๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Full-thickness skin grafts
Full-thickness skin grafts
A commonly heard but ill-founded mantra is, โDo not use skin grafts on upper lips.โ Yet skin grafts can be exceedingly useful and aesthetically acceptable, especially for large partial-thickness upper lip repairs. They are very reliable and maintain function without
the risk of bulky thickening. Flexibility and dynamism of the repair is excellent. Skin grafts can be executed with minimum morbidity, a significant advantage for elderly patients. Cosmesis can be very good to excellent, provided the surgeon takes care in execution. Upper lip skin grafts may increase in laxity over time, though this may be advantageous. The laxity provides an excellent opportunity to perform easily tolerated serial excisions, converting large grafts to small unobtrusive grafts. This serial excision technique for upper lip grafts can also permit reconstitution of a previously compromised vermillion border. The surgeon should not dismiss out of hand the utility of a full-thickness skin graft, especially for larger partial-thickness upper lip repairs.