03 · Surgical Treatment

Split-Thickness Skin Graft (STSG)

Overview

STSG is a surgical repigmentation technique in which a thin layer of autologous skin is harvested from a donor site and transplanted to a prepared depigmented area.

Split-thickness skin graft treatment process

How It Works

The donor skin contains melanocyte-rich epidermal tissue. After harvesting, the graft is carefully prepared and transferred to the recipient site, where it supports repigmentation through the introduction of functional pigment-producing cells.

Key Features

Autologous Tissue

Uses the patient's own skin.

Larger Area Coverage

Suitable for broader depigmented areas.

Uniform Grafting

Allows relatively even tissue coverage.

Repigmentation Support

Provides melanocytes to the recipient site.

STSG can be considered for stable vitiligo that has not responded adequately to medical treatment, with patient selection based on disease stability, lesion characteristics, donor-site suitability, and treatment goals.

Treatment Goal

To restore pigmentation and achieve a more uniform color match between the treated area and surrounding skin.