Suture Continuous Intradermal Cosmetic

A continuous intradermal suture (SC) is a surgical suture that is applied to the skin without going beyond its surface, parallel to it at an equal depth. Sh.n. is one of the most common types of sutures in cosmetology and plastic surgery.

Sh.n. it is applied using a special tool - a needle for a cosmetic suture, which has a rounded end and allows you to apply sutures without going to the surface of the skin. Sh.n. allows you to achieve maximum accuracy and reliability of the seam, since each stitch is applied parallel to the skin and at the same depth, which ensures uniform distribution of the load on the tissue and prevents its displacement.

When applying a sh.n., a cosmetologist or plastic surgeon uses special techniques that allow the suture to be placed as close to the surface of the skin as possible without damaging it. This avoids scarring and other complications associated with suturing the surface of the skin.

It is also worth noting that Sh.n. can be used to close wounds and cuts in the skin, which speeds up the healing process and reduces the risk of complications. In addition, Sh.n. can be used to correct various skin defects such as wrinkles, scars and other irregularities.

In general, Sh.n. is a safe and effective method of suturing the skin, which allows you to achieve maximum aesthetic results and ensure rapid healing of wounds.

Today we will talk about this type of sutures: continuous intradermal cosmetic sutures or SIVC. What is it?

Continuous intradermal cosmetic sutures are a method of suturing in which the stitches run along the entire length of the wound parallel to the surface of the skin at a shallow depth from it. In this case, each suture is applied without reaching the surface or going beyond the skin. The suture stitches are not brought together at the points of their intersection, but continue to be applied until the edges of the wound are reached, due to which pressure is evenly distributed and an even postoperative scar is formed. This suture occupies an intermediate position between sutures placed in the subcutaneous fat and interrupted cosmetic sutures with the last skin incisions made.

The scheme for forming a continuous intradermal cosmetic suture is as follows:

- Local anesthesia is performed using a 1–2 cm long transverse incision on the innervated skin. All tissues are irrigated with iodine solution before the anesthetic is administered;

- Slightly stretch the skin after the injection area has not yet had time to dissolve, in order to thus open the places where the sutures are applied;

- Cut the skin with a retractor instrument, shifting the soft tissue, which helps keep the threads in the “right place”;

The “right place” refers to the thickness of the dermis, which is located directly above the underlying soft subcutaneous fat. The thickness of the dermis is approximate and depends on the location of the incision, its characteristics or the degree of tension of the skin and dermis; - Needles are inserted, moving them through all layers of the skin (epidermis, dermis itself and subcutaneous tissue) and fixed on top with suture needles. It is not forbidden to inject needles directly through skin punctures without crossing them;

In this case, the needles must move straight along the indicated line and eventually reach the aponeurosis, i.e. tendons and muscles. It is also correct to move them along the skin grooves that run along the fascia. The fibrous structures of the human body should not be an obstacle to the movement of the thread, but limiting it within a given anatomical structure. After they pass through the corresponding sections of tissue, several knots are made to hold the thread more firmly;

If the tissues are not deep enough and the instruments have to be inserted to a greater depth than necessary, they are inserted and pulled out repeatedly with a gradual weakening of the tension of the threads to the desired level. With a slight change in the depth of insertion of the needle, the direction and trajectory of the instrument often change.