How Much Does Suture Removal for Eyelid Tucking Cost?

Double-eyelid suture surgery is a minimally invasive aesthetic procedure used to create a clearer, younger-looking, and natural eyelid crease.

However, not every patient achieves the expected result. Uneven creases, drooping eyelids, irritation, or an eyelid shape that does not suit the face may lead some patients to consider suture removal.

So, how much does double-eyelid suture removal cost, is it painful, and what should patients know before undergoing the procedure?

1. How Much Does Double-Eyelid Suture Removal Cost?

The current cost of double-eyelid suture removal generally ranges from VND 4,000,000 to VND 10,000,000, equivalent to approximately USD 152–380.

The final price may vary depending on:

• The doctor’s experience and qualifications.
• The condition of the eyelids.
• How long the sutures have been in place.
• Whether the sutures are superficial or deeply embedded.
• Medical equipment and facility standards.
• Follow-up care.
• Whether a new eyelid crease will be created at the same time.

The cost of double-eyelid suture removal varies according to the complexity of the case.

When suture removal is combined with a new eyelid procedure, the total cost may range from approximately  about USD 380–798.

The following table provides reference prices for several eyelid aesthetic services.

The prices above are for reference only. Patients should request a written quotation after an in-person examination.

The final quotation should clarify whether it includes:

• Consultation.
• Local anaesthesia.
• Medication.
• Suture removal.
• Revision surgery.
• Follow-up appointments.
• Postoperative care.
• Any warranty or revision policy.

2. Factors That Affect the Cost of Suture Removal

The cost of double-eyelid suture removal is not fixed. It depends on the doctor’s expertise, the complexity of the existing crease, and the services included.

The Doctor’s Expertise

Suture removal requires careful knowledge of eyelid anatomy.

The doctor may need to identify:

• The position of the fixation points.
• Whether the sutures are visible or buried.
• The amount of scar tissue.
• Whether inflammation is present.
• Whether the eyelid crease has become attached to deeper tissues.

Doctors experienced in eyelid revision may charge more because complex cases require more time and precision.

The method and complexity of suture removal may affect the final price.

A higher price does not automatically guarantee a better result. Patients should also review the doctor’s qualifications, previous revision cases, and the facility’s licence.

Complexity of the Existing Sutures

Removal may be relatively straightforward when the sutures are recent and easy to locate.

The procedure may be more complex when:

• The sutures have been present for a long time.
• They are deeply embedded.
• Scar tissue has formed.
• The original procedure used several fixation points.
• The eyelid is distorted.
• There is inflammation or infection.
• The patient has undergone several previous procedures.

Complex cases may require a longer procedure or a small incision to locate and remove the suture material.

Medical Facility and Equipment

Licensed hospitals and medical facilities may have higher fees because they invest in:

• Sterilised surgical instruments.
• Medically controlled treatment rooms.
• Emergency equipment.
• Trained medical staff.
• Infection-control processes.
• Follow-up systems.

No medical facility can guarantee an absolutely sterile environment or zero infection risk, but appropriate protocols can reduce avoidable risks.

Postoperative Care

The quoted cost may include or exclude:

• Wound cleaning.
• Medication.
• Follow-up visits.
• Swelling-management instructions.
• Remote consultation.
• Treatment of minor postoperative concerns.

Patients should confirm what is included before agreeing to the procedure.

3. When Should Double-Eyelid Sutures Be Removed?

Not everyone who has undergone double-eyelid suture surgery needs to have the sutures removed.

Removal may be considered in the following situations.

Uneven or Asymmetrical Eyelid Creases

One crease may be higher, lower, deeper, or less defined than the other.

Some asymmetry is normal during early recovery because swelling may differ between the eyes. Patients should not judge the final result too soon.

If the crease remains significantly uneven after healing, the doctor may recommend:

• Observation.
• Partial adjustment.
• Suture removal.
• Revision surgery.

Persistent Swelling, Inflammation, or Irritation

Suture removal may be necessary when the patient develops:

• Ongoing redness.
• Localised swelling.
• Pain.
• Recurrent discharge.
• A visible or exposed suture.
• A foreign-body reaction.
• Suture-related infection.

These symptoms should be assessed promptly.

A Faded or Distorted Eyelid Crease

Over time, the crease may loosen, become uneven, or partially disappear.

However, removal is not automatically required when a crease fades. If the suture is not causing symptoms, the doctor may recommend leaving it in place or creating a new crease using another method.

Dissatisfaction With the Eyelid Shape

Some patients request removal because:

• The crease is too high.
• The crease appears unnatural.
• The shape does not suit the face.
• The patient wants to return closer to the original eyelid appearance.
• A different eyelid design is desired.

Patients should understand that removing the sutures does not always restore the eyelids exactly to their original appearance.

Scar tissue or residual crease attachments may remain.

Loose or Displaced Sutures

A loosened suture may lead to:

• Loss of the crease.
• Asymmetry.
• A palpable lump.
• Irritation.
• A visible suture end.

