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Sjöberg et al. Plast Aesthet Res 2024;11:55 Plastic and
DOI: 10.20517/2347-9264.2024.86
Aesthetic Research

Review Open Access

Exploring the potential of dermal grafting: a
narrative review in plastic surgery

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Folke Sjöberg 1,2,3 , Sinan Dogan , Ahmed T. El-Serafi , Zacharias Sjöberg , Islam Abdelrahman , Ingrid
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Steinvall , Matilda Karlsson , Pia Olofsson , Andrew Lindford , Jyrki Vuola , Moustafa Elmasry 1,3
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Department of Hand Surgery, Plastic Surgery and Burns, Linköping University Hospital, Linköping 58185, Sweden.
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Department of Intensive Care, Linköping University Hospital, Linköping 58185, Sweden.
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Department of Biomedical and Clinical Sciences, Linköping University Hospital, Linköping 58185, Sweden.
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Seber Medical Ltd., Stockholm 11235, Sweden.
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Department of Plastic Surgery, Helsinki Burn Centre, University of Helsinki Hospital, Espoo 02740, Finland.
Correspondence to: Prof. Folke Sjöberg, Department of Hand Surgery, Plastic Surgery and Burns, Linköping University
Hospital, Sjukhusvägen 1, Norra Entreen, Linköping 58185, Sweden. E-mail: folke.sjoberg@liu.se
How to cite this article: Sjöberg F, Dogan S, El-Serafi AT, Sjöberg Z, Abdelrahman I, Steinvall I, Karlsson M, Olofsson P, Lindford
A, Vuola J, Elmasry M. Exploring the potential of dermal grafting: a narrative review in plastic surgery. Plast Aesthet Res
2024;11:55. https://dx.doi.org/10.20517/2347-9264.2024.86
Received: 18 Jun 2024 First Decision: 11 Oct 2024 Revised: 25 Oct 2024 Accepted: 31 Oct 2024 Published: 22 Nov 2024
Academic Editors: Adrian Dragu, Marc Jeschke Copy Editor: Ting-Ting Hu Production Editor: Ting-Ting Hu
Abstract
Dermal grafting (DG) has emerged as an innovative technique in plastic and reconstructive surgery, offering
several advantages over traditional skin grafting methods. This review provides an in-depth exploration of DG,
highlighting its applications, benefits, and future directions. The historical evolution of skin grafting is discussed,
tracing the development of DG as a novel approach to address the limitations of conventional techniques.

The review focuses on four key advantages of DG: (1) accelerated healing of donor sites; (2) improved aesthetic
outcomes at recipient sites due to the elastic nature of dermal grafts; (3) increased graft availability by effectively
at least doubling the amount of graft material obtained from a single donor site; and (4) utility in scar revision and
reconstruction procedures, particularly in areas with restrictive scarring or contractures.

Recent advancements, such as the development of a multiblade dermatome, have addressed the technical
challenges associated with DG harvesting, potentially broadening the clinical adoption of this technique.
Preliminary results from studies utilizing this new device have demonstrated its feasibility in producing dual grafts
(split-thickness skin graft and dermal graft) concurrently, simplifying the surgical procedure.

© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
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