Soft Tissue

The important message in the management of facial soft tissue injuries is to clean the wound of all debris - a clean toothbrush is often very useful.

What are you trying to achieve with your management of soft tissue injuries?

  • Optimal healing with minimal aesthetic or functional deficit
  • Avoid worsening the situation
  • Repair of damaged tissue
  • Minimal scarring

Principles of management of facial injuries:

Assess for other injuries

  • Primary survey
  • Secondary survey

Clean the wound

  • Clean thoroughly with saline as dirty wounds may tattoo permanently


  • May be difficult and a pen-held diathermy may be useful.
  • The “clip and tie “method may be used with a resorbable suture material

Local or regional anaesthesia

Close wound

  • Sutures, staples, would closure adhesive strips or glue