Skin Tear (Skin Avulsion)

A skin avulsion is a tearing of the top layer of skin. This commonly happens after a fall or other injury. It also tends to be more common in older people, or those taking blood thinners or steroids for long periods of time.

Home care

These guidelines will help you care for your wound at home:

  • Keep the wound clean and dry for the first 24 to 48 hours, or as your healthcare provider advises.

  • If there is a dressing or bandage, change it when it gets wet or dirty. Otherwise, leave it on for the first 24 hours, then change it once a day or as often as the doctor says.

  • If stitches or staples were used, check the wound every day.

  • After taking off the dressing, wash the area gently with soap and water. Clean as close to the stitches as you can. Avoid washing or rubbing the stitches directly.

  • After 3 days you can keep the bandages off the wound, unless told otherwise, or there is continued drainage.  Allow the wound to be open to the air.

  • Keep a thin layer of antibiotic ointment on the cut. This will keep the wound clean, make it easier to remove the stitches, and reduce scarring.

  • If your wound is oozing, you can put a nonstick dressing over it. Then, reapply the bandage or dressing as you were told.

  • You can shower as usual after the first 24 hours, but don't soak the area in water (no baths or swimming) until the stitches or staples are taken out.

  • If surgical tape was used, keep the area clean and dry. If it becomes wet, blot it dry with a clean towel.

  • If skin glue was used, don't put any creams, lotions, or antibiotic ointments on it. These can dissolve the glue. Usually the glue will flake off in about 5 to 10 days by itself. Try to resist picking it off before that so the wound doesn't open up. When it gets wet, pat it dry.

Here is some information about medicine:

  • You may use over-the-counter medicine such as acetaminophen or ibuprofen to control pain, unless another pain medicine was given. If you have chronic liver or kidney disease or ever had a stomach ulcer or gastrointestinal bleeding, talk with your doctor before using these medicines.

  • If you were given antibiotics, take them until they are all used up. It is important to finish the antibiotics even if the wound looks better. This will ensure that the infection has cleared.

Follow-up care

Follow up with your healthcare provider, or as advised.

  • Watch for any signs of infection, such as increasing redness, swelling, or pus coming out. If this happens, don't wait for your scheduled visit. Instead, see a doctor sooner.

  • Stitches or staples are usually taken out within 5 to 14 days. This varies depending on what part of your body they are on, and the type of wound. The doctor will tell you how long stitches should be left in. 

  • If surgical tape was used, it is usually left on for 7 to 10 days. You can remove surgical tape after that unless you were told otherwise. If you try to remove it, and it is too hard, soaking can help. Surgical tape strips will eventually fall off on their own. If the edges of the cut pull apart, stop removing the tape or strips and follow up with your doctor

  • As mentioned above, skin glue will flake off by itself in 5 to 10 days, so you don't need to pull it off.

If any X-rays were done, you will be notified of any changes that may affect your care.

When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • Increasing pain in the wound

  • Redness, swelling, or pus coming from the wound

  • Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider

  • Sutures or staples come apart or fall out before your next appointment and the wound edges look as if they will re-open

  • Surgical tape closures fall off before 7 days, and the wound edges look as if they will re-open

  • Bleeding not controlled by direct pressure

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© 2000-2018 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.