Reconstructing skin defects using skin grafts or flap plasty

Following the removal of a tumour, skin defects often occur that cannot simply be stitched back up with sutures. Skin grafts or special techniques ensure function and provide an aesthetic result.
Woman from behind.

The key facts

  • Anaesthesia: Local/general anaesthetic   
  • Necessary time off work: 5–7 days 
  • Duration of surgery: 45-60 mins, depending on the procedure method   
  • Necessary time off sporting activities: Approx. 14 days 
  • Type of care: Outpatient 
 

How does skin defect reconstruction with skin grafts or flap plasty work?

Following the surgical removal of tumours or other surgical procedures, skin defects may occur that cannot be closed by stitching the edges of the wound together with simple sutures.

Depending on the size and location of the skin defect, we select the most appropriate technique to preserve both the function and appearance of the affected area as effectively as possible.

In cases of superficial skin defects or areas with low tissue thickness, a skin graft is often a suitable method for closing the wound.    

About the treatment

Skin is gently removed from inconspicuous areas, such as behind the ear, on the neck or on the thighs.  

For procedures performed on the face, it is particularly advantageous (both in functional and cosmetic terms) to use tissue of a similar texture and thickness. If coverage from the surrounding area is not possible, a procedure called transposition flap plasty is used. There are various types of flap surgery, which are selected on a case-by-case basis depending on the size and location of the defect.  

Depending on the extent of the procedure, treatment can be carried out under local anaesthetic, twilight sedation or general anaesthetic – tailored individually to your needs and the procedure.   

 

Typical areas of application 

  • After tumour removal (e.g. skin cancer) with skin defects
  • For accident-related tissue loss or deep wounds
  • For chronic wounds, e.g. due to circulatory disorders
  • For scar correction in cases of functional impairment
  • To cover skin defects on the face or exposed areas of the body
  • For burn injuries involving skin loss
  • Reconstructive procedures following surgery 

 

When is it recommended? 

  • When primary wound closure is not possible
  • In cases of functional limitation due to skin loss
  • When aesthetically pleasing results are desired
  • For larger or conspicuously located defects, e.g. on the face
  • If surrounding tissue is insufficient → transposition flap plasty 

"From diagnosis to surgical intervention to scar treatment—we handle everything under one roof." 

Dr. med. Valeska Hürlimann
Treatment stages
1
Before treatment
The skin change or defect is examined by a doctor. Together, a joint decision is made as to whether a skin graft or flap plasty is necessary.
2
During treatment
The affected area is prepared. The skin or tissue is taken from an inconspicuous donor site (e.g. behind the ear) and used to cover the defect. The method (e.g. transposition flap plasty) depends on the size and location of the wound.
3
After treatment
Regular medical check-ups ensure healing. The donor and recipient sites must be protected and well cared for. Depending on the technique and location, stitches are removed after approximately 7–14 days.
4
Possible risks and complications
After the procedure, the patient may experience swelling, redness or wound healing complications at the donor and recipient sites. In some cases, scarring or temporary sensory disturbances may occur.
FAQs

FAQs

What will help my skin graft to heal well? 

In order for the skin graft to take successfully, the wound bed needs to be well supplied with blood. This means that the tissue beneath the graft needs to have a good blood supply, because the graft itself does not have its own blood supply. This is the only way to supply the graft with the important nutrients and oxygen it needs to grow in healthily. It is also important to keep the wound clean and avoid putting pressure on it so that it heals as well as possible. 

Should I expect multiple operations? 

In some cases, several procedures are required at set intervals in order to achieve the best possible results.  

Can scars become invisible after treatment? 

With modern surgical methods, scars can often be kept very small and inconspicuous. Particularly on the face, we take care to close the wound in such a way that the scar becomes as close to invisible as possible. However, this will never be completely invisible, since the body forms new tissue at the treated site. With good wound care and, if necessary, complementary treatments such as scar ointments or laser therapy, the appearance of the scar can be significantly improved.

Group photo of the doctors of the PSG

Our team

Our team includes specialised consultants in facial, breast, body, and dermatological surgery, as well as nursing professionals and supporting specialists. Together, we accompany you with understanding and expertise. 

Why choose us
Entrance to Affidea PSG Zurich
Specialists in plastic breast surgery
Our experienced team of doctors offers the most advanced reconstructive and aesthetic techniques to shape the breast with harmonious and natural form and symmetry.
Comprehensive care
We support patients throughout the entire process – from diagnosis and surgical treatment to personalised aftercare and rehabilitation.
Modern infrastructure
Our state-of-the-art practice facilities are equipped with the latest technology, creating a pleasant and safe atmosphere for your treatment.
Integrated patient care
We provide interdisciplinary and coordinated support – from the first consultation through to aftercare, ensuring a smooth treatment journey.