From the Guidelines
Sutures are typically removed within 10 to 14 days after placement, as indicated by the most recent evidence 1.
General Guidelines for Suture Removal
The timeline for suture removal varies based on the location of the wound and its healing progress.
- Facial sutures are generally removed earliest, around 3-5 days, due to the face's rich blood supply that promotes faster healing.
- Sutures on the trunk may be removed after 7-10 days, while those on extremities usually remain for 10-14 days.
- Sutures over joints or high-tension areas might stay in place for up to 14 days to ensure adequate wound strength.
Signs of Readiness for Suture Removal
Signs that a wound is ready for suture removal include:
- Good approximation of wound edges
- Minimal inflammation
- Formation of a visible healing ridge along the incision Premature removal risks wound reopening, while delayed removal can lead to "railroad tracking" scarring or infection.
Post-Suture Removal Care
Patients should keep the wound clean and dry after suture removal and may benefit from applying petroleum jelly or silicone-based scar products to optimize cosmetic outcomes. Steri-strips may be applied after suture removal to provide additional support during the final healing phase, as suggested by 2 and 3. However, the most recent and highest quality study 1 recommends suture removal between 10 to 14 days after surgery, which is the guiding principle for minimizing morbidity, mortality, and optimizing quality of life.
From the Research
General Guidelines for Suture Removal
The timeline for suture removal varies depending on the location of the wound and other factors such as co-morbidity and signs of early wound complications 4.
Factors Influencing Suture Removal Time
- Location of the wound: different anatomical locations have different recommended suture removal times 4
- Co-morbidity: presence of other health conditions can affect wound healing and suture removal time 4
- Signs of early wound complications: infection, dehiscence, or other complications can impact suture removal time 5, 4
Recommended Suture Removal Times
- A review of literature showed that recommended suture removal times vary between 3-14 days 4
- A study on rabbits found that 5 days was the optimal time for suture removal 6
- Another study found that patients can safely remove their own sutures after receiving proper instructions and equipment, with most patients able to do so successfully 7
Best Practices for Suture Removal
- Check the wound for signs of infection and dehiscence before removing sutures 5
- Use aseptic non-touch technique (ANTT) for suture removal, following local policy 5
- Provide patients with proper instructions and equipment for self-removal of sutures, if applicable 7
- Consider the individual patient's needs and circumstances when determining the optimal time for suture removal 5, 4, 8