Abstract
Denis F. Branson, MD, Fayetteville, NY is a board-certified plastic surgeon and an ASAPS member. Autodermal grafting is a nonresurfacing application of the CO2 laser. Autodermal grafts are either in situ or free. Free autodermal grafts can replace allografts, such as Gore-Tex (W.L. Gore, Flagstaff, AZ) and Alloderm (LifeCell Corporation, The Woodlands, TX) grafts. Like skin resurfacing, the technique described here uses the CO2 laser for char-free ablation. The difference is in the depth of ablation. Inadequate ablation may lead to posttreatment inclusion cysts. Figure 1. A , Preoperative view of a 63-year-old woman. B , Postoperative view 15 months after upper-lid blepharoplasty and free dermal graft to the lower eyelid. C , Laser-treated upper-eyelid skin. Arrows indicate laser-treated redundant eyelid skin. D , Free dermal graft is placed at lower-eyelid hollow. Deepithelialized free grafts are near-full-thickness skin grafts. Autodermal free grafts have been widely used for scar revision, treatment of traumatic tissue loss, …
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