Deep dermal suture

This demonstrates the placement of the deep dermal suture. Note that the deep dermal suture is placed as far away from the wound edge as possible to avoid compromise of blood flow to the wound. This demonstrates the exit of the deep dermal suture ends from the wound. Note that the order is loop, then the short non-needle bearing end of the suture, and then the long needle bearing end of the suture. I abbreviate this by saying loop-short-long, and this is the order in which they have to be arranged in order to properly tie the knot.