Enhancing Aesthetic Outcomes Through Precise Application of Tissue Adhesive

Wound closure is essential for faster healing and better aesthetics. Tissue adhesives offer an effective alternative to sutures, staples, and strips, as they are easy to apply, eliminate suture removal, and reduce inflammatory reactions. However, improper use can cause scarring, dehiscence, and delayed healing. This study evaluated a novel application method to enhance precision and improve healing. Over 2 years, a single surgeon used the cube technique on 190 patients: (1) wounds without tension (65%), (2) wounds with tension and good edge approximation (33.7%), and (3) wounds with tension but poor edge approximation (1.6%). For tension-free wounds, small adhesive-soaked cotton cubes ensured optimal coverage. For wounds under tension, sutures were used to approximate edges before adhesive application, after which the sutures were removed. All patients reported high satisfaction (average rating: 9.5 of 10), with no complications such as infection or dehiscence. Tissue adhesives provided superior aesthetics by minimizing scarring and improving skin alignment. The cube technique enhanced application precision, reducing infection risks. This method is recommended for surgical wound closure.