Butterfly closures and Steri-Strips
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- Nexcare Steri-Strip Wound Closure. Best for: Small, clean cuts with edges that meet. See options on Amazon
- Sterile butterfly wound closure strips. Best for: Stocking a home first aid kit. See options on Amazon
Does this cut need stitches instead?
Closure strips are for minor cuts with edges that come together easily. MedlinePlus says to contact your health care provider right away if:
- The wound is large or deep, even if bleeding is not severe.
- It is more than a quarter inch deep, on the face, or reaching the bone; stitches may be needed.
- It came from a human or animal bite, a fishhook or a rusty object, or you stepped on a nail.
- Something is stuck in the wound; do not remove it yourself.
- It shows infection signs such as warmth, redness, throbbing pain, fever, swelling, a red streak or pus-like drainage.
Call 911 if bleeding is severe or cannot be stopped, for example after 10 minutes of pressure, or if the person cannot feel the injured area.
Which cuts closure strips suit
| Wound | Closure strips? | Source |
|---|---|---|
| Small, clean cut, bleeding controlled | Yes, on clean dry skin | Solventum |
| Surgical incision or after stitches or staples come out | Yes, for support, as directed | Solventum |
| More than a quarter inch deep, on the face, or to bone | See a provider; stitches may be needed | MedlinePlus |
| Bite, fishhook, rusty object or nail | See a provider right away | MedlinePlus |
| Debris stuck in the wound | Do not remove it; see a provider | MedlinePlus |
Solventum describes its Steri-Strip closures as sterile, breathable adhesive strips reinforced with filaments, for lacerations and surgical incisions, and for support with or after skin sutures and staples. Butterfly closures sold for home kits serve the same purpose for minor cuts.
How to apply closure strips
- Stop the bleeding and clean. Solventum says strips adhere best to clean, dry skin; bleeding should be under control. Mayo Clinic advises rinsing the wound under running water and washing around it with soap.
- Dry a wide area. Clean and dry the skin at least two inches (50 mm) around the wound.
- First strip in the center. Place it across the middle of the wound, bringing the edges together without excessive tension.
- Fill in. Add strips about 1/8 inch (3 mm) apart until the edges meet.
- Press firmly on each strip so the adhesive bonds.
Solventum also says to apply strips to skin free of chemicals and to avoid chemicals designed to increase adhesion.
Avoiding problems
Avoid excessive tension when placing strips, as Solventum directs. For fragile skin, Solventum mentions a no-sting barrier film applied and allowed to dry before the strips go on, and it says a clipper should be used if hair needs to be removed first. Watch the area for swelling or blistering.
Do not use closure strips on wounds that need stitches, on bites, or on wounds with debris in them. Before closing a cut, Mayo Clinic says to remove dirt or debris with tweezers cleaned with alcohol, and to avoid hydrogen peroxide or iodine, which can irritate wounds. Cover the strips if they need protection; see our gauze pads guide and medical tape guide.
Showering and removal
Solventum says that, unless your provider says otherwise, you may shower after strips are applied, then pat the area dry. Timing of removal is up to your health care provider.
To remove them, Solventum advises going low and slow toward the center of the wound while supporting the skin, to reduce the risk of skin stripping.
Tetanus and follow-up
MedlinePlus says to contact your provider if you have not had a tetanus shot within the last 10 years, and Mayo Clinic says a tetanus shot is needed if it has been more than five years and the wound is deep or dirty. Watch the wound daily for infection signs, and keep spare strips in your first aid kit alongside adhesive bandages.
MedlinePlus also suggests prevention at home: keep knives, scissors and other sharp objects out of children's reach, teach older children to use tools safely, and keep vaccinations up to date, since a tetanus vaccine is generally recommended every 10 years.
What to look for when you buy
Nexcare Steri-Strip Wound Closure
Best for: Small, clean cuts with edges that meet
Steri-Strip closures are sterile, breathable strips reinforced with filaments, per Solventum.
Watch out: Apply without tension; see a provider for deep or facial cuts.
See options on AmazonSterile butterfly wound closure strips
Best for: Stocking a home first aid kit
Individually sterile strips keep a closure option ready for minor cuts.
Watch out: Clean and dry the skin well before applying.
See options on AmazonQuestions people ask
- When should I use butterfly closures instead of stitches?
- Only for minor cuts; MedlinePlus says deep, large, facial or bone-deep wounds may need stitches.
- How do you apply a butterfly closure?
- Clean and dry the skin, place the first strip across the center without tension, then add strips about 1/8 inch apart.
- Can I shower with Steri-Strips?
- Solventum says yes unless your provider says otherwise; pat dry after.
- How do I remove Steri-Strips?
- Low and slow toward the center of the wound while supporting the skin.
- Should I see a doctor for a cut from a rusty nail?
- Yes. MedlinePlus lists rusty objects and stepping on a nail as reasons to contact a provider right away.
Sources
- Steri-Strip Adhesive Skin Closures (solventum.com), Solventum
- 3M Steri-Strip Reinforced Adhesive Skin Closures (solventum.com), Solventum
- Cuts and puncture wounds (medlineplus.gov), MedlinePlus, U.S. National Library of Medicine
- Cuts and scrapes: First aid (mayoclinic.org), Mayo Clinic