 The wounds were then closed in layers using 4-0 Vicryl suture for the platysma muscle, 4-0 Vicryl suture for the subcutaneous tissue, and 4-0 Vicryl suture in a subcuticular skin closure. 
The wounds were then closed in layers using 4 - 0 Vicryl suture for the platysma muscle , 4 - 0 Vicryl suture for the subcutaneous tissue , and 4 - 0 Vicryl suture in a subcuticular skin closure .