mattress suture

This can be achieved with simple or vertical mattress sutures using a non-absorbable material, which are subsequently removed at around days 7-10.

The advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers, and also allows perfect eversion and vertical opposition of the superficial skin edges.

Overall, the propensity of the vertical mattress suture to create railroad marks limits its use in cosmetically sensitive areas, such as the face, and it remains imperative to remove it as early as possible when it is used elsewhere on the body.

The surgeon emplaces mattress sutures from the scapha and the triangular fossa, or both, to the concha (as described by Mustarde), and is tied with sufficient tension to increase the definition of the antihelical fold, thereby setting back the helical rim and the scapha.