To the Editor. —
Blepharoplasty is being performed with increasing frequency. A variety of materials and techniques, including absorbable skin sutures, removable nonabsorbable subcuticular pullout sutures, and cyanoacrylate adhesives, are being used to close these delicate incisions. The goal is to obtain the best-quality scar with the fewest complications (suture cysts and granulomas). The current report describes use of autologous fibrin glue for blepharoplasty closure.
Report of a Case.—
A healthy 29-year-old white woman had dermatochalasis. Blood replacement was necessary for her liposculpture procedure, and a single unit was deposited in the blood bank. Using a cryoprecipitate technique, the fibrinogen was isolated and preserved (Corus Laboratories, Costa Mesa, Calif). An upper and lower lid blepharoplasty was completed using only a few key sutures in the lateral aspect of the incisions. The solution of fibrinogen was mixed with an equal volume of bovine thrombin and delivered to the wound surface via