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In a major injury, if epithelial cell migration and tissue contraction cannot cover the wound, suturing the edges of the injured skin together, or even replacement of lost skin with skin grafts, may be required to restore the skin. As epithelial cells continue to migrate around the scab, the dermis is repaired by the activity of stem cells.
The skin graft is sutured to the edges of the defect, and a bolster dressing is placed atop the graft for seven to ten days, to immobilize the graft as it heals in place. There are two forms of skin grafting: split thickness and full thickness. In a split thickness skin graft, a shaver is used to shave a layer of skin from the abdomen or thigh.
The transplanted tissue is called a skin graft. [1] Surgeons may use skin grafting to treat: extensive wounding or trauma; burns; areas of extensive skin loss due to infection such as necrotizing fasciitis or purpura fulminans [2] specific surgeries that may require skin grafts for healing to occur – most commonly removal of skin cancers
However a skin graft is esthetically inferior and will always look like a shiny, irregularly pigmented, mismatched piece of skin. Alternatively, secondary placement of a tissue expander in the forehead can be used to correct the eyebrow malposition and to excise the skin graft and primarily close the forehead defect.
This way the radiation source can be applied to complex locations and minimize radiation to healthy tissue. [57] After removal of the cancer, closure of the skin for patients with a decreased amount of skin laxity involves a split-thickness skin graft. A donor site is chosen and enough skin is removed so that the donor site can heal on its own.
Skin expansion is a common surgical procedure to grow extra skin through controlled mechanical overstretch. It creates skin that matches the color, texture, and thickness of the surrounding tissue, while minimizing scars and risk of rejection. [1] When skin is stretched beyond its physiological limit, mechanotransduction pathways
The exact mechanism of action of silicone gel sheeting has not been fully studied. Currently, many proposed mechanisms explain the efficacy of such treatment, including the occlusion and hydration effect, increased body surface temperature, polarized electric charge, immunological effects, etc. [9] The occlusion and hydration effect is the most studied mechanism of action.
Stem cell fat grafting is the autotransplantation of adipose-derived stem cells (ADSCs) extracted from fat-abundant donor sites (e.g. thigh or stomach) to other areas such as the face, breast, and hip to reconstruct the operative areas into desirable shapes. [1]