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The 'Slide-by-Side' Full-Thickness Skin Graft for Large Donor Site Closure
Olivia G Cohen1, Margaret G Mercante1, Yusrat Ahsanullah2
1Department of Dermatology, University of Virginia Health System, Charlottesville, Virginia, USA.
The Australasian Journal of Dermatology
|January 23, 2026
Abstract:
Full-thickness skin grafts (FTSGs) provide superior aesthetic outcomes compared to split-thickness grafts, but harvesting large FTSGs is often limited by donor site morbidity, tension, and tissue waste. In this manuscript, we describe the 'slide-by-side' technique that improves tissue economy, decreases closure tension, and reduces donor site morbidity, enabling reconstruction of large defects with the cosmetic advantages of FTSGs.
Keywords:
Mohs micrographic surgerycosmetic reconstructive surgerydermatologic surgeryfacial reconstructionfull‐thickness skin graft
