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Utilizing Free Skin Grafts With the Preserved Subdermal Vascular Plexus for Repairing Facial and Cervical Skin and
1Department of Plastic and Laser Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Background:
The reconstruction of facial and cervical skin and soft-tissue defects presents significant aesthetic challenges. While conventional skin grafting techniques offer reliable coverage, they often yield suboptimal outcomes, including pigmentary changes, contour irregularities, and scar contracture. This study evaluates the clinical efficacy of free skin grafts with a preserved subdermal vascular plexus for the repair of facial and cervical skin and soft tissue defects.
Methods:
A total of 25 patients presenting with facial and cervical skin and soft tissue defects between June 2022 and February 2025 were enrolled. According to the size of the defects, subdermal vascular network skin grafts were transplanted from their own bodies to repair the tissue defects.
Results:
All skin grafts survived postoperatively, with no instances of poor healing, infection, or necrosis. During a follow-up period ranging from 6 months to 2 years, the repaired areas exhibited favorable aesthetic contours, soft and elastic texture, and a good color match with the surrounding skin. No significant pigmentation or cicatricial contracture was observed. Patient satisfaction with the outcomes was high.
Conclusion:
The application of free skin grafts preserving the subdermal vascular plexus for repairing facial and cervical skin and soft tissue defects is characterized by a straightforward surgical procedure, minimal donor site morbidity, and aesthetically pleasing results. This technique warrants clinical promotion.
