(click photo for larger view) At the other end of the wound, again pass the suture full thickness through the skin. Do not tighten the suture; it should lie loosely across the wound. If the wound is in the repair stage of healing with a good bed of contracting granulation tissue, do not disturb the skin’s attachment to the granulation tissue because, in this case, the suture is being used to enhance wound contraction. <Step 2 | Step 4>Step by Step Article