Two-level closure over a hemovac drain is standard. An absorbable stitch is used for apposition of subcutaneous tissue. Soft-tissue closure should be carefully performed so that there is advancement of the flap. There should be no excessive tension on the distal corner of the incision.
An interrupted Allgöwer-Donati stitch is used to close the skin.
Skin should be apposed and not strangulated.