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Thank you for your question and photo. The incision looks like it is healing well. On the subject of suture removal, our office recommendation: No Kitchen Surgery. Please contact your hand surgeon and ask what his/her protocol is. Most surgeons want you to come back in for suture removal. If the patent lives out of town, some other arrangements might be made.
It looks like that is a single, running chromic suture which is dissolvable. In my practice, I usually just leave the chromic sutures in after trigger finger release and let the dissolve, though it usually takes weeks. If you are intent on getting it removed, then I would recommend you see your surgeon who operated on you. I would not recommend removing these sutures on your own.
I wouldn't recommend skin removal as the sensation at the tips of the fingers are very important for tactile sensation and scar never has as good of sensation as natural skin. You don't say how long ago your injury was, but if it has been less than a year, you likely still have...
He should be evaluated for a toe to thumb transfer. This is often done using one of the big toes. Best of luck.
Your condition is not that uncommon and is called brachydactyly, Type D. Short thumbs have numerous other names and even some superstitions associated with them. Since there is no simple corrective surgery to change the appearance, realizing that your condition is not that uncommon...
