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</div><div><span>Skin graft</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Skin graft</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>A skin graft is a patch of skin that is removed by surgery from one area of the body and transplanted, or attached, to another area.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Description</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>This surgery is usually done while you are under <a test="test" href="./007410.htm">general anesthesia</a>. That means you will be asleep and pain-free.</p><p>Healthy skin is taken from a place on your body called the donor site. Most people who are having a skin graft have a split-thickness skin graft. This takes the two top layers of skin from the donor site (the epidermis) and the layer under the epidermis (the dermis).</p><p>The donor site can be any area of the body. Most times, it is an area that is hidden by clothes, such as the buttock or inner thigh.</p><p>The graft is carefully spread on the bare area where it is being transplanted. It is held in place either by gentle pressure from a well-padded dressing that covers it, or by staples or a few small stitches. The donor-site area is covered with a sterile dressing for 3 to 5 days.</p><p>People with deeper tissue loss may need a full-thickness skin graft. This requires the entire thickness of skin from the donor site, not just the top two layers.</p><p>A full-thickness skin graft is a more complicated procedure. Common donor sites for full-thickness skin grafts include the chest wall, neck, back, or abdominal wall.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Procedure is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Skin grafts may be recommended for:</p><ul><li>Areas where there has been infection that caused a large amount of skin loss</li><li><a test="test" href="./000030.htm">Burns</a></li><li>Cosmetic reasons or reconstructive surgeries where there has been skin damage or skin loss</li><li>Skin cancer surgery</li><li>Surgeries that need skin grafts to heal</li><li>Venous ulcers, <a test="test" href="../patientinstructions/000740.htm">pressure ulcers</a>, or diabetic ulcers that do not heal</li><li>Very large wounds</li><li>A wound that the surgeon has not been able to close properly </li></ul><p>Full-thickness grafts are done when a lot of tissue is lost. This can happen with open fractures of the lower leg, or after severe infections.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Risks for anesthesia and surgery in general are:</p><ul><li>Allergic reactions to medicines</li><li><a test="test" href="./003075.htm">Problems with breathing</a></li><li>Bleeding, blood clots, or infection</li></ul><p>Risks for this surgery are:</p><ul><li><a test="test" href="./000045.htm">Bleeding</a></li><li>Chronic pain (rarely)</li><li>Infection</li><li>Loss of grafted skin (the graft not healing, or the graft healing slowly)</li><li>Reduced or lost skin sensation, or increased sensitivity</li><li>Scarring</li><li>Skin discoloration</li><li>Uneven skin surface </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Before the Procedure</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Tell your surgeon or nurse:</p><ul><li>What medicines you are taking, even medicines or herbs you bought without a prescription.</li><li>If you have been drinking a lot of alcohol.</li></ul><p>During the days before surgery:</p><ul><li>You may be asked to stop taking medicines that make it hard for your blood to clot. These include aspirin, ibuprofen, warfarin (Coumadin), and others. </li><li>Ask your surgeon which medicines you should still take on the day of your surgery.</li><li>If you smoke, try to stop. Smoking increases your chance of problems such as slow healing. Ask your health care provider for help quitting.</li></ul><p>On the day of the surgery:</p><ul><li>Follow instructions about when to stop eating and drinking.</li><li>Take the medicines your surgeon told you to take with a small sip of water.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>After the Procedure</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>You should recover quickly after split-thickness skin grafting. Full-thickness grafts need a longer recovery time. If you received this kind of graft, you may need to stay in the hospital for recovery.</p><p>After you are discharged from the hospital, follow instructions on how to care for your skin graft, including:</p><ul><li>Wearing a dressing for 1 to 2 weeks. Ask your provider how you should care for the dressing, such as protecting it from getting wet.</li><li>Protecting the graft from trauma for 3 to 4 weeks. This includes avoiding being hit or doing any exercise that might injure or dislodge the graft.</li><li>Getting physical therapy, if your surgeon recommends it. </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Most skin grafts are successful, but some do not heal well. You may need a second graft.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Skin transplant; Skin autografting; FTSG; STSG; Split thickness skin graft; Full thickness skin graft</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Patient Instructions</h2></div><div class="section-button"><button type="submit" aria-controls="section-carepnt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div name="Patient Instructions" class="section-body" id="section-carepnt"><ul class="side-nav"><li><a href="../patientinstructions/000147.htm">Preventing pressure ulcers</a></li>
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<li><a href="../patientinstructions/000040.htm">Surgical wound care - open</a></li>
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</ul></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19083t.jpg" alt="Skin graft" title="Skin graft" class="side-img"/><a href="../imagepages/19083.htm">Skin graft</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/8912t.jpg" alt="Skin layers" title="Skin layers" class="side-img"/><a href="../imagepages/8912.htm">Skin layers</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/10303t.jpg" alt="Skin graft - series" title="Skin graft - series" class="side-img"/><a href="../presentations/100100_1.htm">Skin graft - series</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Padilla PL, Khoo KH, Ho T, Cole EL, Sirvent RZ, Phillips LG. Plastic surgery. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. <em>Sabiston Textbook of Surgery</em>. 21st ed. St Louis, MO: Elsevier; 2022:chap 69.</p><p>Ratner D, Nayyar PM. Grafts, In: Bolognia JL, Schaffer JV, Cerroni L, eds. <em>Dermatology</em>. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 148.</p><p>Scherer-Pietramaggiori SS, Pietramaggiori G, Orgill DP. Skin graft. In: Gurtner GC, Neligan PC, eds. <em>Plastic Surgery, Volume 1: Principles</em>. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 15.</p></div></div></section>
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