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Novafil (Polybutester)
Novafil (Polybutester)
This is a very well-handling suture material that also provides significant elasticity. While not as widely used as some other materials, it provides excellent pliability, while the elasticity may be helpful in areas where significant wound edema is anticipated, as it will accommodate tissue swelling while maintaining wound-edge apposition.
Silk This is the most highly reactive of the nonabsorbable sutures. It also, however, is the gold standard for suture material handling. Its natural softness makes it useful in closures along the lips, where synthetic suture has a tendency to poke against the delicate tissues. Its reactivity, however, makes it less useful on a daily basis for most other surgical sites.