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

Aleia M. Boccardi, DO1; Robert J. Dabek, MD2; Lisa Gfrerer, MD, PhD3; Daniel N. Driscoll, MD, FACS4
1St. John’s Episcopal Hospital
2Massachusetts General Hospital
3Harvard Plastic Surgery Combined Residency Program
4Shriners Hospitals for Children - Boston

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