower eyelid there are a number of stitches used.
Some surgeons prefer to use stitches that dissolve.
These are often fast absorbing catgut stitches. Other surgeons prefer stitches that have to be taken out. On the lower eyelid these are often made of silk and on the upper lid of nylon or prolene. All, surgeons use slightly different methods and usually found a method which works best for them. On the lower eyelid there are two modifications which may be made.