Let’s take a look at some basic information on deep dermal sutures. Thanks to Cincinnati Children’s Hospital Medical Center resident Drew Saylor. Before moving on to the quick hits let’s take a look at an excellent video from Closing the Gap.

What are the indications for a deep buried dermal suture?

Large wounds that:

  • Are in need of tension reduction
  • Have deep spaces that may collect blood or fluids

What are the contraindications of deep buried dermal sutures?

  • Inadequate subcutaneous tissue to perform the technique
  • Contaminated wounds

Note that there is not a higher risk of infection with these types of sutures as long as the wound is clean and uncontaminated. 


  • Closes dead space
  • Stops subcutaneous bleeding
  • Reduces hematoma and seroma formation
  • Takes essentially all the tension off the skin sutures and skin edges
  • The final healing scar width will be reduced —> can remove the superficial skin sutures earlier because wound eversion is maintained longer

Most common suture materials:

  • Chromic Gut
  • Polyglactin (Vicryl)
  • Polyglycoric (Dexon)
  • Polyglyconate (Maxon)

All of these sutures are absorbable and do not need to be removed

What are some complications of deep buried dermal sutures?

  • Bleeding
  • Infection
  • Scar formation
  • Possible strangulation and necrosis of tissue
  • Promotion of infection
  • Prolonged inflammation as the result of the presence of foreign material