Frequently Asked Questions
Can Steri-Strips be used instead of sutures, or only in addition to them?
Both. For minor, superficial, low-tension wounds where the edges approximate cleanly without any gap — small lacerations, paper cuts, minor surgical incisions in low-movement areas — Steri-Strips can be the sole closure method without sutures. For deeper wounds where subcutaneous or dermal sutures have been placed to close dead space and approximate deeper layers, Steri-Strips are then applied to the surface as the epidermal closure, replacing the need for skin sutures entirely in many cases. They are also used after suture or staple removal to hold the scar line while remodelling continues — the most common "secondary" use in surgical ward settings.
How do Steri-Strips reduce the risk of wound infection compared to sutures?
Every suture or staple requires puncturing the skin to place the stitch — each entry point creates a small channel connecting the surface (which is never truly sterile) to the tissue below. Bacterial colonisation along suture tracks is a well-recognised source of superficial wound infection, and the longer sutures remain in situ, the greater the cumulative risk. Steri-Strips achieve closure entirely at the skin surface without making any new holes. The microporous backing also allows water vapour and oxygen to pass through, maintaining a wound environment that is less hospitable to anaerobic organisms. When used to facilitate early suture removal (typically 3–5 days earlier than standard), they further reduce the window of exposure to track-related contamination.
We have a patient with fragile skin from long-term steroid use. Are Steri-Strips safe to use?
Steri-Strip closures should be used with caution on fragile, atrophic, or steroid-thinned skin. The adhesive itself is hypoallergenic and pressure-sensitive — it does not require aggressive pulling to remove — but even the removal of a low-tack adhesive from paper-thin skin can cause epidermal stripping if the strip is pulled too quickly or at an acute angle. On fragile skin, removal is best performed by dampening the strip thoroughly with sterile water or saline for 1–2 minutes before peeling very slowly from one end, keeping the strip as parallel to the skin surface as possible. Placing the strip further from the wound margin — where skin quality may be slightly better — also reduces the risk of adhesive-related epidermal damage on removal.
