Contouring of donor skin in full-thickness skin grafting

Different areas which are multiply contoured require individualized approaches to reconstruction. The contouring of the donor skin specimen is important to the final appearance of full-thickness skin grafts. Graft-bed contours can be matched by trimming the reverse contour on the underside of the donor specimen. The reconstruction of defects on the nasal tip, lateral nose and ala, helical rim of the ear, and eyelid and medial canthal areas are discussed.