Skin-Fat Composite Grafts on Full-Thickness Facial Skin Defects

Abstract

When used to coverfacialskindefects,skingraftsand local flaps have limitations such as color mismatch, volume depletion, and long scar. We usedskin-fatcompositegraftsharvested with enough fat tissue over the whole plane to coverfull-thicknessfacialskindefects. This study enrolled 15compositegrafts, and the results were rated by 2 investigators on a scale of 1 to 5 based onskintexture, color, and volume.Skincolor analysis using a spectrophotometer was performed on 9graftsusing 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 thegraftsand the adjacentskin.Skinand fatcompositetissuegraftscan be a good option for coveringfull-thicknessfacialskindefects.