By Charles Thorne; William C Grabb; James W Smith
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Thus, the number of split-thickness skin grafts harvested from a donor site is directly dependent on the donor dermis thickness. Full-thickness skin graft donor sites must be closed primarily because there are no remaining epithelial structures to provide re-epithelialization. Skin grafts can be taken from anywhere on the body, although the color, texture, thickness of the dermis, vascularity, and donor site morbidity of body locations vary considerably. Skin grafts taken from above the clavicles provide a superior color match for defects of the face.
B: Backcut. C: BÃ¼row's triangle. Finally, a flap may be chosen because the aesthetic result will be superior. For example, a nasal defect from a skin cancer could be closed with a skin graft, leaving a visible patch. A local skin flap may require incisions in the adjacent nasal tissue, but may be aesthetically preferable in the long-term. There is no better tissue to replace nasal tissue than nasal tissue. Replace like with like. A skin flap consists of skin and subcutaneous tissue that are transferred from one part of the body to another with a vascular pedicle or attachment to the body being maintained for nourishment.
3). Elliptical excision of inadequate length may yield â dog-ears,â which consist of excess skin and subcutaneous fat at the end of a closure. 4. Dog-ears are the bane of plastic surgical existence and one must be facile with their elimination. Dog-ears do not disappear on their own. Wedge Excision Lesions located at or adjacent to free margins can be excised by wedge excision. In some elderly patients, one third of the lower lip and one fourth of the upper lip can be excised with primary closure (Fig.
Grabb and Smith's plastic surgery by Charles Thorne; William C Grabb; James W Smith