Knotless, Layered, Single-Suture Skin and Scalp Closure

Scalp wounds, either the result of lacerations or of medical treatment (as with hair transplantation or other cranial surgery), present unique surgical challenges. Optimizing the aesthetic result requires balancing considerations of closure technique, suture material, and tissue characteristics while not violating the tissue’s hair-bearing functions. Suboptimal selection can lead to compromised results manifested by infection, scarring, trauma-induced alopecia, and even dehiscence.