Brief Summary
Inverting mattress sutures cause tissue inversion, which can be used to recreate a natural indentation or crease. This technique can improve cosmesis in areas such as the mental cleft, alar rim, nasolabial fold, or eye margins.
Technique
- Start with a “big bite” with the needle oriented parallel to the wound, entering the tissue approximately 5mm from the wound edge.
- Exit at approximately the same distance from the wound on the same side.
- Reload needle in a backhanded fashion and enter the tissue on the opposite side of the wound, again oriented in parallel with the wound.
- Exit at approximately the same distance as the original entry point on the opposite wound edge. The four entry and exit points should form a square bisected by the wound.
- Instrument tie.