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Split-Thickness Skin Graft, Permanent Pigment Transfer, and Fractional CO2 Laser Therapy

Daniel N. Driscoll, MD, FACS1; Lisa Gfrerer, MD, PhD2; Robert Dabek, MD3

1Shriners Hospitals for Children - Boston
2Harvard Plastic Surgery Combined Residency Program
3Massachusetts General Hospital

1. Introduction

2. Release Scar Contracture

3. Skin Graft Harvest

  1. Mark Patient
  2. Inject Local Anesthetic and Calibrate Electric Dermatome
  3. Prepare Skin
  4. Perform Harvest

4. Hemostasis

5. Skin Graft Inset

6. Graft Dressing and Wrap

7. Permanent Pigment Transfer

  1. Context
  2. Dermabrasion
  3. Harvest Skin Graft
  4. Place Skin Graft

8. Dress Wounds and Inject Additional Local Anesthetic

9. Discussion of Splint

10. Fractional CO2 Laser Resurfacing

11. Post-Op Remarks