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Page 6 of 7 Sjöberg et al. Plast Aesthet Res 2024;11:55 https://dx.doi.org/10.20517/2347-9264.2024.86

Figure 1. The first prototype of a multi, e.g., double-blade dermatome. The two blades and the opening for tissue transfer are marked in
green.

Increased graft availability by effectively at least doubling the material from a single donor site, when using a
double-blade dermatome as compared to a singleblade one.

Utility in the reconstruction of areas with restrictive scars or contractures.

Recent innovations like the multiblade dermatome have addressed technical challenges in harvesting dermal
grafts, potentially broadening clinical adoption. Initial studies demonstrate the feasibility of this device in
concurrently producing split-thickness and dermal grafts, significantly simplifying the surgical procedure.

Key areas of future work include optimizing the multiblade dermatome, exploring expansion levels and
thickness variability of dermal grafts, conducting large clinical trials to validate long-term benefits, and
combining dermal grafting with advanced technologies for tissue regeneration.

Overall, this review highlights dermal grafting’s significant advantages and potential to revolutionize plastic
and reconstructive surgery, ultimately improving patient outcomes and quality of life.

DECLARATIONS
Authors’ contributions
Review design and drafting of the initial manuscript: Sjöberg F, Dogan S
Revising it and contributing with important intellectual content: Sjöberg F, Dogan S, El-Serafi AT, Sjöberg
Z, Abdelrahman I, Steinvall I, Karlsson M, Olofsson P, Lindford A, Vuola J, Elmasry M
All authors had complete access to the data that support this publication and approved the final article for
submission
All authors contributed substantially to the concept formation of this review manuscript

Availability of data and materials
Data and materials are available in the manuscript.