Abstract

Different modalities of treatment have been used for facial resurfacing like excision and reconstruction, skin grafting spilt thickness or full thickness etc. Present study was aimed to study full thickness skin grafts for facial resurfacing at a super-specialty hospital. Material and Methods: Present study was case record based, retrospective study, conducted in patients underwent full thickness skin grafts for facial resurfacing at our hospital were analysed. Results: In present study, 14 cases underwent facial resurfacing at our hospital were studied. Majority cases were from less than 30 years age group (66.67 %) & female (86.67 %). Common etiology was burns scar (46.67 %), congenital pigmented nevus (20 %), basal cell carcinoma (13.33 %), xeroderma pigmentosa with multiple basal cell carcinoma (6.67 %), post traumatic (6.67 %) & post infective (6.67 %). Majority cases underwent resurfacing for forehead/chin/cheek/eyelid aesthetic unit area grafting. Common donor site area was from groin, postauricular & thigh region. Complications noted among recipients were CPN remnant at the forehead (4.35 %), Lower lid ectropion (4.35 %) & 1 x 0.5 cm marginal graft loss (4.35 %). While in donors were right groin stretching (4.35 %) & stretching (4.35 %). Total grafts were done at 23 sites. We noted results at 6 months follow up, as per patient’s evaluation, colour match was good (52.17 %) & fair (39.13 %) in majority of cases., texture match was good (52.17 %) & fair (39.13 %) majority of cases. At junctional area, hypopigmentation (60.87 %) & stretching (17.39 %) was noted in majority of cases. Conclusion: Full thickness skin grafts for facial resurfacing gives the most satisfactory results when an entire facial aesthetic unit is resurfaced with full thickness skin grafts

Description