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hello my name is Lauren Iamp;#39;m a plastic surgery registrar working in Yorkshire and today Iamp;#39;m going to be showing you how to remove a natural suture correctly here we have two mattress sutures one vertical and one horizontal when removing natural sutures it doesnamp;#39;t matter whether you are dealing with a vertical or horizontal suture the important thing to remember is that this part of the suture that has been sitting on top of the patientamp;#39;s skin for a couple of weeks is colonized and should not be dragged back through the wound that is clean to remove the suture begin by identifying this part if there is a lot of crusting clean the area with some saline to expose the suture and make it easier to lift takes you forceps underneath the suture as I show here this is often easier with a pair of twoamp;#39;s forceps you then once you divide each end of that part of the suture flush with the skin and holding the knot pull this back across the wound so that you are