FAQ: Skin Grafting

If you suffer from burn marks/skin loss that had cause deep skin tissue damage and wish to seek treatment to restore the area by filling it in or reduce any discolouration on the skin or improve skin texture

This surgery will remove healthy skin from a donor site (usually from the buttocks or thighs) and place/stitch it over the area of the skin where the wound resides

Some possible complications/risk are infections, reaction to anesthesia, bleeding, skin graft resisting to heal, increase or reduce/lost of skin sensation, scarring, discolouration of the skin, and uneven skin surface

Other surgical options can include bioengineered skin, negative-pressure wound therapy, and skin cell gun.

The graft will be obtained from another part of your body (commonly thighs and buttocks)

The thickness of the graft will depend on the severity of the damage

Your graft should last a lifetime, as long as the healing process is successful

The chances are slim since the graft is obtained from your skin/body and not from another source

Successful patients usually do not need additional surgery

There is a chance that there may be a loss of sensation in the donor area, depending on the degree of damage

This will vary from patient to patient

Some patients will have minimal scarring while others will have a very distinct and visible scarring

The surgery should take

You will have bandages that will need to be regularly removed and replaced for a couple of weeks, depending on where the location of the treated area is

The grafted area will be red and noticeable with scarring in the beginning, however as time goes by, all these side effects will subside but will still be apparent

The pain will be moderate but medication will be provided to help manage

Because of the technique that I use to close the abdomen, drains and tubes are usually not necessary unless it is of extraordinary situation.

Patients usually do not need physical therapy unless the damage was severe to the point of movement impairment

I usually perform this surgery as an outpatient and every one is able to go home the same day. You will be seen the following day or 2 days later.

You should be able to get back to 80% of your daily activities within one week. I encourage my patients to ambulate and resume light activities within a few days after surgery. You are encouraged to lean over when you are walking. We recommend that you do not do any heavy exercise or weight lift for four to six weeks.

In general, you should not drive the first 48 hours after surgery. Also if you are taking heavy necrotic, one should not be driving. Most of my clients are usually driving after 3 to 4 days.

This depends on the type of work. For people who are doing desk job and love to go back to work, return to modified work after 1 week is very common. For one who has a more physical intense job, one may take 6 to 8 weeks before one returns to modified work.

My procedure is usually done under general anesthesia but spine and region with sedation are also possible.

All my patients see the anesthesiologist before but usually on the day of surgery. For one who has special needs, I frequently arrange for consultation with anesthesiologist a few days before surgery.

초기 상담, 수술 전 예약 및 수술 당일에 모든 환자 약물을 검토합니다.

일반적으로 출혈 또는 출혈 시간 연장을 유발할 수있는 모든 약물을 중단하거나 변경해야 할 수 있습니다. 귀하는 가족 주치의와 이러한 약을 복용 한 전문가와상의하지 않고 약을 중단해서는 안됩니다.

For my patients, general lab tests such as CBC, electrolytes, liver function, INR, PTT, cardiogram are fairly routine, Other tests may be ordered if one has special medical condition.

My anesthesiologist and I prefer that one stop eating and drinking 6 hours before surgery. One can take medication with a small sip of water if the medication is indicated before surgery

We recommend that you arrive 30 minutes before your surgery. We will also try you on your mobile phone if the time of surgery has been changed.

You can call my office for direction. Our address is available online and one can also use mobile app for direction

You need someone to take you home after surgery as driving is not permitted.

  • 입원 기간 동안 필요할 수있는 개인 용품 준비
  • 집과 직장에서 누군가가 책임을 돌 보도록 준비하십시오
  • 누군가가 병원에서 집으로 데려다 줄 수 있도록 준비하십시오
  • 수술 후 첫날 밤 누군가와 함께있을 수 있도록 준비하십시오
  • 다른 질문이 있으면 의사에게 연락하십시오
  • 수술 후 10 일 이내에 아프면 의사에게 알리십시오 (감기와 같은 경미한 질병도)
  • 의사의 조언에 따라 식사 및 / 또는 음주를 중단하십시오
  • 수술 24 시간 전에 담배를 피우거나 술을 마시지 마십시오.
  • 의사의 연락처 정보가 있는지 확인하십시오
  • 방문객을 위해 병원 / 사무실로가는 지시 사항이 있는지 확인하십시오

The surgery time can range from 1-2 hours

You usually wake up within 10 minutes from the procedure, and your family can see you within an hour from the procedure.

You usually wake up within 10 minutes from the procedure, and your family can see you within an hour from the procedure.

If you have significant risks of DVT or pulmonary embolus, you will need to take blood-thinning medication.

