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Greenhalgh. Plast Aesthet Res 2024;11:27 https://dx.doi.org/10.20517/2347-9264.2024.43 Page 5 of 13
Figure 2. A sheet graft placed on the upper chest of a young girl. The skin was harvested by a 6-inch-wide dermatome so that one piece
could be used for the entire chest. The child will feel comfortable wearing a V-neck shirt or sweater.
Figure 3. As a child gains weight, the difference between the normal skin and the fascial excision becomes more noticeable. This child is
14 years post-burn injury. Due to the depth of injury, her lower legs were grafted on muscle. The thighs were not injured. One can see
that the upper thighs have gained weight with the excess fat, creating an obvious step-off to the lower leg grafts.
Figure 4. The mesh pattern in the arm graft is very noticeable. The hand has a sheet graft for comparison. The color differences are also
very noticeable. There is no pigmentation in the palm, which makes the contrast even greater.
