In fact, the so-called free removal of stitches, just means that the skin layer is not stitched. The biggest advantage is that it is free of stitches, less trips to the hospital, the rest is not helpful for any pain, or the recovery period, as for the protein thread or sheep intestine thread that we often talk about, in the field of cosmetic surgery was eliminated a long time ago. From a plastic surgeon’s point of view, I don’t like this kind of no-wire approach. For cosmetic surgeons, the most important thing is the aesthetics of the wound. For every wound we close, we have to sew at least three layers, doing deep fascial tissue sutures with dermal layer sutures and skin layer sutures, where the better the deeper the sutures, the less tension and the better the alignment, the smaller the scar. In the skin layer, we use 7-0 or even 8-0 sutures, which are thinner than a hair and are very time consuming and laborious, in order to have a finer alignment and better scar recovery and to reduce the chances of scar growth. If the sutures are free of removal, there are bound to be some differences in the alignment, and the post-operative scar may be more obvious, which is not in line with the original intention of cosmetic surgery. The scar growth period after surgery starts from about 20 days, so you must find a doctor for a review 20 to 30 days after surgery. If you are from out of town, you can also choose to have a face-to-face consultation by internet video or send photos to the doctor to check the condition of the scar, and if there is a hint of scar growth or if scar growth has already occurred, you must deal with it in time. Doctors have some sequential treatments for keloid growths and will take different approaches to minimize scarring depending on the situation at the time of the interview.