Refinements in Surgical Technique. Murad Alam, MD Chief, Section of Cutaneous & Aesthetic Surgery Departments of Dermatology, Otolaryngology, and Surgery Northwestern University Chicago, IL. Suturing: Questions. Suture Technique: What Do We Know?.
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Murad Alam, MD
Chief, Section of Cutaneous & Aesthetic Surgery
Departments of Dermatology, Otolaryngology, and Surgery
Can be placed as rapidly as or faster than superficial running sutures, with moderate precision, for superior long-term cosmetic results.
Running superficials tend to leave “track marks” on high tension areas of the trunk and extremities.
Subcuticular running Prolene placed too high, with subsequent central spitting and ulceration
Location of Subcuticular Running Knots
Number of Deep Sutures Placed
How Long Subcuticular Left In
With subcuticular vicryl left in, there is a flatter, thinner scar, than with simple running sutures removed after 14 days, which result is spreading and visible suture marks