Fig. 140.5 (A) To prevent inadvertent runoff of the Dermabond adhesive, position the wound in a horizontal plane. Manually approximate the wound edges with forceps or gloved fingers. Use gentle brushing strokes to apply a thin film of liquid to the approximated wound edges, and maintain proper eversion of skin edges as you apply Dermabond adhesive. The adhesive should extend at least ½ cm on each side of the apposed wound edges. Apply Dermabond adhesive from above the wound. (B) Gradually build up three or four thin layers of adhesive. Ensure that the adhesive is evenly distributed over the wound. Maintain approximation of the wound edges until the adhesive sets and forms a flexible film. This should occur about 1 minute after applying the last layer.