Facial plast Surg 1997; 13(2): 93-99
DOI: 10.1055/s-2008-1064471
© 1997 by Thieme Medical Publishers, Inc.

The Reversed Dermal Graft: Surgical Procedure and Clinical Applications

Alina A.M. Fratila1 , Randolph Bertlich2
  • 1Day Surgery Clinic, Bonn, Germany
  • 2Dermatology Private Office, Marl, Germany
Further Information

Publication History

Publication Date:
02 June 2008 (online)


The reversed dermal graft has been employed in reconstructive plastic surgery for almost 80 years. It is recommended that the dermatologic surgeon use this graft technique whenever a case calls for the combined advantages of the split-thickness skin graft for poorly vascularized areas and the axial pedicle flap appropriate to areas subject to marked mechanical strain. We present cases in which defects on the scalp, sole, palm, and great toe have been covered by reversed dermal graft and split-thickness skin graft in a single operation with excellent results. Our modification of the technique has proved that simultaneous grafting with reversed dermis and split-thickness skin graft produces satisfactory results, reduces postoperative care by 2 weeks, and obviates repeated anesthesia.