New Suture Pattern for V-Plasty

Uses Vicryl small suture, 2-0 or smaller.
One knot finishes the whole line and the tails can’t get into the eye.

2-0 Vicryl is used in case any suture remains in the skin there will be minimal consequence.

The  suture starts with a very long tail at the edge of the lid. The pattern is a simple continuous, except with each returning throw you either capture or avoid the first ‘free end’ as it follows the line down to the terminus of the incision.

At the terminus of the incision the free end emerging from under the skin is square knotted to the first free end woven into the continuous pattern. One knot.

So easy to remove, no knot or tags near the eye.

 

Drawing: Dr Erik Johnson 2021
Critically important that the suture is not be full thickness, so that the ligatures do not abrade the cornea.