Abstract
Superficial cutaneous facial defects are occasionally repaired with skin grafts. Very young patients or patients in poor general health and with large skin defects are appropriate candidates for reconstruction with full-thickness skin grafts. Skin color and texture discrepancies between facial skin and skin grafts may result in an unnatural appearance. Elderly patients with thin facial skin, however, are likely to have an acceptable appearance after skin grafting. Split-thickness skin grafts are used only for large scalp defects or as a temporizing surgical stage. Composite grafts are most frequently used to repair small (1.5 cm or less) full-thickness defects of the nose or ear. Delaying reconstruction until secondary healing has occurred may result in a more successful survival of composite grafts.
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