Face Laceration (Skin Cut)

Description

Facial lacerations can be simple or complex. Complex lacerations can involve loss of tissue and may require plastic surgery repair. Lacerations that extend perpendicular to the normal lines of expression leave more noticeable scars and require meticulous closures. Facial drooping is present if underlying nerves are injured.

Symptoms

Lacerations of the face, facial drooping.

Tests

A history and physical exam will be performed. The wound will be explored.

Treatment

Sutures to repair the laceration. To reduce scar formation some facial lacerations require a 2 layer closure with deep absorbable sutures placed first, then skin sutures. Facial lacerations should be repaired within 24 hours to prevent infection, with 12 hours being ideal. While waiting for treatment the laceration can be cleaned with running water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. If the bleeding is profuse consider calling 911. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound.

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