The original content states that removal is always the best way to manage a loosened crease. In practice, treatment depends on the symptoms and eyelid condition.

The doctor may recommend removal, replacement, revision, or observation.

Patients should never attempt to cut or remove buried eyelid sutures at home.

4. Is Double-Eyelid Suture Removal Painful, and Does It Leave a Scar?

Double-eyelid suture removal is usually performed under local anaesthesia.

Most patients experience manageable discomfort rather than severe pain.

During the Procedure

The local anaesthetic injection may cause:

• Brief stinging.
• Pressure.
• Mild burning.

Once the area is numb, the patient may feel pulling or pressure as the doctor locates and removes the sutures.

The amount of discomfort depends on:

• Pain sensitivity.
• Number of sutures.
• Depth of the fixation.
• Scar tissue.
• Presence of inflammation.
• Need for a small incision.

Double-eyelid suture removal is usually performed with local anaesthesia to control discomfort.

The procedure should not be described as completely painless.

After the Procedure

Patients may experience:

• Mild swelling.
• Tenderness.
• Bruising.
• A tight or gritty sensation.
• Minor discomfort when blinking.

These symptoms commonly improve over several days.

Cold compresses may be recommended during the first 24–48 hours, but patients should avoid pressing directly on the eyelids.

Will It Leave a Scar?

When the sutures can be removed through the original puncture sites, visible scarring may be minimal.

However, a small incision may be required when the suture is difficult to locate or surrounded by scar tissue.

Scar risk may increase with:

• Repeated eyelid procedures.
• Infection.
• Significant inflammation.
• Aggressive tissue handling.
• Delayed wound healing.
• Individual scar tendency.

It is not accurate to guarantee that suture removal will never leave a scar.

The thin eyelid skin generally heals favourably, but the final appearance varies between patients.

After the procedure, patients should temporarily avoid:

• Eye makeup.
• Contact lenses.
• Rubbing the eyes.
• Strong pressure.
• Unapproved creams or ointments.
• Strenuous exercise.

Patients can review makeup precautions in When Can You Wear Makeup After Double-Eyelid Suture Surgery?.

5. What to Know Before Removing Double-Eyelid Sutures

Patients should choose a licensed medical provider, undergo an eyelid assessment, and follow postoperative instructions carefully.

Choose a Licensed Medical Facility

Patients should prioritise:

• A licensed hospital or medical clinic.
• A doctor trained in eyelid surgery.
• Experience in revision cases.
• Clear information about risks and costs.
• Appropriate follow-up care.

Incorrect removal may damage the eyelid tissues, worsen asymmetry, or cause infection.

Never Remove the Sutures at Home

Double-eyelid sutures are often buried under the skin and may be attached to deeper eyelid tissues.

Trying to cut or pull them at home may cause:

• Bleeding.
• Infection.
• Tissue injury.
• Visible scarring.
• Eyelid deformity.
• Incomplete removal.
• Damage to nearby structures.

Professional assessment is required even when a suture appears visible.

Undergo an Examination Before Treatment

The doctor should examine:

• The current eyelid crease.
• Number and location of fixation points.
• Scar tissue.
• Signs of infection.
• Eyelid symmetry.
• Eye closure.
• Ptosis.
• Dry-eye symptoms.
• Previous treatment records.

The doctor may recommend:

• Complete suture removal.
• Partial removal.
• Suture adjustment.
• Observation.
• Revision blepharoplasty.
• Creating a new crease at a later stage.

Understand the Timing of Revision

A new eyelid procedure should not always be performed immediately after suture removal.

The eyelids may need time to:

• Settle.
• Reduce swelling.
• Allow inflammation to resolve.
• Soften scar tissue.
• Reveal the actual eyelid shape.

The appropriate interval depends on the reason for removal and the condition of the tissues.

Follow Postoperative Instructions

After suture removal, patients may be advised to:

• Keep the eyelids clean.
• Use sterile saline when instructed.
• Take prescribed medication.
• Apply cold compresses gently.
• Sleep with the head elevated.
• Avoid eye makeup.
• Avoid contact lenses.
• Avoid rubbing the eyelids.
• Attend follow-up appointments.

Vitamin C from a balanced diet supports normal tissue health, but high-dose supplements are not necessary for every patient.

Drinking excessive amounts of water does not make wounds heal faster. Patients should maintain normal hydration unless advised otherwise.

Detailed incision-care guidance is available in How to Clean Your Eyes After Eyelid Surgery.

When Should You Seek Medical Attention?

Patients should contact a doctor promptly if they develop:

• Increasing pain.
• Rapidly worsening swelling.
• Spreading redness.
• Fever.
• Yellow or green discharge.
• Persistent bleeding.
• Difficulty closing the eye.
• Severe asymmetry that develops suddenly.
• Double vision.
• Reduced vision.

Sudden visual changes, severe eye pain, or rapidly increasing pressure around the eye require urgent medical evaluation.

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