Most patients will require stitches. Please keep in mind that our goal is the best long term cosmetic result. This may initially require extensive suturing. In addition to wound size and location, the surgeon considers other factors in determining how your wound will be handled. The primary options are as follows:
- Direct closure of the wound with stitches: This is the most common method.
- Skin flap: In some instances, skin that is located near the wound is moved to fill the defect left from surgery.
- Skin graft: In certain situations, it is appropriate to take skin from a site distant from the wound (usually inside, in front of, or behind the ear; on the clavicle; or on the inner arm) and use it to cover the surgical defect.
- Let the wound heal in by itself (“second intention wound healing”): The body has an excellent capacity to heal open wounds. This healing period is approximately three to six weeks depending on the size of the wound. If your wound is left to heal by second intention wound healing, we will go over additional wound care techniques with you and likely add vinegar compresses to your care regimen.