I usually start antibiotics in the operating room, and you may take oral antibiotics for another 48 hours.

  • 이름과 생년월일로 신원이 확인되었는지 확인하십시오.
  • Make sure you have confirmed the surgery you are having
  • 수술 부위가 정확한지 확인하십시오
  • 알레르기 및 부작용 확인
  • 사전 동의 양식을 이해하고 서명했는지 확인하십시오

나는 보통 수술 후 방문에서 수술 후 1-2 일과 함께 회복실에서 환자와 대화하여 수술 방법을 설명합니다.

This depends on your medical conditions and I will discuss this with you at your pre-operative consultation.

나는 보통 출혈을 일으킬 수있는 약물을 제외하고 평소 약물을 계속 복용하는 것을 좋아합니다. 이 문제에 대해 더 논의하겠습니다.

저의 일반적인 프로토콜은 배수구, 튜브 또는 카테터를 사용하지 않습니다. 이러한 장치의 필요성을 줄이기 위해 특수 폐쇄 기술을 사용하기 때문입니다.

You can drink water and liquid shortly after the procedure.

Breathing exercises after the procedure is improvement and my patients start in the recovery room after they are awake.

My procedure is usually as an outpatient and you will be staying for a few hours after. I only let my patient go home if they are ready.

You need to meet all the discharge criteria before you can go home.

You will be given intra-operative medication; local block and oral and parental pain medication to make sure you are comfortable.

If needed, you can start physical therapy after a month but this can vary depending on how deep the damage was and where the impairment occurred

For my patients, general lab tests such as CBC, electrolytes, liver function, INR, PTT, cardiogram are fairly routine, Other tests may be ordered if one has special medical condition.

Your incision on the donor site should finish healing after a couple of weeks while the incision for the skin grafting will be distinct and noticeable

Antibiotics will be started after you finish surgery but your regular medication should still be taken unless advised by your doctor or me

Our patient can do light activities at home. It is better to walk slowly and avoid any excess contact/rubbing on the surgical area. If the skin grafting is done on the leg, patients are advised to remain in bed for 10 days and keep the treated leg elevated

You should have the medication filled before the day of surgery.

Any mediation that can cause bleeding or alternate your medical condition need to be stopped or changed before surgery. I will be discussing with you in detail at pre-operative visit.

There will be a bandage applied over the wound. During post-surgery, the patient will be require to change the bandage regularly and apply mineral oil to avoid cracking of the skin

You can take a shower two days after the surgery

I usually like to see my patients the first one to two days after surgery.

You usually do not need physical therapy. And if you do, this will be discussed with the individual who provides you the physical therapy

The sutures are usually removed about 10 days after surgery.

This depends on the amount of contact/rubbing the treated area encounters, usually

It is suggested that the activity level is low to avoid any excess rubbing or contact with the healing area. Returning to normal activity can range from 1 week to 3 weeks, depending on the type of skin grafting done

For clients that do light office work, return to work within two weeks is possible, depending on the type of skin grafting. For clients who work in more physical demanding jobs, you can take up to 6 weeks after surgery.

You can usually drive a couple of days after surgery as long as you are not any narcotic medication and this also depends on the type of skin grafting you had done

I suggest that you should avoid sexual activity for a few weeks.

  • Make sure your care providers wash their hands before and after your care
  • Do not wait until your pain is severe before you ask for pain medication
  • Make sure the call button is within reach before medical staff leave the room
  • Sit on the edge of the bed for a few minutes before you stand up to prevent getting dizzy

Do not get out of bed without help if you feel weak or dizzy

  • 화씨 100.4도 이상의 열이 있습니다.
  • 숨가쁨 또는 흉통이 있음
  • You notice increased redness, swelling, warmth, or pain around your surgical site
  • You notice that your graft is separating or you have infected discharge from your graft
  • You notice the edges of your skin graft turning dark
  • 드레싱이 반복적으로 피에 스며 들었습니다.
  • 기존 진통제가 통제 할 수없는 통증이 있습니다
  • 처방 된대로 통증 및 기타 약물 복용
  • 처방전 진통제 복용시 운전하지 마십시오
  • 수술 후 10 일 동안 목욕하거나 몸을 담그지 마십시오.
  • Keep your graft clean and dry
  • 의사가 조언하는 한 격렬한 운동과 무거운 짐을 피하십시오
  • Follow your doctor’s instructions on resuming normal daily activities

Follow your doctor’s instructions on resuming sexual activity

리뷰 및 기사

"홍변 박사의 환자들에 대한 실제 이야기와 미용 향상을 거친 후의 경험을 읽어보십시오"

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