Replacing External Stitches for Surgical Closures MDS Protocol

Applying Miracle Dressing Wound Care System (MDS)

Recommended for the replacement of external superficial stitches after an excision wound has been closed with deep stitches. MDS eliminates railroad track scars.

Miracle Dressing Wound Care System Kit Includes

  • Miracle Dressing (MD) in pre-cut strips. With water contact, the pore design allows cleaning of the wound including the removal of blood and exudate.
  • Agglutinant
  • Humectant: Miracle of the Sea® Aloe Vera Gel with Natural Marine Extract
  • Cotton tipped swabs

There are single use and multi-use kits.

Miracle Dressing is an FDA Class I medical device which has been shown to help heal and protect surgical closures Miracle Dressing should not be removed prematurely.

MDS Application

    1. After excising the lesion and undermining the surrounding skin, deep absorbable sutures creating slight hyper eversion.
    2. Place agglutinant over and around the closed wound at least 1cm beyond the size of the Miracle Dressing.
    3. Cut the Miracle Dressing to fit over the skin with agglutinant.
    4. Pull on the small tab on the upper right corner of the MD paper backing to easily remove each Miracle Dressing strip from the backing before placing on skin. If there is no longer a tab, remove Miracle Dressing (MD) from its backing by attaching a piece of Scotch Tape (or other tape) onto the corner skin-colored MD and lifting away from the backing.
    5. Place the Miracle Dressing (MD) over the wound and at least 3cm around the peripheral skin.
    6. Clean any excess peripheral agglutinant with alcohol on a gauze pad.
    7. Pat down all the edges of the dressing for one minute

    Post Operative Instructions for the Patient

    1. At least once or twice a day, immerse the Miracle Dressing with water (shower, saturated gauze or wash cloth compresses). Blot the Miracle Dressing dry after water immersion and then:Apply Miracle of The Sea Aloe Vera Gel with 2% Natural Marine Extract after every water immersion or at least twice a day.
      Spread a small amount of Aloe Vera Gel onto the Miracle Dressing and allow it to be absorbed into the wound and the surrounding skin through the Miracle Dressing.

      If you are also applying an antibiotic ointment use only after the Aloe Vera Gel. Please use this sparingly so as not to clog the Miracle Dressing’s pores. Use 1/8 of pea size – and only over the wound area.

    2. If there is excessive oozing, a damp absorbent pad or gauze can be placed over the Miracle Dressing to collect it. The drying action of this gauze will pull excess exudate away from the wound. If the wound is only oozing slightly, apply dry gauze only when needed to protect clothing or bedsheets.
    3. MDS is designed to fall off on its own in 21-28 days. After which, use the Miracle of the Sea with 2% NME once or twice a day for at least one month.
    4. Do not remove Miracle Dressing unless there is severe pain, redness and swelling. To remove, place a gauze soaked with isopropyl alcohol over the portion of the MD that is surrounding the wound for 5 minutes and carefully remove, starting from the edges.


    Unopened kits can be stored flat.
    Keep in temperature less than 75°f.
    Can also be refrigerated but it is not necessary.

    Precautions / Allergens

    Do not use around the eyes or lips. Avoid contact with eyes either directly or indirectly from fingers.

    The safety of Miracle of the Sea Aloe Vera Gel with Natural Marine Extract has not been determined in patients with seafood allergies. Stop using if you experience an allergic reaction.

    Miracle Dressing™ is a § 880.5240 medical device and an exempted class I device as defined in 21 CFR Parts 862-8928 and is manufactured in an FDA registered establishment in compliance therein.

    Miracle Dressing™ is being protected by one or more pending or issued patents.

For information about applying to joints, see this page.

For monitoring and measuring wound healing process with Miracle Dressing, see this page.

For more about Surgical Closures, see this page.

Healthier skin leads to better surgery results, for pre and post surgery protocols, see this page.

For protocols by condition, see this page.