Understanding Skin Grafts


Skin grafts are often necessary for difficult wounds that will not heal from the edges. Skin grafts are required for wounds related to cancer excision, traumatic injury or infections that leave open areas. These open wounds that do not heal can seriously encumber your life. Dressing your wound every day and multiple times a day for weeks or months or years often times is unnecessary if the skin graft is done properly.

Patients often come to me with wounds that have failed dressing changes, antibiotics elevation and various graft substitutes done in non-surgical wound care clinics. A skin grafted wound properly done should be able to take and heal your wound with a high percentage after just 2 weeks. Not every wound is a candidate for a skin graft but the majority are.

Full-thickness skin grafts take the full thickness of skin from some part of your body and place it on your wound.  Generally this area, where the skin has been harvested, is closed with stitches and will heal up without an open area in 2 or 3 weeks.

split thickness skin graft is when a graft is taken with a machine called the dermatome that takes 12,000s of an inch from the outer layer of your skin and this donor site then heals by scabbing and drying out over the next month.

Both of these techniques work very well but should be individualized depending on what kind of wound you have. Dr. Jacobsen uses a wound VAC device which you may have had before.  The wound VAC we use in our Hospital has an extra tube that allows the wound to be irrigated twice an hour with an antibiotic solution that we have standardized to maximize the take of the graft and minimize infection.

We have very strict rules and very strict postoperative care requirements that have led to a very high healing rate. We have the team of specialists including wound care internist, infectious disease doctors, cardiologists, pulmonologists and other specialists this work as a team in our Hospital to ensure that the wound heals and there are no other medical complications that can lead to failure. In many cases it is to your advantage to have a skin graft to your chronic open wound rather than endure the dressing changes for the remainder of your life.

We can see you and help you if you have a problem.  If you call our office or email us will be happy to help you.  You can include a photograph of your wound if you wish and we can tell you whether or not we can help heal your wound with a skin graft

Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!


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  • review rating 5  Incredible does not begin to describe Dr. J and his amazing staff! From my first consultations to any questions I had post op, I was treated like I was the only patient. Dr. J is a true professional who cares about his patients. Without hesitation, I highly recommend Dr. J!!

    thumb Kara Sehr
    3/10/2019
  • review rating 5  My dad is the best Dad. Do not try to tell me otherwise please and thank you.

    thumb Oliver Jacobsen
    2/18/2019
  • review rating 5  I've had four visits with Dr. Jacobsen over the past 2.5 years, the first after the removal of 1/3 of my bottom lip from skin cancer, and the last for a biopsy of possible skin cancer on my nose. Each time, he has treated me with kindness and respect, and also had a level of confidence that made me feel relaxed with whatever he thought best for the particular problem. Thus far, the results have proven him correct. He has quickly become my go-to for any problem or condition that may create a cosmetic "issue". His office and staff make you feel welcomed and comfortable, and he promptly and generously responds to questions or concerns by email. One visit and you'll find these things out yourself.

    thumb Jay Phillips
    4/18/2018
  • review rating 5  My experience with Dr Jacobsen, MD has been a unbelievable first time experience for my procedure. He is a extremely skilled surgeon that that I would highly recommend. He is professional, compassionate, knowledgeable and has excellent bedside manners. Do not hesitate to set up a free consultation, your will never regret it. Jim K. 4/15/18

    thumb Jim Kleeman
    4/17/2018
  • review rating 5  Dr J is a kind, compassionate, extremely gifted surgeon. I’ve now had two procedures preformed by him and both he explained and executed beautifully. He is always there to answer questions before and after surgery. You will most likely wait about a hour longer then your expected appointment time but he is definitely worth the wait.

    thumb Jennifer Arena
    5/14/2019
  • review rating 5  I would recommend dr. William Jacobsen to anyone who is interested in doing any kind of procedure. I got a chest augmentation and he did an amazing job! I am very happy and he did exactly the shape and size I was wanted. Go to his website and you will not be disappointed !

    thumb Mirela Eastridge
    2/20/2019
  • review rating 5  So pleased with my whole experience! I thank everyone for making me feel good about myself again and being fantastic through my whole experience!

    thumb Sandy Cosper
    3/12/2019
  • review rating 5  I honestly cannot say enough about the entire experience. From the girls at the front to Dr. J, nothing was short of first class excellence met with an one of a kind feeling of being amongst people who really care. Whether its the little things of being offered water for every visit or Dr. J himself, you just get an incredible unrivaled experience here. Dr. J is extremely nice and genuine to say the least, and his work shows! I had a nasty raised scar from a dog bite and was really nervous to have that taken out, but the whole experience was virtually painless and smooth. Not to mention what Dr. J did was just flat out impressive. I can barely even tell there was anything there to begin with..so so thankful.

    thumb D OD
    2/17/2019
  • review rating 5  I couldn't be happier with my procedure. Dr. J has the most kind and relaxing manner and he is the ultimate professional. I had a fatty tumor on my forehead that he removed, as well as breast reconstruction. The breast reconstruction was overdue as I had breast cancer with multiple lumpectomies, biopsies and radiation. It left the tissue hard and my old implant like a rock. He was able to correct all of the problems and I'm much happier with my appearance. Although you may find it odd at first that you can't get anyone by phone their response time is amazing. I emailed the office on a Sunday afternoon that I had a problem and within ten minutes (no exaggeration) I had a text back that a prescription had been called in to my pharmacy. I've had procedures with other doctors around the Valley and never had an experience more pleasant, nor one which I was happier with the results.

    thumb Leslie Keller
    10/16/2017
  • review rating 5  Dr. J and his entire staff are the BEST! He was personally so responsive to a weekend email about my son's accident that resulted in a cut on his chin. Dr. J and his staff made sure to fit my son in to see Dr. J immediately. We have confidence that my son's wound will heal well after receiving care from Dr. J. Thank you Dr. J!

    thumb Marsha Dobric
    4/06/2019

Get started today!

Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.

Dr. William Jacobsen
Plastic Surgery
2525 East Arizona
​Biltmore Circle, Ste C236
Phoenix, AZ  85016

Phone: 602-212-0100
Fax: 602.279.1701
info@drjsoffice.com

Our Procedures & Treatments

Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.

Eyelid Tucks
Facelift
Skin Cancers
Melanoma Treatment
Breast Augmentation/Lift
Breast Reconstruction

Moles
Scars
Terrible Wounds
Mohs Surgery Repairs
Infected Bone/Hardware
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