Is it okay to apply Steri-Strips (adhesive skin closures) after removing facial sutures from the left temple?

Applying Steri-Strips After Suture Removal

Yes, applying Steri-Strips after removing sutures from the left temple is appropriate and recommended for wound support during the final healing phase. 1

Rationale for Using Steri-Strips After Suture Removal

• Steri-Strips provide additional support to the healing wound after suture removal, helping to maintain wound edge approximation during the final stages of healing 1
• They are particularly beneficial for facial wounds like the temple area, where cosmetic outcome is important and where the skin may still benefit from additional support after suture removal 2
• The temple area is subject to facial movement and expressions, making Steri-Strips valuable for reducing tension on the healing wound

Proper Application Technique

1. Ensure the wound area is clean and completely dry before applying Steri-Strips (essential for proper adhesion) 1
2. Apply Steri-Strips perpendicular to the wound with minimal tension
3. Leave small spaces between strips to allow for any potential drainage
4. Consider applying a small amount of tincture of benzoin to the surrounding skin (not in the wound) to improve adhesion if available

Benefits of Steri-Strips

• Provide wound support without introducing new trauma to the healing tissue 3
• Allow for continued wound observation
• Reduce tension on the wound edges, potentially improving cosmetic outcomes 4
• Decrease risk of wound dehiscence during the final healing phase 1

Duration of Use

• Typically, Steri-Strips can remain in place for 5-7 days after application
• They will often fall off naturally as the adhesive weakens
• If they remain firmly attached after 7 days, they can be gently removed after softening with warm water

Potential Pitfalls and Considerations

• Avoid applying Steri-Strips with excessive tension as this can cause skin blistering or damage
• Ensure the wound is not showing signs of infection before applying (no purulent drainage, excessive redness, or warmth) 2
• Temple area skin is relatively thin, so be particularly gentle when applying and removing Steri-Strips 5
• If the patient has very oily skin, the strips may not adhere well; in this case, ensure the skin is thoroughly cleansed before application

When to Seek Further Medical Attention

Instruct the patient to seek medical attention if they notice:

• Increasing redness extending more than 5 cm from the wound edge
• Purulent drainage
• Increasing pain
• Fever or systemic symptoms
• Separation of the wound edges after Steri-Strip application 2

Steri-Strips are an excellent option for supporting facial wounds after suture removal, providing continued approximation of wound edges while allowing the final healing process to complete with optimal cosmetic results.