Skin Cancer Service - Plymouth Hospitals

Plymouth Hospital NHS Trust
Skin Grafts for Skin Cancer
Skin Cancer Service
Your Hospital Team
Surgery for skin cancer involves removing the affected area and
some of the surrounding, healthy-looking skin. If the area is
fairly small, it will be possible to close the wound by bringing the
edges of the skin together. Larger wounds may need a skin graft
to cover the area.
Skin grafts are layers of skin taken from another part of the body
(see the ‘donor site’ leaflet) and placed over the area where the
cancer has been removed. A partial thickness (or split thickness)
skin graft is where the epidermis and a part of the dermis layer is
used. The skin is usually taken from the thigh, buttock or upper
arm. Skin will grow back in this area.
A full thickness skin graft is where the epidermis and the full
dermis layers are used. In this case, only a small area is taken
from the donor site and the skin edges of the donor site are then
stitched together to heal. Skin may be taken from the neck, the
area behind the ears and the inner side of the upper arm.
How is a skin graft applied?
You may have either a general or a local anaesthetic depending
on the area being grafted. Your doctor will advise you which is
best for you. Once the skin layer has been taken from the donor
site, it is placed over the wound where the cancer has been
removed. The graft may be stapled, stitched or glued in place,
or simply laid onto the area. These techniques depend on the
patient, the size of the skin graft and the area where it is applied,
or on the Consultant’s instructions.
What happens after the surgery?
You will need to take things gently for the first two weeks to allow
the graft to heal properly. The grafted area is quite fragile, so it
is important not to rub or brush against the graft or the dressing,
Skin Grafts for Skin Cancer
Skin Cancer Service