You are seeing a 4 year old with a deep cheek laceration with irregular margins, under some tension. The parents express concerns about scarring, and they are also concerned that their child will definitely not be able to stay still for repair or for suture removal. Plastic surgery is unavailable, and the parents are amenable to having you repair the laceration with procedural sedation.

Forheadlac (Source: Closing the Gap

How would you manage this deep cheek lac to decrease risk of poor cosmesis?

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