Suture Removal Timing for Eyebrow Lacerations
Non-absorbable sutures placed above the left eyebrow should be removed at 7-9 days after placement. 1
Evidence-Based Timing
The face and scalp have excellent blood supply and heal faster than other body regions, allowing for earlier suture removal compared to areas under higher tension or movement. For facial wounds, including those above the eyebrow, the standard removal timeframe is 7-9 days. 1
This timing represents an optimal balance between:
- Adequate wound healing - allowing sufficient time for the wound edges to seal and develop initial tensile strength 1
- Minimizing complications - preventing issues associated with prolonged suture retention 1
Risks of Delayed Removal (Beyond 9 Days)
Leaving sutures in place longer than recommended increases several complications:
- Increased infection risk - bacteria can colonize suture material, particularly with non-absorbable multifilament sutures 1
- Suture track marks - permanent scarring along the suture entry/exit points that create a "railroad track" appearance 1
- Tissue reaction - foreign body response to prolonged suture presence 1
- Epithelialization over sutures - new skin growth can cover the sutures, making removal more difficult and painful 1, 2
Risks of Early Removal (Before 7 Days)
Premature removal can lead to:
- Wound dehiscence - the wound edges may separate if insufficient healing has occurred 1, 3
- Widened scars - inadequate support during the critical healing phase results in poor cosmetic outcomes 1
Post-Removal Care
After suture removal at 7-9 days:
- Keep the area clean and dry to prevent infection 4
- Consider steri-strips for additional support - these can provide continued wound edge approximation for several more days, particularly beneficial for facial wounds where cosmetic outcome is important 4
- Avoid excessive tension on the healing wound 4
- Monitor for signs of infection or dehiscence in the days following removal 4
Clinical Pearls
The eyebrow region is particularly favorable for healing due to rich vascular supply, making the 7-9 day window appropriate. Do not extend beyond 9 days even if the wound appears to need more support - instead, use steri-strips or tissue adhesive for additional reinforcement after suture removal. 1, 4