Indications There are several indications for using subcuticular sutures: Cosmetic wound closure, for clean, straight lacerations ≤ 6 cm long and under no tension Patients prone to keloid formation Problematic suture removal (eg, wounds beneath casts) Young children (who may be frightened and unable to cooperate with suture removal and in whom scar formation with percutaneous sutures is more likely than in older patients) Patients unlikely to follow up on time for suture removal Contraindications Absolute contraindications None Relative contraindications Wounds that are irregular or have ragged edges Wounds under marked tension Wounds > 6 cm in length Sometimes, excision and undermining techniques can render a ragged wound suitable for continuous subcuticular closure.