title: Skin-fat composite grafts on full-thickness facial skin defects.
abstract: When used to cover facial skin defects, skin grafts and local flaps have limitations such as color mismatch, volume depletion, and long scar. We used skin-fat composite grafts harvested with enough fat tissue over the whole plane to cover full-thickness facial skin defects. This study enrolled 15 composite grafts, and the results were rated by 2 investigators on a scale of 1 to 5 based on skin texture, color, and volume. Skin color analysis using a spectrophotometer was performed on 9 grafts using the L*a*b* score. There were no major complications, but 1 partial loss. The clinical assessment score ranged from good to excellent. Color assessment using a spectrophotometer showed that there were no significant statistical differences in the L* and a* scores between the grafts and the adjacent skin. Skin and fat composite tissue grafts can be a good option for covering full-thickness facial skin defects.
authors: Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Yonsei University Health System, Severance Hospital, Seoul, Korea.
authors: Seung Gee
authors: SG
authors: Kwon
authors: Dong Won
authors: DW
authors: Lee
authors: Dong Kyun
authors: DK
authors: Rah
authors: Won Jai
authors: WJ
authors: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D064592:Autografts / Q000637:transplantation*; D002648:Child; D002675:Child, Preschool; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010781:Photography; D012189:Retrospective Studies; D012871:Skin Diseases / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013053:Spectrophotometry; D050151:Subcutaneous Fat / Q000637:transplantation*; D016896:Treatment Outcome; D055815:Young Adult