![]() At the conclusion of the case, antibiotic ointment is placed over the incision and the patient returns in one week for suture removal. Prior to tying the suture, the prolene will be tightened as it has some elasticity to it. I have found a running 5-0 prolene to give a very acceptable and almost imperceptible scar. I have tried various skin sutures such as nylon as well as different suturing methods such as running locking and even vertical mattress sutures. The skin is then closed with a running 5-0 prolene suture. Scar elasticity will be quantified by ultrasound. lead to progressive loss of elasticity with elongation of the ligament. Cleft Lip, Procedure: orbicularis oris muscle Z- plasty modification of modified millard technique. Usually approximately 5-7 deep sutures are needed. Attaar et al confirmed that crural plasty results in a significant decrease of.
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