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There are multiple ways of starting a subcuticular suture. In this case you will have tails sticking out of each side and you will trim them in the clinic after the wound has healed. You’d think that without a knot the suture could slip out and the wound cut split open, but the friction between the suture and the dermis tends to be enough to keep that from happening. Regardless, this is typically reinforced with skin glue or steri strips, which is a tape placed over the incision to help keep it
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Let me start by saying I’m no plastic surgeon! That being said, these are the steps for how I learned to do a subcuticular suture. Tips I got from attendings and mentors for this suture include: 1) Use your forceps to tension the skin to help you pass the needle more easily. 2)Grab the skin with the forceps where you want the needle to exit. 3) smaller bites lead to tighter and usually prettier closures. 4) If you exit slightly deeper or more superficial, start the next throw at the level where
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