My kitten just got neutered today and he has been bad about trying to lick his incision. I put a cone on him but he is able to pull it off. How easily is he able to ruin his incisions?
He is on pain medication.
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It is best if your cat avoids licking the wound for a couple of weeks as it heals.
The chance for the incision to be infected is not large, but it is best to be sure it does not happen.
So you need to put the cone back on and a little tighter this time; where I live the vets do often avoid putting on a cone, but do send the cone home with the cat in case it is needed, and in your cat's case it is needed.
An incision like your cat has will heal quite fast, but this is dependent on your cat's age; if it is done on a kitten before maturity, it heals quicker than if it is an adult cat.
Here's an easy way to prevent kitten from licking sutures - put them in a human baby onesie. They do sell ones for kittens in pet stores, but you can do this on the cheap if you have an old, tight baby onesie. Just make sure the opening in the bottom is big enough for the tail, and if needed, just snip a hole with scissors.
Another option to buy or create one from a T-shirt is outlined in this answer by Zaralynda
yet another option is this one https://www.ebay.com/p/KRUUSE-Buster-Bodysuits-for-Cats-Outfit-XXS-13-5-in/2055897354?_trksid=p2047675.l2644