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Use a steristrip-suture combination approach. Apply steristrips to reapproximate the wound edges. Reinforce the steristrips with suture material, as demonstrated in the article's figure. The steristrips provide an artificial layer of "skin", which sutures can use to reapproximate the wound edges. While I haven't used the approach described in this article, I have, however, used steristrips positioned in parallel with the wound edge (rather than perpendicularly). Borrowing from the article's figure, I drew in the longitudinally-positioned steristrips to show how I've done it in the past. It works great. I don't use the perpendicular steristrips. I find that longitudinal steristrips provide even tensile strength along the wound edges. 
Reference Davis M, Nakhdjevani A, Lidder S. Suture/Steri-strip combination for the management of lacerations in thin-skinned individuals. J Emerg Med, 2011. 40(3), 322-3. PMID: 20880653 |
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How do you repair these lacerations?
Do you just slap a band-aid on it?