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Gould often uses longer-lasting sutures (called non-barbed polydioxanone, or PDS) that absorb after three months instead of a few weeks like standard sutures, allowing delicate tissues the time they need to regenerate and strengthen naturally, he explains, ultimately leading to better results. Reinforcing these with an external nylon suture, which stays in for 7 to 10 days, everts the edges of the incision, so theyre raised up and sitting next to each other, he says