After surgery or a deep wound, your doctor will close the wound with sutures (stitches), glue, staples, or a combination of these. Securing the edges of the wound together is crucial for healing, but the type of skin closure can impact the appearance of the final scar. Depending on the way your doctor closed the wound, here’s the type of scar you can expect:
A staple incision closure is more consistent and faster than stitches. Surgical staples are disposable and are made of plastic or stainless steel. The problem with most skin staples is that they can leave permanent marks on the skin that create a “train track” look.
Sutures are the most common way to close wounds, including incisions after surgery. The doctor basically sews the skin edges back together. Sutures can be permanent or absorbable. If permanent sutures are used to close the top skin layer, these need to be removed once the skin has healed. Absorbable sutures dissolve on their own over time once the tissues have healed and don’t need to be removed. Large sutures that are left in the skin for too long can lead to scars that look like stitching.
Smaller wounds that are not very deep may be put back together using special adhesive glue. This works similar to stitches and staples in that it secures the skin edges back together to promote the healing of the wound or incision. Skin glue does not leave “train track” or “stitch” marks.
Most Important Factors for the Best Scar
Whether you have staples, stitches, or just glue to help your wound heal, there are a few shared factors that promote the best looking scar. First and foremost, you want to be sure that the wound edges are lined up anatomically. Your doctor should ensure that the two layers of skin properly line up with one another. This helps the skin to heal more seamlessly, rather than looking jagged.
The depth and length of the injury, as well as the location, also affect the appearance of the scar. Certain lifestyle and genetic factors, including gender, race and age, also influence scarring. To promote healing and have the best looking scar, care for the wound correctly, eat healthily, drink plenty of water, and don’t smoke. Follow your doctor’s orders, which typically include keeping the area clean, covered, out of the sun, and moist to promote healing.
Once the wound has healed, ask your doctor if you are ready to start using a topical scar treatment to reduce the long-term appearance of your scar as much as possible.
Have a question about your scar? Leave a comment and we’ll be happy to answer.
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