Procedure
Epithelium is removed by lasers & Ultra thin epithelial graft kept over it which allow melanocytes to get incorporated during reepithelization. The epidermis of graft actually peels off at two weeks. Epithelial grafts of>0.25 mm were kept over the deepithelised areas and fixed at the edges with the help of buta-acylate gule. Except the limbs and joints, dressings are not applied only ointment is used locally to cover the operated area.
Duration:
45 min to 4 hrs. Depending upon the area to be done.
Anesthesia:
Propofol & fentanyl anaesthesia/ general anaesthesia
After Effect:
Mild discomfort can be there for 4 hours. If the area around eyes than some swelling for 48 hrs which is going to subside completely in a week time.
Risks:
Small skip areas may be left out which needs attention at 6 months this happens in only 2-3% of patients. Donor area with nice pigmentation. Now a days we have the facility to culture the melanocytes too, so no need to take large sheet for big area(does not work for perioral areas)
Recovery:
Wearing of splints if the area is over the joints or around joints
Moving around, once out of anaesthesia
Return to work: two days later or if area is on lower limb than 2 weeks.
Duration of Results:
Permanent