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Do you favor absorbable or non-absorbable sutures for epidermal closures?

Do you find absorbable sutures more inflammatory? What factors (cost, erythema, long-term appearance) contribute to your epidermal suture selection?
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What suture type do you most commonly use for epidermal closures?

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3 Answers
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Dermatology · Cary Skin Center
Answered on

I personally find the best results for epidermal closure with prolene. I will, at times utilize fast-absorbing gut sutures but do find there is significantly more erythema around the wound than with prolene. On the lips, I choose 5-0 vicryl for epidermal closure and find that is a less reactive alte...

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Dermatology · Cooper University Hospital
Answered on

My suture selection depends on a variety of factors including location, tension, type of closure (linear vs flap) and ability of the patient to come back for suture removal. In high tension closures or if the patient is a high risk for postoperative bleed, I favor prolene. The patient comes in for s...

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Mednet Member
Mednet Member
Dermatology · Dermatology Institute for Skin Cancer
Answered on

I love polypropylene sutures for face cases. Definitely a go-to for my blepharoplasty closures. I find that fast gut creates more inflammation. Will use these latter absorbable sutures mostly if a patient can’t return to the clinic due to travel difficulties or if they are anxious at the thought of ...

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