Modification of split-thickness skin graft: cosmetic donor site and better recipient site.

The author reports an alternative method of caring for the donor sites of split-thickness skin graft that involves the immediate return of superficial thin-layer split skin graft to the donor sites while using the deep split-thickness skin graft for replacement over the defects. The proposed method would decrease the morbidity associated with other established techniques of donor site management, including prolonged healing time, fluid loss, discomfort, pain, and undesirable cosmetic results. As for the recipient site, satisfactory cosmetic effects and less pigmentation changes could be achieved with this type of simple modification of a laminated graft.