What is the Absolute Longest Stitches Should Stay in the Face?

I'm going to get two acne scars excised on a Wednesday, but I fear they may be left in too long if I have to wait until at least Monday to get them out. Also, what can I ask the plastic surgeon to do to mitigate the scar as much as possible? Thank you. 

Doctor Answers 10

Ideal timing of suture removal on the face

Hi there-

Typically, sutures in the face would be ideally removed 5-7 days after placement, but the final decision about when to remove them would depend on careful examination of the wound for signs of adequate healing before removal.

It is not unusual or inappropriate to remove them a day or two later if the surgeon's judgment indicates this would be in your best interests, so if scheduling limitations require this you should not assume it will be harmful to your outcome.

Sutures in the face

If you have deep sutures, then you can remove the sutures in a few days.  I would not recommend leaving them in longer than seven days as they risk leaving little pin point tracks.  If you want to do everything to minimize the appearance of the scars, then I would also recommend using lasers afterwards.

Facial Stitches

As previously noted, the face has an excellent blood supply which allows for very favorable scars (assuming a tension free closure and meticulous technique). I would maintain that stitches should stay in at least 5 days and no longer than 8 (wound separation can potentially occur if sutures are removed too soon). The type of skin suture used in my practice is a 5-0 or 6-0 prolene, which is a non-reactive mono filament suture.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 74 reviews

Time Span Is Fine

The face has an excellent blood supply so a five day span is fine. In fact, for facial sutures, 4-7 days is the norm. I would be pretty certain that the plastic surgeon would do all he/she can to mitigate the ensuing scar. This would include undermining, placing the suture in the proper direction, and using a deep, buried subcutaneous suture. A dressing with a breathing membrane over the scar site will help as will the use of a silicone gel product such as ScarGuard-MD.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 13 reviews

When to remove sutures

In most cases, I remove sutures from the face in 4 to 7 days.  After this time, the suture holes start to scar and may leave permanent changes.  In some cases, you can have internal dissolvable sutures inside and surgical glue (Dermabond) outside, so there is no evidence of sutures externally.  Good luck. 

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 70 reviews

Facial Stitches should BEST be removed within 5 days

For IDEAL healing
- the incision needs to be placed within the facial wrinkle lines so the scar ends up with little to now pull on it
- the margins of the wound need to be undermined so the wound is closed with little to no tension
- dissolving stitches need to be put with the knot placed deeply (IE buried) to place any tension in the deep layer and not in the skin itself
- fine (5-0 or 6-5) non reactive stitches (Nylon or Prolene) are placed in the skin with the needle penetrating the skin vertically
- Stitches need to be removed within 5 days to avoid in growth of skin into the stitch tunnels resulting in "railroading"
- You should keep a 45 SPF and higher sun block on the wounds for the next 6 months to prevent scar darkening

Good Luck.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 93 reviews

Stitch removal in the face

ASs lond as the stitches aren't tied too tight and are removed in 5 days, you shouldn't have railroad track from the stitches.  Wednesday to Monday should be fine. 

Stitches in the face

I like to remove facial stitches 5 days after they are placed. I think your plastic surgeon has you right on target as far as the interval for stitch removal. Occasionally stitches can be removed sooner than 5 days if the area appears to be really well healed, but if they are removed too soon, you risk having the wound edges pull apart. After the stitches are removed, the area can be left to heal on its own or resurfaced either with manual dermabrasion, CO2 or erbium:YAG laser. Sun protection/avoidance of the healing scars is important.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Stitch marks

Stitch marks can be minimized by using small or buried sutures or adhesive or glue rather than sutures. If sutures are placed through the skin, depending on the amount of tension they should be removed within 3 days or so due to ingrowth of skin cells into the suture tunnels. Often i will place sutures for just 24 hours to allow the body's nature "glue" to keep the skin ends together then replac ethe stitches with steristrips.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 10 reviews

Sutures in the face

Sutures in the face after a procedure usually are removed between 5-7 days. Certainly they can stay in a day or two longer if scheduling does not permit removal.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.