Retention Suture Pattern 2.

Retention Suture Pattern 2.
Close up of the location of the four entry and exit sites of the needle at the junction of the vulvar lips and the skin [at the hair line for greatest strength]. Pattern for a left handed surgeon: lower left to upper right, then upper left to lower right; for a right handed surgeon: lower right to upper left, the upper right to lower left.

Drost M (2011)