Punch Grafting

Punch GraftingPunch Excision with Skin Graft Replacement. With this approach the scar is excised with the punch biopsy instrument as above.  Instead of suturing the skin edges together, a punch graft is usually taken from behind the ear and placed in the resulting punched out defect. Once the scars have been marked out and anaesthetized, skin is taken from behind the ear donor site and is used to match the skin which is being excised.  A device called a punch is used to excise the scars, and such punch devices have varying diameters.  Usually the dermatologist uses a punch, 0.5mm or larger to remove the punch grafts from behind the ear.  The grafts are then set into place.  Steri-strips are applied and a dressing is placed over the grafts.




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