What are some types of cosmetic surgery for wounds?

Stuart A. Linder, MD
Plastic Surgery
Types of cosmetic surgery for wounds include secondary intention, debridement and advancement flap closure, skin grafts, use of tissue expanders , and flap reconstruction. The least invasive procedure involves wet to dry dressing changes followed by direct wound closure once there is granulation tissue and reduced necrotic tissue. Skin grafts may include partial or full thickness grafts depending on the body area or face to match the tissue and surrounding skin. Tissue expanders may be placed to recruit skin and then remove after 6-8 weeks and advance the new tissue and skin. Flap reconstruction introduces new tissue with a pedicle and blood supply to the clean wound. Finally microvascular flap reconstruction is the most intricate wound closure requiring the use of a microscope and anastamosis of both arterial and venous supply to recipient vessels close to the wound.

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