title: The crisscross tie-over tacking suture revisited.
abstract: BACKGROUND
  Deep pexing or tacking sutures can be useful in certain situations encountered in dermatologic surgery when surface concavities require recreation.
  
  
  OBJECTIVE
  To examine and discuss some pexing suture techniques that have been described in the past and to outline alternatives.
  
  
  METHODS
  Pexing suture techniques are presented in a series of schematic diagrams that follow.
  
  
  RESULTS
  The crisscross tie-over tacking suture as described by Albertini is shown as well as a modification that theoretically lessens complication risk. The pexing buried vertical mattress suture is then presented.
  
  
  CONCLUSIONS
  The dermatologic surgeon may find pexing or deep tacking sutures helpful in selected cases.
authors.affiliation: Ochsner Clinic, Department of Dermatology, New Orleans, Louisiana 70121, USA.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Finley
mesh_terms: D003880:Dermatology / Q000379:methods; D006801:Humans; D013536:Suture Techniques