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This guide demonstrates how to perform a subcuticular suture, including step-by-step images of the key stages involved. This guide focuses on a buried continuous dermal suture which is typically used to approximate the most superficial skin edges.
The subcutis or hypodermis refers to the subcutaneous layer of tissue lying beneath the dermal layer. However, subcuticular sutures are placed intradermally. The epidermis and dermis are grossly indistinguishable, and intradermal sutures are typically placed 1 to 2 mm deep to the skin surface.
Subcuticular sutures involve placing the suture material just under the skin’s surface (in the dermis) and often use a continuous technique. Here are some key advantages: Improved Cosmetic Outcome: Because these sutures are placed beneath the dermis, they leave minimal visible scarring.
Learn how to perform a subcuticular suture: anchor and bury the starting knot, run the subQ stitch, and end with an Aberdeen (fisherman's) knot.
Subcuticular sutures, often called buried sutures, involve placing stitches just beneath the epidermis—the outer layer of the skin. This method is commonly used in various surgical procedures, including skin closures after elective surgeries, trauma repairs, and even cosmetic surgeries.
Running subcuticular sutures are a preferred method for closing surgical wounds due to their cosmetic benefits and efficient wound healing. Properly executed, this technique provides a neat and aesthetically pleasing closure, minimizing scarring.
Running subcuticular sutures are considered to be the “holy grail” of suturing techniques by many. That is to say, when done correctly, they give the best cosmetic outcome. Hand in hand with that, they are certainly the most technically challenging and time consuming of suturing techniques.