Wounds under moderate (but not marked) tension (instead of a layered closure) Contraindications Absolute contraindications Laceration of the face, palm, or sole, where a blind deep suture is contraindicated Relative contraindications Wounds under marked tension Wounds that may be contaminated or relatively old and would be at higher risk of infection if closed by sutures, such as small bites to hands or feet, puncture wounds, or high-velocity missile wounds.