How are sutures typically tied?

Sutures are typically tied on the facial surface for a few key reasons. First, tying sutures on the facial surface allows for better accessibility and visibility for the clinician, enabling them to ensure that the knot is secure and the tension is appropriately distributed. When sutures are placed on the facial surface, they can be better monitored during healing to assess for any issues, such as infection or dehiscence.

Additionally, while the knot may be placed on the facial surface, it is usually tied in such a way that minimal scarring occurs. This is particularly important in facial surgeries where cosmetic outcomes are a significant concern. Thus, while the knot itself may be visible on the facial surface, techniques are employed to ensure that the sutures do not disrupt the natural contour of the skin or create excessive scarring.

Other options refer to different locations that may not be standard practices for tying sutures. For instance, tying sutures under the tissue, while sometimes utilized for internal stitches, does not apply to standard facial suturing techniques where visibility is crucial. Similarly, placing knots laterally or above the incision line does not generally provide the necessary support or aesthetic consideration required for facial sutures. Ensuring the knot is on the facial surface balances visibility, security