column (e.g. in newspaper)
2025.09.10
Discomfort and foreign body sensation after burial. What causes it and how to deal with it?
A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.
Hello, I'm Ryutaro Natsume, an image designer and cosmetic surgeon.
When working in an ophthalmology department, I sometimes receive consultations about eye discomfort after suture removal (though this is self-pay treatment...).
There are various reasons, but here is one factor.
①Postoperative swelling
Swelling of the conjunctiva causes a gritty sensation.
In most cases, the condition will improve naturally with continued use of postoperative eye drops and observation.
②Injuries to the iris or dry eye
During surgery, if the iris comes into contact with sutures or needles, or if the eye becomes dry, scratches on the surface of the iris can also cause a gritty sensation or dryness.
Protecting the eyes with Hyaluronic Acid eye drops or ointment may lead to faster improvement.
If the suture is loose and protruding, or if the suture knot is not properly embedded under the conjunctiva, it will not improve unless removed.
③The conjunctiva on the inner surface of the eyelid has scarred and is rubbing against the pupil.
This occurs particularly when a surgeon unfamiliar with suturing techniques fails to properly embed the suture knot under the conjunctiva.
Even after implantation, if the patient already has allergic conjunctivitis or chronic inflammation of the eyelid, scar tissue may form around the suture knot, causing swelling and discomfort.
Depending on the severity, we will first observe whether the scar shrinks with steroid eye drops.
If improvement does not occur, the scar tissue will be excised. Since buried sutures are often present within it, these sutures will also be removed.
If there is a scratch on the cornea, treat it with Hyalain eye drops or ointment.
④Swelling of the eyelids due to allergic reactions such as giant papillary conjunctivitis
When I turn my eyelid inside out, it's bumpy, and that makes me feel uncomfortable.
Some people have this condition regardless of surgery, especially if they wear contact lenses. Surgery could potentially trigger a worsening of the condition.
If present prior to surgery, it is important to avoid procedures that may irritate the conjunctiva and first focus on controlling the inflammation.
It's difficult to determine without consulting an ophthalmologist. Use steroid eye drops to reduce eyelid swelling.
⸻
Items required for diagnosis
This procedure is performed using a slit lamp microscope, which shines light into the eye and magnifies it for observation.
While permanently installed in ophthalmology facilities, they are not available in cosmetic clinics, so I use a handheld slit lamp microscope.
⸻
Preoperative assessment is crucial.
Such observation and evaluation are essential even before surgery.
If there is inflammation or injury to the eyelids or pupils, treating it before surgery can help avoid postoperative complications as much as possible.
In cases prone to recurrence, such as conjunctivitis, a full incision that avoids manipulating the conjunctiva may be preferable to suture-based buried suture techniques (and surgery may not be recommended at all).
The same applies to treatments for dark circles, lateral canthoplasty, droopy-eye correction, and ptosis surgery. If there are issues with the conjunctiva or iris, those conditions must be treated first.
⸻
Summary
This time, we discussed the possible causes and countermeasures for the gritty sensation and discomfort after burial.
It is necessary to assess the condition of the eyelids and pupils prior to surgery.
We are conducting preoperative evaluations using a handheld slit lamp.
We look forward to your consultation.
⸻
Reservations can be made here.
Complete your reservation in 60 seconds ▶︎
https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
⸻
※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.
We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.
【Profile】
Plastic Surgeon Dr. Ryutaro Natsume
https://biancaclinic.jp/doctor/natsume/
Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.
Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.
We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.
From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology
BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.
【Career】
2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital
2022 Jikei University Hospital Department of Plastic Surgery
2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital
2024 BIANCA CLINIC
【Professional Affiliations/Qualifications】
Japanese Society of Aesthetic Surgery (JSAS)
Full Member of the Japan Society of Plastic and Reconstructive Surgery
Full Member of the Japanese Society of Craniofacial Surgery
Full Member of the Japanese Ophthalmological Society
Full Member of the Japanese Society of Aesthetic Medicine
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr
RESERVATION