Abstract

Free skin grafts are pieces of skin of variable thickness and size that are completely detached from their origin (donor site) to cover a defect (recipient site). Grafts for soft tissue reconstruction can be divided into four types: full-thickness skin grafts, split-thickness skin grafts, composite grafts, and free cartilage grafts. Knowledge of the indications, techniques, donor site considerations, and complications of all types of skin grafting is invaluable for the dermatologic surgeon who performs soft tissue reconstruction on a regular basis. With proper defect assessment, reconstructive planning, and attention to detail pre-, intra-, and postoperatively, optimal cosmetic and functional results using skin grafting techniques can be achieved.

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