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Surgical defects of the face and lower extremity provide unique reconstructive challenges because of the highly visible site and limited local tissue supply.1 Aesthetic reconstructive options are scarce when a patient declines a flap or graft. As previously published, the use of a novel suture retention device (SRD) (SUTUREGARD; SUTUREGARD Medical, Portland, OR) may provide stress-relaxation of wounds and tissue expansion in a timely manner using percutaneous simple interrupted sutures.2 Using subcuticular sutures along with the SRD may circumvent factors that lead to the formation of suture marks, which include high wound tension and epidermal puncture wounds.3 We present 2 cases of facial defects and 1 case of a lower extremity defect after Mohs micrographic surgery (MMS) that were closed with a completely punctureless technique using the novel SRD.

The use of a suture retention device with punctureless technique for rapid tissue expansion in facial and lower extremity wounds