Score and Shave Scalpel Harvesting of Split Thickness Skin Grafts in Reconstruction of the Ear, Finger and Toe

We describe a technique of freehand scalpel harvesting whereby the split thickness skin graft to be harvested is outlined and the margin scored with a scalpel prior to freehand scalpel harvesting. We have experience of this technique with 11 cases and all of them had a good cosmetic outcome. We term this 'Score and Shave' and describe the technique with illustrative cases in the reconstruction of surgical wounds following Mohs Micrographic surgery (MMS) and standard excisional surgery. This technique is time efficient and relatively simple and does not require expensive equipment and therefore could be utilised as an alternative to standard methods of harvesting split thickness skin grafts.