Skin Grafts

Two Broad Types

1. Full thickness
= epidermis + dermis (all of it)
Note!
Don't include fat

2. Partial ("split") thickness
= epidermis + part of dermis
And, again: no fat!

Skin Closure after Surgical Excision of Skin Lesion

Techniques to consider in order of preference (a guide only):
Most common technique
= primary closure
[Don't forget secondary closure - not 2nd on list, but not to be forgotten]
Then
- skin graft (split/not full thickness)
Flaps
- advancement
- rotational
- transformational
Finally
- skin graft (full thickness)

Dry Skin May Only Require Hydration with Emollients rather than Topical C.steroids

Dry skin is not necessarily inflamed

Emollients (good [greasy] ones) are essential and may be all that is required

However, [appropriately potent] topical c.steroid should be available