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Step 3D>
Step by Step Article
Introduction
Step 1
Step 2
Step 3A
Step 3B
Step 3C
Step 3D
Step 3E
When the suture is tied, a portion of skin is advanced toward the center of the wound because of skin elasticity (
schematic above
). It is helpful to have an assistant surgeon stretch the skin into place as you tie the suture. The assistant surgeon should place a thumb over the first suture bite area in the skin and use his or her thumb and other fingers to stretch the skin. As the assistant surgeon holds the area of the first bite down with his or her thumb against the area of the second suture bite, tie the suture.
Video
Step 4A
Step 4B