RT Book, Section A1 Kantor, Jonathan SR Print(0) ID 1190085368 T1 The Eyelids T2 Atlas of Suturing Techniques: Approaches to Surgical Wound, Laceration, and Cosmetic Repair, 2e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264264391 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1190085368 RD 2024/10/15 AB The eyelids present unique challenges to the surgeon—the dermis is very thin, with a near absence of subcutaneous fat in some areas. This provides only minimal tissue volume to aid in absorbable suture material breakdown, potentially increasing the chance of suture spitting or suture abscess formation. Moreover, the highly elastic eyelid skin also means that a disfiguring residual pull is possible, so that ectropion—while something to avoid at all costs—is only the most extreme outcome along a spectrum of lid pull abnormalities.