When is a full-thickness skin graft (FTSG) used?

Stuart A. Linder, MD
Plastic Surgery

The full-thickness skin grafts are used for facial and hand defects. In order to improve both color match and reduce contraction, FTSG may be used including the epidermis and the entire dermis. For large tissue loss regions, full thickness skin grafts may be applied with sutures to secure the graft. The donor sites are often closed primarily. The thicker the graft, the greater the color match on the head and neck region. For hand surgery, FTSG yield better results with significantly less contraction. This is vital for flexion and extension of the joints. 

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